ptatc

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.

That motion would be the one where he could have torn his pec. Usually the shoulder goes first though.

Madrigal had a separation of the acromioclavicular (AC) joint. That joint has zero muscle around it and almost always needs surgery to stabilize it, if its significant. This looked more like a subluxation or dislocation of the glenohumeral joint or the typical shoulder joint. It has a great deal of muscle support. Many times they can strengthen it and not need surgery. It just depends on the severity and if the labrum is involved.

He stretched over the wall and kept it going for the ball. He "hypr-flexed" it similar to someone trying to tackle someone as they are running by. That forceful "pull" is what forces the humerus out of the joint.

When you have to hold our pants to keep your arm still and support it, it isn't a good sign. That being said it could have been a minor subluxation and just a couple of weeks. He probably won't be ready for opening day.