Revision Medial Ulnar Collateral Ligament Reconstruction in Baseball Pitchers: Review of Epidemiology, Surgical Techniques, and Outcomes

Lucas K. Keyt, Jennifer Tangtiphaiboontana, Travis W. Turner, Joshua S. Dines, Michael L. Knudsen, Christopher L. Camp

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: The purposes of this review are to describe the epidemiology, treatment options, and clinical outcomes of revision medial ulnar collateral ligament reconstruction in baseball pitchers. Recent Findings: Rates of revision UCL range from 1 to 15% and have slowly increased over the past several years. Revision UCL procedures are associated with higher complication rates, likely due to the distortion of innate anatomy after primary reconstruction. Techniques for reconstruction are largely influenced by the index surgery and integrity of the ulnar and humeral bone tunnels/sockets. Current literature reporting on the outcomes following revision UCL reconstruction is limited to case series and database studies. Mean time between primary reconstruction and revision surgery is approximately 5 years and return to play rates range from 47 to 85%. Summary: Outcomes following revision UCL reconstruction are relatively guarded compared with those of primary UCL reconstruction with the most studies reporting lower return to play rates, decreased workloads compared with pre-injury levels of play, and shorter career longevity following revision surgery. Future research regarding optimal reconstruction techniques and post-operative rehabilitation are needed as the incidence and demand for this procedure is expected to increase.

Original languageEnglish (US)
Pages (from-to)361-368
Number of pages8
JournalCurrent Reviews in Musculoskeletal Medicine
Volume13
Issue number3
DOIs
StatePublished - Jun 1 2020

Bibliographical note

Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • Major League Baseball
  • Pitching
  • Return to sport
  • Revision
  • Tommy John surgery
  • Ulnar collateral ligament

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