Posts Tagged "ulnar collateral ligament"

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Matt Harvey’s Partial Tear: Surgery Now Or Chance It?

imagesIf Matt Harvey were an everyday guy pitching in a Central Park League and he opted to try conservative management after partially tearing his ulnar collateral ligament (UCL), we wouldn’t give it a second thought.

With an uncertain outcome either way – and greater overall risks with surgery – what would he have to lose? It wouldn’t be as though his livelihood depended on the result. And, after all, if rehab alone didn’t wind up being the answer, surgery could be done later than sooner. The primary downside would be time spent or, depending on how you look at it, time lost.

My point exactly. It also appears to be a point made by Mets’ management, though the choice has rightly been left to the All Star.

Understanding Matt Harvey's Partial UCL Tear

imagesThe extraordinary stresses that pitchers place on the medial (inner) elbow – and the excessive loading of the region – can create inflammatory or degenerative conditions in a number of structures in the area. That may explain why Harvey’s symptoms were not initially localized to the UCL, which is the primary stabilizer of the elbow.

Joel Hanrahan: Flexor Tendon versus UCL

images-1231 year-old closer, Joel Hanrahan, has had a rough start to his tenure with the Red Sox after being acquired from the Pirates in the off-season. Now we know why – a torn flexor tendon in his right elbow. There is always the possibility that once Dr. James Andrews is in the joint, it will be determined that the UCL is also involved.

Astounding Number Of Tommy John Surgeries In 2012

200px-IMG_1341_José_ContrerasAn astounding thirty-one major league pitchers underwent Tommy John surgery in 2012 and another, 40 year-old Jose Contreras, was diagnosed in June with a tear of the ulnar collateral ligament (UCL) and flexor pronator in his throwing elbow. Three other pitchers continue to ramp up their rehab from UCL reconstructions performed in 2011 by pitching this month in simulated games, in the instructional league and in the minors. These figures do not include those who returned to major league competition in 2012 following earlier surgeries.

The ulnar collateral ligament is the primary stabilizer of the elbow.

Fixing The Flexor Tendon

colby lewisThere are a total of nine muscles located in the palm side of the forearm. Some play a role in flexing the wrist or fingers, while others rotate (pronate or supinate) the forearm. Some of these also assist with bending the elbow. These muscles are divided into three layers and the five in the outermost (superficial) and middle layers all attach at the inner elbow in what is known as a common flexor tendon.

Joba Chamberlain And The Flexor Tendon

images-15A tendon is the extension of a muscle, attaching it to the bone. In looking at many reports of Joba’s injury, I could find no mention of the specific tendon involved. However, a NY Times report stated that Chamberlain’s soreness is in the forearm, near the inside of the elbow. This is commonly referred to as medial epicondylitis, or golfer’s elbow. Most involved in this diagnosis are the wrist flexors and the pronator teres muscle.

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