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Keywords Ulnar collateral ligament plat...

Ulnar collateral ligament platelet rich plasma

https://read.qxmd.com/read/38508288/return-to-sport-after-ulnar-collateral-ligament-tears-treated-with-platelet-rich-plasma-injections-is-influenced-by-length-of-rehabilitation-and-leukocyte-content-of-injections-a-systematic-review
#1
REVIEW
Stephen P Fucaloro, Alex S Kang, Jack T Bragg, Laura Krivicich, Matthew J Salzler
PURPOSE: To analyze current literature assessing return to sport (RTS) outcomes following platelet rich plasma (PRP) injections for the non-operative treatment of ulnar collateral ligament (UCL) injuries. METHODS: A systematic review of PubMed, Embase, and Web of Science databases was conducted in June 2023 to identify studies assessing RTS following PRP injections for UCL injuries. Tear severity, leukocyte content of PRP, rehabilitation protocol, and RTS outcomes were collected...
March 18, 2024: Arthroscopy
https://read.qxmd.com/read/38222189/from-dugout-to-the-mound-a-tale-of-platelet-rich-performance
#2
Rock P Vomer, Daniel P Montero, Shane Shapiro, Emma York, Sara Memon, Chris Fungwe, George G A Pujalte
Ulnar collateral ligament (UCL) tears of the elbow are prevalent injuries among throwing athletes and are associated with excessive or repeated valgus forces at the elbow. We present the case of an 18-year-old male baseball pitcher with an 18-month history of progressive right elbow pain, notably worsened during his fastball pitching. Clinical assessment revealed tenderness with dynamic stressing of the right UCL. Imaging analyses, including magnetic resonance imaging (MRI) and dynamic ultrasound, confirmed a high-grade partial tear of the UCL at its origin...
December 2023: Curēus
https://read.qxmd.com/read/38090936/elbow-ulnar-collateral-ligament-tears-in-2023-evaluation-and-management
#3
JOURNAL ARTICLE
Peter N Chalmers, Eric Bowman, Brandon J Erickson, Matthew V Smith, Christopher L Camp, Michael T Freehill
The ulnar collateral ligament, also called the medial collateral ligament of the elbow, is the primary stabilizer against valgus loads. This ligament can be traumatically torn, such as in an elbow dislocation, or can tear through attritional damage with overhead sports. Although baseball pitching is the most common contributor, these injuries also occur with volleyball, gymnastics, and javelin throwing. Patients most commonly report a history of medial elbow pain with associated loss of command, control, and throw velocity...
2024: Instructional Course Lectures
https://read.qxmd.com/read/36876746/return-to-sport-after-nonoperative-management-of-elbow-ulnar-collateral-ligament-injuries-a-systematic-review-and-meta-analysis
#4
JOURNAL ARTICLE
Varun Gopinatth, Anjay K Batra, Zeeshan A Khan, Garrett R Jackson, Harkirat S Jawanda, Enzo S Mameri, Johnathon R McCormick, Derrick M Knapik, Jorge Chahla, Nikhil N Verma
BACKGROUND: Elbow ulnar collateral ligament (UCL) injuries can result in significant functional impairment in throwing and overhead athletes. UCL reconstruction and repair are proven treatments to restore stability, but the efficacy of nonoperative management is unclear. PURPOSE: To determine the rate of return to sports (RTS) and return to previous level of play (RTLP) in athletes sustaining medial elbow ulnar collateral ligament (UCL) injuries treated nonoperatively...
December 2023: American Journal of Sports Medicine
https://read.qxmd.com/read/36820426/increasing-rates-of-ulnar-collateral-ligament-repair-outpace-reconstruction-in-isolated-injuries-review-of-a-texas-surgical-database
#5
JOURNAL ARTICLE
Taylor J Willenbring, Eden C Epner, Ryan J Warth, James M Gregory
BACKGROUND: The gold standard of treatment for ulnar collateral ligament (UCL) injuries has been reconstruction. Despite early repair studies yielding less than satisfactory results, there has been recent renewed interest in UCL repair due to improved outcomes and new technologies. Data regarding clinical use of these procedures are lacking. The purpose of this study was to define the epidemiological trends of UCL repair and reconstruction surgery from 2010 to 2019, compare demographic characteristics of patients undergoing either procedure, and determine incidence of concomitant procedures in each surgical group as well as comparing respective patient-level charges...
January 2023: JSES international
https://read.qxmd.com/read/35876779/medial-elbow-pain-syndrome-current-treatment-strategies
#6
REVIEW
Gautham Prabhakar, Vaibhav Kanawade, Abdullah N Ghali, Anil K Dutta, Christina I Brady, Bernard F Morrey
Medial elbow pain is a common presentation that can be a challenge to appropriately treat for the orthopedic surgeon. Causes include medial epicondylitis, ulnar neuritis, ulnar collateral ligament injury, flexor pronator strain, or snapping medial triceps. A good outcome is typically achieved with adequate treatment of tendon degeneration at the common flexor tendon origin. Mainstay treatment is nonoperative modalities such as stretching, rest, activity modification, therapy, and injections. If nonoperative management fails, intermediate interventions such as extracorporeal shockwave therapy, platelet-rich plasma injections, prolotherapy, and ultrasound-guided percutaneous tenotomy can be attempted...
2023: Orthopedics
https://read.qxmd.com/read/35549483/elbow-ulnar-collateral-ligament-injuries-in-overhead-athletes-an-infographic-summary
#7
JOURNAL ARTICLE
Jason L Zaremski
Ulnar collateral ligament (UCL) injuries of the elbow are common in throwing athletes. Given that the UCL's primary function is to provide valgus stability during the deceleration phase of throwing, injury to the UCL will render throwing difficult to nearly impossible.15 Injuries will occur more so in the sports of baseball, softball, and javlineers participating in track and field.5,10,14 Data has indicated that valgus torque reaches 64 N-m and proximal forces as high as 1000 N to prevent elbow distraction...
May 12, 2022: Sports Health
https://read.qxmd.com/read/34192936/biologics-in-professional-and-olympic-sport-a-scoping-review
#8
REVIEW
Iain R Murray, Navnit S Makaram, Scott A Rodeo, Marc R Safran, Seth L Sherman, Timothy R McAdams, Andrew D Murray, Fares S Haddad, Geoffrey D Abrams
AIMS: The aim of this study was to prepare a scoping review to investigate the use of biologic therapies in the treatment of musculoskeletal injuries in professional and Olympic athletes. METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews and Arksey and O'Malley frameworks were followed. A three-step search strategy identified relevant published primary and secondary studies, as well as grey literature...
July 2021: Bone & Joint Journal
https://read.qxmd.com/read/33796592/return-to-play-after-platelet-rich-plasma-injection-for-elbow-ucl-injury-outcomes-based-on-injury-severity
#9
JOURNAL ARTICLE
Frederic Baker Mills, Anuruddh K Misra, Nicholas Goyeneche, Joshua G Hackel, James R Andrews, Patrick W Joyner
BACKGROUND: Ulnar collateral ligament (UCL) injuries of the elbow are uncommon in the general population but prevalent in the athletic community, particularly among baseball players. Platelet-rich plasma (PRP) injection therapy has become a popular nonoperative adjuvant treatment for such injuries to help reduce recovery time and avoid surgery. PURPOSE/HYPOTHESIS: To analyze patient outcomes by injury severity and identify injury types that responded most favorably and unfavorably to PRP treatment...
March 2021: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/32388723/the-role-of-biologic-agents-in-the-non-operative-management-of-elbow-ulnar-collateral-ligament-injuries
#10
REVIEW
John M Apostolakos, Kenneth M Lin, James B Carr, Asheesh Bedi, Christopher L Camp, Joshua S Dines
PURPOSE OF REVIEW: Injuries to the elbow ulnar collateral ligament (UCL) are especially common in the overhead throwing athlete. Despite preventative measures, these injuries are occurring at increasing rates in athletes of all levels. UCL reconstruction techniques generally require a prolonged recovery period and introduce the potential for intraoperative complications prompting investigations into more conservative treatment measures based on specific patient and injury characteristics...
August 2020: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/31653802/the-use-of-platelet-rich-plasma-for-conservative-treatment-of-partial-ulnar-collateral-ligament-tears-in-overhead-athletes-a-critically-appraised-topic
#11
REVIEW
Bradley J Conant, Nicole A German, Shannon L David
Clinical Scenario: Rates of ulnar collateral ligament (UCL) injuries continue to rise in overhead athletes of all ages. Surgical interventions require minimally 6 months and up to 2 years of rehabilitation. Younger athletes and those with partial tears have seen positive results with conservative treatment approaches. Platelet-rich plasma (PRP) continues to be studied with various orthopedic injuries, and its use has the potential to improve return-to-sport rates and reduce recovery time. Focused Clinical Question: Do PRP injections improve conservative treatment outcomes in overhead athletes with partial tears of the UCL compared with conservative treatment alone regarding return to participation? Summary of Search, Best Evidence Appraised, and Key Findings: A literature search was performed to locate all studies investigating outcomes when PRP is included in a conservative treatment program for overhead athletes with partial UCL tears...
May 1, 2020: Journal of Sport Rehabilitation
https://read.qxmd.com/read/31589470/nonoperative-treatment-of-elbow-ulnar-collateral-ligament-injuries-with-and-without-platelet-rich-plasma-in-professional-baseball-players-a-comparative-and-matched-cohort-analysis
#12
COMPARATIVE STUDY
Aakash Chauhan, Peter McQueen, Peter N Chalmers, Michael G Ciccotti, Christopher L Camp, John D'Angelo, Hollis G Potter, Stephen A Fealy, Brandon J Erickson, Heinz R Hoenecke, Daniel Keefe, Julie McCauley, Jan Fronek
BACKGROUND: Recent studies evaluating nonoperative treatment of elbow ulnar collateral ligament (UCL) injuries augmented with platelet-rich plasma (PRP) have shown promising results. To date, no comparative studies have been performed on professional baseball players who have undergone nonoperative treatment with or without PRP injections for UCL injuries. HYPOTHESIS: Players who received PRP injections would have better outcomes than those who did not receive PRP...
November 2019: American Journal of Sports Medicine
https://read.qxmd.com/read/31194648/considerations-of-conservative-treatment-after-a-partial-ulnar-collateral-ligament-injury-in-overhead-athletes-a-systematic-review
#13
JOURNAL ARTICLE
Nicole Cascia, Kelsey Picha, Carolyn M Hettrich, Tim L Uhl
CONTEXT: Ulnar collateral ligament (UCL) reconstructions continue to increase without consensus on an evidence-based treatment protocol for nonoperative management. Currently, there is no consensus on an effective nonoperative protocol for partial UCL injuries that uses return-to-play (RTP) rates in determining the outcome of conservative treatment. OBJECTIVE: To systematically review RTP rates after conservative treatment of partial UCL injuries in overhead athletes along with descriptive components of each conservative intervention to identify an effective evidence-based nonoperative rehabilitation protocol...
July 2019: Sports Health
https://read.qxmd.com/read/30963080/can-platelet-rich-plasma-therapy-save-patients-with-ulnar-collateral-ligament-tears-from-surgery
#14
JOURNAL ARTICLE
Yuki Kato, Shin Yamada, Jover Chavez
Introduction: Platelet-rich plasma (PRP) has been shown to be effective in treating partial tears of the ulnar collateral ligament (UCL) of the elbow in overhead throwing athletes, but it is still unknown whether it has a role in complete tears. The aim of this study was to assess the effectiveness of PRP in treating complete as well as partial UCL tears. We hypothesized that trephination of the injured UCL followed by injection with PRP can promote healing of both partial and complete tears...
June 2019: Regenerative Therapy
https://read.qxmd.com/read/30531456/adolescent-pitcher-recovery-from-partial-ulnar-collateral-ligament-tear-after-platelet-rich-plasma
#15
JOURNAL ARTICLE
Andrew H Gordon, Arthur Jason De Luigi
Platelet-rich plasma (PRP), as a regenerative treatment for partial ulnar collateral ligament (UCL) tears, is validated to lead to faster clinical recovery and return to play in adult athletes. However, studies examining such a role of PRP in younger pediatric and adolescent athletes are scarce. A 14-year-old adolescent throwing athlete, a right-handed pitcher, presented with chronic right medial elbow pain discovered to be secondary to a partial UCL tear, as identified on both ultrasound and magnetic resonance imaging...
December 2018: Current Sports Medicine Reports
https://read.qxmd.com/read/30255288/platelet-rich-plasma-for-elbow-pathologies-a-descriptive-review-of-current-literature
#16
REVIEW
Adam Kwapisz, Sharad Prabhakar, Riccardo Compagnoni, Aleksandra Sibilska, Pietro Randelli
PURPOSE OF REVIEW: Platelet-rich plasma is used in many orthopedic pathologies such as tendinopathies and ligament injuries. The clinical results reported in the scientific literature are, however, confusing. The aim of this manuscript is to provide a narrative literature review regarding the role of PRP in the most common elbow soft tissue pathologies. RECENT FINDINGS: The response to PRP seems to be favorable when compared to steroid injection for pain management and for patient-reported outcomes in lateral epicondylitis...
December 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/29335854/nonreconstruction-options-for-treating-medial-ulnar-collateral-ligament-injuries-of-the-elbow-in-overhead-athletes
#17
REVIEW
Nicholas J Clark, Vishal S Desai, Joshua D Dines, Mark E Morrey, Christopher L Camp
PURPOSE OF REVIEW: This review aims to describe the nonreconstructive options for treating ulnar collateral ligament (UCL) injuries ranging from nonoperative measures, including physical therapy and biologic injections, to ligament repair with and without augmentation. RECENT FINDINGS: Nonoperative options for UCL injuries include guided physical therapy and biologic augmentation with platelet-rich plasma (PRP). In some patients, repair of the UCL has shown promising return to sport rates by using modern suture and suture anchor techniques...
March 2018: Current Reviews in Musculoskeletal Medicine
https://read.qxmd.com/read/29164165/platelet-rich-plasma-for-primary-treatment-of-partial-ulnar-collateral-ligament-tears-mri-correlation-with-results
#18
JOURNAL ARTICLE
J Banks Deal, Ed Smith, Wendell Heard, Michael J O'Brien, Felix H Savoie
BACKGROUND: Jobe revolutionized the treatment of medial ulnar collateral ligament (MUCL) tears with his reconstruction technique. However, not all MUCL injuries require operative management; Rettig showed that 42% of MUCL injuries respond to conservative management. This was improved by Podesta, who showed that augmentation of nonoperative management with platelet-rich plasma (PRP) and magnetic resonance imaging (MRI) for detecting partial MUCL tears resulted in significantly higher success rates...
November 2017: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/28607764/chronic-medial-instability-of-the-elbow
#19
REVIEW
Felix H Savoie, Michael O'Brien
Damage to the medial collateral ligament of the elbow from an instability episode usually heals with non-operative treatment. In some cases, residual instability may occur, leading to functional impairment.Non-operative management can be successful when bracing, taping and therapy are used to stabilise the elbow.A recent report detailing the efficacy of platelet-rich plasma in effectively treating ulnar collateral ligament (UCL) injuries in throwers has shown promise. However, there remain specific groups that should be considered for repair or reconstruction...
January 2017: EFORT Open Reviews
https://read.qxmd.com/read/27552453/platelet-rich-plasma-can-be-used-to-successfully-treat-elbow-ulnar-collateral-ligament-insufficiency-in-high-level-throwers
#20
JOURNAL ARTICLE
Joshua S Dines, Phillip N Williams, Neal ElAttrache, Stan Conte, Todd Tomczyk, Daryl C Osbahr, David M Dines, James Bradley, Christopher S Ahmad
We conducted a study to evaluate the effect of platelet-rich plasma (PRP) injections on partial ulnar collateral ligament (UCL) tears in high-level throwing athletes. We retrospectively reviewed the cases of 44 baseball players (6 professional, 14 college, 24 high school) treated with PRP injections for partial-thickness UCL tears. All tears were diagnosed by physical examination and confirmed by magnetic resonance imaging (MRI). Sixteen patients had 1 injection, 6 had 2, and 22 had 3. Once patients became asymptomatic after injection, they were started on an interval throwing program...
2016: American Journal of Orthopedics
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