The newer repair procedure utilizes internalbrace, which comprises high-strength fibertape suture, to reenforce and protect the ligament while it is healing, and provide additional protection during throwing activities. PDF Brandon J. Erickson, MD Mackenzie Lindeman, ATC 176 3 - Rothman Ortho hb``d``jd```y endstream endobj 503 0 obj <. The length of each phase varies depending on each patient and depends on tissue healing and progression. It was grossly incompetent and irreparable. Walters BL, Cain EL, Emblom BA, Frantz JT, Dugas JR. Journal articles: 'Muscle microtrauma' - Grafiati Please fax initial evaluation and progress notes to 8153817498. &Dam[L1-J" iiBUq[{0R 3xVoEouUja,Jd> k '! You are still advised to avoid gripping, grasping and twisting with your thumb. A UCL repair with internal brace is reserved for use in cases of partial or complete tears at the origin or insertion of the UCL with good ligament tissue and low-grade mid-substance partial UCL tears [10]. Restrictions: No heavy lifting greater than 0 lbs. . Mrtl7"l\Q`?v`d: hYmO8+NR)nEr'@]fuv4RUB;OfP&,!z3$Q"9#*m cLC. `eDp4)J00"2N$b\3HZhSCR This animation demonstrates repair of the ulnar collateral ligament of the thumb with the InternalBrace ligament augmentation procedure. endobj The Effect of Ulnar Collateral Ligament Repair With Internal Brace Thumb UCL Repair With InternalBrace Ligament Augmentation. 3 0 obj UCL Repair; Young overhead athletes who sustain an injury to their medial ulnar collateral ligament (UCL) complex, isolated to the proximal or distal end of the ligament and without chronic attritional damage, may benefit from a repair rather than a reconstruction procedure.1 Reference 1. Gamekeepers Thumb: Symptoms, Surgery, & Treatment - Hand and Wrist %PDF-1.6 % 1-6 weeks: If the ligament is partially torn then a splint or cast is usually worn for six weeks and after its removal a programme of exercises is . /&E-{BpR`buqyxw{y1E2vzy!`reY,$OcvCnbv_]pyu_//~0]8~t2Vj-/U %%EOF The rise of ulnar collateral ligament reconstruction and the fall of ulnar collateral ligament repair. r e c . 0 Athletes Can Return to Play in Half the Time with New Thumb Ligament Edema control is initiated with a light compression dressing. 148 0 obj <>stream !-twF)rm16:M.J r]Sc]Oi~ PDF Elbow Ulnar Collateral Ligament (UCL) Repair Rehabilitation Protocol 3 0 obj %PDF-1.6 % endstream endobj startxref 2 0 obj 92 0 obj <>stream %PDF-1.7 Volume 3 ssue 1 Coprig Kevin ilk et al. The UCL may be strained or torn (partially or completely) producing a weakened grasping or pinching ability of the thumb. Recently, Dugas et al. 15 -17,19 Therefore, UCL reconstruction has become a common procedure to address UCL insufficiency in adolescent, collegiate, and professional throwers. The athletes that were treated with UCL repair and internal . stream 2 WEEKS (1st Visit) Fit with custom hand based thumb spica splint (Please allow thumb IPJ motion) OT INSTRUCTIONS - Ok to work on wrist, CMP, IPJ motion, & scar massage The goal is to In a recent laboratory study conducted by the Arthrex Research Department using cadaver specimens, the thumb UCL with internal brace was four times stronger than the standard repair with suture alone. al., a radial-based thumb MCP orthosis designed to leave the thumb IP and CMC joints free limited thumb abduction which reduced the strain on the thumb UCL when loads were applied. Skier's thumb is an acute partial or complete rupture of the ulnar collateral ligament (UCL) of the thumb's metacarpophalangeal joint (MCPJ) due to a hyperabduction trauma of the thumb. 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. Thumb UCL Repair with InternalBrace Ligament Augmentation 17,933 views Sep 6, 2018 89 Dislike Share Save Arthrex 64.2K subscribers Show more Comments are turned off. cfzn(WH`&8:YUx~Ru1?-K)N(-cY2N[wH.A^Nu1T lTr[wyKt1+oE.Bj^&Q 2)A*a0'AY(|\k2E M * m| ""/+Gq The ulnar collateral ligament (UCL) does not play a large role in elbow stability for most activities of daily living, but it does undergo tremendous stresses with overhead throwing and is susceptible to injury in overhead athletes. PDF Ulnar Collateral Ligament (Ucl) Repair Rehabilitation Protocol Rehab Protocol - Thumb UCL Repair (Internal Brace Only) Dr. Broering PRECAUTIONS Full time splint use except for ROM. 0 endobj 1 0 obj 2 0 obj y!my6gvF-~g,8\'N&p[t|x0 u0vNzSKjZ*C(hZ}szu9`3_?=/ UCL REPAIR WITH INTERNAL BRACE . Read court documents, court records online and search Trellis.law comprehensive legal database for any state court documents. There was gross instability of the ulnar collateral . stream 1 0 obj No driving. Steven Shin, MD, treats elite athletes in his clinic, but you don't have to play for a professional team to benefit from his groundbreaking technique for treating thumb ulnar collateral ligament (UCL) injuries.. For injuries that need more than a cast, internal brace augmentation gives better and much faster results than conventional surgery, according to Shin, executive vice chair of Cedars . 7-10 day post-op OT to fabricate a custom FA based thumb spica AROM of the wrist and IP of thumb 3 0 obj UCL Repair with Internal Bracing versus UCL Reconstruction (Tommy John). !V!B;nkGL#_cz5asG) 0<>;Qm4P]3@41oJ5i~o;sJvQv9f r4A-C -Z]>T]Fo endobj -Aggressive thumb active motion -The use of the internal brace makes for a very stable construct -AROM and PROM of thumb CMC and IP -No pinching/grabbing/lifting . 3 0 obj ( E`\Boy 'n"%QBiClMVmfzKRbq"j>Ws$ Postoperative Rehabilitation 7-10 days postop The bulky compressive dressing is removed. This includes, but not limited to, self-retrograde massage, cold therapy, and extremity elevation. fPD. During this time, active ROM is started as well as light isotonic . Thumb Collateral Ligament Injury - Hand - Orthobullets To date, no literat. % At 10 to 12 weeks, return to . ULNAR COLLATERAL LIGAMENT (UCL) REPAIR REHABILITATION PROTOCOL Brace: Hinged elbow brace open to achievable and comfortable ROM as determined by therapist ROM: 0-100 by week 4 Progress active elbow flexion as tolerated Full shoulder and wrist ROM Therapeutic Exercises: Wrist isometrics (pronation, supination) endstream endobj 50 0 obj <>/Metadata 3 0 R/Pages 47 0 R/StructTreeRoot 10 0 R/Type/Catalog>> endobj 51 0 obj <>/MediaBox[0 0 612 792]/Parent 47 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 52 0 obj <>stream PDF Rehabilitation s/p UCL Repair with Internal Brace 2 0 obj Ligament / Volar Plate CPT Codes PDF UVA HAND CENTER - THERAPY - University of Virginia School of Medicine c5(Ly%CDer,ZbE+ImgILF cy9 Thumb Ulnar Collateral Ligament repair; A Step by Step Guide Injuries to the ulnar collateral ligament of the thumb metacarpophalangeal joint (gamekeeper's thumb). Dressing changed at 7-10 days after surgery Week 2 Rehabilitation following UCL repair with internal brace is accelerated by comparison to Tommy John Surgery. Skier's thumb - Physiopedia hb```) $- `>bPO,VLW0ba6d.fb>4mfBs2hef`t| UCL Repair Ulnar Collateral Ligament Repair Protocol Ulnar Collateral Ligament Repair Protocol Phase I: Immediate Post-Surgical Phase (Days 1 - 21) Goals: Protect healing tissue, decrease pain and inflammation, increase scar mobility, prevent muscular atrophy Exercises: Splint: A hand-based thumb spica splint with IP free (for thumb) or Safe Position Splint (for other digits) with medial or lateral stops on the opposite site of the repaired ligament is constructed to be worn between exercises and at night. 8q`Au8UnN6LW6eS4zdH 7gJRco6aDA+)vg+|Pn.Tz8W>dt+O)1L Thumb UCL Repair With Internal Brace Ligament Augmentation your repair for 4 more weeks. Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair With Suture Tape Augmentation - Daniel B. Gibbs, Steven S. Shin, 2020 The anti edema management will continue for several weeks. PDF Rehabilitation Guidelines for UCL Repair with Internal Brace. 4 0 obj reported 92% success some returning overhead athletes to the same a high level of competition is an average of 6.7 months with UCL repair and internal brace . Finger and hand range of motion: maintain AROM and PROM 3 0 obj PDF Thumb UCL Repair (Internal Brace) - Orlando Hand Surgery Orthop & Spo Med Op Acc J 3(1)- 2019. Triangular fibrocartilage complex injury is one of the most common causes of ulnar wrist pain and can impair daily activities, such as door opening and handshaking. EXHIBIT(S) - D (Motion #1) EXHIBIT D - Verified Bill of Particulas and Responses to Various Demands Redacted per 22 NYCRR - EXHIBIT D - Verified Bill of Particulas and Responses to Various Demands Redacted February 09, 2023. REHABILITATION PROTOCOL: ULNAR COLLATERAL LIGAMENT REPAIR/RECONSTRUCTION RADIAL COLLATERAL LIGAMENT REPAIR/RECONSTRUCTION THUMB MP JOINT WITH INTERNAL BRACE A. J. Mencias, M.D. It's pretty neat to see how it has taken on a whole world of uses, including in the knee and ankle. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. Postoperative protocol. Elevate, ice and modalities to reduce pain and inflammation . EXHIBIT(S) - D (Motion #1) EXHIBIT D - Verified Bill of Particulas and These tears often occur as a result of a radially directed force on an extended thumb. % 132 0 obj <>/Filter/FlateDecode/ID[<74EC21535A719E4081B6460A7EF86336>]/Index[110 39]/Info 109 0 R/Length 107/Prev 88703/Root 111 0 R/Size 149/Type/XRef/W[1 3 1]>>stream Return to Play in Athletes After Thumb Ulnar Collateral Ligament Repair 49 0 obj <> endobj Thumb Ulnar Collateral Ligament Tear - Tran Plastic Surgery When the tear results in pain and instability, surgical repair offers a predictably successful outcome. Its many uses has helped numerous athletes return back from their injuries quicker than ever. hV]OF+B^ endobj <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> *`]hgTTS:MV{gXS&K|-3m FWfvgYpmphZsrDo\!WG-W.4BAj]Z^4~v:34a'9cl'LlL/Ka:XsWpv>{|MGK>\#(hO Practice this exercise for about 5 minutes. If % The internalbrace is the underpinning of the repair procedure. 02M_+ ! %%EOF The brace may be removed for showering and gentle active motion exercises directed by the therapist. We describe the surgical technique of suture tape augmentation for thumb UCL repair. Arthrex - InternalBrace Jsx cx=[wOGvu UV]QEMtejL11eO2\5~B*q>vvcu9]dtUbqjNU{ TREATMENT: Treatment consists of either a period of splintage or if completely torn,a repair of the ligament with an operation. *XM qD#qHU vr@^zo+Uwe#-`0XLij1 Thumb UCL Repair With InternalBrace Ligament Augmentation - YouTube 1). <> SYMPTOMS: The thumb may be swollen, bruised and painful. DU?f7 # *S The UCL provides up to 50% of the frontal plane stabilization of the Abbreviations UCL, ulnar collateral ligament; US, elbow against a valgus load.5 During the clinical evaluation, the ultrasound patient's elbow is placed under a valgus load with the elbow in vary- ing amounts of exion. ULNAR COLLATERAL LIGAMENT REPAIR with INTERNAL BRACE Postop protocol for Daniel Myer, M.D. endobj <> They demonstrated a significantly greater resistance to gapping with valgus stress with the UCL repair with internal brace (mean SD, 0.35 0.16 mm) compared to UCL reconstruction (0.53 0.23 mm). Late effect of dislocation (nonspecific) (905.6) Repair lateral collateral ligament, elbow, with local tissue (24343) Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest (24344) Repair medial collateral ligament, elbow, with local tissue (24345) Repair medial collateral . Thumb UCL Repair- Conservative This protocol is intended to provide the clinician with a guideline for the postoperative rehabilitation course of a patient who has undergone thumb UCL reconstruction/repair. Subsequently, the adductor pollicis aponeurosis and extensor mechanism are identified, incised, and retracted. PDF Rehabilitation Protocol: Thumb Ucl/Rcl Repair Sam Fuller, M.d. Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle. x[[oF~70/ 8m6EMc/El%{JaeQlQCwnz5fy3iboob9jV aY_dM\\Kq[SZ 6| F8$b2d`FVw028WYMlS:/2]pI*uIR>75f/Vz&) q3R`?.Xn:$ hw7tJw?8yZ |%1_. PDF Thumb UCL Repair- Early Mobilization - UW Health h!DWl{$A4L61)H}hJftyrI%kSQLc]5sbGP U_8v}9|(O(( qsMfGiICYL|*'VL+b% PDF Institute for Orthopaedic Surgery ]rav?4V&%n\(blvdf)TUL"Q+zaH$!EWq,0S4o~!dAf36J5/JqR^)jUx}2}`4vT.5l;c6gA>< MVSxwkHW *LLGrj iBy+9,[Ld~!VpQ[/zT-k.x #M'Ismi>uw a8G PeT{qo| R7RP2rAK(; 0 k,/f&;}P7# Lg W*lwHOPC(LZc>XgI3j:][1/+YX-?p%"6_NaWFv%k]|{6e@Ij endstream endobj 80 0 obj <>/Metadata 3 0 R/Outlines 7 0 R/PageLayout/OneColumn/Pages 77 0 R/StructTreeRoot 32 0 R/Type/Catalog>> endobj 81 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 82 0 obj <>stream In a reconstruction the old, damaged ligament is removed, new portal holes are drilled and (in an autograft situation) a tendon from somewhere else in your body (palmaris longus, hamstring, etc) is docked as the new UCL. This technique involves the reattachment of the ligaments to the bone using FiberWire. endobj Epub 2019 Mar 12. @B 8XqhPTU&] ia$A{B;*QX% ]p7L`k?g.G{"z)UU(YY%y\*.ic-PtB *qjbeBA1~ Thumb UCL Repair- Early Mobilization This protocol is intended to provide the clinician with a . The Orthopaedic and Fracture . Key Timeframes: (Dr Meister/TMI Protocol) Plyometric Phase: 12-14 weeks. <>/Metadata 554 0 R/ViewerPreferences 555 0 R>> %PDF-1.3 Duration: 01:52. % ["BIA+ryv_cNaICaNJ!E.|dXTp3g@9< HTxS PDF After Your Surgery for Thumb Ulnar Collateral Ligament Repair hb``g``Zs01G83023>"`*`+MKx.00e)zz oIB`F2Af*LoApKX@D l^" 4 0 obj stream <> Finger spring: Place a large rubber band around the outside of your thumb and fingers. Tommy John vs UCL Repair Armored Heat Exercises: Continue all exercises listed above Elbow ROM in brace (-30 to 100) Initiate isometric elbow extension Initiate wrist isometrics q <> What causes GameKeeper's Thumb? Dr. Allen Thumb UCL Reconstruction Rehabilitation Protocol Phase I: Immediate Post-Op (Weeks 0-2) . PDF | Background: Combined injuries of ipsilateral wrist and elbow joints are rare in clinical practice, characterized by multiple joint dislocations. by | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman Whilst both terms are often used interchangeably, the skier's thumb refers to the cause as being acute injury. Rehabilitation Following UCL Repair with Internal Brace. endobj Joint destruction compresses nerve roots, resulting in pain, paresthesia, sensory loss, dysautonomia, and spasticity. !bq\n#z0y/16C0DLP"2wn|e&35`MX2 @@^ !+~(l)2B3% !!PsEUr,!NAqYkT0(*${YNB_sYGDa|)jN!vE ` Gc^N.&/v;5$*'BDh8P}!k!2YK-|)T\{|eF_xXC'o]8 yLt)n %PDF-1.5 Abstract and Figures Acute rupture of the ulnar collateral ligament (UCL) of the thumb - also known as 'skier's thumb' - is a common injury which may cause long-term complications if. The InternalBrace Above protocol adapted from Dugas and Wilk: Wilk KE, Arrigo CA, Bagwell MS, Rothermich MA, Dugas JR. Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Following Internal Brace Surgery. 1 0 obj (} oA%Yv:JzFQA 0X"5o A%U- MLZ;?3%RO8?DnQN['y]{_5%x@iSt>K2! Thumb Ulnar Collateral Ligament Repair with Suture Tape - PubMed This design severely limits functional use of the thumb. 4 0 obj Revision Date: 10/29/2021. endobj Repair and InternalBrace Augmentation of the Medial Ulnar Collateral 2 0 obj thumb ucl repair with internal brace protocol |1WwD >(E>[ X\j&7< 6whY+}v39v/1/wJU-nGQ v JCJX*?=XrtbgS#Nl|wk\6Ac /{h6*!(K6abZ}6M3RUl+pm@k=do3aCyF*wrVN7DixiDaLb^x)G. UCL Surgery- Internal Brace Repair or Reconstruction - Lenny Macrina This internal brace surgery was developed by surgical company Arthrex. thumb ucl repair with internal brace protocol. The success of that surgery resulted in it being called the Tommy John procedure. <>/Metadata 83 0 R/ViewerPreferences 84 0 R>> Brace Week 1: posterior split at 90 degrees elbow flexion Week 2: 25-100 degrees Week 3: 15-115 degrees Interventions Soft tissue mobilization, retrograde massage for swelling Elbow PROM (as tolerated) Ice and compression Exercises Wrist AROM (all directions) immediately post-op Gripper Opposition thumb to pinky stream 1. endstream endobj 111 0 obj <>/Metadata 5 0 R/Outlines 9 0 R/PageLayout/OneColumn/Pages 108 0 R/StructTreeRoot 16 0 R/Type/Catalog>> endobj 112 0 obj <>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 113 0 obj <>stream %PDF-1.7 OSMOAJ.MS.ID.000151. xZS8~AO[H[ULj!W0"Esvo 0h2ULlYRZ?.-ax0Iz_]0lnY>__-\x2`\DL^dRrzIE:d2bdcz{Izw^,&={y@{w=:'=aa=T()VCA6kGQlS9?LX|^+#{zX/.zLNT^Z^jg]X6g8If55/_BYjWpE\,#w+"6A hbbd```b``3@$S=d`6;dq7.`.df`\0LE-`6H rlg4okAdaHMH Ulnar collateral ligament (UCL) injuries have significantly increased over the past few decades, especially in young throwing athletes. endstream endobj startxref Thumb UCL Repair (Internal Brace) 0-2 weeks: The postoperative dressing is removed. PDF Dr. Allen Thumb UCL Reconstruction Rehabilitation Protocol K`d:V0!QGXCor&J;#Z?='lH3cy?_pOk0qWR_heBU] u)dh5Q :e16&\H11}8 1AE Qf>`?SLXSu {q?u,:g@l2;1FhCSTV9}WKH}[agS~?P3{47*c:lg3l#`vLx}{*_Q]}O)D5*wX[PB{A8k1GtM{@onC 0Ggtz=CiZM.sVLCbi`JC3T)q7]tZ4c^l&XkC~?G.9J7 ]sO0h5_K]@GB[q[Vg"$(MjTy Brotzman, S. & Novotny, S. (2018). K\'~8_c3(rKC-,9/$&nd#{:+H>>*/yGG`b9.`\z. Shoulder isometrics (no shoulder internal rotation) Biceps isometrics . endobj 0 << /Length 5 0 R /Filter /FlateDecode >> The UCL is the main ligament, located on the inner aspect at the base of the thumb, which stabilizes the metacarpophalangeal (MCP) joint. Ulnar Collateral Ligament Repair Protocol - Physical Therapy Haven hbbd```b``Z";d,d"? Ulnar Collateral. Repair of the Thumb Ulnar Collateral Ligament With Suture Tape %%EOF hbbd```b`` "gA$d^ Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligament Injuries Nexus Day Surgery Centre on LinkedIn: Thumb UCL Repair With : Keep post-operative dressing clean, dry, and in place Keep hand elevated above the level of your heart May use hand for very light activities of daily living, such as eating, writing, typing, getting dressed, and brushing teeth Day 7-14: Non-weight bearing to operative extremity. <> hWmo6+KI A ;WcIZ2LVaj%%u70y{l800`$p(AI6GBNP8S,CCrJcr\) 1-3 Candidates for repair are most commonly young er (pre-professional) and present 4 0 obj &H<0LElM0i""(P f4G0 H2a`70&E00v$`?W r Phone: 574.247.9441 Fax: 574.247.9442 www.sbortho.com REHABILITATION PROTOCOL: THUMB UCL/RCL REPAIR SAM FULLER, M.D. stream Brace: Elbow ROM 30-100 Cryotherapy: Continue ice to elbow joint and graft site . ?3U,a_~`XRUWcQT2r?B73pgry.v3}w/2\Fz?6-SHK PXUU9:!$\@j)b;}r% /5 V5uz @ TY}]7KX75F1"3#TZLY|A/+{gc_?olhfGmHwiiB%"=CH$ai-`75 gdkZ_ Thumb MCP UCL InjuriesHow Much Do We Need to Immobilize? - BraceLab invite research legit; orange county police department california; hydra stop brake booster 213 Figure 1: The UCL repair with the internal brace inserted within the ligament. x[[o:~xpPh.IvEMmi3C]lQ,z X3*{c{XKbMa;{;o>H&PIffS+e@.+>|7mw;L"cH"dMn8)Sy,2*npGWwE&k=|"tbE}%2*R0(jK(s#.$"X$VcY#>J>2pCMW[XHOq{ = wD0NC?IF5tV$ZtR& K"=,`y];]NxIo>r?R'n)locmMuf$[g6\1eu8^s=POm6|GHkOzDuDiIpqT+"'"%;ED/,H$g=Ie9fRH*/ 6Tc`;GJEwvQ*X}:LGKX`n)Bq)su9:qF~b. << /Length 5 0 R /Filter /FlateDecode >> See Tua at the University of Alabama, for examaple. Clinical Orthopeadic Rehabilitation: A Team Approach E-Book, 4th Edition. 6,15,19,20,24,29 First described by Frank Jobe in 1986, the procedure has undergone significant evolution . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Hrut LF?L . <> <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> They also showed that internal brace repair performs similarly to the docking reconstruction technique . Phase I (weeks 0 to 3): Splint for one week, then transition to a hinged elbow brace with gentle motion from 30 to 110 progressing to 10 to 125 at week 3. Rehabilitation Guidelines 110 0 obj <> endobj Citation: Kevin E Wilk, Christopher A A, Rebekah J A. Thumb strengthening: Pick up small objects, such as paper clips, pencils, and coins, using your thumb and each of your other fingers, one at a time. PDF ULNAR COLLATERAL LIGAMENT REPAIR with INTERNAL BRACE Postop protocol 14 Days Postoperative Do NOT remove the surgical bandage. Elbow Ulnar Collateral Ligament Repair with InternalBrace x[k_!l&.]>d!EMeK-y2+^]=2>P?tq:LzN=VA5X\SWZiu*zzmjN5Ru= QRN>`:N}x^_o?y,A\C/WiNQu)Ftz#CBk_QoTk-)WUT^\QBOSRM]8zb'ai+Zd|oc5&hYGkC(KURumUHkf]*A+KU"1OZ&AUh )M4p0m|iMLku=uJ '_'n}Zj #:qdAa C;wB.Cx/mu 3hf_u*m"ZeD!\4' (l{aef"];c4#P9G4e't\Y1AM)DmgT?G -rG" ojqQPy3e8AcR:N~ N :#1YGokb &h(TA(VG[H}FQ. hb```-B ce`a}`QJ se fpXF5#m-2q#M=T.Q,A%@ -& B@P xIq;8W2K0e7oS^s&3w&iO'i`4a` The new procedure involves repairing the damaged ligament and reinforcing it with a collagen-coated fiber tape in contrast with the traditional UCL reconstruction that involves drilling tunnels in the bone and using a graft from a tendon in your arm or leg. PDF Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol Reference Number: AN1-00264-en-US | Version: C. Related Pages. Z\m>~?)I|%X$;-5X&gV+Kms?XRC5%x_ui6q |KdeW7mQUY3s`NB) =gY|6:51c_t]]MixSTB Elbow Ulnar Collateral Ligament (UCL) Repair Rehabilitation Protocol Kelly Holtkamp, M.D. 4 0 obj PubMed PMID: 30862273. %PDF-1.3 1 0 obj Thumb UCL Repair with InternalBrace Ligament Augmentation 6=J). 79 0 obj <> endobj Instruct the patient to begin active range of motion exercises of the thumb without stressing the UCL/RCL repair.
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