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Current concepts in rehabilitation following ulnar collateral ligament reconstruction.
MedLine Citation:
PMID:  23015887     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Injuries to the ulnar collateral ligament (UCL) in throwing athletes frequently occurs from the repetitive valgus loading of the elbow during the throwing motion, which often results in surgical reconstruction of the UCL requiring a structured postoperative rehabilitation program. Several methods are currently used and recommended for UCL reconstruction using autogenous grafts in an attempt to reproduce the stabilizing function of the native UCL. Rehabilitation following surgical reconstruction of the UCL begins with range of motion and initial protection of the surgical reconstruction, along with resistive exercise for the entire upper extremity kinetic chain. Progressions for resistive exercise are followed that attempt to fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers, in addition to the distal upper extremity musculature, to allow for a return to throwing and overhead functional activities. Rehabilitation following UCL reconstruction has produced favorable outcomes, allowing for a return to throwing in competitive environments.
Authors:
Todd S Ellenbecker; Kevin E Wilk; David W Altchek; James R Andrews
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sports health     Volume:  1     ISSN:  1941-7381     ISO Abbreviation:  Sports Health     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2012-09-27     Completed Date:  2012-09-28     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101518422     Medline TA:  Sports Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  301-13     Citation Subset:  -    
Affiliation:
Physiotherapy Associates Scottsdale Sports Clinic, Scottsdale, Arizona.
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