1 0 obj %%EOF : Keep post-operative dressing clean, dry, and in place Keep hand elevated above the level of your heart May use hand for very light activities of daily living, such as eating, writing, typing, getting dressed, and brushing teeth Day 7-14: Repair and InternalBrace Augmentation of the Medial Ulnar Collateral Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. 92 0 obj <>stream Rehab Protocol - Thumb UCL Repair (Internal Brace Only) Dr. Broering PRECAUTIONS Full time splint use except for ROM. The UCL provides up to 50% of the frontal plane stabilization of the Abbreviations UCL, ulnar collateral ligament; US, elbow against a valgus load.5 During the clinical evaluation, the ultrasound patient's elbow is placed under a valgus load with the elbow in vary- ing amounts of exion. The ulnar collateral ligament (UCL) does not play a large role in elbow stability for most activities of daily living, but it does undergo tremendous stresses with overhead throwing and is susceptible to injury in overhead athletes. Dressing changed at 7-10 days after surgery Week 2 15 -17,19 Therefore, UCL reconstruction has become a common procedure to address UCL insufficiency in adolescent, collegiate, and professional throwers. We describe the surgical technique of suture tape augmentation for thumb UCL repair. Rehabilitation Guidelines ~Y$'h9N`haq8"% {s D)gZ2J =ky~ pP],DQgUh6*DM6`vlK ,R /"0q^p3S;LrV?-VS(6E?VAQJ@p EQQKiqLf[~vA]"`qW `!a`05I**ThsrAD8WH6SXb^h:R.?Q(oeR~R^N During this time, active ROM is started as well as light isotonic . It's pretty neat to see how it has taken on a whole world of uses, including in the knee and ankle. 1-3 Candidates for repair are most commonly young er (pre-professional) and present 4 0 obj PDF UVA HAND CENTER - THERAPY - University of Virginia School of Medicine Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol Days 0- until first Post-Op Apt. Rehabilitation Following UCL Repair with Internal Brace - Lupine Publishers

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