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Ulnar Collateral Ligament (UCL) Repair with Internal Brace

UCL repair with an internal brace is a surgery that involves the use of collagen-coated tape (internal brace) surgically placed at the site of the damaged UCL ligaments. It provides better resistance and a faster recovery compared to traditional reconstruction surgery that involves the use of graft tissue from your body.


The ulnar collateral ligament (UCL), also called the medial collateral ligament, is located on the inside of the elbow and connects the ulna bone to the humerus bone. It is one of the main stabilising ligaments in the elbow, especially with overhead activities such as throwing and pitching. 

Ulnar Collateral Ligament (UCL) Injuries

UCL injuries are usually caused by repetitive overhead throwing such as in baseball. The stress of repeated throwing on the elbow causes microscopic tissue tears and inflammation. With continued repetition, the UCL can tear preventing the athlete from throwing at significant speed. If untreated, it can end an athlete’s professional career.

UCL injury may also be caused by direct trauma such as with a fall, car accident, or work injury. Other causes include any activity that requires repetitive overhead motion of the arm such as tennis, pitching sports, fencing, and painting.

Indications for UCL Repair with Internal Brace

UCL repair with an internal brace is indicated for the fast recovery of UCL injuries in athletes. It restores a full range of motion in the elbow for the athlete to return quickly back to sports.

Preparing for the Surgery

  • Your doctor will assess the symptoms and take a medical history.
  • Physical examination of your elbow will be performed. Imaging studies such as X-ray, MRI, or CT-scan will be ordered.
  • Fluoroscopy may be ordered to help diagnose the injury.
  • Talk to your doctor about the medicines you are taking prior to the procedure. Inform your doctor if you are allergic to any medicines or anaesthesia.
  • Be prepared for an overnight stay at the hospital and arrange for someone to drive you home the next day.

Procedure of UCL Repair with Internal Brace

The surgery involves the following steps:

  • You are positioned to lie on your back (supine position)
  • You may be given general and regional anaesthesia.
  • An incision is made near the medial epicondyle of your elbow towards the UCL ligaments.
  • Your surgeon performs debridement of damaged tissues.
  • Suture anchors are placed at the point of origin of the ligament.
  • A collagen-coated (internal brace) tape is placed.
  • Care is taken to avoid damage to nerves.
  • The internal brace is attached to the bone surfaces with special sutures.
  • The incision is closed with sutures and covered with sterile dressings.

Recovery after Surgery

Your doctor will prescribe pain medicines as needed. Your elbow is supported with a sling for about 6 weeks. Your physiotherapist will teach specific exercises to help you recover sooner.

Risks and Complications

Complications are rare but can include:

  • Infection
  • Limited range of motion
  • Nerve damage
  • Elbow instability
  • NHS
  • The Royal College of Surgeons of Edinburgh
British Elbow & Shoulder Society
  • Swor and D

Hospitals Attended

  • Stratford Hospital

    South Warwickshire
    NHS Foundation Trust
    Arden St, Stratford-upon-Avon,
    CV37 6NX
    Driving Directions
    NHS Secretary: Phae Maxwell

    Ext 4798
  • Nuffield Health
    Warwickshire Hospital

    The Chase, Old Milverton Lane
    Leamington Spa
    CV32 6RW
    Driving Directions

  • Warwick Hospital

    South Warwickshire
    NHS Foundation Trust
    Lakin Road, Warwick,
    CV34 5BW
    Driving Directions
    NHS Secretary: Phae Maxwell

    Ext 4798
  • The Grafton Suite,
    Building One

    Stratford Hospital, Arden Street
    CV37 6NX
    Driving Directions

  • The Cherwell Hospital

    Oxford Rd, Banbury
    OX16 9FG
    Driving Directions


  • Spire Parkway (Solihull)

    1 Damson Pkwy,
    Solihull B91 2PP,
    United Kingdom
    Driving Directions

  • South Warwickshire NHS Foundation Trust
  • Nuffield Health
The Grafton Suite - South Warwickshire NHS Foundation Trust
  • Swor and D
  • Swor and D