ptatc

Well there is the 1 in 10,000 chance of dying under general anesthesia. ?

They've done some pretty good biomechanical analysis. I posted one recent article that showed pitcher who have their release point more laterally away from their head are more likely to have UCL surgery. This implies what we know from cadaver research that the lower the arm angle the more stress on the ligament.

The process of who is responsible for what within the MLB medical team doesn't change much. It's not the science part of the field.

I think much of the reason from back then was a version of natural selection. To make it to the MLB they spent more time in the minors and the ones who got injured didn't make it. With more teams and the number of pitchers needed now they can't afford to just let pitchers get injured and leave.

Don't think there is really too much variation in it. The athletic training staff is not responsible for changing mechanics or pitching philosophy. That's usually the pitching coach.

The training staff has absolutely nothing to do with tearing a UCL.

He did pitch in Arizona. Just a few innings though.

Burdi was pitching in games at about 14 months post-OP. I think they waited because why start games in August. Same 5hing will happen with Kopech. He could probably start games in August but why push it. Just keep working on everything and start in 2020.

Im not a doctor. Well not the medical kind. The education kind. I'm a Physical therapist and athletic trainer. Most of the pro athletes aren't on the "that big, that fast" anymore. Most of the ones you see are fairly reasonable. No one in recent memory strikes me unreasonable.

In climbing, it's the stress on the pulleys in the fingers joints. I've seen a number of climbers that get bowstringing in the fingers. The numbers of pro athletes on muscle building PEDs has gone done since they instituted the blood baseline testing. However, I'm sure they're finding ways around it.

Keeps me in a job. ?

They had this scheduled by at least last week. He will be back next year probably by July if all goes well. It's not 18 months to begin pitching its usually takes about 7 months before they are back on the mound. Games around 9-11 months. The is usually when they are feeling normal. I think I've starting to come up with a new theory about why so many UCLs are happening. I made a 15 hour drive from Colorado listening to MLB. They were discussing how the new players were benefitting from all of the weight lifting and such but it's fine since they were maintaining their flexibility. This is not a new thought. We know that the throwing motion creates enough force to tear the UCL with each throw and the muscles around it are what helps keep it together. However, what if we've increased the strength in the body to the point that the force generated by the muscles during the throwing motion has surpassed the forces at the elbow to protect the UCL? So is the "new" pitcher too strong for the ligament, not so much in the arm but in the rest of the body? Just a thought. I am have a new line of biomechanical research.

Dick Dale 81 the surf guitarist. RIP, it up.

I don't believe it. Well I guess rescinding criticism is not the same as actually being positive, so I would believe it. ?

I think he went to W-S because that was where the pitching was that really helped him. Is that coach still there?

From the few ambidextrous pitchers I've talked to it won't work. The mechanics are different from side to side that they can't be consistent if they switch sides during a game. They need to really warmup and use one side at a time.

What will probably change, as always, is the use of the pitchers. Either they will go back to pitching instead of throwing for velocity or their outings will continue to shorten. Starters may become 4 inning pitchers. There may be an opener, a long, then two short relievers per game. I think the union may see this coming with putting a cap on the number of pitchers on a roster.

Welcome to rebuilding. I also think Jay will out produce what Engel did last year.

Got it now. I think the increased offense of Jay and Jimenez will be worth this downgrade. The defense will go down but overall WAR will go up.

Sorry. They a getting good results. The basic advantage of the repair is that the tissue doesnt need to die then regenerate like in a reconstruction. So the time is greatly reduced. It needs to be a small tear because the repair needs a certain amount of viable tissue to reconnect during the healing process. The thing they dont know is that if the repair will hold up under the stress of the really hard throwers. The younger pitchers will have a better chance of healing than the older ones and the new way of pitching with throwing as hard as you can can for as long as you can isn't as drastic with high school level pitchers.

Is Jay worse than Avi? I didn't think that as the case.

I'm not sure what the injury was with that pitcher. It really depends on the injury. They've made advances with rotator cuff surgeries recently, especially using PRP. For these injuries it really depends on the location and extent of the tear. For small tears they've started using a "Mini" open procedure that allows more access to the area and the repairs are getting really good results. For severe ones they've started using cadaver tissue to stabilize the joint. This is seeing really good results but the rehab is much longer. Labral and capsular (Danks) repairs haven't had significant advances recently.

Purely dependent on the injury. Unfortunately we rarely get the complete picture of the issues.

Always the best policy. Go conservative whenever possible.

I think it correct. It just depends on which style you prefer, the safe no big plays either way or the risky big play turnover and give up a few big plays. Both have 5heir positives and negatives.