AJSM
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
First published on July 10, 2006, doi:10.1177/0363546506289884
This version was published on October 1, 2006
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
34/10/1594    most recent
0363546506289884v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Paletta, G. A.
Right arrow Articles by Wright, R. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Paletta, G. A., Jr
Right arrow Articles by Wright, R. W.
The American Journal of Sports Medicine 34:1594-1598 (2006)
© 2006 American Orthopaedic Society for Sports Medicine

The Modified Docking Procedure for Elbow Ulnar Collateral Ligament Reconstruction

2-Year Follow-up in Elite Throwers

George A. Paletta, Jr, MD* and Rick W. Wright, MD{ddagger},{dagger}

From the * Center for the Athlete’s Shoulder and Elbow at the Orthopaedic Center of St Louis, Chesterfield, Missouri, and {ddagger} Department of Orthopaedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, St Louis, Missouri

{dagger} Address correspondence to Rick W. Wright, MD, 1 Barnes Jewish Plaza, Suite 11300, St Louis, MO 63110 (e-mail: Rwwright1{at}aol.com).

Background: Ulnar collateral ligament injury is most common in the overhead-throwing athlete. Jobe et al published the first report of ulnar collateral ligament reconstruction in throwing athletes with a 62.5% success rate. Recently, Altchek developed a new docking technique for reconstruction of the ulnar collateral ligament. The authors report the first series using a further modification of the docking technique using a 4-strand palmaris longus graft for reconstruction of the ulnar collateral ligament.

Hypothesis: The modified docking technique yields a high rate of successful return to preinjury level of competition in elite baseball players.

Study Design: Case series; Level of evidence, 4.

Methods: The authors retrospectively reviewed 25 elite professional or scholarship collegiate baseball players who underwent elbow ulnar collateral ligament reconstruction using the modified docking procedure with a minimum 2-year follow-up.

Results: Twenty-three of 25 (92%) were able to return to their preinjury levels of competition. The mean time to return was 11.5 months (range, 10–16 months). Complications included 1 transient postoperative ulnar nerve neurapraxia and 1 stress fracture of the ulnar bone bridge that occurred at 14 months postoperatively, after a full return to pitching.

Conclusion: The modified docking technique yields highly successful return to preinjury level of competition rates (92%) in a select group of elite baseball players.

Key Words: ulnar collateral ligament (UCL) • elbow • pitchers




This article has been cited by other articles:


Home page
 Am J Sports MedHome page
M. A. Vitale and C. S. Ahmad
The Outcome of Elbow Ulnar Collateral Ligament Reconstruction in Overhead Athletes: A Systematic Review
Am. J. Sports Med., June 1, 2008; 36(6): 1193 - 1205.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
J. S. Dines, L. A. Yocum, J. B. Frank, N. S. ElAttrache, R. A. Gambardella, and F. W. Jobe
Revision Surgery for Failed Elbow Medial Collateral Ligament Reconstruction
Am. J. Sports Med., June 1, 2008; 36(6): 1061 - 1065.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
M. L. Schwartz, D. D. Thornton, M. C. Larrison, E. L. Cain, D. G. Aaron, K. E. Wilk, and J. R. Andrews
Avulsion of the Medial Epicondyle After Ulnar Collateral Ligament Reconstruction: Imaging of a Rare Throwing Injury
Am. J. Roentgenol., March 1, 2008; 190(3): 595 - 598.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
K. A. Turman and M. D. Miller
What's New in Sports Medicine
J. Bone Joint Surg. Am., January 1, 2008; 90(1): 211 - 222.
[Full Text] [PDF]

Home page
 Am J Sports MedHome page
J. S. Dines, N. S. ElAttrache, J. E. Conway, W. Smith, and C. S. Ahmad
Clinical Outcomes of the DANE TJ Technique to Treat Ulnar Collateral Ligament Insufficiency of the Elbow
Am. J. Sports Med., December 1, 2007; 35(12): 2039 - 2044.
[Abstract] [Full Text] [PDF]


HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2006 by the American Orthopaedic Society for Sports Medicine.