ptatc

None of that had to do with an injury to his shoulder. In fact if he had more weight and couldn't jump high enough to get his entire shoulder over the wall he would have been better off.

He won't for 8-12 weeks. After that he will need to work on it.

I would disagree to an extent. The lower extremities and trunk are major part of hitting and he'll continue to work on those. The left pec is not really involved in hitting for a right handed hitter because that shoulder really does extension. So while he won't be perfect, he has a chance to be a major contributer by September.

Maybe Vaughn will listen. "Catch what comes right at you or to your right. If it not one of those, get out of Luis' way."

As I said he must be really tight muscularly for it to happen like that. That is the position it happens but it takes a lot of force. If he just didn't jump high enough, his shoulder wouldn't have been over the wall.

Isn't your picture the one of Peavy? It's very similar to his surgery as it is a tendon rupture not a mid-substance muscle tear.

Could be. Can also be that some people are just tight no matter what you do. I doubt anyone truly stretches to the point that he did over the wall. That is just an extreme range the no one should go into. If he didn't have the ability to jump high enough to get his whole shoulder over the wall, it wouldn't have been an issue.

He will need to wait probably 6-8 weeks before he can to much of anything. The tack they use to keep the ruptured tendon in place needs to dissolve and the tendon needs to heal into the periosteum. then they will need to regain the flexibility before strengthening can begin.

It's much better as I posted. He won't have any where near structural issues in the muscle that he would have if it was a tear in the middle of the muscle and it involved more of the muscle fibers as opposed to the tendon.

Wow. this is much better for the longterm. If he ruptured it they can tack it back down and all is good. A tear in the middle of the muscle could cause long term issues. It sucks but could definitely have been worse longterm

Yep. Unfortunately, medicare cut funding for PT by almost 4% in February (we fought it and kind of won because it was going to be 9%) and all insurance followed as they typically do. You need to make sure to keep up with the home strengthening program as that's the most important part anyway.

Yes it is. The feet are worse though as they are very small muscles that take forever to build up. runners with this issues have to do certain exercises daily to get them to function properly. Bigger muscles respond much better and faster to the loads placed upon them.

It's definitely better than a significant SLAP lesion.

Depends on the number of motor units in the muscle that are lost. It its a significant number he could lose some strength that won't return. However, with being a right handed hitter, the pec on the left isn't as important.

Yes. Healing is around 8-12 weeks. Then it's getting it stretched out and strengthened which it usually another 8-12 weeks. However, he must be really tight to tear the muscle before the shoulder went so it may take a little longer.

He must be really tight muscularly if the pec went before the shoulder.

That's at the more conservative end of the return

If true, 4 months is a reasonable timeframe.

Because aging is just your body's ability to retain water in the cells. There are glycoaminoglicans (GAG) in your cells that are hydrophyllic meaning they attract water. Those cells become less hydrophyllic as you age. In essence aging is your body drying out, hence you hear to drink more water as you age. The drying out of the tissue make tissue tighter and less flexible. This is why people pulls muscles and get wrinkles in the skin. However, if you have a loose joint capsule from a dislocation, the capsule tightens up and is more stable.

Not necessarily. all people can compensate differently. But it's certainly possible.

2-4 weeks if it was just a subluxation and none of the primary passive stabilizers (ligaments, labrum) were significantly injured. Worst case surgery and 9 months.

He's not wrong.

Yes.

It's more likely a shoulder injury. But the pec injury is possible.

Probably not surgery. Repairing a muscle is like tying to pieces of spaghetti together. It rarely works. The 3 months to 9 month timeframe would be reasonable for a return depending on the severity of the tear.