{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:21:24Z","timestamp":1788913284301,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:00:00Z","timestamp":1684713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T00:00:00Z","timestamp":1682553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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>The purpose of this study was to compare patient\u2010reported outcomes and return to play (RTP) rates following ulnar collateral ligament reconstruction (UCLR) in patients with and without posteromedial elbow impingement (PI) treated with concomitant arthroscopic posteromedial osteophyte resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Baseball players who underwent UCLR performed by the senior surgeon with minimum follow\u2010up of 2 years were surveyed in this retrospective cohort study. Primary outcomes included Kerlan\u2010Jobe Orthopaedic Clinic Shoulder and Elbow (KJOC) score, Andrews\u2010Timmerman score, and RTP rate. Secondary outcomes included patient satisfaction scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      35 baseball players were included. Eighteen had no preoperative impingement (mean age: 19.06 \u00b1 3.28 years), while 17 had PI treated with concomitant arthroscopic osteophyte resection (mean age: 20.06 \u00b1 2.68 years). Following surgery, there was no difference in mean Andrews\u2010Timmerman score (no impingement = 91.67 \u00b1 8.04 vs PI = 92.06 \u00b1 7.92,\n                      <jats:italic>P<\/jats:italic>\n                      = .89) nor KJOC score (no impingement = 83.36 \u00b1 11.72 vs PI = 79.88 \u00b1 12.35,\n                      <jats:italic>P<\/jats:italic>\n                      = .40), but there was a decreased mean KJOC throwing control sub\u2010score in the PI group (7.65 \u00b1 2.40 vs 9.11 \u00b1 1.32,\n                      <jats:italic>P<\/jats:italic>\n                      = .04). There was no difference in RTP rate between the groups (no impingement\u00a0= 72.22%, PI\u00a0= 94.12%, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0= 1.28;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .26). There was significantly higher mean satisfaction score in the no impingement group (96.67 \u00b1 4.58 vs 90.12 \u00b1 11.91;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .04), and those patients were also more likely to pursue surgical treatment again (94.44% vs 52.94%, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0= 7.88;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was no difference in RTP rate following ulnar collateral ligament reconstruction in baseball players with and without posteromedial impingement treated with arthroscopic resection. Outcomes on the KJOC and Andrews\u2010Timmerman scores were good to excellent in both groups. Players in the posteromedial impingement group were less satisfied with their outcome, however, and less likely to elect for surgery if they were to sustain the injury again. Additionally, players in the posteromedial impingement group were found to have decreased throwing control on the KJOC questionnaire, which may suggest that the presence\u00a0of\u00a0posteromedial osteophytes represent adaptive changes to stabilize the elbow while throwing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level\u00a0III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2023.04.012","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T07:51:49Z","timestamp":1684741909000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Posteromedial Osteophyte Resection in Baseball Players Undergoing Ulnar Collateral Ligament Reconstruction Has no Effect on Return to Play but Decreases Patient\u2010Reported Satisfaction and Throwing Control"],"prefix":"10.1002","volume":"5","author":[{"given":"Sohil S.","family":"Desai","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami G.","family":"Alrabaa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Mastroianni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles A.","family":"Popkin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Columbia University Medical Center New York New York 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}