Smoking aces? Tobacco use and ulnar collateral ligament re-tears
The reasons and causes for a UCL tear are numerous—poor pitching mechanics, too many pitches thrown, too many sliders, or even leverage and intensity of the situation when a pitch is thrown—and to this point, nothing seems to be the smoking gun of the root cause of all or even most UCL tears. Despite the simplicity of the elbow joint anatomically and biomechanically, the answer to this question remains complex.
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