Greg is a 15 year old male.  He injured his UCL playing baseball. Which treatment should be avoided in the early rehabilitation phase after an ulnar collateral sprain?

  1. Isometrics to wrist and elbow muscles
  2. Icing
  3. Strengthening of shoulder external rotation
  4. Pain free active assisted range of motion exercises
  5. All should be avoided
Explanation
Answer: C - In an ulnar collateral sprain, strengthening of shoulder external rotation muscles should be avoided in the early rehabilitation phase.
Shoulder external rotation movement may place valgus stress on the medial structures on elbow, so it should be avoided.
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