Les risques incluent infection, raideur et échec de la reconstruction.
InfectionRaideur
#5
Quelle est la durée de réhabilitation post-opératoire ?
La réhabilitation peut durer de 6 mois à un an, selon la gravité de la lésion.
RéhabilitationPost-opératoire
Complications
5
#1
Quelles sont les complications possibles après la chirurgie ?
Infection, douleur persistante et raideur articulaire sont des complications possibles.
InfectionRaideur articulaire
#2
La réhabilitation peut-elle causer des complications ?
Oui, une réhabilitation inadéquate peut entraîner des complications comme la raideur.
RéhabilitationComplications
#3
Les lésions nerveuses sont-elles possibles ?
Oui, des lésions nerveuses peuvent survenir lors de la chirurgie, bien que rares.
Lésions nerveusesChirurgie
#4
Comment gérer la douleur post-opératoire ?
Des analgésiques et des thérapies physiques sont utilisés pour gérer la douleur.
Douleur post-opératoireAnalgésiques
#5
Les récidives de lésion sont-elles fréquentes ?
Les récidives peuvent survenir, surtout si les facteurs de risque ne sont pas gérés.
RécidiveFacteurs de risque
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les sports de lancer, les antécédents de blessures et le surentraînement sont des facteurs clés.
Facteurs de risqueSurentraînement
#2
L'âge influence-t-il le risque de lésion ?
Oui, les jeunes athlètes sont souvent plus à risque en raison de la croissance rapide.
ÂgeAthlètes
#3
Le sexe joue-t-il un rôle dans les lésions ?
Oui, les hommes sont généralement plus touchés par les lésions du ligament collatéral ulnaire.
SexeLésions
#4
Les antécédents familiaux sont-ils significatifs ?
Oui, des antécédents familiaux de blessures peuvent augmenter le risque individuel.
Antécédents familiauxRisque
#5
Le niveau de compétition influence-t-il le risque ?
Oui, les athlètes de haut niveau sont souvent plus exposés aux blessures au coude.
Niveau de compétitionAthlètes
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"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer la stabilité du coude ?",
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"position": 3,
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"@type": "Question",
"name": "Quels sont les symptômes d'une lésion du ligament ?",
"position": 6,
"acceptedAnswer": {
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"@type": "Question",
"name": "La douleur est-elle constante ou intermittente ?",
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"@type": "Answer",
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"@type": "Question",
"name": "Y a-t-il des signes de faiblesse musculaire ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une faiblesse dans le bras ou l'épaule peut accompagner la lésion."
}
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{
"@type": "Question",
"name": "Le gonflement est-il visible ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un gonflement autour du coude est souvent visible lors d'une lésion."
}
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"@type": "Question",
"name": "Les symptômes varient-ils selon l'activité ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent s'aggraver avec des mouvements répétitifs comme le lancer."
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"@type": "Question",
"name": "Comment prévenir les lésions du ligament collatéral ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un entraînement approprié, des échauffements et des techniques de lancer correctes aident."
}
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{
"@type": "Question",
"name": "Les étirements sont-ils importants ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les étirements réguliers améliorent la flexibilité et réduisent les risques de blessure."
}
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{
"@type": "Question",
"name": "Le renforcement musculaire aide-t-il ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, renforcer les muscles autour du coude peut stabiliser l'articulation et prévenir les blessures."
}
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{
"@type": "Question",
"name": "Les pauses sont-elles nécessaires lors de l'entraînement ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des pauses régulières permettent de réduire la fatigue et le risque de blessure."
}
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"@type": "Question",
"name": "Les techniques de lancer doivent-elles être enseignées ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des techniques appropriées réduisent le stress sur le ligament collatéral ulnaire."
}
},
{
"@type": "Question",
"name": "Quels sont les traitements non chirurgicaux ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Repos, physiothérapie et anti-inflammatoires sont des options initiales."
}
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{
"@type": "Question",
"name": "Quand la chirurgie est-elle nécessaire ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est envisagée si les traitements conservateurs échouent après plusieurs mois."
}
},
{
"@type": "Question",
"name": "Qu'est-ce que la reconstruction ligamentaire ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une intervention pour réparer ou remplacer le ligament collatéral ulnaire endommagé."
}
},
{
"@type": "Question",
"name": "Quels sont les risques de la chirurgie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les risques incluent infection, raideur et échec de la reconstruction."
}
},
{
"@type": "Question",
"name": "Quelle est la durée de réhabilitation post-opératoire ?",
"position": 20,
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}
},
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"@type": "Question",
"name": "Quelles sont les complications possibles après la chirurgie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infection, douleur persistante et raideur articulaire sont des complications possibles."
}
},
{
"@type": "Question",
"name": "La réhabilitation peut-elle causer des complications ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une réhabilitation inadéquate peut entraîner des complications comme la raideur."
}
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"@type": "Question",
"name": "Les lésions nerveuses sont-elles possibles ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des lésions nerveuses peuvent survenir lors de la chirurgie, bien que rares."
}
},
{
"@type": "Question",
"name": "Comment gérer la douleur post-opératoire ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des thérapies physiques sont utilisés pour gérer la douleur."
}
},
{
"@type": "Question",
"name": "Les récidives de lésion sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les récidives peuvent survenir, surtout si les facteurs de risque ne sont pas gérés."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
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"text": "Les sports de lancer, les antécédents de blessures et le surentraînement sont des facteurs clés."
}
},
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"@type": "Question",
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"position": 28,
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"text": "Oui, les hommes sont généralement plus touchés par les lésions du ligament collatéral ulnaire."
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"@type": "Question",
"name": "Les antécédents familiaux sont-ils significatifs ?",
"position": 29,
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"text": "Oui, des antécédents familiaux de blessures peuvent augmenter le risque individuel."
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"position": 30,
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}
OrthoCarolina Sports Medicine Center, Charlotte, NC, USA; Atrium Health-Musculoskeletal Institute, Charlotte, NC, USA. Electronic address: Bryan.Saltzman@orthocarolina.com.
Publications dans "Reconstruction du ligament collatéral ulnaire" :
There is a paucity of data analyzing dynamic stress ultrasound (SUS) findings in elite pitchers who have undergone ulnar collateral ligament (UCL) reconstruction (UCLR) and returned to sport....
To identify longitudinal, perioperative changes in the elbows of professional baseball pitchers who have undergone UCLR and to compare these findings with a matched cohort of healthy pitchers....
Cohort study; Level of evidence, 3....
This study used prospectively collected data from dynamic elbow SUS analyses of professional baseball pitchers within a single Major League Baseball organization. Pitchers were divided into 2 cohorts:...
Eight pitchers were included in the UCLR group and matched to 8 healthy pitchers (mean age at initial SUS examination, 19.6 years). At a minimum follow-up of 2 years, there were no significant differe...
Ulnhohumeral joint stability was achieved after UCLR as indicated by similar rest space, stress space, and joint laxity in dominant arms compared with a matched healthy cohort. A significant decrease ...
Stress ultrasonography (SUS) has provided clinicians with an alternative means of evaluating ulnar collateral ligament (UCL) injury by dynamically assessing ulnohumeral joint space gapping under appli...
The purpose of this study was to use in vivo data from patients with magnetic resonance (MR)-confirmed partial UCL tears to determine if anatomic partial tear location influenced the resultant stabili...
Cohort study; Level of evidence, 3....
All patients diagnosed with elbow injury from 2015 to 2020 were screened to identify competitive baseball pitchers with a partial UCL tear who received an SUS. Partial UCL tear was diagnosed via surge...
Overall, 60 male baseball pitchers (age, 19.2 ± 2.1 years), including 22 (37%) high school, 26 (43%) collegiate, and 12 (20%) professional pitchers, were evaluated. Regarding the location of partial U...
No difference was observed in the amount of ulnohumeral joint gapping on SUS in symptomatic baseball pitchers with MR-identified partial UCL tears at differing anatomic locations. The findings of this...
Injuries to the medial ulnar collateral ligament (UCL) are common among baseball pitchers due to repetitive stress on the soft tissue stabilizers of the elbow during pitching. Dynamic stress ultrasoun...
To determine whether any adaptive or morphological changes detectable on SUS can predict injury to the UCL in professional baseball pitchers....
Cohort study; Level of evidence, 3....
A total of 203 professional baseball pitchers who underwent SUS at preseason training sessions over the course of 18 years were categorized into 1 of 2 groups: those without a history of shoulder, arm...
The UCLR cohort, when compared with the healthy cohort, had higher relative (ie, nondominant-side measurements subtracted from dominant-side measurements) resting ulnohumeral joint space (median, 0.50...
SUS of players who underwent UCLR demonstrated a progressive increase in UCL thickness over 1 year, higher rates of hypoechoic foci, and increased ulnohumeral rest space compared with SUS of uninjured...
Medial ulnar collateral ligament (mUCL) injury can cause significant pain and alter throwing mechanics. Common autograft options for mUCL reconstruction (UCLR) include the palmaris longus (PL) and ham...
To compare varus stability and load to failure between a novel allograft for UCLR-knee medial collateral ligament (kMCL)-and a PL autograft in human donor elbow specimens....
Controlled laboratory study....
A total of 24 fresh-frozen human elbows were dissected to expose the mUCL. Medial elbow stability was tested with the mUCL intact (native), deficient, and reconstructed utilizing the humeral single-do...
The mUCL-deficient elbows demonstrated significantly greater valgus rotation compared with the intact and reconstructed elbows at every flexion angle tested (10°-120°) (...
Fresh-frozen and aseptically processed kMCL allografts demonstrated similar kinematic and failure properties to PL tendon autografts in UCL-reconstructed elbows, although neither graft fully restored ...
Prepared kMCL ligament allografts may provide a viable graft material when reconstructing elbow ligaments while avoiding the potential complications related to PL autografts- including donor site morb...
Ulnar collateral ligament (UCL) reconstruction of the medial elbow is considered to be the gold standard for treating valgus instability seen in overhead throwing athletes. The first UCL construction ...
The ulnar collateral ligament (UCL) is essential for elbow stability during pitching. In professional baseball, the fastball (FB) is the most commonly used pitch, making postrecovery FB performance af...
(1) Pitchers undergoing UCLR would show no significant changes in performance metrics compared with nonoperated pitchers with similar FB velocity and spin rate, and (2) no significant variance would b...
Cohort study; Level of evidence, 3....
The study included 91 Major League Baseball (MLB) pitchers who underwent primary UCLR between January 1, 2015, and December 31, 2021. A matched 1:1 control group of MLB pitchers without UCLR injuries ...
Disparities in several performance metrics emerged during the first postreturn year (PRY1), including FB use percentage (...
Although FB velocity and spin rate remained consistent, significant differences were observed in FB use percentage, FIP, and wFB/C in PRY1. However, by second postreturn year, these differences were n...
To identify the quantity and types of spin present in systematic reviews and meta-analyses of ulnar collateral ligament reconstruction (UCLR) outcomes and to characterize the studies with spin to dete...
This study was conducted per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. In August 2022, PubMed, Scopus, and SportDiscus databases were searched using the t...
In total, 122 studies were identified during the preliminary search, of which 19 met the inclusion criteria. Each study had at least 1 form of spin. The most common type of spin identified was type 5 ...
Spin is highly prevalent in the abstracts of systematic reviews and meta-analyses that investigate the outcomes of UCLR....
Spin has been identified in peer-reviewed articles published on various topics, including many in orthopaedics. Systematic reviews and meta-analyses contain the most comprehensive evidence regarding a...
Recurrent instability following thumb ulnar collateral ligament repair or reconstruction may result in pain and poor function. The use of certain suture anchors during the index procedure may predispo...
This study aimed to report clinical and patient-reported outcomes collected in a registry after thumb ulnar collateral ligament (UCL) reconstruction with a free tendon autograft. Furthermore, the pati...
Patients undergoing reconstruction with a tendon autograft between December 2011 and February 2021 were included. Michigan Hand Outcomes Questionnaire (MHQ) scores at baseline were compared with those...
We included 31 patients with thumb UCL insufficiency or failed UCL surgery who underwent reconstruction. The MHQ total score improved significantly from 62 at baseline to 75 at 3 months and continued ...
Patient-reported outcomes, including pain and function, improved after thumb UCL reconstruction with a tendon autograft. Although the sample size of patients with thumb metacarpophalangeal arthritis d...
Therapeutic IV....
Autograft palmaris has been the primary choice for the reconstruction of the medial ulnar collateral ligament (UCL) in the elbow. Agenesis of the palmaris tendon is not rare, and outcomes of allograft...
Allograft tendon reconstruction of the medial UCL in the young elbow would have low failure rates and satisfactory outcome scores....
Case series; Level of evidence, 4....
The records of patients who underwent allograft medial UCL reconstruction (UCLR) by a single surgeon between 2009 and 2019 were reviewed. Patient-reported outcome scores in adolescent patients obtaine...
Of 29 patients who underwent allograft UCLR, 10 adolescents (40% women; mean age at surgery, 15.8 years [age range, 15-17 years]) met the inclusion criteria and were included in the study. The mean fo...
Allograft reconstruction for medial UCL instability in adolescent patients from sport and trauma mechanisms demonstrated excellent patient-reported functional scores in this study. If the patient and ...