We have posted about this a few times when Dr. James Andrews has given interviews on the subject of what he calls an “epidemic” in UCL tears and attendant Tommy John surgery. But now he and his American Sports Medicine have released a position paper on the matter.
In it he outlines the risk factors for Tommy John surgery, common misconceptions about it and his recommendations for pitchers and teams to limit the risk of needing it. As for that last part, this recommendation is likely to get the most play and, if heeded, affect the most change:
Do not always pitch with 100% effort. The best professional pitchers pitch with a range of ball velocity, good ball movement, good control, and consistent mechanics among their pitches. The professional pitcher’s objectives are to prevent baserunners and runs, not to light up the radar gun.
I think major league teams know that in practice once they have a pitcher and are developing him. But the defining trait of a scout is his radar gun, and young pitchers are conditioned to want to light it up when they see a scout checking them out. Good pitchers change speed and create movement. Young pitchers get noticed, however, when they throw in the 90s. It’ll be interesting to see if this changes that at all.
Anyway, consider thus must-click material. And something to bookmark if you’re at all interested in the subject.