Document Type

Case Report

Department

Physical Therapy & Rehabilitation Science

Degree Name

DPT (Doctor of Physical Therapy)

Session and Year of Graduation

Fall 2017

Advisor

Laura Frey Law

Abstract

Background: Surgical reconstruction is the most common treatment for full-thickness Ulnar Collateral Ligament (UCL) tears of the elbow. However, the recovery process for a UCL reconstruction is generally 9-12 months. The purpose of this case study is to elucidate how conservative physical therapy treatment of a complete UCL tear can restore a level of athletic functionality to throwing athletes when healing time interferes with playing time. Case Description: The patient was a 20-year old female who sustained a full-thickness UCL tear of her right elbow. Intervention: Interventions included wrist flexor soft tissue mobilization, scapular strengthening, core strengthening, analysis of throwing mechanics and administration of a return to throwing program. Outcomes: Elbow ROM and scapular strength were evaluated. A DASH could have been performed and would have provided more insight into this patient’s functional response to treatment. Discussion: Ulnar collateral ligament tears are on the rise among throwing athletes. Although UCL reconstruction has been reported to return patients back to sport at or near pre-injury performance, the associated recovery period invariably disrupts athletic activity for up to a year. If conservative physical therapy treatment became a more viable option for complete UCL tears long-term, throwing athletes could be provided an opportunity for amplified activity post-injury when surgery precludes participation for a prolonged period of time.

Keywords

Orthopedic & Sports

Pages

9 pages

Copyright

Copyright © 2017 Emily Roberts

COinS
 

URL

http://ir.uiowa.edu/pt_casereports/29