The ulnar collateral ligament (UCL) is located on the inside of the elbow, and connects the upper arm bone to the forearm bone. Injuries to the UCL occur from repetitive stress to the elbow, or from trauma. UCL injuries are uncommon in the general population, but frequent among athletes who participate in throwing sports like baseball.
Ulnar collateral ligament reconstruction is often called “Tommy John surgery” after the famous baseball pitcher who was the first to undergo the procedure. The surgeon makes an incision in the elbow and then drills holes in the humerus and the ulna. A tendon taken from the patient’s forearm, leg, or opposite elbow is then woven through the holes and anchored to the bone. The external wound is then closed with sutures. Surgery is designed to restore stability of the elbow.
Candidates for ulnar collateral ligament reconstruction typically have exhausted nonsurgical treatment options.
Patients who have not yet exhausted nonsurgical treatment options for UCL injuries are not candidates for ulnar collateral ligament reconstruction.
Like other surgeries, shoulder resurfacing requires a complete physical examination with your primary care provider and/or orthopedic surgeon prior to surgery. You should inform your orthopedic surgeon of any medications or supplements you take, and comply with general surgery procedures such as preoperative blood testing and possible cessation of smoking or use of pain relievers and anti-inflammatory drugs one week prior to surgery. You may need to stop taking blood thinner medication if you are on a regular dose of drugs such as Warfarin (or other blood thinners). You will likely be asked to stop eating or drinking the night before surgery.
As an outpatient procedure, ulnar nerve release typically requires no overnight hospital stay. Keeping your arm elevated will reduce swelling for the first few days post-surgery. You will most likely need to wear a splint for the first few weeks after the operation. Your physician may give you at-home exercises to help regain strength and motion in your arm.
As with any surgery, there are risks of complications related to bleeding, nerve and blood vessel damage, and infection. Long term complications include chronic pain with throwing and chronic instability of the elbow.
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MedRepublic Terms of Service
PLEASE READ THIS AGREEMENT CAREFULLY. BY VIEWING AND/OR USING THIS WEB SITE YOU AGREE TO BE BOUND BY ALL OF THESE TERMS AND CONDITIONS.
MedRepublic provides an online platform that connects patients and providers of medical procedures on www.medrepublic.com (the �Site�).
This Agreement (the "Agreement") governs your use of the Site. The Site is owned and operated by MedRepublic ,Inc. d/b/a MedRepublic ("MedRepublic"). MedRepublic may, in its sole discretion, modify or revise these Terms of Service and policies at any time, and you agree to be bound by such modifications or revisions. Nothing in these Terms of Service shall be deemed to confer any third-party rights or benefits. If you do not agree to this Agreement (including any referenced policies or guidelines), please immediately discontinue your use of the Site.
YOU UNDERSTAND AND AGREE THAT MEDREPUBLIC IS NOT A PARTY TO ANY AGREEMENTS ENTERED INTO BETWEEN PROVDIERS/HOSPITALS AND USERS, NOR IS MEDREPUBLIC A MEDICAL PROVIDER OR HEALTHCARE ENTITY. MEDREPUBLIC HAS NO CONTROL OVER THE CONDUCT OF PROVIDERS OR USERS OF THE SITE, AND DISCLAIMS ALL LIABILITY IN THIS REGARD TO THE MAXIMUM EXTENT PERMITTED BY LAW.
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You must be at least eighteen (18) years old to access the site.
In order to access some features of MedRepublic, you will have to create a MedRepublic account. You may never use another's account without permission. When creating your account, you must provide accurate and complete information. You are solely responsible for the activity that occurs on your account, and you must keep your account password secure. You must notify MedRepublic immediately of any breach of security or unauthorized use of your account.
Although MedRepublic will not be liable for your losses caused by any unauthorized use of your account, you may be liable for the losses of MedRepublic or others due to such unauthorized use.
User may terminate the account at any time. If the User terminates his or her account, MedRepublic will delete or block the personal data and specific personal data of the User, with the exception of the user�s first and last name and email address, kept for legal use only.
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Each provider has his or her own cancelation policy. MedRepublic will refund any monies collected via the specific provider�s policy.
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You and MedRepublic agree that any dispute that arises from use of the Site will be settled by binding arbitration, except that each party retains the right to seek injunctive or other equitable relief in a court of competent jurisdiction to prevent the actual or threatened infringement of intellectual property rights. You acknowledge and agree that you and MedRepublic are each waiving the right to a trial by jury or to participate as a plaintiff or class member in any purported class action or representative proceeding. Further, unless both you and MedRepublic otherwise agree in writing, the arbitrator may not consolidate more than one person's claims, and may not otherwise preside over any form of any class or representative proceeding. If this specific paragraph is held unenforceable, then the entirety of this �Dispute Resolution� section will be deemed void. Except as provided in the preceding sentence, this �Dispute Resolution� section will survive any termination of these Terms.
The arbitration will be administered by the American Arbitration Association ("AAA") in Los Angeles, California, USA.
A party who desires to initiate arbitration must provide the other party with a written Demand for Arbitration as specified in the AAA Rules. The arbitrator will be selected by the parties from the AAA�s roster of consumer dispute arbitrators. If the parties are unable to agree upon an arbitrator within seven (7) days of delivery of the Demand for Arbitration, then the AAA will appoint the arbitrator in accordance with the AAA Rules.
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Information we collect from you:
How we use this information:
MedRepublic reserves the right to use information it collects to various ways to enhance your experience and our site.
As mentioned above, we do not own or operate the applications or websites that may be linked to from the MedRepublic Platform. That means that when you use those applications and websites you are making your information available to someone other than MedRepublic.
You should always review the policies of third party applications and websites to make sure you are comfortable with the ways in which they use information you share with them. We do not guarantee that they will follow our rules. If you find an application or website that violates our rules, you should report the violation to us.
Pre-Approved Third-Party Websites and Applications. �In order to provide you with useful assistance from third party websites off of MedRepublic, we occasionally need to provide General Information about you to pre-approved third party websites and applications that use Platform at the time you visit them (if you are still logged in to MedRepublic). ��In this case we require these websites and applications to go through an approval process, and to enter into separate agreements designed to protect your privacy. �For example, these agreements include provisions relating to the access and deletion of your General Information, along with your ability to opt-out of the experience being offered. �If you log out of MedRepublic before visiting a pre-approved application or website, it will not be able to access your information.
Advertisements. Sometimes the advertisers who present ads on MedRepublic use technological methods to measure the effectiveness of their ads and to personalize advertising content. You may use your browser cookie settings to limit or prevent the placement of cookies by advertising networks. �MedRepublic does not share personally identifiable information with advertisers unless we get your permission.
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MedRepublic shares your information with third parties when we believe the sharing is permitted by you, reasonably necessary to offer our services, or when legally required to do so. For example:
When you make a payment. See Payment Terms.
To help improve or promote our service. Sometimes we share aggregated information with third parties to help improve or promote our service. But we only do so in such a way that no individual user can be identified or linked to any specific action or information.
To provide you with services. We may provide information to service providers that help us bring you the services we offer. For example, we may use third parties to help host our website, send out email updates about MedRepublic, remove repetitive information from our user lists, process payments, or provide search results or links (including sponsored links). These service providers may have access to your general personal (non-medical) information for use for a limited time, but when this occurs we implement reasonable contractual and technical protections to limit their use of that information to helping us provide the service.
To advertise our services. We may ask advertisers outside of MedRepublic to display ads promoting our services. We may ask them to deliver those ads based on the presence of a cookie, but in doing so will not share any other information with the advertiser.
To respond to legal requests and prevent harm. We may disclose information pursuant to subpoenas, court orders, or other requests (including criminal and civil matters) if we have a good faith belief that the response is required by law. This may include respecting requests from jurisdictions outside of the United States where we have a good faith belief that the response is required by law under the local laws in that jurisdiction, apply to users from that jurisdiction, and are consistent with generally accepted international standards. We may also share information when we have a good faith belief it is necessary to prevent fraud or other illegal activity, to prevent imminent bodily harm, or to protect ourselves and you from people violating our Terms of Service may include sharing information with other companies, lawyers, courts or other government entities.
Editing your profile. You may change or remove your profile information at any time by going to your account page. Information will be updated immediately.
Limitations on removal. Even after you remove information from your profile or delete your account, copies of that information may remain viewable elsewhere to the extent it has been shared with others or it was copied or stored by other users. However, your name will no longer be associated with that information on MedRepublic. Additionally, we may retain certain information to prevent identity theft and other misconduct even if deletion has been requested. If you have given third party applications or websites access to your information, they may retain your information to the extent permitted under their terms of service or privacy policies. �But they will no longer be able to access the information through our Platform after you disconnect from them.
Backup copies. Removed and deleted information may persist in backup copies for up to 90 days, but will not be available to others.
We do our best to keep your information secure, but we need your help.
Steps we take to keep your information secure. We keep your account information on a secured server behind a firewall. When you enter sensitive information (such as credit card numbers and passwords), we encrypt that information using secure socket layer technology (SSL). We also use automated and social measures to enhance security, such as analyzing account behavior for fraudulent or otherwise anomalous behavior, may limit use of site features in response to possible signs of abuse, may remove inappropriate content or links to illegal content, and may suspend or disable accounts for violations of our Terms of Service.
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If you are having surgery outside of the country, your home country insurance is unlikely to cover a edical complication. As a result, we advise that you purchase a complication insurance policy, which is specifically designed to cover individuals who are traveling internationally for medical treatment.
Here are the two companies we have found to provide reliable services:
We have written a comprehensive overview comparing the pros and cons of both companies that you can view here.
It may be wise to purchase travel health insurance when you travel internationally, as your home country insurance may not completely cover medical expenses incurred while abroad.
Here are some options that MedRepublic clients have used in the past:
This is a short-term international travel medical plan for trips of up to 6 months. There are two different plans offered based on whether or not clients already have primary insurance domestically. You can choose from their network of providers across 180 different countries. For more information on what is covered, click here.
This is a short-term international travel medical plan for trips of 5 to 45 days. There are no country restrictions and you have the freedom to choose any doctor or hospital. There is also optional hazardous sports and scuba diving coverage. For more information on what is covered, click here.