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Ulnar Collateral Ligament AKA Tommy John Ligament. Primary static restrains to valgus stress and essential component to the overhead throwing athlete’s performance. Baseball season is just around the corner and patients coming into clinic complaining of elbow pain begin to pick up. Did you know that combining dynamic ultrasound with standard MRA allows clinicians to accurately diagnose UCL injuries of all types. At the Andrews Institute we created a standardization protocol to properly image the UCL of the elbow with near perfect accuracy and precision. Here I demonstrate a quick video of the scan. Steps: 1: Patient in the lateral recumbent position, shoulder at 90 degrees and elbow at 30-70 degrees of flexion. 2. Using a linear transducer over the medial elbow, localize the medial epicondyle (attachment of the proximal end of the anterior band of the UCL) and the distal end of the UCL attaching at the subline turbicle of the ulna. 3. At the level, measure the width of the ulno-humeral joint space both at rest and again at stress until a functional endpoint was reached. 4. Normal ulno-humeral joint space opening (stress- rest) should be around than 0.5 mm. If anyone is interested on seeing the presentation of this study, you can find it on my YouTube channel. The full paper is pending publication. Special thanks to Dr. James Andrews, Dr. Steve Jordan, Dr. Josh Hackel, Dr. Brett Kindle and Dr. Harrison Goodno that helped me in the completion and standardization of this protocol. #UCLinjuries #baseball #tommyjohnsurgery #sportsmedicine #orthopedics #rehabilitation #MLB