tommy john surgery

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


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.

Braves pitcher Matt Marksberry woken up from medically induced coma

ATLANTA, GA - AUGUST 4: Matt Marksberry #66 of the Atlanta Braves throws an eighth inning pitch against the San Francisco Giants at Turner Field on August 4, 2015 in Atlanta, Georgia. (Photo by Scott Cunningham/Getty Images)
Scott Cunningham/Getty Images

David O’Brien of the Atlanta Journal-Constitution reports that Braves pitcher Matt Marksberry has been woken up from a medically-induced coma at an Orlando-area hospital. Marksberry complained of stomach pain and went in for a colonoscopy on Tuesday. During the procedure, he suffered a seizure and a collapsed lung.

Marksberry’s brother Ethan said on Facebook that doctors were removing an endotracheal tube, preparing to wake him from from the coma.

Marksberry tweeted on Monday:

Here’s hoping for the best for Marksberry as he recovers from this scary health issue.

Marksberry, 26, missed the last two months of the season with a shoulder injury. He spent most of the season with Triple-A Gwinnett but did face 17 batters at the big league level for the Braves this season.

Here are the lineups for NLCS Game 5

David Ross
Getty Images

It’s tied 2-2, but if you’re like most people you have feelings about who has an edge.

Maybe you’re a “momentum” person and you like the Cubs’ current vibe because they scored a bunch last night. Maybe you’re a “momentum is your next day’s starting pitcher” guy, and you prefer either Jon Lester or Kenta Maeda. Or maybe you’re playing chess with all of this and thinking a couple of moves ahead. As in “yes, the Cubs have an advantage tonight because Lester is better than Maeda, but if they DON’T win tonight they’re screwed because then they have to face Kershaw and Hill in Games 6 and 7.”

I dunno. I find all of that rather exhausting. Let’s just watch and see what happens. Here’s who will be doing the happening:


1. Dexter Fowler (S) CF
2. Kris Bryant (R) 3B
3. Anthony Rizzo (L) 1B
4. Ben Zobrist (S) LF
5. Javier Baez (R) 2B
6. Jason Heyward (L) RF
7. Addison Russell (R) SS
8. David Ross (R) C
9. Jon Lester (L) LHP


1. Kiké Hernández (R) 2B
2. Justin Turner (R) 3B
3. Corey Seager (L) SS
4. Carlos Ruiz (R) C
5. Howie Kendrick (R) LF
6. Adrian González (L) 1B
7. Yasiel Puig (R) RF
8. Joc Pederson (L) CF
9. Kenta Maeda (R) RHP