Internal Bracing Augmentation of the Ulnar Collateral Ligament on a Level 10 Competitive Gymnast: A Case Study

in International Journal of Athletic Therapy and Training
View More View Less
  • 1 North Dakota State University
  • | 2 American Gold Gymnastics
Restricted access

Purchase article

USD  $24.95

Student 1 year online subscription

USD  $76.00

1 year online subscription

USD  $101.00

Student 2 year online subscription

USD  $144.00

2 year online subscription

USD  $192.00

Ulnar collateral ligament (UCL) injuries have become increasingly more common over the years. Reconstruction and nonoperative treatment have been the conventional treatment for athletes, especially for overhead athletes. This case study presents a 16-year-old female, competitive Level 10 gymnast, with a complete distal tear of her UCL with a full thickness, Grade 3, ulnar sided avulsion off of the sublime tubercle. She underwent medial UCL repair with internal brace augmentation with the goal of faster return to gymnastics. To the author’s knowledge, this is the second gymnast reported in the literature to have an internal brace augmentation completed on the UCL.

Vander Wal, David, and German are with North Dakota State University, Fargo, ND, USA. Potter is with Sanford Orthopedics, American Gold Gymnastics, Fargo, ND, USA.

David (Shannon.David@ndsu.edu) is corresponding author.
  • 1.

    Pressor S. Danielle’s Story: A Ligament Repair Helped Me Return to the Gym. Huston, TX: Texas Children’s Hospital; 2019.

  • 2.

    Wilson WT, Hopper GP, Byrne PA, MacKay GM. Repair of the ulnar collateral ligament of the elbow with internal brace augmentation: a 5-year follow-up. BMJ Case Rep. 2018;11(1): e227113. PubMed ID: 30573536 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Dugas JR, Walters BL, Beason DP, Fleisig GS, Chronister JE. Biomechanical comparison of ulnar collateral ligament repair with internal bracing versus modified Jobe reconstruction. Am J Sports Med. 2016;44(3):735741. PubMed ID: 26717972 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Jones CM, Beason DP, Dugas JR. Ulnar collateral ligament reconstruction versus repair with internal bracing: comparison of cyclic fatigue mechanics. Ortho J Sports Med. 2018;6(2):2325967118755991. PubMed ID: 29479544 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Dubin JM, Rojas JL, Borade AU, Familiari F, McFarland EG. Isolated complete ulnar collateral ligament tear of the elbow in a gymnast: does it need surgery? Phys Sportsmed. 2019;47(3):242246. PubMed ID: 30827129 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Ramos N, Limpisvasti O. UCL injury in the non-throwing athlete. Curr Rev Musculoskelet Med. 2019;12(4):527533. PubMed ID: 31755025 doi:

  • 7.

    Gardner EC, Bedi A. Ulnar collateral ligament injury in female athletes. In: Dines J, Altchek D., eds. Elbow Ulnar Collateral Ligament Injury: A Guide to Diagnosis and Treatment. Boston, MA: Springer; 2015: 205212.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Moore AR, Fleisig GS, Dugas JR. Ulnar collateral ligament repair. Orthop Clin North Am. 2019;50(3):383389. PubMed ID: 31084841 doi:

  • 9.

    Frangiamore SJ, Moatshe G, Kruckeberg BM, et al. . Qualitative and quantitative analyses of the dynamic and static stabilizers of the medial elbow: an anatomic study. Am J Sports Med. 2018;46(3):687694. PubMed ID: 29266961 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Bodendorfer BM, Looney AM, Lipkin SL, et al. . Biomechanical comparison of ulnar collateral ligament reconstruction with the docking technique versus repair with internal bracing. Am J Sports Med. 2018;46(14):34953501. PubMed ID: 30403369 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Urch E, Limpisvasti O, ElAttrache NS, et al. . biomechanical evaluation of a modified internal brace construct for the treatment of ulnar collateral ligament injuries. Orthop J Sports Med. 2019;7(10):232596711987413. PubMed ID: 31620486 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Dugas J, Looze C, Jones C. Ulnar Collateral Ligament Repair in Amateur Overhead Throwing Athletes. San Diego, CA: AOSSM Annual Meeting; 2018.

    • Search Google Scholar
    • Export Citation
  • 13.

    Nicolette GW, Gravlee JR. Ulnar collateral ligament injuries of the elbow in female division I collegiate gymnasts: a report of five cases. Open Access J Sports Med. 2018;9:183189. PubMed ID: 30233260 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Zaremski JL, Vincent KR, Vincent HK. Elbow ulnar collateral ligament: injury, treatment options, and recovery in overhead throwing athletes. Curr Sports Med Rep. 2019;18(9):338345. PubMed ID: 31503046 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Savoie F, Trenhaile S, Roberts J, Field L, Ramsey JR. Primary repair of ulnar collateral ligament injuries of the elbow in young athletes: a case series of injuries to the proximal and distal ends of the ligament. Am J Sports Med. 2008;36(6):10661072. PubMed ID: 18443280 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Chauhan A, McQueen P, Chalmers PN, et al. . Nonoperative treatment of elbow ulnar collateral ligament injuries with and without platelet-rich plasma in professional baseball players: a comparative and matched cohort analysis. Am J Sports Med. 2019;47(13):31073119. PubMed ID: 31589470 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Dugas JR. Ulnar collateral ligament repair: an old idea with a new wrinkle. Am J Orthop. 2016;45(3):124127. PubMed ID: 26991563

  • 18.

    Trofa DP, Lombardi JM, Noticewala MS, Ahmad CS. Ulnar collateral ligament repair with suture augmentation. Arthrosc Tech. 2018;7(1):e53e56. PubMed ID: 29552469 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 168 168 32
Full Text Views 5 5 5
PDF Downloads 4 4 4