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2014, Number 2

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Revista Cubana de Ortopedia y Traumatología 2014; 28 (2)

Reconstruction of the ulnar collateral ligament in baseball athletes by DANE TJ hybrid technique

Peña ML, Salles BGR, Álvarez CRJ, Falcón HM, López DH, Betancourt FI

Language: Spanish
References: 37
Page: 122-135
PDF size: 196.02 Kb.


ABSTRACT

Introduction: the medial collateral ligament injury of the elbow joint is one of the most common and disabling injuries in baseball athletes. In many patients, a reconstruction of this structure is requires for which several techniques have been described.
Objective: evaluate the results of DANE TJ hybrid technique for treating ulnar collateral ligament insufficiency in our patients.
Methods: a study was conducted in 12 high-performance baseball players who were diagnosed to suffer medial collateral ligament injury. They did not heel with conservative treatment, so surgical treatment was applied by DANE TJ hybrid technique.
Results: most athletes are pitchers (75 %). 9 out of 12 patients (75 %) had some degree of posteromedial shock. Ulnar neuritis was present in 58.3 % of patients in whom anterior subcutaneous transposition of the ulnar nerve was performed. Transient ulnar nerve paresthesia occurred in 2 patients (16.7 %), which were remedied with conservative treatment. The average intensity of preoperative pain score according to the Visual Analogue Scale was 8.1 points and dropped to 1.4 after one year of intervention. The result was excellent or good in 83.3 % of patients who returned to their sports activities.
Conclusions: the hybrid technique that combines the humerus graft fixation by Docking technique fixing the ulna using interferential screw is easily accomplished, minimal damage to soft tissue is caused, and similar results are achieved in comparison to the other studies reviewed.


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