2024 AOSSM Annual Meeting Recordings-Concurrent Session C: Brace Yourself for the Changes in UCL Management

Video Transcription

Video Summary

The transcript covers a comprehensive session about advancements and results in ulnar collateral ligament (UCL) surgeries, particularly focusing on UCL reconstruction and repair techniques, their clinical outcomes, and subsequent rehabilitation protocols. The speakers discussed four specific studies and two technical spotlights, culminating in a Q&A and panel discussion.<br /><br />1. <strong>Mike Ciccotti's Study:</strong> <br />   - Focused on the impact of UCL reconstruction on joint gapping, assessed through stress ultrasound.<br />   - Findings: Reconstruction reduces joint gapping to normal levels, irrespective of the reconstruction technique used.<br /><br />2. <strong>Jeff Dugas' Study:</strong><br />   - Compared UCL repair with internal brace versus UCL reconstruction in athletes.<br />   - Findings: High success rates for both techniques, with repair leading to quicker return times (9 months vs. 13 months for reconstructions). No significant differences in patient-reported outcomes.<br /><br />3. <strong>Chris Camp's Study:</strong><br />   - Examined outcomes of UCL reconstruction with internal brace augmentation.<br />   - Findings: High return-to-pitching rates within 10 months, showing potential for reduced recovery times compared to traditional reconstructions.<br /><br />4. <strong>Joseph Tannenbaum's Study:</strong><br />   - Investigated the natural history of UCL injuries in professional baseball players.<br />   - Findings: Higher recurrence rates for non-operatively treated injuries versus surgically treated ones. Increased surgical intervention for recurrent injuries.<br /><br /><strong>Technical Spotlights:</strong><br />- <strong>Jeff Dugas on UCL Repair and Reconstruction:</strong> Showed procedures for repairing and reconstructing the UCL, stressing the importance of understanding tissue quality and biomechanical principles.<br />- <strong>Chris Ahmad on Revision UCL Reconstruction:</strong> Discussed complex cases involving failed initial repairs and reconstructions, sharing techniques for managing these challenging surgeries.<br /><br />Finally, the session discussed:<br />- Rehab protocols vary depending on the surgical technique, with quicker timelines for repairs and hybrids.<br />- Importance of comprehensive shoulder and core evaluation in preoperative and rehabilitation stages.<br />- Caution in early range-of-motion exercises, especially highlighting the critical nature of intraoperative assessment of elbow flexion post-surgery. <br /><br />The session underscored the critical balance between innovative surgical techniques and patient-specific rehabilitation to optimize outcomes in UCL injuries.

Asset Caption

2:25 pm - 3:25 pm

Meta Tag

Concept Ulnar Collateral Ligament Reconstruction

Concept Ulnar Collateral Ligament Injury

Concept Revision Surgery

Concept Ulnohumeral Joint Space Gapping

Concept Ulnar Collateral Ligament Repair

Speaker Steven B. Cohen, MD

Speaker Anthony A. Romeo, MD

Speaker Michael C. Ciccotti, MD

Speaker Jeffrey R. Dugas, MD

Speaker Christopher L. Camp, MD

Speaker Joseph E. Tanenbaum, MD, PhD

Speaker Chris Ahmad, MD

Speaker Kevin Wilk, PT, DPT

Keywords

Steven B. Cohen, MD

Anthony A. Romeo, MD

Michael C. Ciccotti, MD

Jeffrey R. Dugas, MD

Christopher L. Camp, MD

Joseph E. Tanenbaum, MD, PhD

Chris Ahmad, MD

Kevin Wilk, PT, DPT

UCL surgery

UCL reconstruction

UCL repair

clinical outcomes

rehabilitation protocols

joint gapping

internal brace

return-to-play

recurrence rates

biomechanical principles

Ulnar Collateral Ligament Reconstruction

Ulnar Collateral Ligament Injury

Revision Surgery

Ulnohumeral Joint Space Gapping

Ulnar Collateral Ligament Repair