2022 AOSSM Annual Meeting Recordings with CME-Revision Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers: Effect on Fastball Velocity and Usage

Revision Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers: Effect on Fastball Velocity and Usage

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Video Transcription

Video Summary

In this video, the speaker expresses gratitude to the AOSSM committee and their co-authors for the opportunity to present. They state that there are no relevant disclosures related to their talk. The speaker discusses UCL (ulnar collateral ligament) injuries in Major League Baseball (MLB) pitchers, noting the significant impact in terms of time loss and performance after return. They mention the increasing prevalence of revision UCL reconstruction and studies on its effect on velocity. The speaker introduces the use of the MLB's PitchFX system to evaluate postoperative fastball velocity and usage after revision UCL reconstruction. They outline the purpose of their study, the methodology used to collect data from 2008 to 2021, and the inclusion criteria. The speaker presents flowchart results, indicating the number of pitchers available for evaluation. They compare age, years of experience, height, and weight between the revision UCL and primary UCL reconstruction groups. Results show no significant differences in fastball velocities between pre-revision levels and different time points after surgery, as well as no significant differences compared to the primary UCL reconstruction group. However, there is a decrease in fastball usage in the first and second years after return for the revision UCL group. The speaker concludes by acknowledging the limitations of their study and suggesting future investigations on the confidence levels in fastball usage. They mention the potential for further evaluation using available MLB technology. The video ends with thanks from the speaker. No specific credits are granted in the transcript.

Asset Caption

Christopher LaPrade, MD

Keywords

UCL injuries

revision UCL reconstruction

fastball velocity

fastball usage

MLB technology