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Risk Factors for an Ulnar Collateral Ligament Injury Resulting in Surgery: A Prospective Longitudinal Study of 305 Professional Baseball Pitchers

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Our mission at American Sports Medicine Institute is to improve the understanding, prevention and treatment of sports-related injuries through research and education.

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Recent Research Publications

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Increases in Ball Weight and Size Decrease Elbow Varus Torque During Baseball Pitching

Background: The rates of ulnar collateral ligament injury and surgery continue to rise in baseball. Increased ball velocity and elbow varus torque may correlate with the increased risk of injury. Hypothesis: Increased ball weight and/or size correlate with decreased elbow varus torque during pitching.
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Outcome of Glenoid Labral Repair Using All Suture Anchors

Outcomes of Glenoid Labral Repair Using All-Suture Anchors

In recent years, innovation in arthroscopic glenoid labral repair techniques has included the development of all- suture anchors. There are multiple potential advantages of all-suture anchors, including decreased bone removal, anchor migra- tion, synovitis/chondral injury, and bone reaction. Despite these potential advantages, few studies have examined clinical out- comes of glenoid labral repair with all-suture anchors.
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A Novel Ultrasound Assessment Technique of the Ulnar Collateral Ligament to Account for the Valgus Stress Effect of Gravity on the Medial Elbow

Background: The ulnar collateral ligament (UCL) of the elbow is commonly injured in baseball athletes. When assessed in the supine abducted and externally rotated (ABER) position using stress ultrasonography (sUS), even before applying a valgus load, gravity pulls on the forearm, creating an initial valgus load that may distort the resting joint space measurement. Purpose/Hypothesis: The purpose of this study was to measure the valgus stress effect of gravity on the resting joint space and determine if a varus-stressed joint space provides a better baseline measurement. It was hypothesized that there would be a greater resting joint space in the throwing arm in the ABER position as a result of UCL laxity but no difference in joint space under varus stress compared to the nonthrowing arm.
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Biomechanical Evaluation

Biomechanical pitching evaluations can enhance performance and reduce the risk of injury by analyzing every detail of a pitcher’s throw and follow through and providing valuable feedback. The tests and data conducted are then used to develop training programs tailored to the athlete’s unique needs.

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