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.

Yankees trade Sonny Gray to the Reds

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The deal was much talked about all weekend and now the deal is done: The Cincinnati Reds gave acquired starter Sonny Gray and lefty Reiver Sanmartin from the Yankees in exchange for second base prospect Shed Long and a 2019 competitive balance pick.

The key to making the deal happen: Gray agreeing to a a three-year, $30.5 million contract extension. The Reds will likewise hold a $12 million club option for 2023. The deal had been struck and a window granted through close of business today to get Gray to agree to the extension and, obviously, he has.

The Reds will get a pitcher coming off of a bad season in which he posted a disappointing 4.90 ERA in 23 starts and seven relief appearances. He was hammered particularly hard in Yankee Stadium but pitched better on the road. Great American Ballpark is not a great pitcher’s park itself but any change of scenery would be nice for Gray, who had become much unwanted and unloved in New York. In Cincinnati he has the assurance of a spot in the rotation and, even better for him, he will be reunited with his college pitching coach, Derek Johnson, who joined new manager David Bell’s Reds staff earlier this offseason. If he bounces back even a little bit, the Reds will have a useful starter at a below market price for four years. If he doesn’t, well, they haven’t exactly gone bankrupt taking the chance.

The Reds will also get Reiver Sanmartin, 22, who started in the Rangers system before being traded to the Yankees. He’s a soft-tosser who figures to be a reliever if he makes the big leagues. He played at four different levels last season, with one game at Double-A and the rest below that, posting a composite 2.80 ERA in 10 starts and 13 overall appearances while striking out 7.8 batters per nine.

The Yankees will get Shed Long, who is ranked as the Reds’ seventh best prospect. The 23-year old second baseman hit .261/.353/.412 at Double-A in 2018 and has hit very close to that overall line for his entire six-year minor league career. He strikes out a bit and may not stick at second base long term, shifting to a corner outfield slot perhaps, but he’s a legitimate prospect.

The Reds get another starter with some upside. The Yankees get rid of a problem and gain a prospect and a draft pick. Sonny Gray gets some job and financial security at a time when it is not at all clear what his future holds. Not a bad baseball trade.

UPDATE: Welp, the Yankees don’t have a prospect anymore. They just traded long to the Mariners for outfielder Josh Stowers. Stowers was a second-round pick in last year’s draft. He’s 21 and batted .260/.380/.410 with five homers and 20 steals over 58 games in Short-Season ball in 2018. He’s ranked by MLB.com as the Mariners’ No. 10 prospect, but now he’s New York bound.