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Ulnar Collateral Ligament Reconstruction Utilizing a 3-Strand Palmaris Tendon Autograft With a Hybrid Linear
Vincent H Key1, Austin A Cole1, Matthew H Freeman1
1Department of Orthopedic Surgery and Sports Medicine, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
Arthroscopy Techniques
|March 5, 2025
Summary
Ulnar collateral ligament (UCL) reconstruction is key for throwing athletes with full-thickness tears. This study details a 3-stranded palmaris longus autograft technique to optimize return to competition.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanics
Background:
- The medial ulnar collateral ligament (UCL) is crucial for elbow stability in throwing athletes.
- UCL injuries are increasing due to higher throwing velocities, insufficient recovery, and early sports specialization.
- UCL reconstruction is the gold standard for treating full-thickness tears.
Purpose of the Study:
- To present an optimized technique for UCL reconstruction.
- To improve the rate of return to pre-injury levels of competition for throwing athletes.
- To describe a novel 3-stranded palmaris longus tendon autograft with an inlay linear construct.
Main Methods:
- Surgical reconstruction of the UCL using a 3-stranded palmaris longus autograft.
- Employing an inlay linear construct for graft fixation.
- Focus on restoring elbow stability and function for overhead athletes.
Main Results:
- The described technique aims to provide robust UCL reconstruction.
- The goal is to facilitate a successful return to high-level throwing performance.
- This method seeks to address the challenges of current UCL reconstruction techniques.
Conclusions:
- The 3-stranded palmaris longus autograft with an inlay linear construct is a viable option for UCL reconstruction.
- This technique may offer an optimal solution for restoring elbow function in throwing athletes.
- Continued research and technique refinement are essential for managing UCL injuries.

