Ulnar collateral ligament reconstruction in athletes: muscle-splitting approach without transposition of the ulnar nerve.
Eighty-three athletes with medial elbow instability underwent reconstruction of the anterior band of the ulnar collateral ligament with a muscle-splitting approach without transposition of the ulnar nerve. The purposes of this study were to describe postoperative neurologic outcomes in all 83 athletes and to describe the 2-year follow-up in 33 athletes. Postoperatively, 5% of this group had transient ulnar nerve symptoms, all of which resolved with nonoperative management. There were no reoperations for nerve dysfunction and no permanent nerve problems. At 2- to 4-year follow-ups, 93% of the highly competitive athletes who had not had a prior surgical procedure had an excellent result. All athletes, regardless of whether they had a prior procedure, were able to return to their sport. These surgical modifications to the ulnar collateral ligament reconstruction yielded a decreased postoperative complication rate and improved outcomes compared with the results of prior procedures.
Thompson
W H
WH
Florida Orthopaedic Institute, Tampa, USA.
Jobe
F W
FW
Yocum
L A
LA
Pink
M M
MM
D000328:Adult; D001265:Athletic Injuries / Q000601:surgery*; D017885:Collateral Ligaments / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D014457:Ulna / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D014459:Ulnar Nerve / Q000473:pathology / Q000601:surgery*