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The effect of humeral and ulnar bone tunnel placement on achieving UCL graft isometry: A cadaveric study

Arthroscopy Apr 28, 2019

Lall AC, et al. - Researchers explored data to evaluate the simulated ulnar collateral ligament (UCL) graft length change between multiple combinations of humeral and ulnar bone tunnels using surgically dissected anatomic landmarks. They created 3 equidistant humeral and ulnar tunnels at each UCL footprint of 10 cadaveric elbows. At all degrees of flexion, they observed an overall significant impact of tunnel placement. They found increases in displacement between the central and posterior tunnel positions of the medial epicondyle in pairwise comparisons with occurrence of significant differences when paired with both the central and posterior aspect of the sublime tubercle.
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