Patients with chronic elbow instability may present with elbow pain and complain of clicking and catching with elbow extension when pushing off from a seated position. Physical examination reveals varus instability, tenderness over the LUCL and have a positive pivot-shift test; a positive apprehension test is also useful in the diagnosis. LUCL reconstruction may be indicated if elbow stability can’t be achieved with reduction and immobilization. The 4.75 mm Forked SwiveLock® is an excellent fixation option to obtain isometric reconstruction with either a soft tissue graft or FiberTape® InternalBrace™. The UCL reconstruction instrumentation set may also be a useful option as it is amenable to LUCL reconstruction techniques.

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