Journal of Shoulder and Elbow Surgery
Volume 18, Issue 1 , Pages 58-63 , January 2009

An analysis of four ulnar collateral ligament reconstruction procedures with cyclic valgus loading

  • Roshan P. Shah, MD

      Affiliations

    • Department of Orthopaedic Surgery, Sports Medicine Service, Stanford University, Palo Alto, CA
    • ,
  • Derek P. Lindsey, MS

      Affiliations

    • Veterans Administration Bone and Joint Rehabilitation Research and Development (R&D) Center, Palo Alto, CA
    • ,
  • Gannon W. Sungar, BA

      Affiliations

    • Department of Orthopaedic Surgery, Sports Medicine Service, Stanford University, Palo Alto, CA
    • ,
  • Timothy R. McAdams, MD

      Affiliations

    • Department of Orthopaedic Surgery, Sports Medicine Service, Stanford University, Palo Alto, CA
    • Corresponding Author InformationReprint requests: Timothy R. McAdams, MD, Assistant Professor, Division of Sports Medicine, Department of Orthopaedic Surgery, Stanford University, 1000 Welch Rd, Ste 100, Palo Alto, CA 94304.

References 

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  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. 2005;14:207–215
  4. 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. 1992;74:67–83
  5. Hamner DL, Brown CH, Steiner ME, Hecker AT, Hayes WC. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg Am. 1999;81:549–557
  6. Hechtman KS, Tjin-A-Tsoi EW, 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
  7. Hyman J, Breazeale NM, Altchek DW. Valgus instability of the elbow in athletes. Clin Sports Med. 2001;20:25–45
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  9. Large TM, Coley ER, Peindl RD, Fleishcli JE. A biomechanical comparison of 2 ulnar collateral ligament reconstruction techniques. Arthroscopy. 2007;23:141–150
  10. 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
  11. Paletta GA, Klepps SJ, Difelice GS, et al. Biomechanical evaluation of 2 techniques for ulnar collateral ligament reconstruction of the elbow. Am J Sports Med. 2006;34:1599–1603
  12. Regan WD, Korinek SL, Morrey BF, An KN. Biomechanical study of ligaments around the elbow joint. Clin Orthop. 1991;271:170–179
  13. 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
  14. Yocum LA. The diagnosis and nonoperative treatment of elbow problems in the athlete. Clin Sports Med. 1989;8:439–451

 Implants used in the study were donated by Arthrex Inc, Naples, Florida. The authors did not receive any financial support from Arthrex for this project.

PII: S1058-2746(08)00505-3

doi: 10.1016/j.jse.2008.06.011

Journal of Shoulder and Elbow Surgery
Volume 18, Issue 1 , Pages 58-63 , January 2009

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