Is pitcher’s elbow surgery the only way to fix a bad UCL elblow ligament? MD is a 22 year old college baseball pitcher who had a partial tear of his right ulnar collateral ligament (anterior portion). This little ligament helps to hold together the outside of the elbow and helps guide the main elbow joint. This ligament can become torn or frayed with pitching. Rather than move to a stem cell injection, we felt it more appropriate to start with PRP (Platelet Rich Plasma) which would likely be enough to handle this type of injury. This was due to the fact that PRP generally works well in a ligament injury in an otherwise young and healthy athlete. Rather than use a bedside centrifuge where it’s never known with any accuracy the exact dose of PRP injected, we had our cell biology lab handle the task of creating PRP to more exacting specifications. We used x-ray guidance for the injection to ensure proper placement of the PRP into the ulnar collateral ligament. MD did well, with a report of 80% improvement at 6 months out from his procedure.