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Clinical Outcome After Lateral Ulnar Collateral Ligament Reconstruction in an Adolescent Baseball Player

A Case Report

Saper, Michael G. DO, ATC, CSCS*; Andrews, James R. MD

Clinical Journal of Sport Medicine: July 2019 - Volume 29 - Issue 4 - p e70–e72
doi: 10.1097/JSM.0000000000000529
Case Report

Abstract: Lateral ulnar collateral ligament (LUCL) reconstruction is a commonly used surgical procedure to treat posterolateral rotatory instability (PLRI) of the elbow. We report a 17-year-old right-handed pitcher with symptomatic PLRI after an injury to his LUCL during a baseball game. Having failed 8 months of conservative treatment, a LUCL reconstruction using the modified O'Driscoll technique was performed with the contralateral gracilis autograft. At 5-year follow-up, an excellent patient-reported outcome was achieved and the patient continued to play baseball at the recreational level. This type of injury is rarely reported in adolescent baseball players, and improving our knowledge of the long-term outcomes is crucial to assist clinicians in counseling patients about expectations after surgery.

*Department of Orthopedics and Sports Medicine, Seattle Children's, Seattle, Washington; and

The Andrews Institute for Orthopaedics & Sports Medicine, Gulf Breeze, Florida.

Corresponding Author: Michael G. Saper, DO, ATC, CSCS, Department of Orthopedics and Sports Medicine, Seattle Children's, 4800 Sand Point Way NE, Seattle, WA 98105 (

The authors report no conflicts of interest.

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