Clinical Biomechanics
Volume 25, Issue 1 , Pages 37-42 , January 2010

Biomechanical evaluation of a new reconstruction technique of the ulnar collateral ligament in the elbow with modified bone tunnel placement and interference screw fixation

  • Kenneth S. Seiber

      Affiliations

    • Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System and University of California, Irvine, CA, USA
    • ,
  • Felix H. Savoie

      Affiliations

    • Mississippi Sports Medicine and Orthopaedic Center, Jackson, MS, USA
    • ,
  • Michelle H. McGarry

      Affiliations

    • Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System and University of California, Irvine, CA, USA
    • ,
  • Ranjan Gupta

      Affiliations

    • Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System and University of California, Irvine, CA, USA
    • ,
  • Thay Q. Lee

      Affiliations

    • Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System and University of California, Irvine, CA, USA
    • Corresponding Author InformationCorresponding author. Address: Orthopaedic Biomechanics Laboratory, VA Long Beach Healthcare System (09/151), 5901 East 7th Street, Long Beach, CA 90822, USA.

Received 3 July 2008 ,Accepted 11 September 2009.

References 

  1. Ahmad CS, Lee TQ, ElAttrache NS. Biomechanical evaluation of a new ulnar collateral ligament reconstruction technique with interference screw fixation. Am. J. Sports Med. 2003;31:332–337
  2. Andrews JR, Timmerman LA. Outcome of elbow surgery in professional baseball players. Am. J. Sports Med. 1995;23:407–413
  3. Armstrong AD, Dunning CE, Ferreira LM, Faber KJ, Johnson JA, King GJ. A biomechanical comparison of four reconstruction techniques for the medial collateral ligament-deficient elbow. J. Shoulder Elbow Surg. 2005;14:207–215
  4. Azar FM, Andrews JR, Wilk KE, Groh D. Operative treatment of ulnar collateral ligament injuries of the elbow in athletes. Am. J. Sports Med. 2000;28:16–23
  5. Barnes DA, Tullos HS. An analysis of 100 symptomatic baseball players. Am. J. Sports Med. 1978;6:62–67
  6. Cain EL, Dugas JR, Wolf RS, Andrews JR. Elbow injuries in throwing athletes: a current concepts review. Am. J. Sports Med. 2003;31:621–635
  7. Callaway GH, Field LD, Deng XH, Torzilli PA, O’Brien SJ, Altchek DW, et al. Biomechanical evaluation of the medial collateral ligament of the elbow. J. Bone Joint Surg. Am. 1997;79:1223–1231
  8. Conway JE, Jobe FW, Glousman RE, Pink M. Medial instability of the elbow in throwing athletes. Treatment by repair or reconstruction of the ulnar collateral ligament. J. Bone Joint Surg. Am. 1992;74:67–83
  9. Eygendaal D, Olsen BS, Jensen SL, Seki A, Sojbjerg JO. Kinematics of partial and total ruptures of the medial collateral ligament of the elbow. J. Shoulder Elbow Surg. 1999;8:612–616
  10. Glousman RE, Barron J, Jobe FW, Perry J, Pink M. An electromyographic analysis of the elbow in normal and injured pitchers with medial collateral ligament insufficiency. Am. J. Sports Med. 1992;20:311–317
  11. Hechtman KS, Tjin ATEW, Zvijac JE, Uribe JW, Latta LL. Biomechanics of a less invasive procedure for reconstruction of the ulnar collateral ligament of the elbow. Am. J. Sports Med. 1998;26:620–624
  12. Jobe FW, Stark H, Lombardo SJ. Reconstruction of the ulnar collateral ligament in athletes. J. Bone Joint Surg. Am. 1986;68:1158–1163
  13. Large TM, Coley ER, Peindl RD, Fleischli JE. A biomechanical comparison of 2 ulnar collateral ligament reconstruction techniques. Arthroscopy. 2007;23:141–150
  14. Lee YS, Alcid JG, McGarry MH, ElAttrache NS, Lee TQ. Effect of olecranon resection on joint stability and strain of the medial ulnar collateral ligament. Orthopedics. 2008;31:648
  15. McAdams TR, Lee AT, Centeno J, Giori NJ, Lindsey DP. Two ulnar collateral ligament reconstruction methods: the docking technique versus bioabsorbable interference screw fixation–a biomechanical evaluation with cyclic loading. J. Shoulder Elbow Surg. 2007;16:224–228
  16. Mihata T, Safran MR, McGarry MH, Abe M, Lee TQ. Elbow valgus laxity may result in an overestimation of apparent shoulder external rotation during physical examination. Am. J. Sports Med. 2008;36:978–982
  17. Miller JE. Javelin thrower’s elbow. J. Bone Joint Surg. Br. 1960;42:792–799
  18. Morrey BF. Acute and chronic instability of the elbow. J. Am. Acad. Orthop. Surg. 1996;4:117–128
  19. Morrey BF, An KN. Articular and ligamentous contributions to the stability of the elbow joint. Am. J. Sports Med. 1983;11:315–319
  20. Norwood LA, Shook JA, Andrews JR. Acute medial elbow ruptures. Am. J. Sports Med. 1981;9:16–19
  21. Park MC, Ahmad CS. Dynamic contributions of the flexor-pronator mass to elbow valgus stability. J. Bone Joint Surg. Am. 2004;86-A:2268–2274
  22. Priest JD, Jones HH, Nagel DA. Elbow injuries in highly skilled tennis players. J. Sports Med. 1974;2:139–149
  23. Regan WD, Korinek SL, Morrey BF, An KN. Biomechanical study of ligaments around the elbow joint. Clin. Orthop. 1991;170–179
  24. Rohrbough JT, Altchek DW, Hyman J, Williams RJ, Botts JD. Medial collateral ligament reconstruction of the elbow using the docking technique. Am. J. Sports Med. 2002;30:541–548
  25. Safran MR, McGarry MH, Shin S, Han S, Lee TQ. Effects of elbow flexion and forearm rotation on valgus laxity of the elbow. J. Bone Joint Surg. Am. 2005;87:2065–2074
  26. Seiber K, Gupta R, McGarry MH, Safran MR, Lee TQ. The role of the elbow musculature, forearm rotation, and elbow flexion in elbow stability: an in vitro study. J. Shoulder Elbow Surg. 2009;18:260–268
  27. Thompson WH, Jobe FW, Yocum LA, Pink MM. Ulnar collateral ligament reconstruction in athletes: muscle-splitting approach without transposition of the ulnar nerve. J. Shoulder Elbow Surg. 2001;10:152–157
  28. Werner SL, Fleisig GS, Dillman CJ, Andrews JR. Biomechanics of the elbow during baseball pitching. J. Orthop. Sports Phys. Ther. 1993;17:274–278

PII: S0268-0033(09)00218-6

doi: 10.1016/j.clinbiomech.2009.09.005

Clinical Biomechanics
Volume 25, Issue 1 , Pages 37-42 , January 2010

Article Tools

* Image Usage & Resolution