Valgus instability of the elbow in athletes is uncommon among athletes in g
eneral, but has a higher incidence in individuals who throw repetitively. W
hen valgus overload injury results in disabling symptoms for the athlete, s
urgical reconstruction of the anterior band of the ulnar collateral ligamen
t may be indicated. This procedure has been successful in getting athletes
back to premorbid levels of competition. The authors provide a comprehensiv
e review of valgus instability of the elbow and offer their preferred metho
d of treatment.