Dr. James Andrews explains why Tommy John surgery is on the rise

25 Comments

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.

Report: Mets sign Brad Brach to one-year, $850,000 contract

Bryan Woolston/Getty Images
Leave a comment

The Athletic’s Ken Rosenthal reports that the Mets and free agent reliever Brad Brach have agreed on a one-year deal worth $850,000. The contract includes a player option for the 2021 season with a base salary of $1.25 million and additional performance incentives.

Brach, 33, signed as a free agent with the Cubs this past February. After posting an ugly 6.13 ERA over 39 2/3 innings, the Cubs released him in early August. The Mets picked him up shortly thereafter. Brach’s performance improved, limiting opposing hitters to six runs on 15 hits and three walks with 15 strikeouts in 14 2/3 innings through the end of the season.

While Brach will add some much-needed depth to the Mets’ bullpen, his walk rate has been going in the wrong direction for the last three seasons. It went from eight percent in 2016 to 9.5, 9.7, and 12.8 percent from 2017-19. Needless to say the Mets are hoping that trend starts heading in the other direction next season.