Almost all of us who talk about Tommy John surgery are not doctors and are not versed in biomechanics. So that should give you pretty fair warning that, for the most part, we’re just spittin’ into the wind when it comes to the “what should be done?” part of this conversation.
Personally I’ll defer to Dr. Andrews and people like him and take them for their word that most of the ligament damage in young pitchers happens well before they’ve hit the big leagues and likely happened well before they made it to pro ball. The development of kids’ muscles are outpacing the development of their ligaments, Andrews says, allowing them to put more stress on a UCL than it was designed to handle. That plus kids simply being overworked and pitching year-round in multiple leagues means that the TJ cake is already baked by the time we know who these dudes are.
Tom Verducci is in lock step with Andrews with all of that, so I’ll go along with his ideas on the topic to a certain degree. Against that backdrop he suggests doing something to limit the amount of strain on those still-developing UCLs: lower the mound:
What can be done? It’s time for Major League Baseball to lower the mound — and for the entire amateur market to follow its lead. When I took part in an MLB Network roundtable discussion last week on the epidemic of Tommy John surgeries, what struck me as most profound was the statement of fact by both Mets team physician Dr. David Altchek and biomechanics expert and former pitcher Tom House that the greater the slope of the mound the greater the forces that are applied to the arm. Reduce the height of the mound and you reduce the forces upon the arm.
Of course, given that he and Dr. Andrews both say that the problem really occurs before the guys get to the bigs, I don’t know that lowering the mound at the MLB level would do much to solve the problem and the byproducts of that — most likely dramatically increased offense — will end up putting the same sort of pressure to develop pitching that we saw in the 1990s and 2000s, the fruit of which is being harvested today. That in turn would place even more of a premium on hard-throwers and would incentivize kids and their parents to churn out even more impressive pitching phenoms, no matter the cost. So many unintended consequences. Like, say, kids throwing even gnarlier pitches their arms aren’t ready for. Leagues not really lowering the mounds because, hey, who’s gonna measure them?
I don’t know that you can crack that nut without Major League Baseball actually becoming a hands-on authority over youth baseball to one degree or another. The incentives are just too detached right now to ensure change. Youth coaches and parents are aimed at winning now and/or having their kids get drafted and paid at 18-21, and they don’t give much of a toss to what happens at 25. MLB has little if any interest in ensuring the well-being of their own minor leaguers, so how in the hell do we expect them to take any kind of ownership or exert any kind of authority over youth baseball?
I don’t think there are any solutions here. At least those that MLB can just impose via a rules change. This is a medical and a societal issue and those sorts of things aren’t amenable to quick fixes.
Jacob deGrom put together one of the best post-season starts in Mets history, outdueling three-time Cy Young Award winner Clayton Kershaw to pitch his team into a 1-0 NLDS lead. The right-hander fanned 13 over seven shutout innings, holding the Dodgers to five hits and a walk as the Mets won 3-1.
deGrom’s game score of 79 is the fifth-best by a Mets starter in the playoffs, behind Jon Matlack, Mike Hampton, Bobby Jones, and Tom Seaver, according to Baseball Reference. As Katie Sharp notes on Twitter, deGrom is one of three pitchers to hold the opposition scoreless on 13 or more strikeouts and one or fewer walks. The other two are Tim Lincecum and Mike Scott.
In the eighth inning, reliever Tyler Clippard allowed a one-out double to Howie Kendrick followed by an RBI single to Adrian Gonzalez as the Dodgers finally got on the board. Closer Jeurys Familia entered and recorded the final out of the eighth inning by inducing a weak line out from Justin Turner. In the ninth, Familia worked a 1-2-3 frame to wrap up the game.
Kershaw remains winless in the post-season since Game 1 of the 2013 NLDS, a span of seven starts. He gave up a solo home run to Daniel Murphy in the fourth inning, then walked the bases loaded in the seventh inning before departing with two outs. Reliever Pedro Baez entered and allowed two of his inherited runners to score when David Wright lined a single to center field. On the evening, Kershaw was on the hook for three runs on four hits and four walks with 11 strikeouts. Though he lost his command a bit towards the end of his start, the lefty pitched quite well and will be on the receiving end of some unnecessary criticism as a result of taking another post-season loss.
deGrom and Kershaw both struck out 11 batters, the first time that has happened in a major league post-season game.
Michael Cuddyer didn’t look too good out in left field for the Mets.
Game 2 of the NLDS will continue on Saturday at 9:00 PM EDT. Noah Syndergaard will start for the Mets opposite Zack Greinke of the Dodgers.
For the first time in major league history, both pitchers in a playoff game have struck out at least 11 batters, per MLB.com’s Paul Casella. Mets starter Jacob deGrom has pitched just a hair better than Dodgers starter Clayton Kershaw overall. deGrom has blanked the Dodgers over six frames on five hits and a walk. Kershaw made one mistake, resulting in a solo home run to Daniel Murphy in the fourth inning. He’s allowed four hits and four walks total in 6 2/3 innings.
The last time opposing starters each struck out 10 in a post-season game was back in 1944 in Game 5 of the World Series when Mort Cooper of the St. Louis Cardinals struck out 12 and Denny Galehouse of the St. Louis Browns struck out 10.
Mets outfielder Michael Cuddyer has already made a pair of mistakes in left field and he’s only four innings into the first game of the best-of-five NLDS against the Dodgers.
Leading off the second inning, Justin Turner sent a well-struck liner to Cuddyer which was quite catchable, but the ball clanked off of the veteran’s glove. Turner was credited with a double. Mets starter Jacob deGrom was able to work around the misplay, striking out Andre Ethier, A.J. Ellis, and Clayton Kershaw to close out the frame.
With two outs in the third inning, Corey Seager sent a fly ball down the left field line. Cuddyer took an inefficient route and the ball bounced about a foot inside the foul line, then into the stands, giving Seager a ground-rule double. To add insult to injury, Cuddyer ended up tumbling over the fence. deGrom, again, worked around Cuddyer’s mistake, striking out Adrian Gonzalez to end the inning.
Because he bats right-handed, Cuddyer got the start in left field over the left-handed-hitting rookie Michael Conforto against Kershaw, a southpaw. Conforto mustered only a .481 OPS against lefties this season compared to Cuddyer’s .698. Despite the batting disparity, one wonders how short a leash manager Terry Collins has on Cuddyer given his defense.