Medial Ulnar Collateral Ligament Reconstruction (Tommy John Surgery)

UCL (Tommy John Surgery) at Midwest Orthopaedics at Rush

At Midwest Orthopaedics at Rush, we understand how important elbow stability is for athletes and active individuals, particularly those involved in throwing sports. Medial ulnar collateral ligament (UCL) reconstruction, commonly known as Tommy John surgery, is a specialized procedure designed to restore elbow stability and strength for patients with UCL injuries. Our experienced surgeons use the latest techniques to help you regain function and return to your peak performance.

What Is UCL Reconstruction?

The medial ulnar collateral ligament is a critical structure in the elbow that provides stability during overhead and throwing motions. Injuries to the UCL often occur due to repetitive stress, particularly in athletes like baseball pitchers, javelin throwers, and other high-demand overhead athletes. When the UCL is severely torn or damaged, surgical reconstruction may be necessary to restore function and prevent further instability.

Signs and Symptoms of UCL Injuries

Common symptoms that may indicate a UCL injury include:

Pain or tenderness on the inner side of the elbow.
A "pop" or tearing sensation during a throwing motion.
Swelling or bruising in the elbow joint.
Decreased velocity or accuracy when throwing.
Weakness or instability in the elbow during physical activity.

If you experience these symptoms, it’s essential to consult a specialist for an accurate diagnosis and treatment plan.

Why Choose Midwest Orthopaedics at Rush for Tommy John Surgery?

Our sports medicine and orthopedic experts are leaders in diagnosing and treating complex elbow injuries. With extensive experience in UCL reconstruction, we provide individualized care that combines advanced surgical techniques with a comprehensive rehabilitation program to optimize outcomes.

Our Approach to UCL Reconstruction

Pre-Surgical Evaluation: We begin with a thorough assessment, including imaging studies such as MRI or ultrasound, to confirm the diagnosis and evaluate the extent of the injury.
Surgical Expertise: During the procedure, our surgeons use a tendon graft—often harvested from your own body or a donor—to reconstruct the damaged ligament. The graft is carefully anchored to the bone using advanced fixation techniques to ensure long-term stability.
Minimally Invasive Options: Whenever possible, we utilize minimally invasive techniques to reduce recovery time and improve surgical precision.
Customized Rehabilitation: Post-operative care is critical to your recovery. Our dedicated rehabilitation team designs a personalized plan to help you rebuild strength, restore range of motion, and safely return to your sport.

Recovery Timeline

Recovery from UCL reconstruction is a gradual process, typically taking 12 to 18 months for athletes to return to competitive play. The recovery timeline includes:

First 6 Weeks: Protection of the surgical site with a brace and limited motion exercises.
6 to 12 Weeks: Gradual strengthening exercises and increased range of motion.
3 to 6 Months: Progressive conditioning and sport-specific training.
9 to 18 Months: Full return to throwing and competitive sports, with ongoing monitoring to prevent re-injury.

Supporting Athletes Every Step of the Way

At Midwest Orthopaedics at Rush, we recognize the mental and physical challenges associated with recovering from a UCL injury. Our team works closely with athletes, coaches, and trainers to ensure a safe and effective return to play. We also provide education and preventative strategies to reduce the risk of future injuries.

If you’ve been sidelined by a UCL injury, trust the experts at Midwest Orthopaedics at Rush to provide the specialized care you need. Our team is dedicated to helping you get back to doing what you love—stronger and more confident than ever.

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