Episode 5 野球肘損傷（UCL）最新エビデンスから再考

ポッドキャストでエビデンス（最近の研究論文）を考察しながら投球肘（UCL）損傷を話します。特に前斜走靭帯を中心に話していきます。内容アウトラインは下記の通りです。

1. 肘尺側側副靭帯（UCL）前斜走靭帯の解剖学的構造
2. 肘の外反応力と前斜走靭帯の後遠位の制動
3. UCL損傷箇所を徒手ストレステストで評価
4. UCL再建術後の合併症
5. UCL再建術後の近位側損傷

ポッドキャストで話した文献

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2. Ikezu. Morphological Features of the Ulnar Collateral Ligament of the Elbow and Common Tendon of Flexor-Pronator Muscles. Orthop. J. Sports Med. 2020;8(9), 2325967120952415
3. Erickson. The Middle and Distal Aspects of the Ulnar Footprint of the Medial Ulnar Collateral Ligament of the Elbow Do Not Provide Significant Resistance to Valgus Stress. Orthop J Sport Med. 2019;7: 2325967118825294.
4. Frangiamore. Biomechanical analysis of elbow medial ulnar collateral ligament tear location and its effect on rotational stability. J Shoulder Elbow Surg. 2018;27;2068–2076.
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9. Ciccotti. In Vivo Effect of Partial Ulnar Collateral Ligament Tear Location on Ulnohumeral Joint Gapping With Stress Ultrasound in Baseball Pitchers. Am J Sports Med. 2023;51(12):3280-3287.
10. Molenaars. Injured vs. uninjured elbow opening on clinical stress radiographs and its relationship to ulnar collateral ligament injury severity in throwers. J Shoulder Elbow Surg. 2020;29:982–988.
11. Wigton. The moving valgus stress test produces more ulnar collateral ligament change in length during extension than during flexion: a biomechanical study. J Shoulder Elbow Surg. 2020;29:1230–1235
12. Erickson. Current Concepts Review. The Ulnar Collateral Ligament Injury. Evaluation and Treatment. J Bone Joint Surg Am. 2017;99:76-86.
13. Chalmers. The Ulnar Collateral Ligament Responds to Stress in Professional Pitchers. J Shoulder Elbow Surg. 2021;30:495-503.
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15. Heaps. Return to play after ulnar collateral ligament reconstruction with concurrent posterior-compartment decompression J Shoulder Elbow Surg. 2022;31:S2-S7.
16. Erickson. Do Clinical Results and Return-to-Sport Rates After Ulnar Collateral Ligament Reconstruction Differ Based on Graft Choice and Surgical Technique? Orthop J Sport Med. 2016;4 2325967116670142.
17. Erickson. Ulnar Collateral Ligament Tear Location May Affect Return-to-Sports Rate but Not Performance Upon Return to Sports After Ulnar Collateral Ligament Reconstruction Surgery in Professional Baseball Players. Am J Sports Med. 2020;48(11):2608–2612.
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