An introduction to ulnar collateral ligament injury to the elbow

What treatment options are available? Non-surgical Treatment Many athletes with elbow instability from UCL injury can be treated successfully with rehabilitation and without invasive procedures.

An introduction to ulnar collateral ligament injury to the elbow

Most everyone thinks of blood platelets as being responsible for blood clotting after injury which is true. What many people do not know is that blood platelets serve many other important functions. Blood platelets are responsible for bringing white blood cells to the injured area to clean up the remains of dead and injured cells, which is what most people believe is "chronic inflammation or tendonitis.

This non productive stagnant "swelling" is called tendonosis and is not helpful for healing and must be resolved for recovery to proceed. Most importantly, blood platelets release growth factors that are directly responsible for tissue regeneration.

PRP has also been shown to increase chondrocytes, the cells which grow into cartilage tissue. PRP has been used for years in surgical centers around the US and abroad to improve the success of bone grafting especially in dental surgery and also by cosmetic surgeons for speeding healing time and decreasing the risk of infection after surgery.

An introduction to ulnar collateral ligament injury to the elbow

More recently PRP is being used for the treatment of chronic pain. All joints, ligaments and tendon injuries can be treated, whether chronic or acute, including: The reports are of great success at a magnitude greater than regular dextrose prolotherapy, and of benefit where prolotherapy effects have plateaued or not been sufficient.

The concentrated platelets found in PRP include growth factors among the huge reservoirs of bioactive proteins that are vital to initiate and accelerate tissue repair and regeneration. These bioactive proteins increase stem cell production to initiate connective tissue healing, bone regeneration and repair, promote development of new blood vessels and stimulate the wound healing process.

While a normal concentration of platelets circulating in your blood isper micro liter, the platelet count in Platelet Rich Plasma can exceed 2 million platelets per micro liter.

To be considered PRP the platelet count must be 4x or greater above baseline. The process of creating Platelet Rich Plasma begins by drawing 20 - 60 cc of blood cc is taken in blood bank donations.

All injuries result in tissue damage.

An introduction to ulnar collateral ligament injury to the elbow

Collectively this process is known as the healing cascade. This healing cascade is primarily controlled by bioactive tissue growth factors found in platelets. With PRP prolotherapy, these growth factors are concentrated and injected directly into the site of injury. Growth Factor Biology The response of living tissue to injury forms the foundation of all surgical practice: All surgery results in tissue and cellular damage The body's natural response to this injury is a series of regeneration and remodeling steps collectively referred to as the "Healing Cascade" The steps are initiated and controlled by bioactive proteins found in platelets, plasma, and white blood cells Cellular regeneration, remodeling, and proliferation required a combination of: Scaffold structure or matrix Undifferentiated Cells Mesenchymal stem cells Signal Proteins platelets, plasma and white blood cells Increasing the concentration of the bioactive proteins acts as a catalyst for accelerating the wound healing process and forms the foundation of tissue engineering Bioactive proteins replace, repair, and regenerate tissue.

Increasing the bioactivity at the wound site takes medicine one step closer toward its ultimate goal of naturally accelerating the body's normal healing process. The bioactive proteins carried by platelets are already being used succesfully for hemostasis, wound sealing, and wound healing in surgical disciplines such as: Why use your own platelets?

Platelets are tiny cells that are critical to healing. By concentrating these growth factors and injecting them at the site of injury or degeneration, the body's own stem cells are drawn to the injured area and differentiate to cause regeneration of new healthy and robust ligaments, tendons and cartilage.

PRP provides a fibrin matrix graft. Fibrin matrix provides the scaffolding for new collagen to form along damaged ligaments and tendons.

With a fibrin matrix graft, even severely damaged tissues can re-organize and heal.Adult Review of Systems (ROS) Overview. The review of systems (or symptoms) is a list of questions, arranged by organ system, designed to uncover dysfunction and disease. Ulnar Collateral Ligament Injury (Tommy John Surgery) INTRODUCTION.

A ligament is a rope-like structure in the body that connects two bones, thereby controlling the movement and stability across the joint. The ulnar collateral ligament of the elbow consists of three components, the anterior bundle (or band), the posterior bundle, and the transverse bundle (3a).

The posterior bundle is a fan-shaped area of capsular thickening that extends from the medial epicondyle to the semilunar notch of the ulna. Ulnar collateral ligament reconstruction, also known as Tommy John surgery (TJS), is a surgical graft procedure where the ulnar collateral ligament in the medial elbow is replaced with either a tendon from elsewhere in the patient's body, or .

Introduction. The anterior cruciate ligament (ACL) is one of the major stabilising ligaments in the is a strong rope like structure located in the centre of the knee running from the femur to the tibia.

The anterior cruciate ligament prevents the femur moving forward and rotating abnormally on the ACL is required for normal function of the knee. Leg Injuries. Injuries to the leg are treated similarly to injuries to the arm. Injuries to the distal leg at the ankle or below are compensated based on loss of use of the foot.

Ulnar Collateral Ligament Tears of the Elbow - Radsource