TABLE II

Grades of Recommendation for the Treatment of UCL Injuries*

ConditionTreatmentGrade
Acute injuries
 Partial tearNonoperative treatment with dynamic splintingB
 Complete, nondisplacedNonoperative treatment with dynamic splintingB
 Complete, displacedSurgical repair with suture anchor and early mobilizationB
Temporary MCP Kirschner-wire fixationC
 Avulsion fracturesSurgical fixationC
Chronic injuries
Primary repairC
Anatomical reconstruction
 Palmaris longus via bone tunnelsC
 Palmaris longus via suture anchorC
 Bone-periosteum-boneC
ArthrodesisC
  • * Grade A indicates good evidence (Level-I studies with consistent findings) for or against recommending intervention. Grade B indicates fair evidence (Level-II or III studies with consistent findings) for or against recommending intervention. Grade C indicates conflicting or poor-quality evidence (Level-IV or V studies) not allowing a recommendation for or against intervention. Grade I indicates that there is insufficient evidence to make a recommendation.