Thumb ulnar collateral ligament injuries are common and can require surgical repair to restore thumb stability. Techniques that use suture anchors are challenging in patients with poor bone stock or cortical defect at the attachment site. Therefore, we describe anchor-less techniques for ulnar collateral ligament repair, with one new technique simplifying repair. We then report the clinical results for one patient treated with this new technique.
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http://dx.doi.org/10.7759/cureus.76892 | DOI Listing |
Cureus
February 2025
Department of Anatomy, All India Institute of Medical Sciences, Bibinagar, Hyderabad, IND.
The design and structure of the palmar vascular arches and their variations constitute some of the most intriguing and difficult areas of anatomy. Additionally, cardiac revascularisation is now being accomplished using radial artery harvesting, which necessitates collateral circulation in the hand through the palmar arches. In this case report, we outline a unique pattern of the superficial palmar arch (SPA) and deep palmar arch (DPA) in terms of their formation and branching pattern.
View Article and Find Full Text PDFAm J Sports Med
March 2025
Department of Kinesiology, Louisiana Tech University, Ruston, Louisiana, USA.
Background: Countermovement jump (CMJ) analyses can predict ulnar collateral ligament (UCL) injuries in professional baseball pitchers, yet a biomechanical determinant linking CMJ analytics to UCL sprains is unknown.
Purpose/hypothesis: The purpose of this study was to evaluate CMJ parameters in collegiate pitchers with high and low elbow varus torque (EVT) and investigate multilinear regression relationships between CMJ and EVT kinetics. It was hypothesized that pitchers with greater EVT would have greater CMJ measures, and CMJ kinetics would explain the variance in EVT kinetics.
Int J Sports Phys Ther
February 2025
Clinical Manager & Founder Advanced Rehabilitation.
Injuries to the ulnar collateral ligament (UCL), have become increasingly prevalent among overhead-throwing athletes, especially baseball pitchers. From 2011 to 2023, UCL injuries were the most common injury in Major League Baseball (MLB). Contributing factors include high pitching velocity, fatigue, overuse, and year-round pitching.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
March 2025
St. Vinzenz Kliniken Pfronten Im Allgäu, Pfronten, Germany.
Purpose: The aim of this study was to identify causes for recurrent PLRI, compare surgical treatment options, and analyze functional outcomes following revision LUCL reconstruction.
Methods: A retrospective multicentric case analysis was conducted, including patients who underwent revision LUCL surgery due to recurrent PLRI. Demographic data, surgical techniques (for primary and revision LUCL reconstruction) and postoperative rehabilitation protocols were analyzed, and causes of failure documented.
Purpose: Elbow joint instability results from the disruption of one or more stabilizing anatomical structures. The two most common forms of instability are posterolateral rotatory instability (PLRI) and medial elbow instability (MEI), particularly in athletes. This review aims to explore the anatomical foundations, diagnostic methods, and therapeutic approaches for PLRI and MEI in athletes.
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