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Tommy John surgery

Tommy John surgery, known by doctors as ulnarcollateral ligamentreconstruction (or UCL), is a surgical procedure in which a ligament in the medial elbowis replaced with a tendonfrom elsewhere in the body (often from the forearm, hamstring, or footof the patient). The surgery is named after Tommy John, a pitcher for the Los Angeles Dodgerswho was the first professional athlete to successfully undergo the operation in 1974. The procedure was performed by Dr. Frank Jobe.

Chances of a complete recovery after surgery are estimated today at 85 to 90 percent. At the time of Tommy John's operation, Jobe put his odds at 1 in 100. After his surgery in 1974, John spent 18 months rehabilitating his arm, returned for the 1976 season, and went on to pitch in the major leagues until 1989 at age 46. Today, the procedure takes about an hour. Full rehabilitation takes about a year for pitchers and about 6 months for position players.

It is not uncommon today for pitchers to throw harder after the surgery than they did before the injury that caused the surgery to be necessary. However, this results not because of the surgery itself, but from the rigorous rehabilitation that ensues following surgery.

Today, the injury and eventual surgery are becoming more common in children ranging from 10-18 due to increased season length and the more frequent use of breaking pitches by young pitchers.

A torn elbow ligament — the most common cause of what was simply called "dead arm injury" during most of the 20th century — can be caused by a number of things, but the injury is most common in pitchers and the most frequent cause is throwing too hard or overwork.

Selected pitchers who have successfully undergone Tommy John surgery

  • Tommy John
  • Kris Benson
  • Dewon Brazelton
  • A.J. Burnett
  • Paul Byrd
  • Tom Candiotti
  • Brandon Claussen
  • Rheal Cormier
  • Ryan Dempster
  • Darren Dreifort(several times)
  • Jesse Foppert
  • Chad Fox(several times)
  • Frank Francisco
  • Eric Gagne
  • Tom Gordon
  • Mike Hampton
  • Pat Hentgen
  • Jason Isringhausen
  • Billy Koch
  • Cory Lidle
  • Jon Lieber
  • Matt Mantei
  • Joe Mays
  • Jim Morris
  • Matt Morris
  • Jose Rijo(four times)
  • Mariano Rivera
  • Fernando Rodney
  • John Smoltz
  • Tim Spooneybarger(twice - in 2003 and 2005, but has not returned yet)
  • Bob Wickman
  • Scott Williamson(several times)
  • Kerry Wood
  • Tim Worrell
  • Victor Zambrano
  • Jeff Zimmerman(twice - in 2002 and 2004, but has not returned yet)
  • Tyler "NUTS" Beery

Selected non-pitchers who have successfully undergone Tommy John surgery

  • Rocco Baldelli
  • José Canseco
  • Rusty Greer(underwent the surgery successfully but did not return to playing due to other injuries)
  • Luis Gonzalez
  • Xavier Nady
  • Tony Womack


de:Tommy John Surgery

Retrieved from "http://en.wikipedia.org/Tommy_John_surgery"



This article is licensed under the GNU Free Documentation License.
It uses material from the http://en.wikipedia.org/wiki/Tommy+John+surgery Wikipedia article Tommy John surgery.

 
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