Ulnar collateral ligament injury in the overhead athlete: Diagnosis and treatment

Clinics in Sports Medicine

Volumn 23, Issue 4, 2004, Pages 643-663

  Safran, Marc R ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTHROGRAPHY; ARTHROSCOPY; ATHLETE; BIOMECHANICS; CONSERVATIVE TREATMENT; ECHOGRAPHY; EPICONDYLITIS; HUMAN; LIGAMENT INJURY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOPHYSIOLOGY; PHYSICAL EXAMINATION; RADIOGRAPHY; SHORT SURVEY; TENDON GRAFT; ANAMNESIS; ELBOW; INJURY; LIGAMENT; METHODOLOGY; ORTHOPEDIC SURGERY; REVIEW; SPORT INJURY; SPORTS MEDICINE; ULNA;

ATHLETIC INJURIES; BIOMECHANICS; COLLATERAL LIGAMENTS; ELBOW; HUMANS; MEDICAL HISTORY TAKING; ORTHOPEDIC PROCEDURES; PHYSICAL EXAMINATION; SPORTS MEDICINE; ULNA;

EID: 16544386434     PISSN: 02785919     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.csm.2004.05.002     Document Type: Review

References (74)

1. W. Waris Elbow injuries in javelin throwers Acta Chir Scand 93 1946 563
2. G.H. Callaway, L.D. Field, X.H. Deng, P.A. Torzilli, S.J. O'Brien, and D.W. Altchek Biomechanical evaluation of the medial collateral ligament of the elbow J Bone Joint Surg 79A 1997 1223 1231
3. Armstrong A.D., Ferreira L.M., Dunning C.E., Johnson J.A., King G.J.W. The medial collateral ligament of the elbow is not isometric. Posted at the 49th Annual Meeting of the Orthopaedic Research Society. New Orleans (LA), February 2, 2004
4. A.A. Halls, and A. Travill Transmission of pressures across the elbow joint Anat Rec 150 1964 243 247
5. F.C. Hui, E.Y. Chao, and KN An Muscle and joint forces at the elbow during isometric lifting [abstract] Orthopaedic Transactions 2 1978 169
6. E.C. Elkins, U.M. Leden, and K.G. Wakin Objective recording of the strength of normal muscles Arch Phys Med 32 1951 639 647
7. R.F. Larson Forearm positioning on maximal elbow flexor force Phys Ther 196 1966 99 104
8. K.-N. An, and B.F. Morrey Biomechanics of the elbow B.F. Morrey The elbow and its disorders 1985 WB Saunders Co. Philadelphia 43 61
9. F.K. Fuss The ulnar collateral ligament of the human elbow joint. Anatomy, function and biomechanics J Anat 175 1991 203 212
10. H.S. Tullos, G.H. Schwab, J.B. Bennett, and G.W. Woods Factors influencing elbow stability American Academy of Orthopaedic Surgeons, Instructional Course Lectures vol 8 1982 CV Mosby St Louis 185 199
11. G.H. Schwab, J.B. Bennett, G.W. Woods, and H.S. Tullos The biomechanics of elbow stability: the role of the medial collateral ligament Clin Orthop 146 1980 42 52
12. S. Floris, B.S. Olsen, M. Dalstra, J.O. Sojbjerg, and O. Sneppen The medial collateral ligament of the elbow joint: anatomy and kinematics J Shoulder Elbow Surg 7 1998 345 351
13. J.O. Sojbjerg, J. Oveson, and S. Nielsen Experimental elbow stability after transection of the medial collateral ligament Clin Orthop 218 1987 186 190
14. B.F. Morrey, S. Tanaka, and K.N. An Valgus stability of the elbow. A definition of primary and secondary constraints Clin Orthop 265 1991 187 195
15. P.A. Davidson, M. Pink, J. Perry, and F.W. Jobe Functional anatomy of the flexor pronator muscle group in relation to the medial collateral ligament of the elbow Am J Sports Med 23 1995 245 250
16. L.A. Timmerman, and J.R. Andrews Histology and arthroscopic anatomy of the ulnar collateral ligament of the elbow Am J Sports Med 22 1994 667 673
17. G.S. Fleisig, J.R. Andrews, C.J. Dillman, and R.F. Escamilla Kinetics of baseball pitching with implications about injury mechanisms Am J Sports Med 23 1995 233 239
18. S.L. Werner, G.S. Fleisig, and C.J. Dillman Biomechanics of the elbow during baseball pitching J Orthop Sports Phys Ther 17 1993 274 278
19. R.F. Escamilla, G.S. Fleisig, N. Zheng, S.W. Barrentine, and J.R. Andrews Kinematic comparisons of 1996 Olympic baseball pitchers J Sports Sci 19 2001 665 676
20. Elliott B., Fleisig G., Nicholls R., Escamilla R. Technique effects on upper limb loading in the tennis serve. Presented at the IOC Session of the American College of Sports Medicine Annual Meeting. St. Louis (MO), May 31, 2002
21. Fleisig G.S., Nicholls R.L., Escamilla R.F., Elliott B.C. Kinematics of the elite tennis serve. Presented at the International Olympic Committee Session of the American College of Sports Medicine Annual Meeting. 2002
22. C.J. Dillman, P. Smutz, and S. Werner Valgus extension overload in baseball pitching Med Sci Sports Exerc 23 1991 355
23. J.R. Gregg, and E. Torg Upper extremity injuries in adolescent tennis players Clin Sports Med 7 1988 371 385
24. J.E. Conway, F.W. Jobe, R.E. Glousman, and M. Pink Medial instability of the elbow in throwing athletes: treatment by repair or reconstruction of the ulnar collateral ligament J Bone Joint Surg 74A 1992 67 83
25. L.A. Norwood, J.A. Shook, and J.R. Andrews Acute medial elbow ruptures Am J Sports Med 9 1981 16 19
26. R.H. Gelberman, K. Yamaguchi, S.B. Hollstien, S.S. Winn, F.P. Heidenreich, and R.R. Bindra Changes in interstitial pressure and cross-sectional area of the cubital tunnel and of the ulnar nerve with flexion of the elbow J Bone Joint Surg 80A 1998 492 501
27. J. Pechan, and I. Julis The pressure measurement in the ulnar nerve. A contribution to the pathophysiology of the cubital tunnel syndrome J Biomech 8 1975 75
28. F.W. Jobe, and G.S. Fanton Nerve injuries B.F. Morrey The elbow and its disorders 1985 WB Saunders Co. Philadelphia 497 501
29. M.F. MacNichol Extraneural pressure affecting the ulnar nerve at the elbow Hand 14 1982 5 11
30. D.B. Apfelberg, and S.J. Larson Dynamic anatomy of the ulnar nerve at the elbow Plast Reconstr Surg 51 1973 76 81
31. F.W. Jobe, and J.P. Bradley Ulnar neuritis and ulnar collateral ligament instabilities in overarm throwers J.S. Torg Current therapy in sports medicine 2nd edition 1990 BC Decker Toronto 419 424
32. L.E. Dahners, and F.M. Wood Anconeus epitrochlearis, a rare cause of cubital tunnel syndrome. A case report J Hand Surg Am 9A 1984 579 580
33. G.V. Osborne The surgical treatment of tardy ulnar neuritis J Bone Joint Surg 39B 1957 782
34. M. Bauer, K. Jansson, P.O. Josefsson, and B. Linden Osteochondritis dissecans of the elbow Clin Orthop 284 1992 156 160
35. M. Takahara, M. Shundo, M. Kondo, K. Suzuki, T. Nambu, and T. Ogino Early detection of osteochondritis dissecans of the capitellum in young baseball players. Report of three cases J Bone Joint Surg 80A 1998 892 897
36. H.H. Jones, J.D. Priest, W.C. Hayes, C.C. Tichenor, and D.A. Nagel Humeral hypertrophy in response to exercise J Bone Joint Surg 59A 1977 204 208
37. H. Krahl, U. Michaelis, H.-G. Pieper, G. Quack, and M. Montag Stimulation of bone growth through sports. A radiologic investigation of the upper extremities in professional tennis players Am J Sports Med 22 1994 751 757
38. F.D. Wilson, J.R. Andrews, T.A. Blackburn, and G. McClusky Valgus extension overload in the pitching elbow Am J Sports Med 11 1983 83 88
39. J.E. Miller Javelin thrower's elbow J Bone Joint Surg 42B 1960 788 792
40. M.S. Schickendantz, C.P. Ho, and J. Koh Stress injury of the proximal ulna in professional baseball players Am J Sports Med 30 2002 737 741
41. K. Suzuki, A. Minami, N. Suenaga, and M. Kondoh Oblique stress fracture of the olecranon in baseball pitchers J Shoulder Elbow Surg 6 1997 491 494
42. R.S. Kvitne, and F.W. Jobe Ligamentous and posterior compartment injuries F.W. Jobe Operative techniques in upper extremity sports injuries 1996 Mosby St Louis (MO) 411 430
43. D.A. Barnes, and H.S. Tullos An analysis of 100 symptomatic baseball players Am J Sports Med 6 1978 62 67
44. J.W. King, H.J. Brelsford, and H.S. Tullos Analysis of the pitching arm of the professional baseball pitcher Clin Orthop 67 1969 116
45. Veltri D.M., O'Brien S.J., Field L.D., Deutsch A., Altcher A., Potter H. The milking maneuver - a new test to evaluate the MCL of the elbow in the throwing athlete. Presented at the 10th Open Meeting of the American Shoulder and Elbow Surgeons Specialty Day. New Orleans (LA), February 7, 1994
46. M.R. Safran, G.L. Caldwell III, and F.H. Fu Chronic instability of the elbow C.A. Peimer Surgery of the hand and upper extremity 1996 McGraw-Hill New York 467 490
47. F.M. Azar, J.R. Andrews, K.E. Wilk, and D. Groh Operative treatment of ulnar collateral ligament injuries of the elbow in athletes Am J Sports Med 28 2000 16 23
48. W.H. Thompson, F.W. Jobe, L.A. Yocum, and M.M. Pink Ulnar collateral ligament reconstruction in athletes: muscle splitting approach without transposition of the ulnar nerve J Shoulder Elbow Surg 10 2001 152 157
49. O'Driscoll S.W., Lawton R.L. Moving valgus stress test. Presented at the 18th Open Meeting of the American Shoulder and Elbow Surgeons. Dallas (TX), February 16, 2002. p. 40
50. A.M. Pappas Elbow problems associated with baseball during childhood and adolescence Clin Orthop 164 1982 30 41
51. Goitz H.T., Rijke A.M., Andrews J.P., Phillips B.B. McCue III E.C. Evaluation of elbow medial collateral ligament injury in the throwing athlete. Presented at the 61st Annual Meeting of the American Academy of Orthopaedic Surgeons. New Orleans (LA), March 1, 1994
52. T.S. Ellenbecker, A.J. Mattalino, E.A. Elam, and R.A. Caplinger Medial elbow joint laxity in professional baseball pitchers. A bilateral comparison using stress radiography Am J Sports Med 26 1998 420 424
53. G.A. Lee, S.D. Katz, and M.D. Lazarus Elbow valgus stress radiography in an uninjured population Am J Sports Med 26 1998 425 427
54. A.M. Rijke, H.T. Goitz, and F.C. McCue Stress radiography of the medial elbow ligaments Radiology 191 1994 213 216
55. J.R. Andrews, and L.A. Timmerman Outcome of elbow surgery in professional baseball players Am J Sports Med 23 1995 407 413
56. Conway J.E. Secondary effects of ulnar collateral ligament injury - clinical, radiographic and arthroscopic perspective. Presented as an Instruction Course at the 25th Annual Meeting of the American Orthopaedic Society for Sports Medicine. Traverse City (MI), June 21, 1999
57. J.B. Bennett, and H.S. Tullos Ligamentous and articular injuries in the athlete B.F. Morrey The elbow and its disorders 1985 WB Saunders Co. Philadelphia 502 522
58. M.R. Safran Elbow injuries in athletes Clin Orthop 310 1995 257 277
59. L.A. Timmerman, M.L. Schwartz, and J.R. Andrews Preoperative evaluation of the ulnar collateral ligament by magnetic resonance imaging and computed tomography arthrography: evaluation in 25 baseball players with surgical confirmation Am J Sports Med 22 1994 26 31
60. L.A. Timmerman, and J.R. Andrews Undersurface tear of the ulnar collateral ligament in baseball players. A newly recognized lesion Am J Sports Med 22 1994 33 36
61. F.W. Jobe, and R.S. Kvitne Elbow instability in the athlete H.S. Tullos Instructional Course Lectures vol 40 1991 American Academy of Orthopaedic Surgeons Park Ridge (IL) 17 23
62. S.A. Mirowitz, and S.L. London Ulnar collateral ligament injury in baseball pitchers: MR imaging evaluation Radiol 185 1992 573
63. L.N. Nazarian, J.M. McShane, M.G. Ciccotti, P.L. O'Kane, and M.I. Harwood Dynamic US of the anterior band of the ulnar collateral ligament of the elbow in asymptomatic major league baseball pitchers Radiology 227 2003 149 154
64. J. Sasaki, M. Takahara, T. Ogino, H. Kashiwa, D. Ishigaki, and Y. Kanauchi Ultrasonographic assessment of the ulnar collateral ligament and medial elbow laxity in college baseball players J Bone Joint Surg 84-A 2002 525 531
65. L.D. Field, and D.W. Altchek Evaluation of the arthroscopic valgus instability test of the elbow Am J Sports Med 24 1996 177 181
66. A.C. Rettig, C. Sherrill, D.S. Snead, J.C. Mendler, and P. Mieling Non-operative treatment of ulnar collateral ligament injuries in throwing athletes Am J Sports Med 29 2001 15 17
67. F.W. Jobe, H. Stark, and S.J. Lombardo Reconstruction of the ulnar collateral ligament in athletes J Bone Joint Surg 68A 1986 1158 1163
68. Cain E.L., Andrews J.R., Dugas J.R., Walter J.C., Wilk K.E., Reinhold M., et al. Outcome of ulnar collateral ligament reconstruction of the elbow: minimum two-year follow-up. Transactions of the Annual Meeting of the American Orthopaedic Society for Sports Medicine. Chicago, 2002. p.173
69. Paletta Jr G.A., Wright R.W. The docking procedure for elbow MCL reconstruction: two year follow-up in elite throwers. Transactions of the Annual Meeting of the American Orthopaedic Society for Sports Medicine. Chicago, 2002. p. 172
70. J.T. Rohrbough, D.W. Altchek, J. Hyman, R.J. Williams 3rd, and J.D. Botts Medial collateral ligament reconstruction of the elbow using the docking technique Am J Sports Med 30 2002 541 548
71. G.R. Smith, D.W. Altchek, M.J. Pagnani, and J.R. Keeley A muscle-splitting approach to the ulnar collateral ligament of the elbow. Neuroanatomy and operative technique Am J Sports Med 24 1996 575 580
72. C.D. Ahmad, T.Q. Lee, and N.S. ElAttrache Biomechanical evaluation of a new ulnar collateral ligament reconstruction technique with interference screws fixation Am J Sports Med 31 2003 332 337
73. K.S. Hechtman, E.W. Tjin-A-Tsoi, J.E. Zvijac, J.W. Uribe, and L.L. Latta Biomechanics of a less invasive procedure for reconstruction of the ulnar collateral ligament of the elbow Am J Sports Med 26 1998 620 624
74. S.W. O'Driscoll Arthroscopy of the elbow J Bone Joint Surg 74A 1992 84 94