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.

Masahiro Tanaka throws a Maddux

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You do know what a Maddux is, right? In case you forgot, it’s a complete game shutout in which the starter throws fewer than 100 pitches. Friend of HBT Jason Lukehart invented that little metric and, because Greg Maddux is my favorite player ever, it’s pretty much my favorite stat ever.

In the Yankees-Red Sox game tonight it was Masahiro Tanaka doing the honors, tossing 97-pitch three-hitter in which he only allowed one runner to reach second base to beat Boston 3-0. He only struck out three but he didn’t walk anyone. He retired the last 14 batters he faced.

Chris Sale was no slouch himself, striking out ten in eight innings. He’s pitched great this year but he’s not getting any help. The Sox have only scored four runs in his five starts. Boston has scored only 13 runs in their last seven games. They’ve been shut out three times in the past seven. They scored more runs than anyone last year, by the way.

The game only took two hours and twenty-one minutes. Or, like, half the time of a Yankees-Red Sox game in the early 2000s. Progress, people. We’re making progress.

Shelby Miller has a tear in his UCL, considering Tommy John surgery

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Nick Piecoro of the Arizona Republic reports that Diamondbacks pitcher Shelby Miller has a tear in his ulnar collateral ligament and is considering undergoing Tommy John surgery. Surgery would end Miller’s 2017 season and would cut into a significant portion — if not all — of his 2018 season as well.

Miller sent his MRI results to Dr. Neal ElAttrache and Dr. James Andrews for second and third opinions, respectively. He could choose to rehab his elbow rather than undergo surgery, but that comes with its own set of positives and negatives.

Miller lasted only four-plus innings in his most recent start on Sunday and carries a 4.09 ERA on the season, his second with the Diamondbacks. His time in Arizona has not gone well.