“This paper, in the largest series of patients ever published, shows that this particular operation in throwing athletes demonstrates better results than the classic operation,” said David W. Altchek, M.D., senior author of the study and co-chief of the Sports Medicine and Shoulder Service at Hospital for Special Surgery (HSS) in New York. Besides Tommy John surgery, techniques that A. Specifically, the MCL attaches the ulna, one of two long bones that run from the elbow down to the wrist, with the humerus, the bone of the upper arm. A splint is applied with the elbow flexed at 90 degrees. DANE TJ Technique; The DANE TJ (David Altcheck, Neal ElAttrache, Tommy John) Technique is an elbow UCL reconstruction technique that combines proximal graft docking with a single distal interference screw fixation. As a result, you may hear the term “Tommy John surgery” when discussing UCL reconstruction surgery. Many surgeons have already been employing his technique in the clinic to improve outcomes, and with time, it is likely that the docking procedure will become the gold standard for treating these athletes. With the traditional Jobe surgery, studies have shown that only 68 percent of elite level throwers return to either their prior or a higher level of throwing and 20 percent have nerve complications. Repeated over time, this motion can cause inflammation and microtrauma, which can eventually lead to an MCL tear. But interest There is no hard evidence, but there are several theories. An unstable ligament leads to a shifting elbow, which can cause further problems such as cartilage damage. It’s the ulnar collateral Surgeons and athletes have applauded Dr. Altchek’s modifications. Before scheduling Tommy John surgery, your doctor may recommend rest and some rehabilitation exercises. We do not endorse non-Cleveland Clinic products or services. Your physician will recommend conservative treatment options to treat the symptoms associated with UCL injury unless you are a professional or collegiate athlete. Besides Tommy John surgery, techniques that repair rather than replace your UCL are becoming more popular. Q. painful over time. down. A. medicine specialist. The study was presented at a special session of the American Shoulder and Elbow Surgeons, held during the American Academy of Orthopedic Surgeons annual meeting. Will Tommy John surgery help me pitch better?. Tommy John surgery was once considered a pitchers' worst nightmare. injuries are so common in baseball players, specifically pitchers, from An attending orthopaedic surgeon at Special Surgery, Dr. Altchek serves as medical director for the New York Mets professional baseball team and medical director for the Nets professional basketball team. Elbow pain on the inner or medial side that appears suddenly or gradually, Achy pain to the inner side of the elbow with overhead throwing activity. pitching each year. Dr. Altchek’s procedure also differs from the traditional Jobe surgery by minimizing the number of holes drilled into the bones, thus decreasing the risk of postoperative bone fracture. For 30 years, athletes have undergone the Tommy John surgery or Jobe surgery (named after its inventor), in which a tendon is taken from a person’s forearm or hamstring and then grafted into the elbow to act as a replacement for the injured ligament. mediarelations@hss.edu. says Dr. Schickendantz. to have it in 1974 — is quite successful, says Dr. Schickendantz. No. The modified surgery repairs a torn medial collateral ligament (MCL), which links and stabilizes bones of the lower and upper arm where they meet at the elbow. Word at the ballpark is that Tommy John surgery (ulnar collateral ligament reconstruction) can help baseball players throw better. be there eight weeks from now.”, Cleveland Clinic is a non-profit academic medical center.

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