S/P Ulnar Collateral Reconstruction

Definition:
Tommy John surgery, known in medical practice as ulnar collateral ligament (UCL) reconstruction, is a surgical graft procedure in which the ulnar collateral ligament in the medial elbow is replaced with a tendon from elsewhere in the body (often from the forearm, hamstring, hip, knee, or foot of the patient). The procedure is common among collegiate and professional athletes in several sports, most notably baseball.
Purchase 2 Phases

Symptoms
  • Pain in the medial elbow
  • Point tender to the medial elbow
  • Sense of instability or looseness
Causes
  • Repetitive medial elbow stress- throwing
  • Poor mechanics
  • Poor flexibility
Treatment
  • Period of immobilization with a posterior splint with elbow at 90 degrees flexion
  • Avoid full elbow extension for 3-4 weeks
  • Maintain wrist and shoulder ROM (avoid shoulder ER)
  • Passive elbow ROM, then progress to active elbow ROM
  • Posture program
  • Shoulder stabilization exercises
  • Wrist strengthening and grip strengthening exercises
  • Upper extremity strengthening
S/P Ulnar Collateral Reconstruction Phase I

Purchase Phase

  • Putty Gripping
  • Passive Elbow Extension
  • Elbow Flexion Stretch
  • Elbow Pronation Stretch
  • Elbow Supination Stretch
  • Ulnar Radial Deviation
  • Wrist Extensor Stretch At Wall
  • Wrist Flexor Stretch At Wall
  • Active Shoulder Internal Rotation
  • Active Shoulder External Rotation
  • Active Shoulder Quadrant
  • Active Shoulder Abduction
  • Isometric Scap Depression
  • Walkfit
  • WalkFit Program

S/P Ulnar Collateral Reconstruction Phase II

Purchase Phase

  • Table Pose
  • Rice Hand Opening Closing
  • Rice Wrist Flexion And Extension
  • Rice Wrist Pronation Supination
  • Wrist Curls
  • Wrist Extension
  • Hummers
  • Swiss Ball Stretch
  • Full Anterior Stretch