14 Left-handed pitchers have been considered more valuable as they are in shorter supply than right-handed pitchers therefore, it is important to understand whether they are able to RTS at the same rate as right-handed pitchers. Similarly, there is no current evidence to suggest a player’s handedness has an impact on their outcome or RTS rate. 3, 6, 17 However, no study to date has been able to show superiority of 1 graft choice over another with regard to clinical outcome scores or RTS rates. 3, 17 Studies have shown encouraging results with all of these graft choices, including recent evidence supporting the use of allograft, with return-to-sport (RTS) rates of 88% and patient satisfaction rates of 98%. 3, 6, 11, 12, 15, 18 Although many different techniques currently exist, no study to date has compared 2 surgical techniques performed at a single institution, and no study has been able to elucidate how the ulnar nerve should be managed (always transposed vs only transposed if the patient has preoperative symptoms).įurthermore, the number of graft choices for UCLR has increased and now includes both ipsilateral and contralateral palmaris autograft as well as hamstring autograft, plantaris autograft, a multitude of allografts, and others. 3, 4, 9, 12 Since its original description there have been many modifications to the UCLR technique, including varying graft choices, alternate methods to secure the graft on the ulna and medial epicondyle, and management of the ulnar nerve. Ulnar collateral ligament reconstruction (UCLR), first performed by Dr Frank Jobe in the 1970s and described in the literature in the 1980s, has become a successful procedure for athletes suffering from a symptomatic, deficient ulnar collateral ligament (UCL) who wish to return to overhead activities.
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