The New Tommy John: The Rise of the Internal Brace - #AMR386

The New Tommy John: The Rise of the Internal Brace - #AMR386

May 7, 2026 · 20 min

About this episode

The episode discusses the shift from classic Tommy John reconstructions to internal brace UCL repairs and its implications for athlete rehabilitation.

Ten weeks to start throwing after UCL surgery sounds like a miracle timeline, until you’re the clinician staring at a stiff elbow, a deconditioned arm, and a protocol that assumes the athlete is further along than reality. We’re seeing more internal brace UCL repairs and fewer “classic” Tommy John reconstructions, and that shift is changing how baseball pitchers, gymnasts, and other overhead athletes move through rehab. We talk through what’s actually different about the internal brace proce...

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