Table 2.

Key Points for Ulnar Collateral Ligament Reconstruction

Identify and preserve the medial antebrachial cutaneous nerve when present.

Use a muscle-splitting approach through the flexor pronator mass.

Be mindful of the ulnar nerve when drilling tunnels and sockets.

Space all tunnels and sockets at least 1 to 2 cm apart to provide a stable bridge.

Use precision when trimming the second limb of graft to ensure it is long enough to reach the socket without bottoming out prematurely (resulting in laxity).

Tension the graft with the elbow in 30° of flexion, varus, and supination.