Ulnar Collateral Ligament Reconstruction for a Baseball Pitcher

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  • Topic: Achilles tendon rupture, Tendon, Foot
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  • Published : December 3, 2012
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Ulnar Collateral Ligament Reconstruction in a College Male Baseball Pitcher Julia Courtney

Introductory Abstract
Personal Data:
Patient: 22 y/o male. A twenty-two year old male left-handed collegiate baseball pitcher throwing in the first game of the season. Durning his first few

Florida Southern College
which is the smaller bone of the forearm on the same side as the thumb. There are several important ligaments in the elbow. A ligament is a soft tissue structure that connect bones to bones and

pitches he ran off the mound and reported having felt a popping sensation in his

are located around a joint form a joint capsule. A joint capsule is a

throwing arm that was immediately followed by medial elbow pain.

watertight sac that surrounds a joint and contains lubricating fluid

Current Medical History/Chief Complaint:

called synovial fluid. In the elbow, the most important ligaments are the ulnar collateral ligament and the lateral collateral ligament. The

A twenty-two year old, collegiate baseball pitcher was injured the home

Diagnostic Imaging

ulnar collateral ligament is also known as the medial collateral

opener of his junior season when he ran off the mound and reported having felt a popping sensation in his throwing arm that was immediately followed by medial elbow pain. The athlete immediately discontinued his throwing session. He was examined on-site by the

ligament. The ulnar collateral ligament is on the medial side of the elbow, and the lateral collateral is on the outside. The ulnar collateral ligament is a thick band of ligamentous tissue that forms a

certified athletic trainer and two athletic training students. The physical

triangular shape along the medial elbow. It has an anterior bundle,

examination noted palpable swelling over the medial aspect of his left

posterior bundle, and a thinner, transverse ligament. Together these

elbow with tenderness to touch at of the insertion of the the ulnar

ligaments, connect the humerus to the ulna and keep it tightly in

collateral ligament on the ulna as well as the mid-substance region of the

place as it slides through the groove at the end of the humerus. The

ligament. The valgus stress test was performed and was positive. Ice was

ulnar collateral ligament and the lateral collateral ligament are the

immediately applied to his elbow.
MOI:

main source of stability for the elbow and can be torn when there is an injury or dislocation of the elbow and if they do not heal properly, the elbow can be too loose or unstable for activity. The the ulnar

Physical Signs and Symptoms

collateral ligament is most commonly injured by throwing athletes,

•palpable swelling over the medial aspect of his left elbow with tenderness

such as baseball due to overuse and repetitive stress cause by the

to touch at of the insertion of the the ulnar collateral ligament on the ulna

throwing motion.

as well as the mid-substance region of the ligament.

patient lying prone, knees are flexed to 90°; the suspected

Relevant Anatomy
The bones of the elbow are the humerus, the ulna, the larger bone of the forearm located on the opposite side of the thumb, and the radius

ruptured ankle appered more dorsiflexed when
intacted side

compared with the

Treatment Options

Achilles Tendon Rupture
Julia Courtney
Florida Southern College

Introductory Abstract

Relevant Anatomy

Personal Data:
Patient: 48 y/o male. VP of a college. Overall health is good and lives an active lifestyle

The Achilles tendon, also referred to as the Calcaneal tendon, is

Current Medical History/Chief Complaint:

Diagnostic Imaging

located on the lower leg posteriorly, originating on the medial and lateral condyles of the femur and inserting at the calcaneus. This

A 48 year old male presented with posterior lower leg pain. He was

white fibrous cord is the largest, thickest, and most powerful tendon...
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