BACKGROUND Empirical evidence has suggested a connection between youth pitch counts and subsequent elbow injury. For players within the Little League World Series (LLWS), detailed historical player data are available. Some of these players progress to both professional play and require an ulnar collateral ligament reconstruction (UCLR). PURPOSE To determine the percentage of LLWS pitchers who...

BACKGROUND Calcification of the medial collateral ligament (MCL) of the knee is a very rare disease. We report on a case of a patient with a calcifying lesion within the MCL and simultaneous calcifying tendinitis of the rotator cuff in both shoulders. CASE PRESENTATION Calcification of the MCL was diagnosed both via x-ray and magnetic resonance imaging (MRI) and was successfully treated surgi...

BACKGROUND Medial ulnar collateral ligament (UCL) reconstruction is a common procedure performed on Major League Baseball (MLB) pitchers in the United States. PURPOSE To determine (1) the rate of return to pitching (RTP) in the MLB after UCL reconstruction, (2) the RTP rate in either the MLB and minor league combined, (3) performance after RTP, and (4) the difference in the RTP rate and perfo...

Accurate joint models require the ability to predict soft tissue behavior. This study evaluates the ability of constitutive equations to predict the nonlinear and viscoelastic behavior of tendon and ligament during stress relaxation testing in a porcine model. Three constitutive equations are compared in their ability to model relaxation, recovery and reloading of tissues. Quasi-linear viscoela...

Contracture of the collateral ligaments is considered to be an important factor in post-traumatic stiffness of the elbow. We reviewed the results of isolated release of the medial collateral ligament in a series of 14 patients with post-traumatic loss of elbow flexion treated between 1998 and 2002. There were nine women and five men with a mean age of 45 years (17 to 76). They were reviewed at ...

BACKGROUND Increased stability of posterolateral corner knee injuries has been observed clinically after proximal tibial medial opening wedge osteotomies. HYPOTHESIS Static varus and external rotatory stability will be significantly improved in a knee with a grade 3 posterolateral knee injury after a proximal tibial medial opening wedge osteotomy. STUDY DESIGN Controlled laboratory study. ...

BACKGROUND The incidence of ulnar collateral ligament injury has increased in baseball, especially at the high school level. HYPOTHESIS Ulnar collateral ligament injury in high school baseball players is associated with overuse, high-velocity throwing, early throwing of breaking pitches, and improper warm-ups. STUDY DESIGN Retrospective cohort study. METHODS Follow-up physical examination...

Managing tumors of the proximal fibula may require en bloc resection of the fibular head with the attachment site for the lateral collateral ligament. These resections of the proximal fibula cause unavoidable knee instability. We describe a reconstructive technique intended to minimize that instability. We retrospectively reviewed 24 patients who had proximal fibular resections from 1987 to 200...