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.

The St. Louis Cardinals announce their first Pride Night

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The St. Louis Cardinals announced today that they will hold their first Pride Night on August 25th.

A lot of teams have Pride Nights, but it’s worth noting that the Cardinals are holding one given some bad press — some fair, some unfair — they have received in recent years when it comes to matters of diversity and inclusion.

Earlier this month the club received criticism from the LGBT community due to Lance Berkman’s presence for the team’s annual Christian Day, given his past comments about transgender people and his participation in a Houston political campaign over access to public restrooms. Recently, a former Cardinals minor league player claimed he left baseball after enduring anti-gay comments from his coaches and teammates.

As club president Bill DeWitt III noted in the official announcement however, the Cardinals have hosted LGBT groups in the past. He says that the club is eager to “remind fans that everyone is welcome at Busch Stadium.” He notes that the event will raise money for the PrideSTL Scholarship Fund which, in DeWitt’s words, “help courageous students in our community.”

Nice move, Cardinals.

Johnny Cueto expected to opt-out of his deal after the season

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Johnny Cueto signed a six-year $130 million deal with the Giants prior to the 2016 season. In his first season he went 18-5 with a 2.79 ERA and 198 strikeouts in 219.2 innings, helping lead the Giants to the playoffs. This season has been rocky for Cueto — he’s got a a 4.42 ERA in 15 starts and has battled blisters — but they’ve been far rockier for the Giants overall, as they sit in last place in the NL West and have the second worst record in baseball.

Many suspect that the Giants will either rebuild or, at the very least, restructure some in response to this nightmare year. If so, they’re likely going to be doing it with Cueto, who Jon Heyman reports is going to opt-out of his deal:

San Francisco Giants starting pitcher Johnny Cueto is planning to opt out of his contract at the end of the year, but he would listen to any extension offer . . . Cueto has $84 million to go over four years. It would probably take an injury or major slump for Cueto not to opt out. But it makes sense that he will.

Heyman says the Giants are not inclined to give him an extension, so expect to see Cueto on the free agent market three days after the World Series ends, which is the deadline for him to exercise his opt-out rights.