Altchek et al. medial collateral ligament reconstruction through muscle-splitting approach and using single closed-end humeral tunnel. A, Incision through flexor carpi ulnaris. B, Submuscular exposure of medial collateral ligament. C, Ulnar tunnel and single humeral tunnel and exit holes for two suture bundles. D, Graft passage through ulnar tunnel from anterior to posterior. E, Posterior limb of graft is docked in humeral tunnel. Elbow is reduced with varus stress; and after final tensioning of graft, Krackow stitch is placed in anterior limb of graft. SEE TECHNIQUE 47.15.