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Now in a fully revised and expanded second edition, this practical text presents the current state of the art and latest advancements in the biomechanics, assessment, diagnosis and management of UCL injury in the elbow. In the years since this book’s initial publication, significant developments have occurred on multiple fronts relating to elbow UCL injury, including injury prevention, less invasive repair techniques, more anatomical surgical reconstructions, and improved post-injury rehabilitation protocols. Chapters are once again arranged thematically, beginning with discussion of the relevant anatomy and surgical approaches, throwing biomechanics and overload mechanisms, epidemiology, history and physical exam. After a description of the radiological approaches to assessment, both conservative and surgical strategies are outlined and discussed in detail, from repair both with and without augmentation to reconstruction both arthroscopically and with newer minimally invasive techniques. Considerations for UCL injury in special populations – the young athlete and the female athlete – and sports-specific rehabilitation, return-to-play and prevention via wearable technology round out this thorough presentation.
Enhanced with select video clips illustrating surgical techniques, Elbow Ulnar Collateral Ligament Injury, Second Edition remains a go-to resource for orthopedic surgeons, sports medicine specialists, therapists and trainers who work with athletes that suffer from these conditions.
Pages i-xviii
Anatomy and Biomechanics of the Medial Ulnar Collateral Ligament
Miguel Pelton, Salvatore J. Frangiamore, Mark S. Schickendantz
Pages 1-8
Clinically Relevant Elbow Anatomy and Surgical Approaches
Xinning Li, L. T. C. Josef K. Eichinger
Pages 9-17
Ulnar Collateral Ligament: Throwing Biomechanics
Evan E. Vellios, Kenneth Durham Weeks III, David M. Dines
Pages 19-26
Monitoring the Throwing Motion: Current State of Wearables and Analytics
Vincent A. Lizzio, Eric W. Guo, Eric C. Makhni
Pages 27-35
Medial Ulnar Collateral Ligament Injury Prevention Strategies
Brian M. Schulz, Spencer M. Stein, Stan A. Conte
Pages 37-41
David C. Gerhardt, Alexander M. Brown, E. Lyle Cain
Pages 43-53
Ulnohumeral Chondral and Ligamentous Overload
Rachel Faber, Christopher Garrett, Sheref E. Hassan, Daryl C. Osbahr
Pages 55-63
Epidemiology of Elbow Ulnar Collateral Ligament Injuries
Lauren M. Fabian, Stan A. Conte
Pages 65-74
History and Physical Exam of the Thrower’s Elbow
Brian Grawe, William Piwnica-Worms, Abigail Bacharach, Joshua S. Dines
Pages 75-83
Radiographic Imaging of the Elbow
Susie Muir, John V. Crues III
Pages 85-98
MR Imaging in Patients with Ulnar Collateral Ligament Injury
Christin A. Tiegs-Heiden, Naveen S. Murthy, Brett Lurie, Jan Fritz, Hollis G. Potter
Pages 99-111
Ultrasound Imaging of Ulnar Collateral Ligament Injury
Michael C. Ciccotti, Levon N. Nazarian, Michael G. Ciccotti
Pages 113-128
The Conservative Treatment of Ulnar Collateral Ligament Injuries
Frank J. Alexander, Fiona E. Nugent, Christopher S. Ahmad
Pages 129-139
The Role of Biologics in Ulnar Collateral Ligament Injuries
John M. Apostolakos, Joshua Wright-Chisem, Joshua S. Dines, David W. Altchek, James B. Carr II, Michael E. Angeline et al.
Pages 141-151
Evolution of Surgical Reconstruction of the Medial Ulnar Collateral Ligament of the Elbow
Andrew R. Jensen, Matthew D. LaPrade, Christopher L. Camp
Pages 153-162
Ulnar Collateral Ligament Reconstruction: Graft Selection and Harvest Technique
James E. Voos, Brandon J. Erickson
Pages 163-170
Primary Repair of Ulnar Collateral Ligament Injuries of the Elbow
Robert S. O’Connell, Felix H. Savoie III, Michael J. O’Brien, Larry D. Field
Pages 171-181
Repair and Internal Brace Augmentation of the Medial Ulnar Collateral Ligament
Ryan S. Selley, Elizabeth R. Dennis, Eric N. Windsor, James B. Carr II, Joshua S. Dines
Pages 183-189
The Role of Arthroscopy in Athletes with Ulnar Collateral Ligament Injuries
Curtis Bush, John E. Conway
Pages 191-200
iomechanics of Reconstruction Constructs
Melissa A. Wright, Anand M. Murthi
Pages 201-208
Figure of 8 Technique and Outcomes
Tony Wanich, Joseph H. Choi, Lewis A. Yocum
Pages 209-216
Ulnar Collateral Ligament Reconstruction: Docking Technique
Joshua S. Dines, Alexandra D. Berger, Jonathan S. Yu, Brittany Dowling, David W. Altchek
Pages 217-222
Ulnar Collateral Ligament Reconstruction: American Sports Medicine Institute Technique and Outcomes
Marcus A. Rothermich, Jeffrey R. Dugas
Pages 223-234
Ulnar Collateral Ligament Reconstruction: Alternative Surgical Techniques
Brandon A. Simonetta, Benjamin C. Service, Neal S. ElAttrache, Daryl C. Osbahr
Pages 235-244
Combined Flexor-Pronator Mass and Ulnar Collateral Ligament Injuries
Alexander Christ, Joshua S. Dines, Christopher Chin, David W. Altchek
Pages 245-247
Ulnar Nerve Issues in Throwing Athletes
Michael E. Angeline, Albert O. Gee, Joshua S. Dines, David W. Altchek
Pages 249-258
Revision Ulnar Collateral Ligament Reconstruction
Terrence S. Daley-Lindo, Andrew J. Rosenbaum, Michael A. Flaherty, Christopher Chin, Neal S. ElAttrache, Joshua S. Dines et al.
Pages 259-265
Medial Ulnar Collateral Ligament Injuries in Baseball Position Players
Timothy B. Griffith, Gary M. Lourie
Pages 267-274
Management of UCL Injuries in Non-throwing Athletes
James B. Carr II
Pages 275-280
Ulnar Collateral Ligament Injury in Female Athletes
Elizabeth C. Gardner, Joe Manzi, Kathryn McElheny, Asheesh Bedi
Pages 281-288
Ulnar Collateral Ligament Injuries in High-School-Aged Athletes
Ryan R. Thacher, Alex J. Anatone, Lauren M. Fabian, Orr Limpisvasti
Pages 289-300
Medial Apophysitis in Adolescent Throwers
Peter N. Chalmers, Garrett V. Christensen
Pages 301-308
Complications of Ulnar Collateral Ligament Reconstruction
Travis G. Maak, Peter N. Chalmers, Brandon J. Erickson, Robert Z. Tashjian
Pages 309-314
Sport-Specific Outcomes for Ulnar Collateral Ligament Reconstruction
Thomas O’Hagan, Charlton Stucken, Alex E. White, Christopher C. Dodson
Pages 315-325
Rehabilitation of the Overhead Athlete’s Elbow
Kevin E. Wilk, Todd S. Ellenbecker, Leonard C. Macrina
Pages 327-356
Sport-Specific Rehabilitation After Ulnar Collateral Ligament Surgery
Todd S. Ellenbecker, Kevin E. Wilk, Lenny Macrina
Pages 357-373
Pages 375-382
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