Elbow Medial Ulnar Collateral Ligament Repair Versus Reconstruction Versus Augmented Reconstruction: Where Do We Stand?
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 42539553.
- Also identified by DOI 10.1177/15563316261472449 and PMC identifier 13423937.
- Licence recorded as CC BY-NC.
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Abstract
Medial ulnar collateral ligament (MUCL) injuries of the elbow have increased over the past 2 decades, particularly among adolescent and young adult overhead throwing athletes. Over time, operative techniques for MUCL injuries have evolved, with the goals of improving time to return and rates of return to sport and meeting athlete-specific demands. The purpose of this review is to evaluate the state of surgical management of MUCL injuries, assessing indications, techniques, and outcomes. Surgical techniques reviewed included MUCL-augmented repair with internal bracing, traditional reconstruction, reconstruction augmented with internal bracing, and revision MUCL reconstruction. While MUCL reconstruction has been the gold standard of treatment, augmented reconstruction and repair techniques have shown promising outcomes; these strategies emphasize anatomic restoration, preservation of native tissue, and individualized patient selection.