{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:39:37Z","timestamp":1786984777980,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine the practice patterns and complication rates in medial ulnar collateral ligament (MUCL) repair versus reconstruction procedures performed by early\u2010career orthopaedic surgeons each year between 2010 and 2020, stratified by fellowship training and concomitant procedures performed, during their 6\u2010month American Board of Orthopaedic Surgery (ABOS) Case List collection period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The ABOS database was queried for MUCL reconstruction and MUCL repair procedures reported by ABOS Part II Oral Examination examinees from 2010 to 2020. Surgeon fellowship training background, patient demographics, procedural diagnosis codes, complications, and concomitant procedures were recorded for each case. Differences between overall procedure rates and the associated complications reported were examined. Data regarding the specific injury pathology and other patient\u2010specific characteristics for each case were not available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 187 primary procedures performed to address isolated MUCL injuries were reported. Of those, 83% (n\u00a0= 155) were reconstructions and 17% (n\u00a0= 32) were repairs. The annual percentage of MUCL repair increased from 10% (1\/10) in 2010 to 38% (8\/21) in 2020 (linear regression; R\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0= 0.56,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). The cumulative complication rate for MUCL reconstruction (11.6%) was significantly lower than for MUCL repair (25%) from 2010 to 2020 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). This remained true among subsets of cases from Orthopaedic Sports Medicine, Shoulder &amp; Elbow, and or Hand Surgery fellowship\u2010trained examinees, although only statistically significant in the Hand Surgery subset. Reported complication rates were not significantly different among cases in which concurrent ulnar nerve neuroplasty and\/or transposition or concurrent elbow arthroscopy were performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among cases reported by ABOS Part II Oral Examination examinees from 2010 to 2020, there was an increasing rate of MUCL repair whereas MUCL reconstruction remained more common overall. Interestingly, the overall complication rates were significantly lower for MUCL reconstruction than for MUCL repair both in isolation and when concurrent procedures were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2023.02.007","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T16:20:57Z","timestamp":1680279657000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Rate of Medial Ulnar Collateral Ligament Repair Is Increasing While Reconstruction Remains the Most Common Procedure Overall Among Early\u2010Career Orthopaedic Surgeons"],"prefix":"10.1002","volume":"5","author":[{"given":"Matthew G.","family":"Spivey","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Virginia Commonwealth University School of Medicine Richmond Virginia"},{"name":"Department of Orthopaedic Surgery University of North Carolina School of Medicine Chapel Hill North Carolina"},{"name":"VCU Health Sports Medicine Richmond Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David S.","family":"Constantinescu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Miami Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"Joseph P.","family":"Costello","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Miami Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davis S.","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Virginia Commonwealth University School of Medicine Richmond Virginia"},{"name":"VCU Health Sports Medicine Richmond Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Virginia Commonwealth University School of Medicine Richmond Virginia"},{"name":"VCU Health Sports Medicine Richmond Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander R.","family":"Vap","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Virginia Commonwealth University School of Medicine Richmond Virginia"},{"name":"VCU Health Sports Medicine Richmond Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,31]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668080-00004"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.112881"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290988"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510378100"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.02.022"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505284188"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738112454828"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517734172"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281240"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508315201"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01448"},{"key":"e_1_2_3_13_2","doi-asserted-by":"crossref","unstructured":"Dugas JR Looze CA Capogna B et\u00a0al. Ulnar collateral ligament repair with collagen\u2010dipped FiberTape augmentation in overhead\u2010throwing athletes [published correction appears in Am J Sports Med 2019;47:NP40]. Am J Sports Med 2019;47:1096\u20101102.","DOI":"10.1177\/0363546519833684"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515620390"},{"key":"e_1_2_3_15_2","doi-asserted-by":"crossref","DOI":"10.1177\/2325967118769328","article-title":"outcomes and return to sport after ulnar collateral ligament reconstruction in adolescent baseball players","volume":"6","author":"Saper M.","year":"2018","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211016846"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2020.12.004"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00138"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518765139"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00009"},{"key":"e_1_2_3_21_2","doi-asserted-by":"crossref","unstructured":"Walters BL Cain EL Emblom BA Frantz JT Dugas JR. Ulnar collateral ligament repair with internal brace augmentation: A novel UCL repair technique in the young adolescent athlete. Orthop J Sports Med 2016;4:2325967116S00071 (3 suppl 3).","DOI":"10.1177\/2325967116S00071"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X23000317?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X23000317?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2023.02.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2023.02.007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2023.02.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:25:01Z","timestamp":1773566701000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2023.02.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,31]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1016\/j.asmr.2023.02.007"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2023.02.007","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,31]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Rate of Medial Ulnar Collateral Ligament Repair Is Increasing While Reconstruction Remains the Most Common Procedure Overall Among Early-Career Orthopaedic Surgeons","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2023.02.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}