Tommy John Surgery Newsbeat
Wednesday, July 22, 2015
So much for Yordano’s demotion.
Jason Vargas had an MRI today after he left last night’s outing in the second inning and the result was a torn ulnar collateral ligament, the injury most associated with Tommy John surgery. Typically for Tommy John surgery, a pitcher will miss 12-15 months, meaning Vargas is definitely out for all of this season and will likely miss most or all of 2016. The 32-year old left-hander had been out since June 8 with an flexor tendon strain, but returned last night after a rehab stint with AA Northwest Arkansas. For the year, Vargas had a 3.98 ERA in nine starts.
The 32-year old left-hander was 11-10 with a 3.71 ERA and 2.2 fWAR in his first season for the Royals in 2014. He signed a four-year $32 million contract before the 2014 season that will run through 2017.
Sunday, June 14, 2015
My theory is that it’s effort,” Wieters said. “Pitchers are now throwing with 100 percent effort almost every pitch they throw out there. I think back in the day, one, they didn’t have all the M.R.I.s and things to find it, but also those guys would save their 100 percent effort for when they needed it.”
Wieters said that Jim Palmer and Scott McGregor, who starred for the Orioles and retired in the 1980s, had told him that. But today’s pitchers, Wieters said, rarely last as long in games and face more home run threats throughout a lineup.
“Now, you have so many sixth-, seventh- and eighth-inning guys, the starters are just having to get through five innings, so they give everything they have on every pitch,” Wieters said. “With the way bullpens are set up now, one run can lose you the ballgame. So everything’s max effort, and I don’t think the elbow was meant to throw a baseball as hard as some of the guys are throwing it.”
Tuesday, May 19, 2015
Don’t want to get hurt, stop throwing so hard.
As you can see these results are more in line with Dr. Fleisig’s results (25% Major League pitchers). I don’t think it’s unreasonable there are some differences, however. This would depend on our methods of gathering the data and how we defined what a Major League pitcher is. My definition was very loose. Basically if a pitcher came up and threw one inning, then I put him in the results. The reason why I didn’t have a stricter definition of what a Major League pitcher was was because my goal wasn’t to find the percentage of Majors League pitchers who had Tommy John. Rather it was to examine the relationship between velocity and Tommy John surgeries. This is really just an added bonus. Also, Dr. Fleisig’s goal was to see how many current pitchers had Tommy John. My results are the percentage of pitchers who have had Tommy John since 2002 and 2007. We, however, now can accurately conclude, in my estimation, that Carroll’s results were way too high and that velocity does increase a player’s chance of having Tommy John.
This can make pitcher selection now very interesting. For example, if you are trying to decipher whether to get a pitcher who throws 96 MPH who is just as good as a pitcher who throws 90 MPH, you might be better off taking the guy who throws 90. By doing that you would be reducing the odds that that pitcher has Tommy John by about 7 to 10 percent, which is pretty good if you ask me. Also if you’re a GM or in fantasy and are terrified of relievers because you think they all tear their ulnar collateral ligaments, well you shouldn’t be. Your starters are actually slightly more likely to tear their UCL. There are of course other factors to consider here but these can serve as basic general guidelines. Finally velocity does increase your likelihood of tearing your UCL, although with starters the data is a little murkier.
Sunday, May 03, 2015
The Mets are among five teams that have agreed to allow the use of their pitchers taken in the 2014 draft to be involved in a study that is being run in accordance with MLB and the players association, as well as the American Sports Medicine Institute. While the Mets are involved in the pilot year, those in charge of research hope to eventually expand to all minor league pitchers and each team. [...]
Jeff Dugas is also trying to answer that question as well. A surgeon at Andrews Sports Medicine & Orthopaedic Center, he is performing a new surgical approach to torn ulnar collateral ligaments that could potentially cut down the recovery period for pitchers by at least six months. [...]
Dugas’ solution is a surgery that uses collagen-dipped super-tape. “Strong enough to tow a car with, basically,” he says. The tape is then attached to each end of the ligament and to the bone with an anchor, repairing the UCL back to where it tore off.
Posted: May 03, 2015 at 06:34 PM | 3 comment(s)
tommy john surgery
Friday, May 01, 2015
As expected, Homer Bailey’s 2015 season is over and he will undergo ulnar collateral ligament reconstruction in his right elbow, better known as “Tommy John” surgery.
Reds medical director Dr. Timothy Kremchek will perform the surgery next Friday in Cincinnati. Recovery from Tommy John surgery typically takes one year, meaning the Reds expect Bailey to return sometime next season.
Bailey, who turns 29 on Sunday, missed the end of 2014 with a right elbow flexor mass injury and had surgery to repair that injury last September. The Reds say the two injuries are unrelated….
Bailey signed a six-year deal worth $105 million last February.
Bailey was 9-5 with a 3.71 ERA in 23 starts in 2014 before his injury and made two starts for the Reds this season before going on the disabled list.
Monday, April 27, 2015
Nick Johnson thinks Brandon McCarthy is injury-prone.
Dodgers pitcher Brandon McCarthy got bad news with the results of his MRI on Monday. The right-hander has a torn ulnar collateral ligament in his right elbow, and is out for the season.
The club placed McCarthy on the 15-day disabled list on Monday. He is still talking though his options with doctors, but it seems unavoidable that Tommy John surgery in in McCarthy’s future.
“It certainly looks one direction and I don’t want to be one of those guys who plays the string out for a few months only to kind of waste everybody’s time, myself included,” McCarthy said. “If we need to get it done, we’ll get it done.”
The return timetable if McCarthy has surgery is 14-15 months, essentially putting him out until the 2016 All-Star break.
Wednesday, April 22, 2015
When will the game get serious about preventing these injuries? Stop pitchers from throwing so hard, MLB! THINK ABOUT THE CHILDREN!!
Earlier this year, Fleisig acknowledged to Grantland’s Jonah Keri that velocity could be an issue:
Velocity is a factor. All things being equal, throwing 95 miles per hour is more stressful than throwing 90. But throwing 95 miles per hour with good mechanics is less stressful than throwing 90 miles per hour with bad mechanics. Throwing 95 miles per hour with proper rest is less dangerous than throwing 90 miles per hour without rest.
Posted: April 22, 2015 at 06:56 AM | 6 comment(s)
tommy john surgery
Thursday, April 09, 2015
If you were just wondering where you could find lists and lists of Tommy John surgeries, have I got an article for you!
Posted: April 09, 2015 at 03:45 PM | 1 comment(s)
tommy john surgery
Sunday, March 29, 2015
Here’s some real hope for Yankees fans.
Still, Wainwright has no regrets about going with the nonsurgical option. He felt even better about it once he did have to go through the whole Tommy John ordeal.
“What I always tell people is, if you have a great chance to come back successfully, then you should not have the surgery,” Wainwright said. “People and parents don’t really understand the Tommy John procedure and how hard the rehab is. Even though they have great numbers to verify why you should have it, there’s still a percentage of people that don’t come back healthy.”
Wainwright said he’s often approached by parents asking if their son should have Tommy John—almost as if it’s an elective surgery—with the thought being that he’ll return with increased velocity.
Wainwright usually responds, “Well, does he have a blown-out ligament?”
If not, he recommends building up strength instead—in the shoulders, forearms and hands—to guard against injuries.
Friday, March 27, 2015
Shoulder injuries really suck. Fortunately, conditioning methods have improved.
Thursday, March 26, 2015
I need to see Bill’s high school stat line.
Hey Bill, on the Tommy John surgery boom, a couple of questions: 1) I’m pretty sure you’ve answered this in detail before, but is the proliferation mostly the result of Little League and high school kids throwing curveballs long before they should? And/or: 2) Were there a larger number of early-career burnouts before Tommy John? When I was in Little League (early ‘60s), our best pitcher threw a nasty curve. We dominated the league when he pitched, which was pretty much all the time because we only played a couple times a week. But I remember him asking the coach to take him out of a close game toward the end of the season because his arm was so sore. This may not have anything to do with TJ surgery, but I bring it up just because the curve has been a holy grail for pitchers for a long time.
Well, I’m not any kind of athlete, but I was on a high school baseball team that played for the state championship; I didn’t really play, but anybody who wanted to be was on the team in theory, and the other guys were pretty good. When we played in the state championship, the coach allowed our best pitcher to pitch a 7-inning complete game on Saturday and another on Sunday. Some of the questions you are asking don’t really have answers. In my view the increase in the number of surgeries is driven mostly by the lack of fear of the surgery. People aren’t really afraid of that surgery any more; we figure that almost everybody comes back from it, so if there are indications that there is going to be a problem, we’d rather get it taken care of at the start of a young player’s career, rather than when he is ready to move to the major leagues. There are probably other factors driving the frequency of the surgery as well, but exactly what they are is poorly understood, I think.
... in thinking about Brooks [Robinson] at 3B—or, say, Mariano Rivera at “closer—do you find yourself thinking “was this historically great player played out of position?” Should Brooks, really, have been playing shortstop? And would that have further boosted Brooks’ potential value in an overall historical perspective?...
Regarding Mariano as a starter. . ..one year the Red Sox beat up Mariano pretty badly toward end of the year, and I suggested to Terry Francona that maybe the Yankees had over-exposed him to us, let us see him too many times. Part of what made Mariano magic was that he pitched so few innings every year that he only faced each opposing hitter two to three times per year, on average, if the opponent was a regular. One year he pitched about 10 times against us, and we started to hit him really hard. I suggested to Terry that maybe we just saw him too much, but Terry didn’t buy it at all; he said, “No, we just happened to catch him two or three times when he didn’t have his best stuff.” I was never sure whether that was a “true” reaction or a politically correct-this-is-what-us-professionals-say-about-that type of reaction. . . .Regarding Brooks as a shortstop, Brooks didn’t have quick enough feet to be a shortstop. What made him wondrous was that, like John McDonald, he had that wondrous ability to put his glove in front of the ball in exactly the right position at exactly the right moment; of course, he had other skills that McDonald didn’t have. But his feet weren’t quick enough to have been a shortstop, I don’t think. But your point is a good one; there probably are Hall of Fame players who were sort of miscast. I always though Fisk probably should have played third, and might have been Mike Schmidt if he had.
Topical question: as a fan, it sort of bothers me when a young super-talent is indisputably one of a team’s 25 best for Opening Day, but gets sent down for three weeks to retain an extra year of club control. Is this an ethical issue, in your judgment, or perhaps the rules should be re-written to avoid this annual controversy?...
If the player uses the rules negotiated between the union and MLB to maximize his income, is that unethical? Of course it is not. Why, then, would it be unethical for the team to use those rules so as to maximize their return? It would raise an ethical issue if the young player was being exploited in some way, not given value for his contribution. But a player who has a STARTING salary of $500,000 a year cannot reasonably be seen to be exploited.
Reading about Darrel Evans made me wonder, have any players ever thanked you for what you wrote about them in the old abstracts? I remember for some of them, it seemed like you were the only guy who realised how good someone like Brian Downing, Ken Phelps or Ron Roenicke was, or could be. IF they got a chance.
Yes. . . .actually, a good many times. I have heard from Darrell Evans, not thanking me exactly, but I think he’s aware of what I have written about him; seemed to be. But we definitely hear from athletes who appreciate things that are said about them. . .not only me, but those I work with. One of the players who received a Fielding Bible Award, a lesser-known player, wrote to Baseball Info Solutions in February to thank them for the award.
Monday, March 23, 2015
When we think about pitchers who have recovered from Tommy John surgery, our minds tend to lock onto the successful ones. Tommy John himself. A.J. Burnett. Adam Wainwright. Jordan Zimmermann.
What is critical to understand is that one out of every five major pitchers who undergoes the operation never throws another pitch at that level. These are less familiar names, given their career-ending injuries. Ambiorix Burgos. Anthony Reyes. Macay McBride. Bill Simas.
The most recent data suggest that one out of two major league pitchers who has Tommy John surgery will throw fewer than 100 innings the rest of his big league career. Bill Bray. B.J. Ryan. Taylor Buchholz. Victor Zambrano.
Let this study be yet another combatant against the way of thinking shared by an incredible number of amateur players, parents and coaches who believe elective Tommy John surgeries are a good idea to improve performance and throw harder<.
This injury is no joke, and successful recovery from this surgery is no guarantee.
Posted: March 23, 2015 at 09:37 AM | 10 comment(s)
tommy john surgery
Thursday, March 19, 2015
Despite the external criticism, Abbott clearly stated he has no qualms with the Mets’ handling of Wheeler. He told the Record later Wednesday that Wheeler had been diagnosed with a bone spur, but there was no indication from medical professionals that the UCL would be impacted by continuing to pitch.
Wednesday, March 18, 2015
I found only 8 pitcher-seasons where a pitcher in his 20’s has thrown more than 3,200 pitches in less than 190 innings ... No pitcher has gotten less from more pitches than Zack Wheeler in the last decade. No pitcher, not one, has been pushed to throw as many pitches over as few innings as Zack Wheeler over the last decade (expanding the sample to 2005 includes Gil Meche, who retired early, Scott Kazmir, who fell apart and lost velocity, and Brad Penny). Here’s the decade-long list:
Tuesday, March 17, 2015
Sadly, I agree.
MLB is buying used cars, and paying for them and driving them like they’re new. They don’t have much choice, either, as there just aren’t that many pristine models released each year—as Keri and Dr. Fleisig suggest, MLB teams need to find that natural talent from Vermont who doesn’t play year round and hasn’t developed the same kind of injuries if they want to beat the system. Guess how many of those there are each summer? MLB has tried to slow this trend, but that’s mostly a PR campaign, not something they can actually influence unless they stop drafting the kids who decided to become baseball lifers at age 10. That’s not going to happen, at least not to the degree required for change to occur. Especially not when teams need more pitchers to protect themselves against all those pitchers they drafted.
So, for now, this is reality. Sorry to ruin your morning like that.
Posted: March 17, 2015 at 09:00 AM | 1 comment(s)
tommy john surgery
Monday, March 16, 2015
Maybe because Tommy John never played for the Brewers?
In September of 2014, there had been 53 Tommy John surgeries since 2012. This includes great or potentially great pitchers like Jose Fernandez, Kris Medlen, Brandon Beachy, Matt Moore, Martin Perez and Tyler Skaggs. Sometimes players come back from Tommy John surgery and are as strong as ever. Some players never recover fully. Some have the surgery multiple times in their career. Some don’t even make it back.
Tommy John was always a concern, but it seems to have blown up in the last few years. Somehow, though, the Brewers have been one of a handful of teams to escape the wrath of the surgery fairly well. Using Jon Roegele’s amazing spreadsheet of organizational Tommy John surgeries over time, the Brewers have seen the second-fewest number of Tommy John surgeries from pitchers over the last 10 years…
Only the Giants have had fewer pitchers undergo Tommy John surgery in the last 10 years within their organization. Not a single team has had fewer Major League pitchers need the procedure.
Another young pitcher looks to be going under the knife.
The Mets’ worst fears regarding Zack Wheeler came true.
The right-hander received a preliminary diagnosis of a torn UCL in his right elbow after the results of his MRI exam were reviewed Monday at Hospital for Special Surgery.
Wheeler is expected to undergo Tommy John surgery. He also could opt for rest and rehab — a la the Yankees’ Masahiro Tanaka — depending on the severity of the tear. Surgery would mean Wheeler would miss the entire 2015 season, a significant blow to the Mets’ postseason hopes.
Tuesday, March 10, 2015
Monday, March 09, 2015
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