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.

Astros push ALCS to Game 7 with 7-1 stunner against Yankees

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There’s just something about playing in your home ballpark. The Astros decimated the Yankees at Minute Maid Park on Friday, riding seven scoreless innings from Justin Verlander and a pair of big runs from Jose Altuve to win 7-1 and force a Game 7 in the American League Championship Series.

Through the first four innings, however, the teams looked equally matched. Luis Severino no-hit the Astros through 3 2/3 innings, losing his bid on Carlos Correa‘s line drive single in the fourth. The Astros returned in the fifth to do some real damage, drawing two walks and plating the first run of the night with Brian McCann‘s ground-rule double off of the right field wall. Things didn’t get any easier for Severino. Jose Altuve lined a two-RBI base hit into left field, upping Houston’s advantage to three runs.

Verlander, meanwhile, muted the Yankees’ offense with seven innings of five-hit, eight-strikeout ball. While he didn’t come close to matching his complete game effort in Game 2, he was still plenty dominant against a struggling New York lineup. No player reached past first base until the sixth inning, when a pair of base hits from Chase Headley and Didi Gregorius gave the Yankees their first runner in scoring position. That didn’t last long, though, as Gary Sanchez grounded out on a 3-0 slider to end the inning.

In the seventh, Houston’s ace got into another spot of trouble. He walked Greg Bird on six pitches to start the inning, then plunked Starlin Castro on the wrist. Aaron Hicks struck out, in part thanks to a questionable call by home plate umpire Jim Reynolds, but it was Todd Frazier who presented the biggest threat after returning an 0-1 fastball for a 403-foot fly out to left field. Luckily for Verlander, George Springer was there to bail him out with a leaping catch at the wall.

The Yankees kept things exciting in the eighth, too. Aaron Judge ripped his third postseason home run off of Brad Peacock, taking a 425-footer out to the train in left field to spoil the Astros’ shutout. That was the only real break the Yankees got, however, as Altuve, Alex Bregman and Evan Gattis returned in the bottom of the inning to tack on another four runs, including Altuve’s solo shot off of David Robertson:

Ken Giles handled the ninth, expending 23 pitches and giving up a base hit and a walk before retiring Frazier and Headley to end the game. Thanks to Houston’s winning efforts, the two teams will compete in their first seven-game Championship Series since 2004 — and this time, at least one of them is guaranteed to come away with a win.

Game 7 of the ALCS is set for Saturday at 8:00 PM ET. Houston right-hander Charlie Morton (14-7, 3.62 ERA) is scheduled to face southpaw CC Sabathia (14-5, 3.69 ERA).