non-surgical repair of posterior bundle tear of UCL Sept 9, 2019 10:13:24 GMT -6
Post by slamiti on Sept 9, 2019 10:13:24 GMT -6
15 y/o baseball pitcher. Has spent the last year in 'training-only' mode (no team or games). Was on a regular weekly throwing program and strength and conditioning program with a trainer. Takes his daily arm care and mobility very seriously. Commented many times that his arm has never felt better. At the end of his throwing outing ~4 wks ago, felt an unusual pain after throwing a curveball. Said it felt like a muscle strain. Took 2 wks off before resuming light throwing. Felt fine while throwing but had nagging elbow discomfort afterward (5/10 on pain scale). Never had any elbow pain before this episode. Went to big sports med clinic, xrays negative, MRI showed complete tear of the posterior UCL bundle. Dr. said it had completely pulled free from the bone. Recommendation was 6 wks no throwing and PT, then start a return to throwing program upon satisfactory clinical evaluation. Seemed to think there was a good chance it would reattach since it is held closely in place by anterior and transverse UCL bundles. Mentioned PrP injections as a supplement to PT but didn't seemed too convinced that would be effective.
My ?s - I can't find any info on posterior bundle tears or recommended treatements. Is this an uncommon injury? Does the PT-only route sound reasonable? Is the PrP injection effective? 6 weeks seems like a REALLY short amount of time to heal a completely detached ligament. Is this something that is sometimes deal with surgically? If so, how? Sounds very different than the more typical anterior UCL tear.
He has no pain currently and we were not expecting that news, so the info kinda whizzed by in the office. Hoping to hear from people who might have some experience with this issue and hear what did/didn't work for them (although every patient is different!). Thanks!