thumb ucl repair with internal brace protocol

2 0 obj PDF Elbow Ulnar Collateral Ligament (UCL) Repair Rehabilitation Protocol Thumb Metacarpophalangeal Ulnar and Radial Collateral Ligament Injuries '_'n}Zj #:qdAa C;wB.Cx/mu 3hf_u*m"ZeD!\4' (l{aef"];c4#P9G4e't\Y1AM)DmgT?G -rG" ojqQPy3e8AcR:N~ N :#1YGokb &h(TA(VG[H}FQ. &H<0LElM0i""(P f4G0 H2a`70&E00v$`?W r K\'~8_c3(rKC-,9/$&nd#{:+H>>*/yGG`b9.`\z. Athletes Can Return to Play in Half the Time with New Thumb Ligament 8q`Au8UnN6LW6eS4zdH 7gJRco6aDA+)vg+|Pn.Tz8W>dt+O)1L Revision Date: 10/29/2021. Educate the patient on anti edema management. Finger spring: Place a large rubber band around the outside of your thumb and fingers. hYmO8+NR)nEr'@]fuv4RUB;OfP&,!z3$Q"9#*m cLC. `eDp4)J00"2N$b\3HZhSCR c5(Ly%CDer,ZbE+ImgILF cy9 2019 Apr;49(4):253-261. doi: 10.2519/jospt.2019.8215. the thumb. endobj cfzn(WH`&8:YUx~Ru1?-K)N(-cY2N[wH.A^Nu1T lTr[wyKt1+oE.Bj^&Q 2)A*a0'AY(|\k2E M * m| ""/+Gq The length of each phase varies depending on each patient and depends on tissue healing and progression. Tommy John vs UCL Repair Armored Heat Skier's thumb - Physiopedia UCL Repair Ulnar Collateral Ligament Repair Protocol Ulnar Collateral Ligament Repair Protocol Phase I: Immediate Post-Surgical Phase (Days 1 - 21) Goals: Protect healing tissue, decrease pain and inflammation, increase scar mobility, prevent muscular atrophy Exercises: The Orthopaedic and Fracture . !V!B;nkGL#_cz5asG) 0<>;Qm4P]3@41oJ5i~o;sJvQv9f r4A-C -Z]>T]Fo Rehabilitation Guidelines stream 148 0 obj <>stream <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> PDF Brandon J. Erickson, MD Mackenzie Lindeman, ATC 176 3 - Rothman Ortho V8FW Brotzman, S. & Novotny, S. (2018). @B 8XqhPTU&] ia$A{B;*QX% ]p7L`k?g.G{"z)UU(YY%y\*.ic-PtB *qjbeBA1~ Restrictions: No heavy lifting greater than 0 lbs. <>/Metadata 83 0 R/ViewerPreferences 84 0 R>> ULNAR COLLATERAL LIGAMENT OF THE ELBOW RECONSTRUCTION USING AUTOGENOUS GRAFT PROTOCOL 3 Progress shoulder isometrics to isotonics, emphasize rotator cuff strengthening (Avoid resisted external rotation until 6th week to minimize forces on repaired UCL) Week 6 Brace - hinged elbow brace set 0-130 degrees. 8g14IRxEm`YH#V b6 be1Gv=*K:.;>'!y^vf%lX")z^-vr3[\)U8RnOG8+5[Y#l'^aAWgI>i];%*8jpht4%< pKV[t/ 8]oQ5JF*+zWQ61Hu^DDJT.0H>? During this time, active ROM is started as well as light isotonic . (1) See image 2. At 6 to 12 weeks, begin adductor and interossei strengthening, avoiding valgus stress on thumb MCP. Phase I - Maximum Protection: 0 to 7 Days: Immobilization in posterior splint at 60-90 of elbow flexion . 92 0 obj <>stream thumb ucl repair with internal brace protocolbest mossberg 500 heat shield Fine Art LLC thumb ucl repair with internal brace protocol . Phone: 574.247.9441 Fax: 574.247.9442 www.sbortho.com REHABILITATION PROTOCOL: THUMB UCL/RCL REPAIR SAM FULLER, M.D. Thumb UCL Repair With InternalBrace Ligament Augmentation. The UCL may be strained or torn (partially or completely) producing a weakened grasping or pinching ability of the thumb. Injuries to the ulnar collateral ligament of the thumb metacarpophalangeal joint (gamekeeper's thumb). Dr. Allen Thumb UCL Reconstruction Rehabilitation Protocol Phase I: Immediate Post-Op (Weeks 0-2) . At 4 to 6 weeks, removable thumb spica splint, and protected range-of-motion exercises. ULNAR COLLATERAL LIGAMENT (UCL) REPAIR REHABILITATION PROTOCOL Brace: Hinged elbow brace open to achievable and comfortable ROM as determined by therapist ROM: 0-100 by week 4 Progress active elbow flexion as tolerated Full shoulder and wrist ROM Therapeutic Exercises: Wrist isometrics (pronation, supination) Jsx cx=[wOGvu UV]QEMtejL11eO2\5~B*q>vvcu9]dtUbqjNU{ Ulnar Collateral. UCL Repair With Internal Bracing - The Wave of the Future? thumb collateral ligament | Medical Billing and Coding Forum - AAPC Splint: A hand-based thumb spica splint with IP free (for thumb) or Safe Position Splint (for other digits) with medial or lateral stops on the opposite site of the repaired ligament is constructed to be worn between exercises and at night. Skier's thumb is an acute partial or complete rupture of the ulnar collateral ligament (UCL) of the thumb's metacarpophalangeal joint (MCPJ) due to a hyperabduction trauma of the thumb. ULNAR COLLATERAL LIGAMENT REPAIR with INTERNAL BRACE Postop protocol for Daniel Myer, M.D. Thumb UCL Repair- Conservative This protocol is intended to provide the clinician with a guideline for the postoperative rehabilitation course of a patient who has undergone thumb UCL reconstruction/repair. 3 0 obj A longitudinal incision was made over the thumb over the metacarpophalangeal (MP) joint, the skin flaps elevated, the extensor shroud released, tendon pulled back, the adductor attachment released and the ulnar collateral ligament identified. PDF Thumb UCL Repair- Conservative Exercises: Continue all exercises listed above Elbow ROM in brace (-30 to 100) Initiate isometric elbow extension Initiate wrist isometrics 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. PDF Rehabilitation Guidelines for UCL Repair with Internal Brace. 49 0 obj <> endobj Elbow Ulnar Collateral Ligament Repair with InternalBrace In a reconstruction the old, damaged ligament is removed, new portal holes are drilled and (in an autograft situation) a tendon from somewhere else in your body (palmaris longus, hamstring, etc) is docked as the new UCL. The InternalBrace PDF Thumb UCL Repair (Internal Brace) - Orlando Hand Surgery Background:Thumb ulnar collateral ligament (UCL) tears are common in competitive athletes. K`d:V0!QGXCor&J;#Z?='lH3cy?_pOk0qWR_heBU] u)dh5Q :e16&\H11}8 1AE Qf>`?SLXSu {q?u,:g@l2;1FhCSTV9}WKH}[agS~?P3{47*c:lg3l#`vLx}{*_Q]}O)D5*wX[PB{A8k1GtM{@onC 0Ggtz=CiZM.sVLCbi`JC3T)q7]tZ4c^l&XkC~?G.9J7 ]sO0h5_K]@GB[q[Vg"$(MjTy stream y!my6gvF-~g,8\'N&p[t|x0 u0vNzSKjZ*C(hZ}szu9`3_?=/ PubMed PMID: 30862273. ["BIA+ryv_cNaICaNJ!E.|dXTp3g@9< HTxS Rehabilitation following UCL repair with internal brace is accelerated by comparison to Tommy John Surgery. Background: The purpose of this study is to describe our technique of thumb ulnar collateral ligament (UCL) repair with suture tape augmentation and to evaluate the short-term outcomes in our initial series of patients treated with this method of repair.Methods: Patients with minimum one-year follow up after isolated UCL repair with suture tape augmentation were contacted for clinical . << /Length 5 0 R /Filter /FlateDecode >> Brace Week 1: posterior split at 90 degrees elbow flexion Week 2: 25-100 degrees Week 3: 15-115 degrees Interventions Soft tissue mobilization, retrograde massage for swelling Elbow PROM (as tolerated) Ice and compression Exercises Wrist AROM (all directions) immediately post-op Gripper Opposition thumb to pinky EXHIBIT(S) - D (Motion #1) EXHIBIT D - Verified Bill of Particulas and Right after the surgery, the elbow is secured in a brace at a 60- to 90-degree angle. <> The repeated microtrauma is a result of a lack of muscle protection and destroys cartilage, ligaments, and disc spaces, leading to vertebrae destruction, joint instability, subluxation, and dislocation. Steven Shin, MD, treats elite athletes in his clinic, but you don't have to play for a professional team to benefit from his groundbreaking technique for treating thumb ulnar collateral ligament (UCL) injuries.. For injuries that need more than a cast, internal brace augmentation gives better and much faster results than conventional surgery, according to Shin, executive vice chair of Cedars . %%EOF The UCL is the main ligament, located on the inner aspect at the base of the thumb, which stabilizes the metacarpophalangeal (MCP) joint. %PDF-1.6 % <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> endobj Epub 2019 Mar 12. 2 WEEKS (1st Visit) Fit with custom hand based thumb spica splint (Please allow thumb IPJ motion) OT INSTRUCTIONS - Ok to work on wrist, CMP, IPJ motion, & scar massage <> endstream endobj 50 0 obj <>/Metadata 3 0 R/Pages 47 0 R/StructTreeRoot 10 0 R/Type/Catalog>> endobj 51 0 obj <>/MediaBox[0 0 612 792]/Parent 47 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 52 0 obj <>stream Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol Days 0- until first Post-Op Apt. endobj 1). Thumb UCL Repair and Reconstruction With Internal Brace Ligament Augmentation Repair Ulnar collateral ligament (UCL) tears of the thumb are common injuries. Recently, Dugas et al. Duration: 01:52. The brace may be removed for showering and gentle active motion exercises directed by the therapist. !-twF)rm16:M.J r]Sc]Oi~ %PDF-1.6 % The internalbrace is the underpinning of the repair procedure. aY_dM\\Kq[SZ 6| F8$b2d`FVw028WYMlS:/2]pI*uIR>75f/Vz&) q3R`?.Xn:$ hw7tJw?8yZ |%1_. 4 0 obj 4 0 obj 4 0 obj <>>> Rehabilitation Following UCL Repair with Internal Brace - Lupine Publishers 14 Days Postoperative Do NOT remove the surgical bandage. PDF | Background: Combined injuries of ipsilateral wrist and elbow joints are rare in clinical practice, characterized by multiple joint dislocations. hbbd```b``3@$S=d`6;dq7.`.df`\0LE-`6H rlg4okAdaHMH At 10 to 12 weeks, return to . . TREATMENT: Treatment consists of either a period of splintage or if completely torn,a repair of the ligament with an operation. Thumb UCL Repair with InternalBrace Ligament Augmentation 17,933 views Sep 6, 2018 89 Dislike Share Save Arthrex 64.2K subscribers Show more Comments are turned off. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> k,/f&;}P7# Lg W*lwHOPC(LZc>XgI3j:][1/+YX-?p%"6_NaWFv%k]|{6e@Ij Walters BL, Cain EL, Emblom BA, Frantz JT, Dugas JR. The rehabilitation protocol after a Ulnar Collateral Ligament Repair with Internal Brace surgery typically involves several phases. 1-6 weeks: If the ligament is partially torn then a splint or cast is usually worn for six weeks and after its removal a programme of exercises is . 2 0 obj The goal is to MLB - Inside Mike Trout's thumb procedure, recovery process - ESPN.com DU?f7 # *S %%EOF REHABILITATION PROTOCOL: ULNAR COLLATERAL LIGAMENT REPAIR/RECONSTRUCTION RADIAL COLLATERAL LIGAMENT REPAIR/RECONSTRUCTION THUMB MP JOINT WITH INTERNAL BRACE A. J. Mencias, M.D. 213 Figure 1: The UCL repair with the internal brace inserted within the ligament. Postoperative protocol. This internal brace surgery was developed by surgical company Arthrex. Traditional custom-fitted thumb spica orthosis In a recent cadaver study by Gil et. Z\m>~?)I|%X$;-5X&gV+Kms?XRC5%x_ui6q |KdeW7mQUY3s`NB) =gY|6:51c_t]]MixSTB % Hand and Wrist A UCL repair with internal brace is reserved for use in cases of partial or complete tears at the origin or insertion of the UCL with good ligament tissue and low-grade mid-substance partial UCL tears [10]. <> xZS8~AO[H[ULj!W0"Esvo 0h2ULlYRZ?.-ax0Iz_]0lnY>__-\x2`\DL^dRrzIE:d2bdcz{Izw^,&={y@{w=:'=aa=T()VCA6kGQlS9?LX|^+#{zX/.zLNT^Z^jg]X6g8If55/_BYjWpE\,#w+"6A Whilst both terms are often used interchangeably, the skier's thumb refers to the cause as being acute injury. UCL Surgery- Internal Brace Repair or Reconstruction - Lenny Macrina Thumb UCL Repair With Internal Brace Ligament Augmentation 1 Major components of the TFCC are the articular disc (AD), meniscus homolog, radioulnar ligaments, and extensor carpi . ?3U,a_~`XRUWcQT2r?B73pgry.v3}w/2\Fz?6-SHK PXUU9:!$\@j)b;}r% /5 V5uz @ TY}]7KX75F1"3#TZLY|A/+{gc_?olhfGmHwiiB%"=CH$ai-`75 gdkZ_ %PDF-1.3 stream PDF Department of Rehabilitation Services Physical Therapy endobj Thumb Ulnar Collateral Ligament Repair with Suture Tape - PubMed Ligament / Volar Plate CPT Codes Postoperative Rehabilitation 7-10 days postop The bulky compressive dressing is removed. x[[o~70/5+/@`dk4],`hHp}9C9\YBKP.e?}|S-~K3KbEpSXy~ldpL"$.XHf>_~}d?Te5Zs$Rpdt PDF Rehabilitation Protocol: Ulnar Collateral Ligament Repair sHSlC:">)n2oAGV?vtE6f?r83bSXk8[~@t(zQXA>)V|@)} 1&%_qU}VuA (nKS"(;VB| >`UVtXb#xEpF,Z%ZX["'XP J Orthop Sports Phys Ther. At 6 weeks after surgery, the supportive brace should be worn with activities, but you may do light tasks, such as typing without it. Finger and hand range of motion: maintain AROM and PROM To date, no literat. 0 hWmo6+KI A ;WcIZ2LVaj%%u70y{l800`$p(AI6GBNP8S,CCrJcr\) Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Above protocol adapted from Dugas and Wilk: Wilk KE, Arrigo CA, Bagwell MS, Rothermich MA, Dugas JR. Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation Following Internal Brace Surgery. endstream endobj startxref It's pretty neat to see how it has taken on a whole world of uses, including in the knee and ankle. &Dam[L1-J" iiBUq[{0R 3xVoEouUja,Jd> k '! 128 0 obj <>stream You are still advised to avoid gripping, grasping and twisting with your thumb. 132 0 obj <>/Filter/FlateDecode/ID[<74EC21535A719E4081B6460A7EF86336>]/Index[110 39]/Info 109 0 R/Length 107/Prev 88703/Root 111 0 R/Size 149/Type/XRef/W[1 3 1]>>stream There was gross instability of the ulnar collateral . Citation: Kevin E Wilk, Christopher A A, Rebekah J A. Diagnosis relies upon thumb MCP radial-ulnar stress exam and MRI studies. %PDF-1.3 Clinical Orthopeadic Rehabilitation: A Team Approach E-Book, 4th Edition. Initiate Throwing: 14-16 weeks (3.22 Months for Comparison) Bullpens: 24 Weeks (5.52 Months) Live BPs: 30-33 Weeks . endstream endobj 503 0 obj <. thumb ucl repair with internal brace protocol 4 0 obj Practice this exercise for about 5 minutes. At the ulnar aspect of the thumb MCP joint, a longitudinal midaxial incision is made. 502 0 obj <> endobj x[[oF~70/ 8m6EMc/El%{JaeQlQCwnz5fy3iboob9jV &AaBCZKqi =ip;!%RqhH%1[6[8]fwFxw l4)W%5 Repair of the Ulnar Collateral Ligament of the Elbow: Rehabilitation |C&K 0g-Pf4/.B{s. Its many uses has helped numerous athletes return back from their injuries quicker than ever. -Aggressive thumb active motion -The use of the internal brace makes for a very stable construct -AROM and PROM of thumb CMC and IP -No pinching/grabbing/lifting . 1 0 obj 4 0 obj endobj %PDF-1.6 % Dressing changed at 7-10 days after surgery Week 2 1 0 obj We describe the surgical technique of suture tape augmentation for thumb UCL repair. 7-10 day post-op OT to fabricate a custom FA based thumb spica AROM of the wrist and IP of thumb hbbd```b``Z";d,d"? SYMPTOMS: The thumb may be swollen, bruised and painful. See Tua at the University of Alabama, for examaple. 6,15,19,20,24,29 First described by Frank Jobe in 1986, the procedure has undergone significant evolution . 2 0 obj General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, hV]OF+B^ 1 0 obj by | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman | Jun 3, 2022 | james carone florida energy | when a man criticizes another woman PDF Rehabilitation Following UCL Repair with Internal Brace - Lupine Publishers This design severely limits functional use of the thumb. x[[o:~xpPh.IvEMmi3C]lQ,z X3*{c{XKbMa;{;o>H&PIffS+e@.+>|7mw;L"cH"dMn8)Sy,2*npGWwE&k=|"tbE}%2*R0(jK(s#.$"X$VcY#>J>2pCMW[XHOq{ = wD0NC?IF5tV$ZtR& K"=,`y];]NxIo>r?R'n)locmMuf$[g6\1eu8^s=POm6|GHkOzDuDiIpqT+"'"%;ED/,H$g=Ie9fRH*/ 6Tc`;GJEwvQ*X}:LGKX`n)Bq)su9:qF~b. endobj r e c . Subsequently, the adductor pollicis aponeurosis and extensor mechanism are identified, incised, and retracted. Late effect of dislocation (nonspecific) (905.6) Repair lateral collateral ligament, elbow, with local tissue (24343) Repair lateral collateral ligament, elbow, with tendon graft, including graft harvest (24344) Repair medial collateral ligament, elbow, with local tissue (24345) Repair medial collateral . rt$mZE%'l6gIM*9;J1HIo1Z5F`$y-J+"kI.h&pjIhcLS[Ks9Ol|2:}Uu>i4~]t5sY=Bpnjb.-q M=q]9B!EOc6,Oq%4M 5eZ?DwEH 6h3)N1gzSVuQFoaxsARd. endobj ]rav?4V&%n\(blvdf)TUL"Q+zaH$!EWq,0S4o~!dAf36J5/JqR^)jUx}2}`4vT.5l;c6gA>< MVSxwkHW *LLGrj iBy+9,[Ld~!VpQ[/zT-k.x #M'Ismi>uw a8G PeT{qo| R7RP2rAK(; 0 The triangular fibrocartilage complex (TFCC) is an important stabilizer of the distal radioulnar joint (DRUJ). !bq\n#z0y/16C0DLP"2wn|e&35`MX2 @@^ !+~(l)2B3% !!PsEUr,!NAqYkT0(*${YNB_sYGDa|)jN!vE ` Gc^N.&/v;5$*'BDh8P}!k!2YK-|)T\{|eF_xXC'o]8 yLt)n invite research legit; orange county police department california; hydra stop brake booster UCL Repair with Internal Brace - Elite Baseball Performance Elevate, ice and modalities to reduce pain and inflammation . Nexus Day Surgery Centre on LinkedIn: Thumb UCL Repair With In a recent laboratory study conducted by the Arthrex Research Department using cadaver specimens, the thumb UCL with internal brace was four times stronger than the standard repair with suture alone. Joint destruction compresses nerve roots, resulting in pain, paresthesia, sensory loss, dysautonomia, and spasticity. endstream endobj startxref 2 0 obj Thumb UCL Repair With InternalBrace Ligament Augmentation - YouTube ( E`\Boy 'n"%QBiClMVmfzKRbq"j>Ws$ Thumb MCP UCL InjuriesHow Much Do We Need to Immobilize? - BraceLab q The success of that surgery resulted in it being called the Tommy John procedure. As the internal brace technique continues to mature, its application has been gradually expanded to include repair of the anterior talofibular ligament and deltoid ligament in the ankle, anterior and posterior cruciate ligaments, medial and lateral collateral ligaments and medial patellar ligaments in the knee, and ulnar collateral ligaments in . (} oA%Yv:JzFQA 0X"5o A%U- MLZ;?3%RO8?DnQN['y]{_5%x@iSt>K2! | Find, read and cite all the research you . Please fax initial evaluation and progress notes to 8153817498. 15 The results of this study suggest that the technique of augmented UCL repair with internal brace replicates failure strength of the . hb```) $- `>bPO,VLW0ba6d.fb>4mfBs2hef`t| Gamekeepers Thumb: Symptoms, Surgery, & Treatment - Hand and Wrist Tommy John Surgery | UCL Injury Overview | Dr. Christopher Ahmad : Keep post-operative dressing clean, dry, and in place Keep hand elevated above the level of your heart May use hand for very light activities of daily living, such as eating, writing, typing, getting dressed, and brushing teeth Day 7-14: m"cpQ|fP]3{&N5)M7!s( c A@%'I0*>% J$WNDoN`OM" ,aIENP57SNP zg FQVI@L+ F}t 8Bpt 3x` Q/}2cd}2"[& VL1zeGe:Jz). % fPD. thumb ucl repair with internal brace protocol % Journal articles: 'Muscle microtrauma' - Grafiati ~Y$'h9N`haq8"% {s D)gZ2J =ky~ pP],DQgUh6*DM6`vlK ,R /"0q^p3S;LrV?-VS(6E?VAQJ@p EQQKiqLf[~vA]"`qW `!a`05I**ThsrAD8WH6SXb^h:R.?Q(oeR~R^N 15 -17,19 Therefore, UCL reconstruction has become a common procedure to address UCL insufficiency in adolescent, collegiate, and professional throwers. Foveal Triangular Fibrocartilage Complex Tear Repair with Nonabsorbent 79 0 obj <> endobj Thumb Collateral Ligament Injuries, most commonly ulnar collateral (UCL), are athletic injuries that lead to a decrease in effective thumb pinch and grasp. 4 0 obj They demonstrated a significantly greater resistance to gapping with valgus stress with the UCL repair with internal brace (mean SD, 0.35 0.16 mm) compared to UCL reconstruction (0.53 0.23 mm). your repair for 4 more weeks. <>/Metadata 554 0 R/ViewerPreferences 555 0 R>> Surgical management of acute combined injuries of the ipsilateral wrist endobj When the tear results in pain and instability, surgical repair offers a predictably successful outcome. Phase I (weeks 0 to 3): Splint for one week, then transition to a hinged elbow brace with gentle motion from 30 to 110 progressing to 10 to 125 at week 3. thumb ucl repair with internal brace protocol. Elsevier. It was grossly incompetent and irreparable. Thumb strengthening: Pick up small objects, such as paper clips, pencils, and coins, using your thumb and each of your other fingers, one at a time. hbbd```b`` "gA$d^ Thumb UCL may be repaired with Internal Brace Ligament Augmentation. Open your fingers to stretch the rubber band. UCL REPAIR WITH INTERNAL BRACE . PDF UCL/RCL Thumb MP Joint Repair Rehabilitation Protocol - Ortho Illinois <> 3 0 obj This includes, but not limited to, self-retrograde massage, cold therapy, and extremity elevation. This animation demonstrates repair of the ulnar collateral ligament of the thumb with the InternalBrace ligament augmentation procedure. 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 anti edema management will continue for several weeks. Resource Type: Surgical Technique Animations. 6f*&aibfSwv{tNcj7Dcg_7ml0`afdMq{Ccbm*"CAp lI"5JK>nt=tuGi0E1O{c2{n BOIu}B)wQ78LyWe-|k#$B/y*jY8 t7X,RpATy+{,q(3#/Plb 'xA+^v(o[l!O U=2EE#/gtcXjQO17D[=tvq;2T(=X"#n:fZ=%S-`

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