RT Journal A1 Kini, Sunil Gurpur T1 Traumatic Valgus Instability of the Elbow JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD May 1 VO 91 IS 5 SP 1275 OP 1275 DO UL http://dx.doi.org/ AB I read with interest the article "Traumatic Valgus Instability of the Elbow: Pathoanatomy and Results of Direct Repair" (2008;90:2416-22), by Richard et al. Repair of avulsion injuries of the ulnar collateral ligament has yielded better results than repair of midsubstance tears, but the superiority of the outcomes of operative treatment of isolated medial ligament injuries, as compared with the outcomes of nonoperative treatment, is questionable. I would like to ask the authors to comment on the following.