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Tommy john surgery. By: Ryan Kmiec 12 th grade Athletic Training Class. Who is Tommy John?. Played for 6 teams Including Yankees, Dodgers and Angels 288 Career Wins and 3.34 ERA First player to receive the surgery. History. Known as Ulnar Collateral Ligament Reconstruction

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tommy john surgery

Tommy john surgery

By: Ryan Kmiec

12th grade Athletic Training Class

who is tommy john
Who is Tommy John?
  • Played for 6 teams
  • Including Yankees, Dodgers and Angels
  • 288 Career Wins and 3.34 ERA
  • First player to receive the surgery
  • Known as Ulnar Collateral Ligament Reconstruction
  • Occurs in throwing sports
  • Mainly in baseball players
  • First done in 1974
  • Dr. Frank Jobe
history contd
History contd.
  • 1974 1 in 100 return rate
  • Now 85-90% return rate
  • 488 baseball players had surgery
  • Dr. Lewis Yocum and James Andrews

Same Bro

I could do this in my sleep

ulnar collateral ligament
Ulnar Collateral Ligament
  • Inside of Elbow
  • Between Humerus and Ulna
  • Major Stabilizer
  • Stabilize against valgus force
risk factors
Risk Factors

Shouldn’t have thrown that curve

  • Improper Mechanics
  • Pitch Count
  • Pitch Type- Sliders/Curveballs
  • Growth plate open in young athletes
  • Pain on the inside of the elbow
  • A sense of looseness or instability in the elbow
  • Irritation of the ulnar nerve
  • Tingling or numbness in the small finger and ring finger.
  • Decreased ability to throw
before surgery
Before Surgery
  • Rest
  • Ice
  • Anti Inflammatory Medication
  • X-Ray
  • MRI
  • Prehab- if needed
  • Tendon from- wrist/forearm/hamstring/hip
  • Tunnels drilled in humerus and ulna
  • Tendon is passed through the holes
  • “Figure 8”
rehab phase 1
Rehab- Phase 1
  • Wear a splint for seven to 10 days to immobilize the elbow.
  • Do gentle range-of-motion exercises for the wrist, hand, and shoulder.
  • Wear a range-of-motion brace to gradually regain full motion of the elbow joint.
  • Do exercises to strengthen the arm and shoulder.
  • Perform total-body conditioning exercises.
rehab phase 2
Rehab- Phase 2
  • Starting about six weeks after surgery:
  • Most patients can begin to perform elbow-strengthening exercises.
  • For at least the next four months, most patients are advised to avoid activities that overstress the graft(Tendon)
rehab phase 3
Rehab- Phase 3
  • About four or five months after surgery, athletes may toss a ball without a wind-up motion.
  • After six months, athletes may start to use an easy wind-up when throwing.
  • After seven months, baseball pitchers may return to the mound.
  • After nine months, pitchers may throw in competition if they are pain-free and have regained their normal strength and range of motion.

Range of

Motion Brace

  • Prehab
am i throwing harder
Am I throwing harder???
  • Idea that a player will throw harder if they have Tommy John Surgery.

This one\'s coming in harder than before

No it’s not C’YAAA!!

  • The surgery does not cause a pitcher to throw harder.
  • The intense rehab makes the person stronger than before.
  • Increased velocity
notable pitching restrictions
Notable Pitching Restrictions
  • Little League- 85 pitches
  • Little League- No Curveballs
  • MLB- Innings Limit first year about 185
  • MLB- generally 100 pitches
notable players
Notable Players
  • Stephen Strasburg
  • Joba Chamberlain
  • AJ Burnett
  • Brian Wilson (twice)
  • Rink Ankiel
  • Tim Hudson