tommy john surgery

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.

Cam Bedrosian weighing surgery to remove a blood clot

ANAHEIM, CA - AUGUST 2: Pitcher Cam Bedrosian #68 of the Los Angeles Angels of Anaheim throws against the Oakland Athletics during the ninth inning at Angel Stadium of Anaheim August 2, 2016, in Anaheim, California. Angels defeated the Athletics, 5-4. (Photo by Kevork Djansezian/Getty Images)
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Angels reliever Cam Bedrosian will take the next few days to decide whether or not to undergo surgery to remove a blood clot naer his right armpit, Mike DiGiovanna of the Los Angeles Times reports. The alternative is to treat the clot with blood-thinners and rest.

Bedrosian, 24, hasn’t pitched since blowing a save against the Athletics on August 3, shortly after he took over the closer’s role from the injured Huston Street. Bedrosian was diagnosed with flexor tendinitis in the middle finger of his throwing hand about a week later.

Overall, Bedrosian — the son of former major league closer Steve — has had an outstanding season, compiling a 1.12 ERA with a 51/14 K/BB ratio in 40 1/3 innings.

Shelby Miller will return to D-Backs’ rotation on Wednesday

PHOENIX, AZ - JULY 06:  Shelby Miller #26 of the Arizona Diamondbacks delivers a pitch during the first inning against the San Diego Padres at Chase Field on July 6, 2016 in Phoenix, Arizona.  (Photo by Jennifer Stewart/Getty Images)
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Nick Piecoro of the Arizona Republic reports that Shelby Miller will return to the Diamondbacks’ starting rotation on Wednesday to start against the Giants at AT&T Field.

Miller had an abysmal first half of the season, which included a stint on the disabled list with a finger injury caused by his follow-through. In 14 starts with the D-Backs this season, Miller put up a 7.14 ERA with a 50/34 K/BB ratio in 69 1/3 innings.

Miller was demoted to Triple-A Reno and made his first start shortly after the All-Star break. In eight starts in the minors, Miller compiled a much-improved 3.91 ERA with a 55/10 K/BB ratio in 50 2/3 innings.

The Diamondbacks acquired Miller along with minor leaguer Gabe Speier from the Braves this past winter in a heavily-criticized trade that sent Ender Inciarte, Aaron Blair, and 2015 No. 1 overall pick Dansby Swanson to Atlanta.