Elbow Ulnar Collateral Ligament Injury : A Guide to Diagnosis and Treatment.

Intro -- Foreword -- Preface -- Contents -- Contributors -- Chapter-1 -- Clinically Relevant Elbow Anatomy and Surgical Approaches -- Pertinent Anatomy of the Thrower's Elbow -- Osseous Anatomy -- Muscular Anatomy -- Nerve Anatomy -- Ligamentous Anatomy -- Relevant Surgical Approaches -- Positioning -- Elbow Arthroscopy -- Medial Approach-Muscle Splitting -- Medial Approach-Flexor-Pronator Mass Elevation -- References -- Chapter-2 -- Ulnar Collateral Ligament: Throwing Biomechanics -- Introduction -- Biomechanics of Throwing -- Six Phases of the Baseball Pitch -- The Kinetic Chain Theory -- Anatomy and Biomechanics of the Elbow -- Osseous Anatomy -- Ligamentous Anatomy: Medial Elbow -- Musculotendinous Anatomy -- Ulnar Nerve -- Biomechanics of Medial Elbow Injury -- References -- Chapter-3 -- Valgus Extension Overload -- Introduction -- Anatomy and Biomechanics -- History and Physical Examination -- Imaging Studies -- Treatment -- Surgical Technique -- Postoperative Management -- Results -- Summary -- References -- Chapter-4 -- Ulnohumeral Chondral and Ligamentous Overload -- Introduction -- Functional Anatomy -- Pathophysiology and Biomechanics -- Diagnosis -- Clinical History -- Physical Examination -- Imaging -- Clinical Implications -- Treatment -- Outcomes -- Summary -- References -- Chapter-5 -- Epidemiology of Elbow Ulnar Collateral Ligament Injuries -- Introduction -- Elbow Ulnar Collateral Ligament Injuries in Other Sports -- Ulnar Collateral Ligament Injuries in Baseball -- Little League -- High School -- College -- Professional -- Surgery -- Conclusions -- References -- Chapter-6 -- History and Physical Exam on the Thrower's Elbow -- Introduction -- History -- Symptom Onset and Duration -- Location of Injury -- Timing During the Throwing Motion (Fig. 6.1) -- Associated Symptoms and Previous Treatment.

Level of Competition and Timing of Play -- Physical Examination -- Observation/Inspection -- Palpation -- Neurovascular -- Range of Motion -- Manipulative Tests -- Conclusion -- References -- Chapter-7 -- Radiographic Imaging of the Elbow -- Summary -- References -- Chapter-8 -- MR Imaging in Patients with Ulnar Collateral Ligament Injury -- Introduction -- Technique -- Imaging Anatomy -- Normal Appearance of the UCL -- MR Findings in UCL Injury -- Acute Injury -- Chronic Injury -- Associated Elbow Findings in Chronic Valgus Overload -- Flexor Tendinopathy and Tears -- Ulnar Neuropathy -- Radiocapitellar Osteochondral Defects -- Apophyseal Injury -- The Postsurgical Elbow -- Conclusion -- References -- Chapter-9 -- Ultrasound Imaging of Ulnar Collateral Ligament Injury -- Introduction -- Science of Ultrasonography -- Ultrasound for the Evaluation of the UCL -- Review of Stress Ultrasound and the UCL: 10-Year Experience -- Algorithm Utilizing Ultrasound for UCL Injury -- Case Examples -- Summary -- References -- Chapter-10 -- The Conservative Treatment of Ulnar Collateral Ligament Injuries -- Introduction -- Clinical History -- Physical Exam and Imaging -- Treatment -- Education and Injury Prevention -- Principles of Rehabilitation -- Glenohumeral Internal Rotation Deficit -- Injections -- Progressive Throwing Program -- Outcomes -- References -- Chapter-11 -- Injections Including Platelet-Rich Plasma -- Introduction -- Conclusion -- References -- Chapter-12 -- Ulnar Collateral Ligament Reconstruction: Graft Selection and Harvest Technique -- Introduction -- Graft Selection Options -- Graft Harvesting Techniques -- Palmaris Longus Tendon -- Gracilis Tendon -- Complications -- Conclusion -- References -- Chapter-13 -- Primary Repair of Ulnar Collateral Ligament Injuries of the Elbow -- Introduction-History -- Evolution of Repair.

Indications and Rationale for Repair -- Tulane-MSMOC Protocol -- Surgical Technique -- Post-op Rehabilitation -- Results -- Functional Outcome -- Discussion -- Conclusion -- Video Legends -- References -- Chapter-14 -- The Role of Arthroscopy in Athletes with Ulnar Collateral Ligament Injuries -- Introduction -- Diagnostic Arthroscopy -- Posterior Impingement -- Posterolateral Impingement -- Posteromedial Impingement -- Posterior Impingement -- Trochlear Chondromalacia -- Olecranon Exostosis and Fragmentation -- Loose Bodies -- Capitellar Osteochondral Dissecans -- Surgical Technique -- Rehabilitation Considerations -- Conclusion -- References -- Chapter-15 -- Biomechanics of Reconstruction Constructs -- Introduction -- Jobe Technique -- Docking Technique -- Suture Anchor Technique -- Interference Screw Technique -- Conclusions -- References -- Chapter-16 -- Figure of 8 Technique and Outcomes -- Introduction -- Modified Jobe Technique -- American Sports Medicine Institute (ASMI) Modification -- Postoperative Rehabilitation -- Outcomes -- Video Legends -- References -- Chapter-17 -- Ulnar Collateral Ligament Reconstruction: Docking Technique -- Introduction -- Preoperative Considerations -- History -- Physical Examination -- Imaging -- Indications and Contraindications -- Surgical Technique -- Anesthesia and Positioning -- Surgical Landmarks/Incisions -- Postoperative Protocol -- Results -- References -- Chapter-18 -- American Sports Medicine Institute Techniques and Outcomes -- Introduction -- History -- Physical Examination -- Imaging -- Nonoperative Treatment -- Surgical Technique -- Rehabilitation -- Outcomes -- Prevention -- Conclusion -- Video Legends -- References -- Chapter-19 -- Ulnar Collateral Ligament Reconstruction: Alternative Surgical Techniques -- Introduction -- UCL Reconstruction: Biomechanical Assessment -- Surgical Approach.

Surgical Technique: DANE TJ UCL Reconstruction -- Surgical Technique: Cortical Suspensory UCL Reconstruction [7] -- Surgical Closure and Postoperative Care -- Discussion -- DANE TJ UCL Reconstruction -- Cortical Suspensory UCL Reconstruction -- Conclusion -- References -- Chapter-20 -- Combined Flexor-Pronator Mass and Ulnar Collateral Ligament Injuries -- Introduction -- Diagnosis -- Operative Treatment -- Rehabilitation -- Outcomes and Complications -- References -- Chapter-21 -- Ulnar Nerve Issues in Throwing Athletes -- Introduction -- History -- Surgical Modifications -- The Hospital for Special Surgery (HSS) Technique -- American Sports Medicine Institute (ASMI) Technique -- Ulnar Nerve Dysfunction in Throwing Athletes -- Ulnar Nerve Anatomy and Sites of Compression -- Evaluation of the Ulnar Nerve in the Throwing Elbow -- Treatment -- Authors' Preferred Technique for Ulnar Nerve Transposition -- Conclusion -- References -- Chapter-22 -- Revision Ulnar Collateral Ligament Reconstruction -- Introduction -- Suboptimal Outcomes and Complications After Primary Reconstruction -- Indications for Revision Surgery for Failed UCL Reconstruction -- Preoperative Evaluation and Considerations for UCL Reconstruction -- Principles of Revision Surgery for Failed UCL Reconstruction -- Ulnar Bone Loss -- Humeral Bone Loss -- Outcomes Following Revision Surgery for Failed UCL Reconstruction -- Summary -- References -- Chapter-23 -- Ulnar Collateral Ligament Injuries in High-School-Aged Athletes -- Background -- Anatomy and Physiology -- Risk Factors/Prevention -- Evaluation -- History -- Physical Examination -- Imaging -- Treatment -- Conservative Management -- Operative Intervention -- Rehabilitation -- Summary -- References -- Chapter-24 -- Ulnar Collateral Ligament Injury in Female Athletes -- Introduction -- Epidemiology and Pathoanatomy.

Biomechanics of UCL Injury in Women -- Presentation and Evaluation -- Indications and Procedures -- Rehabilitation -- Conclusion -- References -- Chapter-25 -- Complications of Ulnar Collateral Ligament Repair -- Introduction -- Complications Related to Surgical Variables -- Nerve Injury -- Infection -- Motion Loss and Arthrofibrosis -- Reconstruction Construct Failure -- Complications Related to Graft Harvest Site -- Complications Related to Posteromedial Impingement -- Other Complications -- Summary -- References -- Chapter-26 -- Sports Specific Outcomes for Ulnar Collateral Ligament Reconstruction -- Introduction -- Baseball -- Additional Sports -- Javelin Throwers -- Football Quarterbacks -- Softball Pitchers -- Other Sports -- Conclusion -- References -- Chapter-27 -- Rehabilitation of the Overhead Athlete's Elbow -- Introduction -- General Rehabilitation Guidelines -- Phase I: Immediate Motion Phase -- Phase II: Intermediate Phase -- Phase III: Advanced Strengthening Phase -- Phase IV: Return to Activity Phase -- Specific Nonoperative Rehabilitation Guidelines -- Ulnar Collateral Ligament Injury -- Medial Epicondylitis and Flexor-Pronator Tendinitis -- Ulnar Neuropathy -- Valgus Extension Overload -- Osteochondritis Dessicans -- Little League Elbow -- Prevention of Elbow Injuries in Youth Baseball Players -- Specific Postoperative Rehabilitation Guidelines -- Ulnar Collateral Ligament Reconstruction -- Ulnar Nerve Transposition -- Posterior Olecranon Osteophyte Excision -- Conclusion -- References -- Chapter-28 -- Sport-Specific Rehabilitation After Ulnar Collateral Ligament Surgery -- Introduction -- Sport Specificity Concept -- Kinetic Chain Rehabilitation -- Proximal Upper Extremity Focus -- Core and Hip Stabilization of the Overhead Athlete -- Glenohumeral Joint Range of Motion -- Functional Activity Progressions (Plyometrics).

Throwing Progressions Following UCL Reconstruction.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.