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Monday, April 07, 2014

Perrotto: Taillon to undergo Tommy John surgery

One of the ball-of-fire Pirate announcers said that…“30% of pitchers today get Tommy John surgery and in the future all pitchers will have it done.”

Jameson Taillon won’t be joining the Pirates as a midseason reinforcement to their starting rotation.

In fact, the organization’s top pitching prospect won’t even be in the Pirates’ rotation at the start of next season.

The 22-year-old right-hander will undergo Tommy John reconstructive elbow surgery that will force him to miss the entire season and possibly up to 18 months. The Pirates had planned to have Taillon begin the season at Class AAA Indianapolis with an eye on promoting him at some point during the summer.

Dr. David Altcheck will perform the surgery at a date to be determined at the New York Hospital for Special Surgery. Taillon was examined by three different orthopedic surgeons and all recommended surgery because of a partial tear in the ulnar collateral ligament in his elbow.

Taillon, 22, began feeling pain in his elbow with two weeks remaining in spring training after being assigned by the Pirates to their minor league camp. Doctors prescribed two weeks of rest but Taillon again felt pain when he tried to throw again.

While Taillon does not have a fully torn ligament, Altchek felt it was compromised to the point where surgery was necessary.

“This was more of an acute injury and that’s where the ligament’s been compromised,” Pirates general manager Neal Huntington said. “Probably felt it more on one pitch than anything else but it wasn’t like a clear rupture of the ligament where it’s a no-brainer to have Tommy John. The ligament was compromised.

“The course of action was a conservative, aggressive rehab treatment. But his symptoms just didn’t get better. He and we felt that it was best to go ahead and have the surgery now.”

Repoz Posted: April 07, 2014 at 04:49 AM | 11 comment(s) Login to Bookmark
  Tags: pirates

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   1. PASTE Thinks This Trout Kid Might Be OK (Zeth) Posted: April 07, 2014 at 07:53 AM (#4680756)
I don't really understand the rehab treatment of painfully damaged UCLs hypothesis. Has that ever worked? Defining "worked" as "delayed Tommy John surgery by more than a couple months."

I guess the Pirates did that with Wandy and he hasn't had Tommy John yet (though he missed the second half of last season). I'm skeptical.
   2. KT's Pot Arb Posted: April 07, 2014 at 01:39 PM (#4681085)
When will baseballs long tribute to to the life of Frank Jobe ever end?
   3. DL from MN Posted: April 07, 2014 at 01:42 PM (#4681092)
When will baseballs long tribute to to the life of Frank Jobe ever end?


When a new surgical technique is invented that works better
   4. What did Billy Ripken have against ElRoy Face? Posted: April 07, 2014 at 03:06 PM (#4681196)
“30% of pitchers today get Tommy John surgery


Man, how many ligaments can they take out of poor Tommy John?
   5. JE (Jason Epstein) Posted: April 07, 2014 at 03:19 PM (#4681214)
Isn't it funny that Tommy John needed Tommy John surgery to pitch again?

I tell ya, it never gets old.
   6. zonk Posted: April 07, 2014 at 04:24 PM (#4681295)
I don't really understand the rehab treatment of painfully damaged UCLs hypothesis. Has that ever worked? Defining "worked" as "delayed Tommy John surgery by more than a couple months."

I guess the Pirates did that with Wandy and he hasn't had Tommy John yet (though he missed the second half of last season). I'm skeptical.


I think it depends on where you're at as a team coupled with where the pitcher is in your plans...

The Pirates ought to contend again, so maybe you see if you can squeeze a season - or at least a dozen or so starts from an electric arm - out your top pitching prospect... If it doesn't work, you still have him under team control for 6 more years. If it does, flags fly forever.

This sounds like it was basically just two lost weeks... and the Pirates/Taillon immediately recognized that it didn't work, so that's that. Hard to fault anyone here...
   7. geonose Posted: April 07, 2014 at 04:41 PM (#4681322)
I don't really understand the rehab treatment of painfully damaged UCLs hypothesis. Has that ever worked? Defining "worked" as "delayed Tommy John surgery by more than a couple months."

Luke Hochevar originally tore his UCL in 2011, did the rest and rehab thing, and didn't have Tommy John surgery until last month.

Adam Wainwright's initial UCL injury was in 2004; he didn't have TJS until 2011.

There are others. It's more common than you think. However, I imagine it is fair to say that anybody who has a diagnosed UCL tear will eventually have to have the surgery if he keeps on pitching.
   8. What did Billy Ripken have against ElRoy Face? Posted: April 07, 2014 at 04:56 PM (#4681345)
I don't really understand the rehab treatment of painfully damaged UCLs hypothesis. Has that ever worked? Defining "worked" as "delayed Tommy John surgery by more than a couple months."


I asked this when Harvey originally was considering it, and didn't get many examples. Wainwright may be the one outlier who was able to keep pitching for a while - 99% of the time, it seems like it just results in the pitcher missing a bunch of time and then still having the TJ.
   9. Spahn Insane Posted: April 07, 2014 at 05:15 PM (#4681370)
Isn't it funny that Tommy John needed Tommy John surgery to pitch again?

I tell ya, it never gets old.


He's just lucky his folks had the sense not to name him Lou Gehrig.
   10. What did Billy Ripken have against ElRoy Face? Posted: April 07, 2014 at 05:40 PM (#4681408)
He's just lucky his folks had the sense not to name him Lou Gehrig.


Or Heart Failure.
   11. Sleepy supports unauthorized rambling Posted: April 08, 2014 at 01:49 AM (#4681637)
This sounds like it was basically just two lost weeks... and the Pirates/Taillon immediately recognized that it didn't work, so that's that. Hard to fault anyone here...


If anything, it's probably pretty frustrating for Taillon, since he'll get paid as a minor leaguer while on the DL, instead of as a major league player. And he won't get any ML service time.

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