by: scott brunousers.rowan.edu/~brunos72/tommy john surgery[1].pdf · athletes will experience a...
TRANSCRIPT
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By: Scott Bruno
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Tommy John Left Handed pitcher who pitched for 21 years with
seven different teams
Ended his career with 288 wins which is seventh all time for left handed pitchers
Four time all-star
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Surgery First performed in 1974
Occurs when the ligament in the medial elbow needs to be replaced
This ligament is formally known as the ulnar collateral ligament
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Process for Surgery A tendon from the forearm or under the knee is taken
to replace in the ligament
The tendon is then sewed together in a figure eight pattern which is drilled in the ulna and humerus bone
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Symptoms Athletes will experience a sharp pop in elbow
Develop sharp pain on the inside of elbow
Decrease in velocity, pain while throwing
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Prognosis Chances of recovery for patients is very high and are
estimated to be 85-92%
Tommy John, received his surgery in 1974
Rehabbed for 18 months and was pitching again in 1976
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Risk’s for Tommy John UCL can be aggravated during the throwing motion
Mostly affects Major League pitchers because of the stress they are putting on their elbows
Pitchers who throw off-speed pitches are in high risk
Curveballs and sliders
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After Affects Pitchers tend to throw ball harder
Velocity increases on pitchers fastball
Takes a time consuming recovery to fully be able to throw again
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Construction of Surgery
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Non-Surgical Treatment Rest athlete for long period of time
Ice elbow when possible, take anti-inflammatory medicines
Once inflammation has decreased rehab of the elbow will take place
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Beginning Rehabilitation Decrease inflammation in elbow region
Ice elbow as much as possible
Begin light throwing sessions
0-3 weeks
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Rehabilitation to reduce pain Daily massages on elbow
Electrical stim
Ice regularly
0-3 weeks
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Rehabilitation for Strength
Includes, extending and flexing the elbow region
Most patients will actively do 3 sets of 10 repetitions
4-8 weeks
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Early Stages of Rehabilitation Increasing strength in the arm where surgery was
needed
Improving endurance
Try and have full range of motion
4-8 weeks
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Early Stages Continued Isometric exercises that include flexing and extending
3 sets of 10 repetitions with a two pound dumbbell, flexing the elbow region and extending it out
Wrist isometric exercises
Apply force against a ball with wrist and forearm, 4 sets of 20 repetitions
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Middle Stages of Rehabilitation 9-13 weeks
Trying to increase full arm strength and endurance
Begin throwing motion at a reasonable distance
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Middle Stages Continued Plyometrics
Throw a weighted medicine ball with one hand
Overhead throw
Chest pass throw
Side to side throw
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Final Stages of Rehabilitation Weeks 14-26
Continuing to increase strength and endurance
Hoping to return to active play
Full range of motion in injured area
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Final Stages Continued Begin throwing program
Increase distance after each throw made
Rest 2-3 days after the first day of throwing
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Summary Serious injury
Could lead to retiring for professional athletes
Preventable
Rehab takes a lot of patience and is time consuming