2024 AOSSM Annual Meeting Recordings no CME-Concurrent Session C: Brace Yourself for the Changes in UCL Management

Video Transcription

Video Summary

During a medical symposium, a detailed schedule of activities and presentations was given. The session included four key presentations, each followed by a Q&A session and a technique spotlight showcasing surgical methods.<br /><br />The initial presentation by Dr. Mike Ciccotti discussed ulnar collateral ligament (UCL) reconstruction and its effect on returning ulnar-humeral joint space gapping to normal using postoperative stress ultrasound. Dr. Ciccotti emphasized that UCL reconstruction effectively reduces joint gapping, confirming its effectiveness through statistical analysis with pre- and post-operative data of 57 patients. This study indicates it restores joint spacing to levels similar to uninjured elbows, making it a valuable diagnostic tool for assessing surgical outcomes and potential recurrent injuries.<br /><br />Following Dr. Ciccotti, Dr. Jeff Dugas presented on clinical outcomes comparing UCL repair with interim brace and UCL reconstruction in competitive athletes. The study highlighted a higher return to play rate and a shorter average recovery time of around nine months for UCL repairs with internal brace compared to 13 months for reconstructions. Dr. Dugas's findings suggest that augmenting UCL repair with internal bracing could be highly successful and time-efficient for athletes.<br /><br />Dr. Chris Camp from the Mayo Clinic then discussed anatomic UCL reconstruction with internal brace augmentation in throwing athletes. He introduced an anatomic technique aimed at maintaining better graft-to-bone contact and explained its benefits using a prospective cohort study. Results indicated a high success rate with 92% of pitchers returning within 12 months and a low failure rate.<br /><br />Lastly, Joseph Tannenbaum reported on the natural history of UCL injuries in professional baseball, revealing a significant rate of recurrence in initially non-operatively managed cases, thus advising caution in non-surgical approaches for such injuries.<br /><br />The session concluded with technical spotlight videos from Dr. Jeff Dugas on UCL repair and Dr. Chris Ahmad on revision UCL reconstruction, followed by a panel discussion involving all speakers, discussing rehabilitation protocols and the relative merits of different surgical techniques based on patient-specific factors and detailed clinical observations.

Asset Caption

2:25 pm - 3:25 pm

Meta Tag

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

medical symposium

UCL reconstruction

surgical methods

postoperative stress ultrasound

clinical outcomes

internal brace

anatomic UCL reconstruction

throwing athletes

recurrence rate

rehabilitation protocols

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