UCL Reconstruction

Orthopaedic Associates of Maine

Weight-Bearing

FWB; long-arm splint 0-10 days; hinged brace 10 days-6 wks

Key Restrictions

Long-arm splint 0-10 days; hinged brace with progressive ROM 10 days-6 wks; no valgus stress 6 wks-3 months; no overhead triceps or heavy bench press; avoid hyperextension; competitive throwing not until 1 year

Timeline & Phases

0-10 days (splint), 10 days-6 wks (hinged brace, AROM), 6 wks-3 months (no valgus stress), 3-4 months (arc toss 20-30 ft), 5-6 months (arc toss 60 ft), 7-8 months (straight line 25-50% velocity), 9-10 months (75% velocity), 11-12 months (competitive pitching at 1 year)

Notes

Tommy John surgery (elbow UCL); throwing progression begins at 3 months; competitive pitching at 1 year