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.

Dustin Pedroia going back on injured list

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Welp, that didn’t last long. Red Sox second baseman Dustin Pedroia is going back on the injured list with more knee issues. If it matters the Sox say it’s not a big deal and they expect him back sooner rather than later, but they also said that his post-2017 knee surgery was just a “cleanup” at first and that basically cost him a year. So.

Pedroia has played in six games and is 2-for-20 with a walk.

I don’t think it’s hyperbole to say that Pedroia’s career may be nearing an end. Sure, he’s under contract for two more years after this season, but he’s also in a unfortunate spiral that so many players experience in their mid-to-late 30s.

Running a website like this makes it all the clearer, actually. When you search a player’s name in our CMS, you get every post in which he appears in reverse chronological order. Just about every long-tenured player ends with about six posts in which he is alternately placed on and activated from the disabled/injured list. Then an offseason link to a big feature in which he’s written about as being “at a crossroads” followed by something vague about “resuming baseball activities” and then, inevitably, the retirement announcement. I can’t count the number of guys whose careers I can tick off in that way by browsing the guts of this site.

I hope that’s not the case for Pedroia. I hope that there’s a “Pedroia wins Comeback Player of the Year” post in the future. Or at the very least a silly “Miller’s Crossing” reference in an “And that Happened” in which I say “the old man’s still an artist with the Thompson” after he peppers the ball around in some 3-for-4, two-double game. I want that stuff to happen.

It’s just that, if you watch this game long enough, you realize how unlikely that is once a player starts to break down.