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Monday, March 10, 2008

Medical News Today: Comeback To A Pre-injury Level Disappointing For Professional Baseball Players

Put your glove away, Sandy. It’s over.

Only 45 percent of baseball players were able to return to the game at the same or higher level after shoulder or elbow surgery, according to new research released during the 2008 American Orthopaedic Society for Sports Medicine Specialty Day at The Moscone Center.

“In an ideal world, of course, we would get 100 percent of the players back to their pre-injury level or higher,” says Steven B. Cohen, MD, assistant team physician for the Philadelphia Phillies and director of Sports Medicine Research at the Rothman Institute in Philadelphia. “But the fact of the matter is at this elite level of the sport, the physical demands of throwing have much higher requirements than the regular person on the street. The average person who has shoulder or elbow surgery can return to their regular activities. Throwing a baseball at the professional level puts a significant amount of stress on the shoulder and the elbow.”

..."As a surgeon, obviously these statistics were disappointing and somewhat lower than what we would like them to be,” said Cohen. “This may give us cause, however, to look at how we evaluate and treat these injuries to the throwing arm. Our goal is to get these elite athletes back to their premier pre-injury health. This is important both to the player who is making a living off his athletic ability and the organization that wants its players in top shape. We may need to examine if there is a way to ‘fine-tune’ these procedures to customize them for the demands of a professional baseball player.”

Repoz Posted: March 10, 2008 at 08:41 AM | 6 comment(s)
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   1. AROM Posted: March 10, 2008 at 09:09 AM (#2709636)
A key finding of the study was that players returning after elbow surgery were more likely to comeback to the same or higher playing level than those who had shoulder surgery.


Too bad they don't break that part down. My guess is 80% of the elbow injuries fully recover but only 15-20% of the shoulder injuries.
   2. Ray DiPerna Posted: March 10, 2008 at 10:53 AM (#2709710)
Too bad they don't break that part down. My guess is 80% of the elbow injuries fully recover but only 15-20% of the shoulder injuries.


I'd also like to know whether "same or higher playing level" includes durability, or is just rate. (And what they're using to measure playing level.) It seems like the elbow guys generally come back at their same rate of performance, but they seem to be less durable thereafter.

So who are the pitchers who best recovered after major shoulder surgery? Schilling? Martinez came back well at the end of last year; we'll see how he performs this year.
   3. Dan Szymborski Posted: March 10, 2008 at 11:02 AM (#2709720)
I would think that in an ideal world, the players wouldn't get injured to start with. And the mailman would bring me a nondescript briefcase full of $100 bills every day.
   4. Pops Freshenmeyer Posted: March 10, 2008 at 11:05 AM (#2709722)
So who are the pitchers who best recovered after major shoulder surgery?

Chris Carpenter
   5. The Piehole of David Wells Posted: March 10, 2008 at 12:29 PM (#2709804)
Only 45 percent of baseball players were able to return to the game at the same or higher level after shoulder or elbow surgery, according to new research released during the 2008 American Orthopaedic Society for Sports Medicine Specialty Day at The Moscone Center.


i had no idea the success rate was so high. 45%, almost a coin flip whether or not you're going to come back and perform at the same level. that's pretty outstanding, i think.
   6. AROM Posted: March 10, 2008 at 12:41 PM (#2709816)
I don't think it's a coin flip, lumping shoulder and elbow injuries together doesn't make sense. They admit you are more likely to return from elbow injuries but don't give the breakdown.

It's kinda like, "people hit in the head by projectiles such as bullets and rubber bands are 50% likely to survive, says a study of 50 people, 25 hit by bullets and 25 by rubber bands" I wouldn't call that a coin flip.
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