98%
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Purpose: To provide an evaluation of the quality of diagnostic and treatment information regarding ulnar collateral ligament injuries on YouTube.
Methods: YouTube was searched using the terms "ulnar collateral ligament," "Tommy John surgery," and "UCL surgery." The first 100 results for each 3 terms were screened for inclusion. Each included video was graded based on its diagnostic and treatment content and assigned a quality assessment rating. Video characteristics such as duration, views, and "likes" were recorded and compared between video sources and quality assessment ratings.
Results: A total of 120 videos were included in the final analysis. Only 17.5% provided very useful to excellent quality content. Only 3 videos (2.5%) provided excellent quality content; these were all physician-sponsored videos. These 3 videos only achieved an excellent score for diagnostic content; no video achieved an excellent score for treatment content. Most videos were scored as somewhat useful for both diagnostic (40%) and treatment (56.7%) content. Videos classified as somewhat useful had the highest number of average views (27,197), with a mean duration of 7 minutes 40 seconds. The most common video source was physician sponsored (32%), followed by educational (26%). Physician videos had the lowest number of views (5,842 views).
Conclusions: The quality of ulnar collateral ligament-related information on YouTube is low. Differential diagnoses for related symptoms, accurate surgical indications, and thorough discussions of adverse outcomes were the most lacking information. Physician-sponsored and educational videos provided the highest-quality information but had the lowest number of average views.
Clinical Relevance: Because most Internet users in the United States search for information regarding their medical issues online, it is important to understand the quality of available online medical information. Knowing this can help inform the necessary next steps to improve the quality and comprehensibility of online medical information.
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http://dx.doi.org/10.1016/j.asmr.2023.100769 | DOI Listing |
Orthop J Sports Med
September 2025
American Sports Medicine Institute, Birmingham, Alabama, USA.
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.
Am J Sports Med
September 2025
Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, New York, USA.
Background: No model exists to predict which patients with elbow ulnar collateral ligament (UCL) injuries will successfully return to play (RTP) after nonoperative treatment. The reported rates for successful RTP after the nonoperative management of UCL injuries are limited and vary widely. Furthermore, patient and injury characteristics that influence the failure of nonoperative treatment have not been established.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2025
Introduction: Complex proximal ulna fractures (including comminuted olecranon fractures and fracture-dislocations of the elbow) pose challenging management due to concomitant injuries to key stabilizers (radial head, coronoid process, and collateral ligaments). This study evaluates functional and radiographic outcomes following surgical treatment and explores the prognostic value of associated injuries, age stratification, and a new coronoid-centric classification system.
Methods: We retrospectively reviewed 43 patients with complex proximal ulna fractures treated between 2019 and 2024, with a minimum of 12 months follow-up (mean, 28 months).
J Am Acad Orthop Surg
August 2025
From the Department of Should and Elbow Surgery, MedStar Union Memorial Hospital, Baltimore, MD (Haislup and Murthi), the Portland Veterans Affairs Center, Portland, OR (Zhang), and the Department of Orthopaedic Surgery, University of South Florida, Tampa, FL (Chebli).
Posterolateral rotatory instability (PLRI) of the elbow occurs from chronic lateral ulnar collateral ligament (LUCL) injury leading to subluxation of the ulnohumeral joint and radial head. Patients with failed or untreated LUCL injury can go on to have chronic elbow instability and difficulty with activities that require an axial load on the elbow. Free grafts such as semitendinosus, Achilles, or palmaris longus require fixation on both the humerus and ulna, or may not represent the native LUCL kinematics as a native tendon such as anconeus.
View Article and Find Full Text PDFInjury
August 2025
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address:
Background: Indications for stabilization of the medial collateral ligament (MCL) after repair of the lateral ulnar collateral ligament (LUCL) remain controversial. Here, we propose a standardized fluoroscopic sequence to reveal residual medial elbow instability to facilitate intraoperative decision-making.
Methods: Eight matched cadaveric upper extremity pairs (N = 16) were mounted to simulate intraoperative positioning.