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By: Scott Bruno
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
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
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
Symptoms Athletes will experience a sharp pop in elbow
Develop sharp pain on the inside of elbow
Decrease in velocity, pain while throwing
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
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
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
Construction of Surgery
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
Beginning Rehabilitation Decrease inflammation in elbow region
Ice elbow as much as possible
Begin light throwing sessions
0-3 weeks
Rehabilitation to reduce pain Daily massages on elbow
Electrical stim
Ice regularly
0-3 weeks
Rehabilitation for Strength
Includes, extending and flexing the elbow region
Most patients will actively do 3 sets of 10 repetitions
4-8 weeks
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
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
Middle Stages of Rehabilitation 9-13 weeks
Trying to increase full arm strength and endurance
Begin throwing motion at a reasonable distance
Middle Stages Continued Plyometrics
Throw a weighted medicine ball with one hand
Overhead throw
Chest pass throw
Side to side throw
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
Final Stages Continued Begin throwing program
Increase distance after each throw made
Rest 2-3 days after the first day of throwing
Summary Serious injury
Could lead to retiring for professional athletes
Preventable
Rehab takes a lot of patience and is time consuming
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