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Tommy john surgery

Tommy john surgery. By: Ryan Kmiec 12 th grade Athletic Training Class. Who is Tommy John?. Played for 6 teams Including Yankees, Dodgers and Angels 288 Career Wins and 3.34 ERA First player to receive the surgery. History. Known as Ulnar Collateral Ligament Reconstruction

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Tommy john surgery

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  1. Tommy john surgery By: Ryan Kmiec 12th grade Athletic Training Class

  2. Who is Tommy John? • Played for 6 teams • Including Yankees, Dodgers and Angels • 288 Career Wins and 3.34 ERA • First player to receive the surgery

  3. History • Known as Ulnar Collateral Ligament Reconstruction • Occurs in throwing sports • Mainly in baseball players • First done in 1974 • Dr. Frank Jobe

  4. History contd. • 1974 1 in 100 return rate • Now 85-90% return rate • 488 baseball players had surgery • Dr. Lewis Yocum and James Andrews Same Bro I could do this in my sleep

  5. Ulnar Collateral Ligament • Inside of Elbow • Between Humerus and Ulna • Major Stabilizer • Stabilize against valgus force

  6. Risk Factors Shouldn’t have thrown that curve • Improper Mechanics • Pitch Count • Pitch Type- Sliders/Curveballs • Growth plate open in young athletes

  7. Symptoms • Pain on the inside of the elbow • A sense of looseness or instability in the elbow • Irritation of the ulnar nerve • Tingling or numbness in the small finger and ring finger. • Decreased ability to throw

  8. Before Surgery • Rest • Ice • Anti Inflammatory Medication • X-Ray • MRI • Prehab- if needed

  9. Surgery • Tendon from- wrist/forearm/hamstring/hip • Tunnels drilled in humerus and ulna • Tendon is passed through the holes • “Figure 8”

  10. Yuck!!

  11. Rehab- Phase 1 • Wear a splint for seven to 10 days to immobilize the elbow. • Do gentle range-of-motion exercises for the wrist, hand, and shoulder. • Wear a range-of-motion brace to gradually regain full motion of the elbow joint. • Do exercises to strengthen the arm and shoulder. • Perform total-body conditioning exercises.

  12. Rehab- Phase 2 • Starting about six weeks after surgery: • Most patients can begin to perform elbow-strengthening exercises. • For at least the next four months, most patients are advised to avoid activities that overstress the graft(Tendon)

  13. Rehab- Phase 3 • About four or five months after surgery, athletes may toss a ball without a wind-up motion. • After six months, athletes may start to use an easy wind-up when throwing. • After seven months, baseball pitchers may return to the mound. • After nine months, pitchers may throw in competition if they are pain-free and have regained their normal strength and range of motion.

  14. Range of Motion Brace • Prehab

  15. Am I throwing harder??? • Idea that a player will throw harder if they have Tommy John Surgery. This one's coming in harder than before No it’s not C’YAAA!!

  16. Misconception • The surgery does not cause a pitcher to throw harder. • The intense rehab makes the person stronger than before. • Increased velocity

  17. Notable Pitching Restrictions • Little League- 85 pitches • Little League- No Curveballs • MLB- Innings Limit first year about 185 • MLB- generally 100 pitches

  18. Notable Players • Stephen Strasburg • Joba Chamberlain • AJ Burnett • Brian Wilson (twice) • Rink Ankiel • Tim Hudson

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