Published online Jun 18, 2016. doi: 10.5312/wjo.v7.i6.355
Peer-review started: January 25, 2016
First decision: February 29, 2016
Revised: March 8, 2016
Accepted: March 24, 2016
Article in press: March 25, 2016
Published online: June 18, 2016
Core tip: The number of ulnar collateral ligament (UCL) tears in major league baseball athletes is increasing with time. UCL reconstruction (UCLR) has become the gold standard for treatment of UCL tears. The outcomes of this surgery in elite level athletes is encouraging, with return to sport rates typically > 80%. Results following revision UCLR are less encouraging. Currently, there is no standardized rehabilitation protocol or timing to return to sport. Future research into graft choice, surgical technique, management of the ulnar nerve, and rehabilitation protocols must be done to achieve the best possible results in this elite group of athletes.