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If the UCL or dynamic flexor\u2010pronator musculature is incompetent, elbow extension and valgus torque, as seen in throwing, can result in posteromedial impingement with subsequent chondromalacia and osteophyte formation. Before the first UCL reconstruction, performed by Frank Jobe in 1974, this injury was considered career ending in overhead athletes. Since the index procedure, further techniques have been developed to minimize dissection of the flexor\u2010pronator mass and improve the biomechanical strength of graft fixation with the goal of increased return to athletic competition. We describe our technique\u2014including pearls and pitfalls, as well as advantages and disadvantages\u2014which combines the docking technique, through a flexor muscle\u2010elevating approach with transposition of the ulnar nerve using a fascial sling. Harvest and preparation of a palmaris longus tendon autograft is also described.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2016.08.002","type":"journal-article","created":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T06:15:18Z","timestamp":1479708918000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Modified Jobe Approach With Docking Technique for\u00a0Ulnar Collateral Ligament Reconstruction"],"prefix":"10.1002","volume":"5","author":[{"given":"Daniel J.","family":"Kaplan","sequence":"first","affiliation":[{"name":"Sports Medicine Division Orthopaedic Department New York University Langone Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio A.","family":"Glait","sequence":"additional","affiliation":[{"name":"Sports Medicine Division Orthopaedic Department New York University Langone Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"William E.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Sports Medicine Division Orthopaedic Department New York University Langone Medical Center New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laith M.","family":"Jazrawi","sequence":"additional","affiliation":[{"name":"Sports Medicine Division Orthopaedic Department New York University Langone Medical Center New York New York 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