In most overhead athletes who do not throw, the spectrum of UCL injuries can be managed nonoperatively, allowing even elite-level participation in most sports. However, reconstruction is indicated for athletes participating in sports that place high demand on the upper extremity, such as baseball pitching, javelin throwing, and serving. If nonoperative treatment fails, ligament reconstruction is a treatment option for overhead-throwing athletes who have pain in the medial aspect of the elbow or have a sense of movement in the elbow with the application of valgus loads during sports participation and have UCL laxity or rupture diagnosed on physical examination and confirmed by imaging studies. The surgeon should forewarn the patient that the recovery period following surgery is lengthy and that their sports requirements and aspirations should be consistent with this significant investment in attempting to restore a highly specific elbow function.
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Since World War II, there has been a tremendous change in the makeup and direction of kid baseball, as it is called. Adults, showing an unprecedented interest in the activity, have initiated and developed programs in thousands of towns across the United States programs that providebr wholesome recreation for millions of youngsters and are often a source of pride and joy to the community in which they exist.