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Current Reviews in Musculoskeletal Medicine

Erschienen in:

13.04.2020 | Injuries in Overhead Athletes (J Dines and C Camp, Section Editors)

Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes

verfasst von: Lucas K. Keyt, Jennifer Tangtiphaiboontana, Travis W. Turner, Joshua S. Dines, Michael L. Knudsen, Christopher L. Camp

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 3/2020

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Abstract

Purpose of Review

The purposes of this review are to describe the epidemiology, treatment options, and clinical outcomes of revision medial ulnar collateral ligament reconstruction in baseball pitchers.

Recent Findings

Rates of revision UCL range from 1 to 15% and have slowly increased over the past several years. Revision UCL procedures are associated with higher complication rates, likely due to the distortion of innate anatomy after primary reconstruction. Techniques for reconstruction are largely influenced by the index surgery and integrity of the ulnar and humeral bone tunnels/sockets. Current literature reporting on the outcomes following revision UCL reconstruction is limited to case series and database studies. Mean time between primary reconstruction and revision surgery is approximately 5 years and return to play rates range from 47 to 85%.

Summary

Outcomes following revision UCL reconstruction are relatively guarded compared with those of primary UCL reconstruction with the most studies reporting lower return to play rates, decreased workloads compared with pre-injury levels of play, and shorter career longevity following revision surgery. Future research regarding optimal reconstruction techniques and post-operative rehabilitation are needed as the incidence and demand for this procedure is expected to increase.

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Titel: Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes
verfasst von: Lucas K. Keyt
Jennifer Tangtiphaiboontana
Travis W. Turner
Joshua S. Dines
Michael L. Knudsen
Christopher L. Camp
Publikationsdatum: 13.04.2020
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 3/2020
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-020-09619-x

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Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes

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Purpose of Review

Recent Findings

Summary

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Recent Findings

Summary

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