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.

CC Sabathia hopes to play one more year

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Back in May, Yankees starter CC Sabathia said he’d retire if the Yankees won the World Series. That still may be the plan, but he recently told MLB.com that he’s going to try to pitch in 2019, health willing:

“I’m start to start. I go out one start and feel like I can pitch five more years. I go out another start and I’m done. But if I can stay healthy — if my knee holds up — hopefully I’ll play one more.”

Sabathia is enjoying a nice late-career renaissance, having transformed himself from the dominant lefty he used to be to a crafty one over the past several seasons. Sabathia will turn 38 on Saturday, but he’s having another solid season. He has a 3.51 ERA and 1.27 WHIP over 18 starts.

Will a World Series decide whether he hangs ’em up? Will his knee? Guess we’ll know by November.