biostudies-literatureUnknown12(6)Fossum BWUlnar collateral ligament (UCL) reconstruction of the medial elbow is considered to be the gold standard for treating valgus instability seen in overhead throwing athletes. The first UCL construction was performed by Frank Jobe in 1974, and this procedure has evolved over time to include multiple techniques that improved the biomechanical strength of the graft fixation and maximize the rate of return to athletic competition for these patients. The most common UCL-reconstruction technique used today is the docking technique. The purpose of this Technical Note is to describe our technique, including pearls and pitfalls, which combines the many advantages of the docking technique with a proximal single-tunnel suspensory fixation technique. This method allows for optimal tensioning of the grafArthroscopy techniquese997-e1002https://www.ebi.ac.uk/biostudies/studies/S-EPMC10323971biostudies-literatureUlnar Collateral Ligament (UCL) Reconstruction With Proximal Single-Tunnel Suspensory Fixation.PMC10323971Fossum BWVopat MLComfort SMSu CABrown JRViola RWfalseUlnar Collateral Ligament (UCL) Reconstruction With Proximal Single-Tunnel Suspensory Fixation.Ulnar collateral ligament (UCL) reconstruction of the medial elbow is considered to be the gold standard for treating valgus instability seen in overhead throwing athletes. The first UCL construction was performed by Frank Jobe in 1974, and this procedure has evolved over time to include multiple techniques that improved the biomechanical strength of the graft fixation and maximize the rate of return to athletic competition for these patients. The most common UCL-reconstruction technique used today is the docking technique. The purpose of this Technical Note is to describe our technique, including pearls and pitfalls, which combines the many advantages of the docking technique with a proximal single-tunnel suspensory fixation technique. This method allows for optimal tensioning of the graf2023-01-01T00:00:00Z2023 Jun2025-04-20T03:44:54.43Z2025-04-20T03:44:54.43ZS-EPMC103239713742463610.1016/j.eats.2023.02.038