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.

Attempting to complete cycle, Robinson Chirinos thrown out to end game

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With his Astros trailing the Tigers 2-1, catcher Robinson Chirinos began his at-bat in the bottom of the ninth a triple shy of the cycle. He doubled in the second inning, singled in the fourth, and hit a solo homer in the seventh. Yordan Álvarez and Yuli Gurriel both struck out, leaving the Astros’ fate in the hands of Chirinos against Joe Jiménez. After working the count to 2-1, Chirinos slapped an 85 MPH slider to the gap in right-center field. A diving Travis Demeritte could not come up with the ball, but center fielder Harold Castro fired the ball back in to Gordon Beckham, who then made a perfect throw to Dawel Lugo at third base. Chirinos was tagged out for the final out of the game. No triple, no cycle. The Astros lost 2-1.

Chirinos was attempting to become the first Astro to hit for the cycle since Brandon Barnes on July 19, 2013 against the Mariners.

The Astros entered Wednesday’s game as the largest favorite in 15 seasons, according to ESPN’s David Purdum. The Astros were -500 per Caesars Sportsbook. Other sportsbooks had them at -550. So the Tigers’ win was quite the upset.

Justin Verlander went the distance in the loss. The only blemishes on his line were solo homers to Ronny Rodríguez in the fifth and John Hicks in the ninth. They were the only hits he allowed while walking none and striking out 11.