Nonsurgical Management of Ulnar Collateral Ligament Injuries
| Autor: | Hasani W. Swindell, Julian J Sonnenfeld, David P Trofa, Christopher S. Ahmad, Frank J Alexander, Bryan M. Saltzman |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Modalities Rehabilitation business.industry medicine.medical_treatment Elbow Regimen medicine.anatomical_structure Athletes Athletic Injuries Injury prevention medicine Physical therapy Ligament Humans Orthopedics and Sports Medicine Surgery Rotator cuff Collateral Ligament Ulnar Elbow Injuries business Throwing |
| Zdroj: | JAAOS: Global Research and Reviews. 5 |
| ISSN: | 2474-7661 |
| DOI: | 10.5435/jaaosglobal-d-20-00257 |
| Popis: | Ulnar collateral ligament (UCL) injuries are a common source of pain and disability in the overhead athlete and often result in notable loss of time from competition. Over the past 10 to 15 years, the prevalence of UCL injury and reconstruction has undergone a dramatic increase, making it imperative to determine which patients may benefit from a nonsurgical regimen. Nonsurgical treatment involves a multidisciplinary approach of rehabilitation with tailored physical therapy programs and, in certain cases, biologic adjuncts. Physical therapy protocols should focus on strengthening the periscapular muscles, rotator cuff, core musculature, and flexor pronator mass to help stabilize the injured elbow and prevent injury recurrence before the initiation of a progressive throwing program. The implementation of injury prevention programs has shifted the focus from just the elbow and have included the shoulder, legs, and core in an effort to help decrease the stress on the upper extremity. In addition, biologic therapies such as platelet-rich therapy are promising modalities to augment the conservative treatment of UCL injuries but remain under investigation. The purpose of this study is to review available strategies and outcomes for conservatively treating UCL injuries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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