Tommy John Surgery
(UCL Reconstruction)

What is this procedure, and who is a candidate?

Tommy John Surgery
(UCL Reconstruction)

What is this procedure, and who is a candidate?

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If you are an overhead athlete experiencing persistent elbow pain, a popping sensation while throwing, or a loss of velocity, you may be facing an ulnar collateral ligament (UCL) injury. At Sano Specialty Care, our sports medicine experts specialize in Tommy John surgery, a procedure designed to restore stability to the elbow and get you back to the sport you love.

What Is Tommy John Surgery?

Tommy John Surgery, formally known as ulnar collateral ligament (UCL) reconstruction, is a surgical procedure where a torn UCL in the medial elbow is replaced with a tendon graft from elsewhere in the body (or a donor).

The UCL is a critical stabilizer for the elbow joint, especially during the high-stress motions of pitching or overhead throwing. When this ligament stretches or tears due to repetitive stress, it can no longer hold the bones tightly enough during athletic activity.

The Tommy John procedure is named after former MLB pitcher Tommy John, who was the first player to undergo surgery in 1974.

Tommy John Surgery
Signs You May Need UCL Reconstruction
  • A sudden pop in the inner elbow followed by pain.
  • Pain on the inner side of the elbow when throwing or using the arm overhead.
  • Numbness or tingling in the ring and pinky fingers (ulnar nerve irritation).
  • Decreased throwing velocity or accuracy.
How Is Tommy John Surgery Performed?

Tommy John Surgery is a reconstructive procedure that replaces the torn ulnar collateral ligament (UCL) in the elbow with a tendon graft, which can come from the patient’s body (such as the forearm or a donor). 

This surgery is necessary because the UCL is the critical stabilizing structure of the elbow during high-stress overhead motions. The graft restores stability to the joint, which the damaged ligament can no longer provide.

The surgical process, also known as UCL reconstruction, involves the surgeon drilling small tunnels into the bones of the elbow, specifically the humerus and ulna. The tendon graft is then woven through these tunnels and secured to build a new, strong ligament in the same location as the original. 

Over many months, the body transforms the implanted tendon into a functional ligament, which allows the athlete to eventually return to competitive throwing.

Why Choose Sano for Your Recovery?

At Sano, we move beyond episodic care. Our approach to Tommy John Surgery integrates advanced surgical techniques with a comprehensive prevention, health, and wellness strategy. Not only will we fix your ligament, but we will also analyze your mechanics and provide a long-term roadmap for functional health.

Frequently Asked Questions

For competitive overhead athletes, the recovery timeline is typically 12 to 15 months. This includes a structured physical therapy program and a gradual throwing progression.

Partial tears or minor strains may respond to conservative treatments like rest, physical therapy, and bracing. However, for athletes intending to return to high-level throwing, reconstruction is often the most effective path.

While named after MLB pitcher Tommy John, this procedure is common for college, high school, and recreational athletes in sports like baseball, softball, javelin, and volleyball.

Ready to get back in the game?

Our team is ready to help you navigate your recovery with expertise and personalized care.

Call: (816) 525-2840 | Text: (816) 551-2339

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