Introduction: Elbow ulnar collateral ligament (UCL) injuries in gymnastics have not been well documented in the literature, in comparison to UCL injuries in baseball. Few studies have examined the mechanism and nonoperative management of this injury, and no studies to date have been published on incidence of injury and return to play recommendations in gymnastics.
Patient case review: A literature search was performed using PubMed to review articles from 1980 to 2016 that addressed the biomechanics of UCL injury in baseball and gymnastics, the anatomy of the elbow, injury rates, surgical vs non-surgical management, rehabilitation, and return to play recommendations for the sport of gymnastics. Five female collegiate gymnasts sustained UCL injury over a 3-year period. Electronic medical records for each case were thoroughly reviewed including imaging, surgical and non-surgical management, rehabilitation, and the progressive return to gymnastics.
Discussion: Four UCL injuries were confirmed by MRI to be avulsions at the distal insertion of the UCL and one was an avulsion at the proximal origin. While less than half of baseball players can return to competition with conservative management of these types of injuries, four out of five gymnasts were able to return to competition with nonoperative management. One gymnast opted to have reconstruction after a successful competition season. Time to return to play varied seemingly dependent on the severity of UCL injury and event.
Conclusion: In our case series, collegiate female gymnasts were able to return to participation with nonoperative treatment of the UCL. Their success in returning to competitive gymnastics may also depend on the event(s) in which they are trying to participate.
Strength of Recommendation Taxonomy: C.

Keywords: elbow ulnar collateral ligament, gymnastics, gymnast


中文翻译：

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女体操运动员I班的肘部尺侧副韧带损伤：附5例报告

简介：与棒球中的UCL损伤相比，体操中的肘部尺侧副韧带（UCL）损伤在文献中没有得到充分的记录。很少有研究检查这种损伤的机理和非手术治疗，迄今为止，尚无关于损伤发生率的研究和在体操运动中重新发挥作用的建议。
病人病例审查：使用PubMed进行文献检索以回顾1980年至2016年的文章，这些文章探讨了棒球和体操中UCL损伤的生物力学，肘部解剖，损伤率，外科手术与非外科手术管理，康复以及对以下方面的康复建议：体操运动。5名大学女体操运动员在3年内遭受了UCL损伤。对每个病例​​的电子病历都进行了彻底的检查，包括影像学，手术和非手术管理，康复和逐步恢复体操。
讨论：MRI证实4例UCL损伤为UCL远端插入撕脱，其中1例为近端起源撕脱。尽管只有不到一半的棒球运动员可以通过保守管理这些类型的伤病重新参加比赛，但五分之四的体操运动员却可以通过非手术管理方法恢复比赛。在一个成功的比赛季节之后，一名体操运动员选择进行重建。恢复比赛的时间看似取决于UCL受伤和比赛的严重程度。
结论：在我们的病例系列中，大学女体操运动员能够通过非手术治疗的UCL再次参加比赛。他们能否恢复竞技体操也取决于他们试图参加的比赛。
推荐分类法的优势： C.

关键词：肘尺侧副韧带，体操，体操运动员