Ulnar collateral ligament tear

The Ulnar Collateral Ligament can be torn from repetitive stress over a period time or from a sudden injury such as an elbow dislocation. The type of tear ranges from a partial injury to a complete rupture of the ligament.

• Pain on the inner side of the elbow, especially when trying to throw
• Swelling and bruising to the inner side of the elbow
• Decrease in throwing velocity
• Elbow stiffness and inability to straighten the elbow
• Numbness, tingling in the ring and small finger

Ulnar collateral ligament tears are diagnosed in the office after thorough discussion and physical exam with your orthopedic surgeon. X-rays are usually taken to look for bone spurs, loose fragments, or calcification of the tendon. MRI arthrogram of the elbow with contrast is the most sensitive imaging study to detect elbow ligaments tear.

• Rest – Avoid repetitive elbow movements for 2-3 months
• Ice
• Anti-inflammatory medications
• Physical therapy to strengthen the muscles around the elbow and improve stiffness
• PRP injection is a proven, nonsurgical ways to heal the ulnar collateral ligament tear
• Surgery

Ulnar Collateral Ligament Reconstruction or “Tommy John Surgery” involves replacing the torn ligament with a tissue graft that is obtained from the patient’s own tissue or a donated ligament.

The results of “Tommy John” surgery are good. It has helped many professional and college athletes and workers return to their physical activities.

Immediately after surgery the elbow is placed in a splint, which is replaced with a brace in 2 weeks. The brace is used to protect the ligament while it is healing for 6 weeks. Physical therapy is started 2-3 weeks after surgery. Return to vigorous pushing and lifting activities is expected around 6 months after surgery.