Evidence map›Paper›PMID 31453203›Full record

ArticleOrthopaedic journal of sports medicine2019

Revision Ulnar Collateral Ligament Reconstruction in Professional Baseball: Current Trends, Surgical Techniques, and Outcomes.

Christopher L Camp, Vishal Desai, Stan Conte, Christopher S Ahmad, Michael Ciccotti, Joshua S Dines, David W Altchek, John D'Angelo, Timothy B Griffith

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PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  12. Current State of Data and Analytics Research in Baseball.Current reviews in musculoskeletal medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Christopher L CampSports Medicine Center, Department of Orthopedics, Mayo Clinic, Rochester, Minnesota, USA.
Vishal DesaiSports Medicine Center, Department of Orthopedics, Mayo Clinic, Rochester, Minnesota, USA.
Stan ConteConte Injury Analytics, San Carlos, California, USA.
Christopher S AhmadCenter for Shoulder, Elbow, and Sports Medicine, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York, USA.
Michael CiccottiRothman Institute, Philadelphia, Pennsylvania, USA.
Joshua S DinesSports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, USA.
David W AltchekSports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, USA.
John D'AngeloOffice of the Commissioner, Major League Baseball, New York, New York, USA.
Timothy B GriffithPeachtree Orthopedics, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlnar collateral ligament (UCL) reconstruction of the elbow is commonly performed on professional baseball pitchers. Recent reports have suggested that revision rates are on the rise and may be higher than previously thought. PURPOSE: To provide a comprehensive report on current trends, surgical techniques, and outcomes of revision UCL reconstructions performed on professional baseball pitchers between 2010 and 2016. STUDY

designCase series; Level of evidence, 4.

methodsThe Major League Baseball Health and Injury Tracking System (HITS) was used to compile records of all revision UCL reconstructions performed on professional baseball pitchers between 2010 and 2016. Player data and outcomes were obtained from HITS, and surgical details were obtained from operative reports. Descriptive statistical analysis was performed on epidemiologic data. Outcomes (return to play [RTP] rates, RTP times, subsequent injuries, and subsequent surgeries) were compared across the most common surgical techniques (docking vs modified Jobe) and graft sources (palmaris longus autograft vs hamstring autograft).

resultsA total of 69 professional baseball pitchers underwent revision UCL reconstruction from 2010 to 2016 at an average of 1424 days (47 months) after their primary surgery. A trend was seen toward increasing numbers of revision surgeries over time (

conclusionRevision UCL reconstruction showed relatively high RTP rates (77%), but only 55% of players returned to their same level of play. Mean time to RTP was shorter than that found in other, smaller investigations. Although general trends were seen toward decreased time to RTP for the docking technique and palmaris longus autograft, these differences did not reach statistical significance.

Indexed as

professional baseballreturn to playrevisionTommy John surgeryulnar collateral ligament reconstruction

Identifiers

PMID31453203
PMCPMC6696849

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.