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.

Bryce Harper played some third base in an intrasquad game

Bryce Harper third base
Andy Lewis/Icon Sportswire via Getty Images
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Phillies star outfielder Bryce Harper played some third base during Monday’s intrasquad game at Citizens Bank Park, Jim Salisbury of NBC Sports Philadelphia reports. Harper had been pestering manager Joe Girardi for the opportunity and the skipper finally gave in.

Girardi told Harper, “No diving. And make sure your arm is loose.” Harper had the opportunity to field one ball, a grounder to his left and he made the play perfectly.

Why put Harper at third base? Girardi said, “I think it’s important the guys have fun. I saw him a week ago taking ground balls there and I was impressed. His hands worked well out front and he threw the ball across the field well. I told him, ‘You look good there.'”

Despite the solid showing, don’t expect Harper to show up at third base in a meaningful game anytime soon. That being said, the Phillies’ second and third base situations are still not cemented. Jean Segura will likely open the season at the hot corner with Scott Kingery at second, but things could change between now and Opening Day in 10 days.

Harper, 27, is coming off a solid first season with the Phillies. He hit .260/.372/.510 with 36 doubles, 35 home runs, 114 RBI, 98 runs scored, and 15 stolen bases across 682 plate appearances. Per FanGraphs, Harper’s 4.6 Wins Above Replacement ranked 16th in the National League. For some people, those numbers weren’t nearly good enough, so the expectations remain high as Harper enters year two of his 13-year, $330 million contract.