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.

Once again, Cy Young votes from the Tampa Bay chapter were interesting

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In 2016, Red Sox starter Rick Porcello narrowly and controversially eked ahead of then-Tigers starter Justin Verlander in Cy Young Award balloting, winning on points 137 to 132. Verlander was not included at all in the top-five of two ballots, both coincidentally belonging to writers from the Tampa Bay chapter, MLB.com’s Bill Chastain and Fred Goodall of the Associated Press. Verlander had more first-place votes than Porcello, but being left out of the top-five on two ballots was the difference maker.

In the aftermath, Verlander’s then-fiancée Kate Upton fired off some angry tweets, as did Justin’s brother Ben.

Verlander was again in the running for the 2018 AL Cy Young Award. He again finished in second place, this time behind Blake Snell of the Rays. Snell had 17 first-place votes and 169 total points to Verlander’s 13 and 154. There weren’t any ballots that made a big difference like in 2016, but there were two odd ballots from the Tampa Bay chapter again.

If a chapter doesn’t have enough eligible voters, a voter from another chapter is chosen to represent that city. This year, Bill Madden of the New York Daily News was a replacement voter along with Mark Didtler, a freelancer for the Associated Press. Both writers voted for Snell in first place, reasonably. But neither writer put Verlander second, less reasonably, putting Corey Kluber there instead. Madden actually had Verlander fourth behind Athletics reliever Blake Treinen. Didtler had Treinen in fifth place. Two other writers had Verlander in third place: George A. King III of the New York Post and Paul Sullivan of the Chicago Tribune. The other 26 had Verlander in first or second place.

Voting Kluber ahead of Verlander doesn’t make any sense, especially we finally live in a world where a pitcher’s win-loss record isn’t valued highly. Kluber had 20 wins to Verlander’s 16 and pitched one more inning. In every other area, Verlander was better. ERA? Verlander led 2.52 to 2.89. Strikeouts? Verlander led 290 to 222. Strikeout rate? Verlander led 34.8% to 26.4%. Opponent batting average? Verlander led .198 to .222. FIP and xFIP? Verlander led both 2.78 and 3.03 to 3.12 and 3.08, respectively. And while Treinen had an excellent year, Verlander pitched 134 more innings, which is significant.

Upton had another tweet for the occasion: