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- Title
Avoiding Tommy John Surgery: What Are the Alternatives?
- Authors
Rebolledo, Brian J.; Dugas, Jeffrey R.; Bedi, Asheesh; Ciccotti, Michael G.; Altchek, David W.; Dines, Joshua S.
- Abstract
The number of ulnar collateral ligament (UCL) reconstructions being performed has risen sharply in recent years, most notably in the young amateur athlete. While successful outcomes have been reported with reconstruction, the surgery and the associated rehabilitation timeline may be difficult for the nonelite athlete to incur. Return-to-play expectations, along with level of competition, should help guide surgeons in exploring management options. While reconstruction remains a mainstay, focused research exploring nonreconstructive options has expanded. This review discusses the clinical approach to those with UCL injury, including current support for rehabilitation, biologic strategies, and available repair or augmentation alternatives.
- Subjects
ULNAR collateral ligament reconstruction; ATHLETES; MEDICAL rehabilitation; BIOLOGICALS; ELBOW pain; COLLATERAL ligament injuries; THERAPEUTICS; MEDICAL care; COLLATERAL ligament; BIOTHERAPY; ELBOW injuries; LIGAMENT injuries; ORTHOPEDIC surgery; PHYSICAL therapy; PLASTIC surgery; CONTINUING education units; SURGERY
- Publication
American Journal of Sports Medicine, 2017, Vol 45, Issue 13, p3143
- ISSN
0363-5465
- Publication type
Article
- DOI
10.1177/0363546517692548