Dr. James Andrews explains why Tommy John surgery is on the rise

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Dr. James Andrews was on Sirius/XM radio’s “Power Alley” with Mike Ferrin and Jim Duquette yesterday, talking about Tommy John surgery. He was asked why there seem to be so many guys needing TJ surgery these days.

His answer: it’s not an anomaly, it’s a trend. And an alarming one, he says, in that so many more of the surgeries he’s performing are for high school pitchers as opposed to professionals with a few years under their belt. Kids are bigger and stronger these days, and their ability to throw harder is outpacing the development of their ulnar collateral ligaments.

But the biggest risk factor he and his researchers are seeing: year-round baseball. The fact that not only do pitchers throw year-round, but that they are pitching in competition year-round, and don’t have time to recover. Also: young players are playing in more than one league, where pitch count and innings rules aren’t coordinated. Another factor: the radar gun. Young pitchers who throw over 85 or so are at risk, and all of them who are on a major league track are throwing that fast or faster, and are going up in effort when scouts with guns are around.

Ultimately, you can’t prevent these injuries. Even for the major leaguers, most of whom were damaged in high school only to have the UCL injuries happen once they’ve hit the pros.

Give a listen to the TJ expert.

Video: Gift Ngoepe singles in his first major league at-bat

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Pirates infielder Gift Ngoepe, just called up from Triple-A Indianapolis, singled in his first major league at-bat on Wednesday evening against Cubs starter Jon Lester. It was a well-struck ground ball up the middle in the bottom of the fourth inning. Unfortunately for him, the Pirates could not bring him around to score.

Ngoepe, who was pinch-hitting, stayed in the game to play second base.

Shelby Miller getting third opinion on elbow from Dr. James Andrews

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Diamondbacks starter Shelby Miller was placed on the 10-day disabled list on Monday due to inflammation in his right elbow. He had a second opinion from Dr. Neal ElAttrache on Tuesday and is currently awaiting a third opinion from Dr. James Andrews, Craig Grialou of Arizona Sports reports. That he’s getting a third opinion seems to imply that Miller’s elbow issue is rather serious.

Miller, 26, hasn’t been able to catch a break since joining the Diamondbacks. Last year’s nightmarish season included a finger injury stemming from mechanical woes and a brief demotion to the minor leagues. In 20 starts in the majors last year, Miller posted an ugly 6.15 ERA. This year, his ERA is a mediocre 4.09 over four starts.

The Diamondbacks called up Zack Godley to take Miller’s spot in the rotation. There was some speculation that it would be Archie Bradley instead, but he’s been working out of the bullpen.