Dr. James Andrews releases a position paper on the Tommy John surgery epidemic

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We have posted about this a few times when Dr. James Andrews has given interviews on the subject of what he calls an “epidemic” in UCL tears and attendant Tommy John surgery. But now he and his American Sports Medicine have released a position paper on the matter.

In it he outlines the risk factors for Tommy John surgery, common misconceptions about it and his recommendations for pitchers and teams to limit the risk of needing it. As for that last part, this recommendation is likely to get the most play and, if heeded, affect the most change:

Do not always pitch with 100% effort. The best professional pitchers pitch with a range of ball velocity, good ball movement, good control, and consistent mechanics among their pitches. The professional pitcher’s objectives are to prevent baserunners and runs, not to light up the radar gun.

I think major league teams know that in practice once they have a pitcher and are developing him. But the defining trait of a scout is his radar gun, and young pitchers are conditioned to want to light it up when they see a scout checking them out. Good pitchers change speed and create movement. Young pitchers get noticed, however, when they throw in the 90s. It’ll be interesting to see if this changes that at all.

Anyway, consider thus must-click material. And something to bookmark if you’re at all interested in the subject.

Wilson Ramos suffers head injury on Ruben Tejada’s backswing

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Rays catcher Wilson Ramos had to exit Monday night’s game against the Orioles in the fifth inning after suffering a head injury. Ruben Tejada broke his bat on a ground out and the barrel hit Ramos in his helmet. Rich Dubroff reports that Ramos needed six staples to close a laceration on his head.

Ramos will continue to be evaluated under MLB’s concussion protocol. He may wind up on the seven-day concussion disabled list.

Ramos, 29, entered Monday’s action batting .222/.259/.426 with three home runs and 11 RBI in 59 plate appearances. He was 0-for-2 before being replaced by Jesus Sucre.

Video: Manny Machado and Jonathan Schoop turn a sweet 5-4-3 double play

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Orioles third baseman Manny Machado and second baseman Jonathan Schoop teamed up to turn an impressive 5-4-3 double play in the bottom of the first inning of Monday night’s game against the Rays.

Steven Souza, Jr. led off the frame with a single. Corey Dickerson struck out, bringing Evan Longoria to the dish. Longoria sharply grounded a 1-2 fastball from Kevin Gausman to Machado, who showcased his strong arm with a perfect feed to Schoop at the second base bag despite his momentum taking him towards into territory. Schoop made an off-balance throw to first to complete the twin-killing.

The Orioles took the lead in the top of the third when Adam Jones hit a solo home run off of Ian Snell.