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Therapy for elbow instability injuriesABSTRACT: Elbow instability often results in chronic overuse injuries,especially with overhead throwing in athletes. Initial managementof medial collateral ligament (MCL) injuries often is conservative,but surgery may be required. In several studies, nearly half ofthrowing athletes with MCL injuries who were treated conservativelywere able to return to their previous level of competition. Surgicaltreatment for MCL tears has evolved. Eight to 12 weeks of functionalrehabilitation include advanced core-strengthening exercises, progressiveneuromuscular exercises, and plyometric upper extremitytraining. Athletes who present with valgus extension overloadshould be evaluated thoroughly and considered for MCL reconstruction.Many lateral collateral ligament (LCL) complex injuries do notrequire surgery. Surgical reconstruction is less well defined withrecurrent LCL instability. (J Musculoskel Med. 2008;25:342-344)
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