J Orthop Sports Phys Ther. 2019 Apr;49(4):253-261. doi: 10.2519/jospt.2019.8215. Epub 2019 Mar 12.
Injuries to the elbow in athletes who play overhead sports, especially in baseball pitchers, continue to increase in frequency. The anterior band of the ulnar collateral ligament (UCL), the primary restraint to valgus stress, is commonly injured from throwing. Historically, such injuries have been treated with surgical reconstruction techniques, using a tendon autograft. A recently developed UCL repair procedure with an internal brace, utilizing collagen tape, is gaining popularity. The primary goal of this surgery is to enhance elbow joint stability while the ligament is healing and to allow earlier return to sport after UCL reconstruction. The rehabilitation program following UCL repair with internal brace progresses through a different time frame than after UCL reconstruction. The purpose of this commentary, based on our experience with more than 350 cases, including 79 patients with at least a 1-year postsurgical follow-up, was to describe and provide the rationale for the rehabilitation process following UCL repair with internal brace. J Orthop Sports Phys Ther 2019;49(4):253-261. doi:10.2519/jospt.2019.8215.
在从事过顶运动的运动员中，肘部受伤的情况持续增多，尤其是棒球投手。尺侧副韧带（UCL）前束是抵抗外翻应力的主要结构，在投掷过程中容易受伤。从历史上看，此类损伤通常采用肌腱自体移植物进行手术重建。最近出现了一种利用胶原带进行 UCL 修复的内部支撑技术，逐渐流行起来。该手术的主要目标是在韧带愈合过程中增强肘关节稳定性，并允许在 UCL 重建后更早地重返运动。与 UCL 重建后相比，UCL 修复后采用内部支撑的康复方案的时间框架不同。本评论基于我们对超过 350 例病例的经验，包括 79 例至少有 1 年术后随访的患者，旨在描述和解释采用内部支撑进行 UCL 修复后的康复过程。《美国骨科运动物理治疗杂志》2019 年；49（4）：253-261.doi：10.2519/jospt.2019.8215.
