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Return to play after UCL injury in gymnasts
Bryson R Kemler1, Donald P Willier1, Taylor D'Amore1
1Rothman Orthopaedic Institute, Philadelphia, PA, USA.
The Physician and Sportsmedicine
|October 8, 2024
Summary
Gymnasts with ulnar collateral ligament (UCL) injuries show good outcomes with both operative and non-operative treatments. Return to play rates were high for both approaches, with similar patient-reported outcomes.
Area of Science:
- Orthopaedic surgery
- Sports medicine
- Rehabilitation
Background:
- Ulnar collateral ligament (UCL) injuries are common in overhead sports but understudied in gymnasts.
- Limited evidence exists on management and return to play (RTP) for UCL injuries in gymnasts.
Purpose of the Study:
- To evaluate RTP and patient-reported outcomes (PROs) in gymnasts following operative and non-operative treatment for UCL injuries.
Main Methods:
- A case series of gymnasts with UCL injuries treated operatively or non-operatively.
- PROs assessed using Conway-Jobe, Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow (KJOC), Mayo Elbow Performance (MEP), quick DASH (qDASH), and Timmerman-Andrews (TA) scores.
Main Results:
- Nine gymnasts were evaluated (5 operative, 4 non-operative).
- Return to play rates were 66.7% for operative and 100% for non-operative groups.
- Both groups reported similar subjective outcomes and treatment satisfaction.
Conclusions:
- Both operative and non-operative treatments yield favorable outcomes for UCL injuries in gymnasts.
- Further research is needed to guide optimal treatment selection based on injury severity and location.
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