endstream endobj startxref endstream endobj 80 0 obj <>/Metadata 3 0 R/Outlines 7 0 R/PageLayout/OneColumn/Pages 77 0 R/StructTreeRoot 32 0 R/Type/Catalog>> endobj 81 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 82 0 obj <>stream The length of each phase varies depending on each patient and depends on tissue healing and progression. 7-10 day post-op OT to fabricate a custom FA based thumb spica AROM of the wrist and IP of thumb SYMPTOMS: The thumb may be swollen, bruised and painful. Phase I (weeks 0 to 3): Splint for one week, then transition to a hinged elbow brace with gentle motion from 30 to 110 progressing to 10 to 125 at week 3. Skier's Thumb (Ulnar Collateral Ligament Sprain) Exercises Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle. Rehab Protocol - Thumb UCL Repair (Internal Brace Only) Dr. Broering PRECAUTIONS Full time splint use except for ROM. Athletes Can Return to Play in Half the Time with New Thumb Ligament <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Elbow Ulnar Collateral Ligament (UCL) Repair Rehabilitation Protocol Kelly Holtkamp, M.D. Joint destruction compresses nerve roots, resulting in pain, paresthesia, sensory loss, dysautonomia, and spasticity. <> This design severely limits functional use of the thumb. PubMed PMID: 30862273. 148 0 obj <>stream PDF Elbow Ulnar Collateral Ligament (UCL) Repair Rehabilitation Protocol PDF | Background: Combined injuries of ipsilateral wrist and elbow joints are rare in clinical practice, characterized by multiple joint dislocations. The internalbrace is the underpinning of the repair procedure. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Hand and Wrist Arthrex - Thumb UCL Repair and Reconstruction With InternalBrace 4 0 obj 4 0 obj endobj PDF Thumb UCL Repair (Internal Brace) - Orlando Hand Surgery Thumb Ulnar Collateral Ligament Repair with Suture Tape - PubMed UCL Repair with Internal Brace - Elite Baseball Performance H00:GCp#r x UCL Repair with Internal Bracing versus UCL Reconstruction (Tommy John). xZS8~AO[H[ULj!W0"Esvo 0h2ULlYRZ?.-ax0Iz_]0lnY>__-\x2`\DL^dRrzIE:d2bdcz{Izw^,&={y@{w=:'=aa=T()VCA6kGQlS9?LX|^+#{zX/.zLNT^Z^jg]X6g8If55/_BYjWpE\,#w+"6A ( E`\Boy 'n"%QBiClMVmfzKRbq"j>Ws$ 0 Journal articles: 'Muscle microtrauma' - Grafiati |1WwD >(E>[ X\j&7< 6whY+}v39v/1/wJU-nGQ v JCJX*?=XrtbgS#Nl|wk\6Ac /{h6*!(K6abZ}6M3RUl+pm@k=do3aCyF*wrVN7DixiDaLb^x)G. Acute UCL tears: Thumb spica splint/cast for up to 4 weeks, interphalangeal joint free. EXHIBIT(S) - D (Motion #1) EXHIBIT D - Verified Bill of Particulas and Initiate Throwing: 14-16 weeks (3.22 Months for Comparison) Bullpens: 24 Weeks (5.52 Months) Live BPs: 30-33 Weeks . %PDF-1.6 % *`]hgTTS:MV{gXS&K|-3m UCL Repair; Young overhead athletes who sustain an injury to their medial ulnar collateral ligament (UCL) complex, isolated to the proximal or distal end of the ligament and without chronic attritional damage, may benefit from a repair rather than a reconstruction procedure.1 Reference 1. Surgical management of acute combined injuries of the ipsilateral wrist A UCL repair with internal brace is reserved for use in cases of partial or complete tears at the origin or insertion of the UCL with good ligament tissue and low-grade mid-substance partial UCL tears [10]. PDF Thumb UCL Repair- Early Mobilization - UW Health It was grossly incompetent and irreparable. PDF Rehabilitation Protocol: Thumb Ucl/Rcl Repair Sam Fuller, M.d. % ULNAR COLLATERAL LIGAMENT (UCL) REPAIR REHABILITATION PROTOCOL Brace: Hinged elbow brace open to achievable and comfortable ROM as determined by therapist ROM: 0-100 by week 4 Progress active elbow flexion as tolerated Full shoulder and wrist ROM Therapeutic Exercises: Wrist isometrics (pronation, supination) The goal is to 15 The results of this study suggest that the technique of augmented UCL repair with internal brace replicates failure strength of the . See Tua at the University of Alabama, for examaple. Thumb UCL Repair With InternalBrace Ligament Augmentation - YouTube stream You are still advised to avoid gripping, grasping and twisting with your thumb. <>/Metadata 558 0 R/ViewerPreferences 559 0 R>> <>/Metadata 83 0 R/ViewerPreferences 84 0 R>> endobj It's pretty neat to see how it has taken on a whole world of uses, including in the knee and ankle. The brace may be removed for showering and gentle active motion exercises directed by the therapist. The repeated microtrauma is a result of a lack of muscle protection and destroys cartilage, ligaments, and disc spaces, leading to vertebrae destruction, joint instability, subluxation, and dislocation. <> m"cpQ|fP]3{&N5)M7!s( c A@%'I0*>% J$WNDoN`OM" ,aIENP57SNP zg FQVI@L+ F}t 8Bpt 3x` Q/}2cd}2"[& VL1zeGe:Jz). %%EOF Thumb UCL Repair with InternalBrace Ligament Augmentation ["BIA+ryv_cNaICaNJ!E.|dXTp3g@9< HTxS endobj stream Edema control is initiated with a light compression dressing. No driving. At 6 weeks after surgery, the supportive brace should be worn with activities, but you may do light tasks, such as typing without it. A recently developed UCL repair procedure with an internal brace, utilizing collagen tape, is gaining popularity. PDF After Your Surgery for Thumb Ulnar Collateral Ligament Repair !V!B;nkGL#_cz5asG) 0<>;Qm4P]3@41oJ5i~o;sJvQv9f r4A-C -Z]>T]Fo endobj A bP .a+ZY^tL3ab`y7*n&++c 60 0 obj <>/Filter/FlateDecode/ID[<0AF1E1B641B34B46855587C2A48FF27B><237A0C35EE1B4C46B05DEA8683FB9A51>]/Index[49 44]/Info 48 0 R/Length 76/Prev 328473/Root 50 0 R/Size 93/Type/XRef/W[1 3 1]>>stream Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair Orthop & Spo Med Op Acc J 3(1)- 2019. %PDF-1.7 <>>> ]rav?4V&%n\(blvdf)TUL"Q+zaH$!EWq,0S4o~!dAf36J5/JqR^)jUx}2}`4vT.5l;c6gA>< MVSxwkHW *LLGrj iBy+9,[Ld~!VpQ[/zT-k.x #M'Ismi>uw a8G PeT{qo| R7RP2rAK(; 0 &Dam[L1-J" iiBUq[{0R 3xVoEouUja,Jd> k '! PDF Ulnar Collateral Ligament (UCL) Injury to the Thumb : Keep post-operative dressing clean, dry, and in place Keep hand elevated above the level of your heart May use hand for very light activities of daily living, such as eating, writing, typing, getting dressed, and brushing teeth Day 7-14: 2 0 obj 3 0 obj Thumb UCL Repair- Conservative This protocol is intended to provide the clinician with a guideline for the postoperative rehabilitation course of a patient who has undergone thumb UCL reconstruction/repair. Thumb MCP UCL InjuriesHow Much Do We Need to Immobilize? - BraceLab Tommy John Surgery | UCL Injury Overview | Dr. Christopher Ahmad In a recent laboratory study conducted by the Arthrex Research Department using cadaver specimens, the thumb UCL with internal brace was four times stronger than the standard repair with suture alone. x[k_!l&.]>d!EMeK-y2+^]=2>P?tq:LzN=VA5X\SWZiu*zzmjN5Ru= QRN>`:N}x^_o?y,A\C/WiNQu)Ftz#CBk_QoTk-)WUT^\QBOSRM]8zb'ai+Zd|oc5&hYGkC(KURumUHkf]*A+KU"1OZ&AUh )M4p0m|iMLku=uJ There was gross instability of the ulnar collateral . Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Postoperative Rehabilitation 7-10 days postop The bulky compressive dressing is removed. %PDF-1.7 PDF Rehabilitation Protocol: Ulnar Collateral Ligament Repair At 6 to 12 weeks, begin adductor and interossei strengthening, avoiding valgus stress on thumb MCP. The success of that surgery resulted in it being called the Tommy John procedure. . The UCL may be strained or torn (partially or completely) producing a weakened grasping or pinching ability of the thumb. 502 0 obj <> endobj 1. %%EOF hb``d``jd```y Duration: 01:52. 1-3 Candidates for repair are most commonly young er (pre-professional) and present
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