2023 Annual Meeting Wrist & Elbow Access Pass-It's Not Just About Tommy John_ Valgus Extension Overload and Olecranon Stress Injuries

It's Not Just About Tommy John_ Valgus Extension Overload and Olecranon Stress Injuries

Video Transcription

Video Summary

John Conway discussed valgus extension overload and stress injuries in pitchers, highlighting common ligament and bone pathologies like bone spurs, trochlear lesions, and stress fractures. Valgus extension overload often coexists with ligament injuries and requires precise surgical management to preserve bone. Stress fractures, especially olecranon and sublime tubercle, are frequent in pitchers; nonoperative treatment often fails, necessitating screw fixation perpendicular to fracture lines. Advances in arthroscopy and combined surgeries show mixed results in return-to-play outcomes. Despite complexities, most players return to sport, though recovery varies with fracture type and treatment approach. Proper diagnostics and surgical techniques are critical for optimal results.

Asset Caption

John E. Conway, M.D.

Keywords

valgus extension overload

stress injuries in pitchers

bone spurs and trochlear lesions

olecranon stress fractures

arthroscopy in elbow surgery