Of the various sport participants who have had UCL reconstruction, baseball pitchers are the most difficult to return to their previous level of function. However, most athletes who participate in sports involving overhead-throwing motions and who have UCL reconstruction are able to return to their previous level of function. Jobe and associates reported that 68% of overhead athletes, most of whom were baseball players, in their series returned to their previous level of participation after UCL reconstruction.12 Fifty percent of the repair group returned to their previous level. The time to recovery differed between the two groups; the repair group averaged 9 months, and the reconstruction group averaged 12 months. Athletes who had previous elbow operations had a lower chance of returning to their previous level of participation than athletes who had not had previous elbow operations.

The most common postoperative complications following UCL reconstruction include trauma to the medial antebrachial cutaneous nerve and trauma to the ulnar nerve. In one series, researchers noted that ulnar nerve irritation occurred in 21% of patients who had a reconstruction.11 Seven patients who had ulnar nerve transpositions with the primary reconstruction needed another procedure to treat ulnar nerve problems.

When using the muscle-splitting approach, we do not routinely transpose or release the ulnar nerve and have found that most of our patients do not require ulnar nerve procedures. When the ulnar nerve is addressed, gentle handling and preservation of its vascular supply are essential. Meticulous hemostasis can prevent postoperative hematoma formation.

We routinely address intra-articular injuries, such as loose bodies or osteophytes, with preliminary arthroscopy to avoid the need for a posterior arthrotomy near the ul-nar nerve. Careful subcutaneous dissection during the approach with preservation of branches of the medial an-tebrachial cutaneous nerve can prevent inadvertent tran-section and development of paresthesias or painful neuromas. Mild postoperative flexion deformities do not appear to preclude an excellent functional result.10

Baseball For Boys

Baseball For Boys

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.

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