My 11y old son fell at one of those trampoline places and ruptured UCL proximally from bone. Ruined his football season, he is also a pitcher/catcher at this point. He had somewhat newer procedure done where they reattached UCL but also anchored the ligament to tape dipped in collagen that is woven into ligament to act as internal brace which is anchored proximal and distal. Supposedly allows light throwing to begin at 10 weeks and average of full return to play by 22 weeks. So far been amazing, no pain, full ROM and is to start throwers ten exercises with bands post op 4 weeks. My question is how much theraband poundage should be used for his age in throwers ten exercises. I'd guess not much around 3 pounds? Thoughts from anyone who has had a youngster go through this rehab. I know its more aggressive than Tommy John rehab or at least because you can exercise sooner and return is sooner. Thanks
I doubt there is any standard for poundage. Too much depends on subjective measures such as size, biological age, etc. Listen to the arm. Do enough to stimulate growth / repair without doing so much as to cause irritation (tendonitis). Err on the light side, and gradually increase. Also make sure he does same exercises on both sides to maintain as balanced a physique as possible, otherwise pitchers wind up looking like Hellboy, with a big whammer on one side.
Super interested to hear how your son does. My son is a college freshman going in for MRI in two weeks with probable UCL tear. He has decided to give up his scholarship and do everything he can to recover and get better. He hopes to be able to go to a couple showcases before the draft in June. It is my understanding the spectrum runs from PRP / Stem Cell for minor tears, to Internal Brace for moderate tears, to TJ? Was this your understanding with your son? Where did you go for the surgery?
Hey thanks for responding. I did a lot of research and stem cell and prp especially have not been proven long term. Also my son completely tore ligament off the bone. The internal brace surgery was the best option considering he really at 11 was too young to be doing TJ. So the UCL repair was a blessing. This week we are 6 weeks post surgery and he has had zero pain other than day of surgery which I was surprised considering he had 3 bone anchors inserted . He is doing the throwers ten with no issue so far we also use an isometric gyro ball which really strengthens forearm and grip. I had surgery done in Atlanta because of time constraints to get into see Dr Dugas at Andrews clinic in Birmingham. I also being in medical industry knew surgeon and he treated him like it was his own kid. Being that your son is young the ucl brace repair would seem best as his ligament shouldn’t be trashed like older pitchers but that is something they don’t know till in there looking at tissue. Good luck. I will keep you posted how he does once he’s allowed to start light throwing at 10 weeks per protocol. I’m not rushing him but surgeon said he couldn’t be doing any better and because of age obviously heals fast as a kid.
Last Edit: Nov 6, 2017 18:28:37 GMT -6 by drgking7