Ulnar collateral ligament (UCL) injuries of the elbow are most seen in overhead throwing athletes, such as baseball pitchers, due to repetitive valgus stress placed on the inside elbow complex during the throwing motion. The UCL is a key stabilizer of the elbow that unites the outer aspect of the humerus (arm bone) to the ulna (a forearm bone).
Common symptoms of a UCL injury include pain on the inside of your elbow, decreased throwing velocity, and a sense of instability or “popping” during activity. However, instability can be subtle, and manual testing may not always detect it, even in complete tears. Therefore, it is extremely important your OHL physiotherapist assesses you to determine if imaging is required, as MRI is the gold standard for confirming UCL pathology.
Other conditions to consider if there’s soreness on the inside of the elbow include medial epicondylitis, ulnar neuritis, and flexor-pronator strain. Early, precise diagnosis and individualized treatment planning are essential for optimal recovery and return to sport, no matter the diagnosis!
Management depends on the severity of the injury and your individual demands. Non-operative treatment including rest, activity modification, progressive strength and return-to-throwing programs will be appropriate for partial tears or non-athletes.
In some cases, surgical reconstruction is indicated for complete ruptures or failed conservative management. Post-operative rehabilitation is extensive, with return to competitive throwing typically occurring around the 12-month point. If you have had surgery for a UCL injury, it is essential to appropriately rehab your elbow through a progressive strength program which our team expert physiotherapists can provide.
If you believe you have a UCL injury, it is important to consult your OHL physiotherapist as soon as possible so an accurate diagnosis and appropriate referral can . You can do this by calling 9431 5955 or you can book online via the Client Portal on the website.
