The Division of Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University , Baltimore , MD , USA.
Phys Sportsmed. 2019 Sep;47(3):242-246. doi: 10.1080/00913847.2019.1589104. Epub 2019 Mar 11.
Ulnar collateral ligament (UCL) tears can occur from trauma or chronic overuse, and the treatment depends on the type of sport the patient plays and the severity of symptoms. Overuse UCL injuries are most commonly due to micro-trauma in overhead athletes such as baseball players, softball players, and tennis players. Acute complete UCL tears in athletes due to trauma are less common but generally operative treatment is recommended. In gymnastics, elbow dislocations are more common than isolated UCL injuries, and there is sparse literature on the success of non-operative treatment of isolated UCL injuries in this group of athletes. In this case report, we report a high-level competitive gymnast with an UCL tear and a partial tear of the forearm flexor mass, which was confirmed by a thorough careful physical examination and magnetic resonance imaging. The patient was treated non-operatively and successfully returned to gymnastics without symptoms. This case supports the suggestion that UCL tears of the elbow can be treated successfully in some gymnasts without surgery, and that treatment should be individualized in this group of athletes.
尺侧副韧带（UCL）撕裂可由创伤或慢性过度使用引起，治疗取决于患者所从事的运动类型和症状的严重程度。过度使用 UCL 损伤最常见于投掷运动员，如棒球、垒球和网球运动员，这些运动员会出现微创伤。由于创伤导致的急性完全 UCL 撕裂在运动员中较少见，但一般建议手术治疗。在体操中，肘部脱位比单独的 UCL 损伤更常见，并且在这组运动员中，关于单独的 UCL 损伤非手术治疗成功的文献很少。在本病例报告中，我们报告了一名高水平竞技体操运动员的 UCL 撕裂和前臂屈肌群的部分撕裂，这通过彻底仔细的体格检查和磁共振成像得到了证实。该患者接受了非手术治疗，并成功返回体操，无任何症状。该病例支持以下观点，即一些体操运动员的 UCL 撕裂可以成功地不通过手术进行治疗，并且在这组运动员中应进行个体化治疗。
