A tear of the ulnar collateral ligament (UCL) of the elbow — known as a Tommy John injury — is common in baseball pitchers and overhead athletes, often requiring surgical reconstruction to return to throwing. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.
Most patients with ucl tear (tommy john injury) improve with conservative care — targeted physical therapy, image-guided injections, bracing or supportive footwear when relevant, and activity modification. When conservative care isn't enough or imaging shows structural injury that won't heal on its own, our specialists offer the next-step procedures discussed below.
Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose ucl tear (tommy john injury), and the full range of treatment options — from the simplest to the most involved.