IC 308-2022: Management of Ulnar Collteral Ligament Tears: Where Do We Stand in 2022?-Management of Ulnar Collteral Ligament Tears: Where Do We Stand in 2022? (2/5)

Video Transcription

Video Summary

In the video, the speaker discusses various aspects related to UCL injuries in the elbow. They mention the common additional procedures done alongside ligament reconstruction, such as arthroscopy for valgus extension overload. This condition causes shear and compression in the posterior aspect of the elbow, leading to osteophytes and chondral issues. The speaker also discusses the interplay between valgus forces on both the ligament and bony articulation. They mention the importance of examining the UCL and examining the posterior and medial parts of the elbow for impingement issues. The speaker also discusses the use of ulnar nerve transposition and the challenges faced by gymnasts in their recovery. They touch upon the use of biologics, such as PRP injections, and the efficacy of internal bracing in UCL injuries. In terms of non-operative management, the speaker notes that it may be suitable for certain athletes, such as wrestlers, who do not put the same stress on their elbow. They also highlight the importance of proper non-operative treatment and adequate rest and rehab. The speaker concludes by discussing the treatment of acute UCL injuries in non-throwing athletes, such as wrestlers, and the considerations for acute repair versus non-operative management. They mention that repair may be sufficient for higher grade complete injuries, while non-operative management may be suitable in certain cases. The speaker also discusses the use of PRP injections and the timing of return to contact activities.

Asset Caption

Christopher Ahmad, MD

Keywords

UCL injuries

elbow

ligament reconstruction

valgus extension overload

impingement issues

non-operative management

PRP injections

acute repair