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Ulnar collateral ligament reconstruction, colloquially known as Tommy John surgery, is a surgical graft procedure where the ulnar collateral ligament in the medial elbow is replaced with either a tendon from elsewhere in the patient's body, or with one from a deceased donor.
The anterior oblique ligament (AOL) attaches from the undersurface of the medial epicondyle to the medial ulnar surface slightly below the coronoid process. [12] It is the sturdiest of the three sections within the UCL. The AOL acts as the primary restraint against valgus stress at the elbow during flexion and extension.
During activities such as overhand baseball pitching, this ligament is subjected to extreme tension, which places the overhand-throwing athlete at risk for injury. [4] Acute or chronic disruption and/or attenuation of the ulnar collateral ligament often result in medial elbow pain, valgus instability, and impaired throwing performance. There ...
In human anatomy, the radial (RCL) and ulnar (UCL) collateral ligaments of the metacarpophalangeal joints (MCP) of the hand are the primary stabilisers of the MCP joints. [1] A collateral ligament flanks each MCP joint - one on either side. Each attaches proximally at the head of the metacarpal bone, and distally at the base of the phalynx.
On September 25, 1974, Jobe made sports medicine history when he performed the first reconstruction of the ulnar collateral ligament of the elbow (UCL) using a revolutionary procedure he had devised. What has since become commonly known as Tommy John surgery rescued the career of Los Angeles Dodger pitcher Tommy John , a 12-year veteran who ...
A post-operative photo of repair of a complete rupture of the ulnar collateral ligament. Note the K-wire to brace the joint. The ulnar collateral ligament is an important stabilizer of the thumb. Thumb instability resulting from disruption of the UCL profoundly impairs the overall function of the involved hand.
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Arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope, an endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed during ACL reconstruction.