{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:03:29Z","timestamp":1777662209817,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T00:00:00Z","timestamp":1676246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Extensor carpi ulnaris (ECU) subsheath injuries are an increasingly recognized cause of ulnar-sided wrist pain in elite athletes. There is a lack of surgical outcome data in elite athletes, and unique considerations exist for these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective review of our hand center experience of 14 elite professional or collegiate athletes who prospectively underwent radially based extensor retinacular sling ECU subsheath reconstruction by 3 hand surgery-fellowship-trained surgeons between April 2011 and April 2021. Clinical, magnetic resonance imaging (MRI), and intraoperative findings were cataloged. Subgroup analyses of elite hockey players and acute subsheath injuries were also conducted. Statistical analysis was performed via a 2-tailed paired t test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean age at the time of surgery was 21.3 years (range, 18-34). Mean time from symptom onset to surgery was 102.1 \u00b1 110.7 days. All 14 patients underwent preoperative MRI. Five patients (35.7%) had intrinsic ECU tendinopathy, 9 patients (64.3%) had ECU tenosynovitis, 6 patients (42.9%) had triangular fibrocartilage complex tears, and 9 patients (64.3%) had ulnocarpal synovitis. Mean postoperative pain on a Visual Analog Scale was 0.25 \u00b1 0.43. Grip strength ( P = .001), wrist flexion-extension ( P = .037), and pronosupination arcs ( P = .093) showed excellent recovery postoperatively. Mean time to unrestricted return to sports was 92.5 \u00b1 21.0 days. There were no complications. Subgroup analyses found similar functional improvement and characterized injury patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Overall, our findings suggest surgical management of ECU subsheath injuries is a viable option in both acute and chronic settings in elite athletes and may be favorable compared with nonoperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231151433","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T06:50:56Z","timestamp":1676271056000},"page":"951-960","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Radially Based Extensor Retinacular Sling Reconstruction for Extensor Carpi Ulnaris Subsheath Injuries in Elite Athletes"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8332-5131","authenticated-orcid":false,"given":"Michael A.","family":"Mastroianni","sequence":"first","affiliation":[{"name":"Columbia University Irving Medical Center\/NewYork Presbyterian Hospital, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Leibman","sequence":"additional","affiliation":[{"name":"Newton-Wellesley Hospital, MA, USA"},{"name":"Hand Surgery, PC, Newton, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Belsky","sequence":"additional","affiliation":[{"name":"Newton-Wellesley Hospital, MA, USA"},{"name":"Hand Surgery, PC, Newton, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Vitale","sequence":"additional","affiliation":[{"name":"Orthopaedic & Neurosurgery Specialists, Greenwich, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Ruchelsman","sequence":"additional","affiliation":[{"name":"Newton-Wellesley Hospital, MA, USA"},{"name":"Hand Surgery, PC, Newton, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,13]]},"reference":[{"key":"bibr1-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197001000-00023"},{"key":"bibr2-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80100-8"},{"key":"bibr3-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.05.049"},{"key":"bibr4-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.32.2.172"},{"key":"bibr5-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.12.007"},{"key":"bibr6-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(82)80002-6"},{"key":"bibr7-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-092835"},{"key":"bibr8-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505279577"},{"key":"bibr9-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.10.002"},{"key":"bibr10-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2014.08.951"},{"key":"bibr11-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2005.023275"},{"key":"bibr12-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.26.1.63"},{"key":"bibr13-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.JNMS.2020_87-410"},{"key":"bibr14-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(86)80227-1"},{"key":"bibr15-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(81)80151-7"},{"key":"bibr16-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418773036"},{"key":"bibr17-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2001.0615"},{"key":"bibr18-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1053\/j.otsm.2016.01.003"},{"key":"bibr19-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2016.08.009"},{"key":"bibr20-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2022.11.003"},{"key":"bibr21-15589447231151433","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-010-1887-3"},{"key":"bibr22-15589447231151433","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.15.01055"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231151433","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447231151433","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231151433","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:41Z","timestamp":1777447721000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447231151433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,13]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/15589447231151433"],"URL":"https:\/\/doi.org\/10.1177\/15589447231151433","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,13]]}}}