Trends in Revision Elbow Ulnar Collateral Ligament Reconstruction in Professional Baseball Pitchers

The Journal of Hand Surgery
Alexander T WilsonManuel F DaSilva

Abstract

To determine the frequency of revision elbow ulnar collateral ligament (UCL) reconstruction in professional baseball pitchers. Data were collected on 271 professional baseball pitchers who underwent primary UCL reconstruction. Each player was evaluated retrospectively for occurrence of revision UCL reconstructive surgery to treat failed primary reconstruction. Data on players who underwent revision UCL reconstruction were compiled to determine total surgical revision incidence and revision rate by year. The incidence of early revision was analyzed for trends. Average career length after primary UCL reconstruction was calculated and compared with that of players who underwent revision surgery. Logistic regression analysis was performed to assess risk factors for revision including handedness, pitching role, and age at the time of primary reconstruction. Between 1974 and 2014, the annual incidence of primary UCL reconstructions among professional pitchers increased, while the proportion of cases being revised per year decreased. Of the 271 pitchers included in the study, 40 (15%) required at least 1 revision procedure during their playing career. Three cases required a second UCL revision reconstruction. The average time from pri...Continue Reading

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Citations

Jun 17, 2016·The Journal of Hand Surgery·Tyler S PidgeonManuel F DaSilva
Jul 13, 2016·The American Journal of Sports Medicine·Brandon J EricksonAnthony A Romeo
May 16, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Jeremy R BruceJames R Andrews
Jan 25, 2018·Journal of Sport Rehabilitation·Corbin A HedtPatrick C McCulloch
Jan 18, 2018·Current Reviews in Musculoskeletal Medicine·Nicholas J ClarkChristopher L Camp
Apr 19, 2019·The American Journal of Sports Medicine·Brandon J EricksonAnthony A Romeo
May 14, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·David JordanMark Carl Miller
Sep 11, 2019·Current Sports Medicine Reports·Jason L ZaremskiHeather K Vincent
Feb 11, 2020·Journal of Pediatric Orthopedics·Elizabeth P WahlMarc J Richard
Apr 24, 2020·Current Reviews in Musculoskeletal Medicine·Cort D LawtonJoshua S Dines
Aug 28, 2019·Orthopaedic Journal of Sports Medicine·Christopher L CampTimothy B Griffith
Feb 17, 2017·Orthopaedic Journal of Sports Medicine·Brandon J EricksonAnthony A Romeo
Apr 25, 2018·Orthopaedic Journal of Sports Medicine·Marcus A RothermichJeffrey R Dugas
Oct 22, 2020·The American Journal of Sports Medicine·James R AndrewsGlenn S Fleisig
Jan 11, 2018·Orthopaedic Journal of Sports Medicine·Brandon J EricksonAnthony A Romeo
Dec 18, 2020·Clinics in Shoulder and Elbow·Jun-Gyu Moon, Hee-Dong Lee
Dec 18, 2020·Clinics in Shoulder and Elbow·Suk-Hwan Jang
May 25, 2020·Clinics in Sports Medicine·Edward Lyle Cain, Mims G Ochsner
Mar 24, 2021·Journal of Shoulder and Elbow Surgery·Tyler L CarlLeeBryan M Saltzman
May 25, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Richard M DanilkowiczAlexander R Vap
Dec 29, 2020·Arthroscopy, Sports Medicine, and Rehabilitation·Olumuyiwa A IdowuAravind Athiviraham
Aug 12, 2021·Orthopaedic Journal of Sports Medicine·Marcus A RothermichJeffrey R Dugas

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