IC 106-2024: Ulnar Collateral Ligament Injuries: Where Do We Stand in 2024?-IC106_Ulnar Collateral Ligament Injuries- Where Do We Stand in 2024

Video Transcription

Video Summary

The discussion primarily centers around the ulnar collateral ligament (UCL) in athletes, particularly baseball players and the different techniques and considerations in treating UCL tears. Here are the key points:<br /><br />1. <strong>Types of UCL Injuries and Common Affected Groups</strong>:<br />    - UCL injuries are common in athletes, especially overhead throwers like baseball pitchers.<br />    - Injuries range from minor tears to complete ruptures and can significantly impact players' careers.<br /><br />2. <strong>Diagnosis and Imaging</strong>:<br />    - Diagnosing a UCL injury often involves patient history, physical examination, X-rays, MRI, and sometimes specific techniques like the "fever view."<br />    - Dynamic ultrasounds can be useful, especially with pre-injury data.<br /><br />3. <strong>Non-Surgical vs. Surgical Treatment</strong>:<br />    - Non-surgical treatments include rest, anti-inflammatory medications, and physiotherapy. These are generally used for minor injuries or when players can still perform despite the injury.<br />    - PRP (platelet-rich plasma) injections can sometimes be considered, although their efficacy is debated.<br />  <br />4. <strong>Surgical Options</strong>:<br />    - <strong>UCL Repair</strong>: Ideal for younger athletes with proximal or distal tears and good quality tissue. This involves stitching the torn ligament back. <br />    - <strong>UCL Reconstruction</strong>: Preferred for more significant injuries, involves replacing the UCL with a tendon graft (palmaris longus or hamstring).<br />    - <strong>UCL Hybrid Techniques</strong>: Combining repair and internal braces to shorten recovery time and improve stability.<br /><br />5. <strong>Rehabilitation</strong>:<br />    - Structured rehab programs focus on restoring range of motion, strengthening, and gradual return to throwing.<br />    - Emphasis on ensuring no pain before return to sport-specific activities.<br />    - Return to full throwing and competitive play can vary but typically takes 9-11 months for reconstructions and less for repairs.<br /><br />6. <strong>Post-Surgery Monitoring</strong>:<br />    - Regular follow-ups to monitor progress through physical examinations, imaging, and patient-reported outcomes.<br />    - Awareness that players may take various paths to recovery and emphasizing realistic timelines and expectations.<br /><br />The primary goal is to prevent injuries, effectively treat them when they occur, and facilitate a safe and timely return to play, with different techniques and tailored rehabilitation programs depending on the injury severity and individual patient needs.

Keywords

Ulnar Collateral Ligament

UCL injuries

baseball players

diagnosis

imaging

non-surgical treatment

surgical treatment

PRP injections

UCL repair

UCL reconstruction

rehabilitation

return to play

post-surgery monitoring