Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher
Tears of the ulnar collateral ligament (UCL) of the elbow are common injuries in overhead athletes. Although surgical reconstruction of the UCL has improved outcomes, not all athletes return to their previous level of competition and when this goal is achieved, the time required averages one to two...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/130157 |
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| author | James K. Hoffman Nicole M. Protzman Amit D. Malhotra |
| author_facet | James K. Hoffman Nicole M. Protzman Amit D. Malhotra |
| author_sort | James K. Hoffman |
| collection | DOAJ |
| description | Tears of the ulnar collateral ligament (UCL) of the elbow are common injuries in overhead athletes. Although surgical reconstruction of the UCL has improved outcomes, not all athletes return to their previous level of competition and when this goal is achieved, the time required averages one to two years. Therefore, additional techniques are needed to further improve return to play and the rate of return to play in overhead athletes. A construct comprising a dermal allograft, platelet rich plasma (PRP), and mesenchymal stem cells (MSCs) has been shown to successfully improve healing in the rotator cuff. Given the promising provisional findings, we postulated that this construct could also improve healing if applied to the UCL. Therefore, the purpose of the present report was to examine the feasibility of utilizing a dermal allograft, PRP, and MSC construct to augment UCL reconstruction in a professional baseball pitcher. No complications were encountered. Although limited to minimal follow-up, the patient has demonstrated excellent progress and has returned to activity. |
| format | Article |
| id | doaj-art-69049c9272a947cb8b90267803eb0335 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-69049c9272a947cb8b90267803eb03352025-02-03T01:02:37ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/130157130157Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball PitcherJames K. Hoffman0Nicole M. Protzman1Amit D. Malhotra2Department of Orthopedics, Coordinated Health, 2775 Schoenersville Road, Bethlehem, PA 18017, USAClinical Education and Research Department, Coordinated Health, 3435 Winchester Road, Allentown, PA 18104, USAImaging Department, Coordinated Health, 2300 Highland Avenue, Bethlehem, PA 18020, USATears of the ulnar collateral ligament (UCL) of the elbow are common injuries in overhead athletes. Although surgical reconstruction of the UCL has improved outcomes, not all athletes return to their previous level of competition and when this goal is achieved, the time required averages one to two years. Therefore, additional techniques are needed to further improve return to play and the rate of return to play in overhead athletes. A construct comprising a dermal allograft, platelet rich plasma (PRP), and mesenchymal stem cells (MSCs) has been shown to successfully improve healing in the rotator cuff. Given the promising provisional findings, we postulated that this construct could also improve healing if applied to the UCL. Therefore, the purpose of the present report was to examine the feasibility of utilizing a dermal allograft, PRP, and MSC construct to augment UCL reconstruction in a professional baseball pitcher. No complications were encountered. Although limited to minimal follow-up, the patient has demonstrated excellent progress and has returned to activity.http://dx.doi.org/10.1155/2015/130157 |
| spellingShingle | James K. Hoffman Nicole M. Protzman Amit D. Malhotra Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher Case Reports in Orthopedics |
| title | Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher |
| title_full | Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher |
| title_fullStr | Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher |
| title_full_unstemmed | Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher |
| title_short | Biologic Augmentation of the Ulnar Collateral Ligament in the Elbow of a Professional Baseball Pitcher |
| title_sort | biologic augmentation of the ulnar collateral ligament in the elbow of a professional baseball pitcher |
| url | http://dx.doi.org/10.1155/2015/130157 |
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