2021 ISAKOS Biennial Congress ePoster
Baseball Players Exhibit Symptoms Of Posttraumatic Stress Disorder After Ulnar Collateral Ligament Rupture
Frank J. Alexander, MS, ATC, New York UNITED STATES
Forrest L. Anderson, MD, New York UNITED STATES
Matthew Joseph James Anderson, MD, New York, New York UNITED STATES
Michelle Spataro, MS, ATC, New York, NY UNITED STATES
Kira Skaggs, BS, New York UNITED STATES
Hasani W. Swindell, MD, New York, NY UNITED STATES
Christopher S. Ahmad, MD, New York, NY UNITED STATES
Columbia University Medical Center, New York, NY, UNITED STATES
FDA Status Not Applicable
Summary
Baseball players exhibit symptoms of PTSD after ulnar collateral ligament rupture.
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Abstract
Background
The significant psychological impact and prevalence of posttraumatic stress disorder (PTSD) have been thoroughly documented in multiple investigations of patients after anterior cruciate ligament ruptures, but this has not yet been assessed in patients after ulnar collateral ligament (UCL) rupture. Our hypothesis is that symptoms of PTSD are present among baseball players after UCL injury.
Methods
Baseball players, from the high school to minor league baseball level who had suffered an acute UCL rupture were recruited at a tertiary care center. Patients completed the Horowitz Impact of Event Scale - Revised (IES-R) to analyze for PTSD symptomatology.
Results
A total of 24 patients were enrolled. The mean patient age was 19.2 years (range 15-24 years). Twenty patients (83.3%) were pitchers; 12 pitched exclusively. Six patients surveyed played at the high school level (25%), 15 in college (62.5%), and 3 at the minor league level (12.5%). 100% of patients were male. Over 91% of patients experienced symptoms of intrusion, 87.5% displayed avoidance symptoms, and 79.2% had symptoms of hyperarousal. Twelve patients (50%) scored >24 on the IES-R (PTSD is a clinical concern). 6 patients (25%) reached the threshold for a probable diagnosis of PTSD (>33 on the IES-R).
Conclusion
Following UCL rupture, athletes experience substantial emotional trauma, and a significant proportion of patients experience symptoms severe enough to warrant a diagnosis of PTSD.