Abstract
Rehabilitation after an injury or surgery to the elbow joint complex is common when treating the overhead throwingathlete. The unique anatomical configuration of the elbow joint complex provides a significant challenge to the sports medicine team in rehabilitating throwers after elbow surgery. The programs discussed in this report emphasize immediate controlled motion following surgery and the importance of establishing full elbow extension as expeditiously as possible. This to prevent a frequently encountered side effect of elbow surgery, a flexion contracture. A strengthening program is initiated immediately after surgery in the form of isometrics. The strengthening program is progressed from isometrics to isotonics, then to an advanced strengthening phase consisting of plyometrics, neuromuscular control drills, proprioceptive training, and high speed muscle training. The advanced strengthening phase is instituted to train the throwing athlete to control the potentially harmful stresses imparted onto the elbow joint during the throwing motion. A functional progression for the overhead thrower is discussed. In this report, we will discuss postoperative rehabilitation following elbow arthroscopy, ulnar collateral ligament reconstruction, arthroscopic arthroplasty, uInar nerve subcutaneous transposition, and arthroscopic arthrolysis.
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