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Everything posted by ptatc
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QUOTE (scenario @ Jul 7, 2010 -> 12:25 PM) Gimmee a break. You're 19 and never had a real job. I've got shoes older than you. Nice to be idealistic and say what you'd think you'd do. But the commitment some of these minor leaguers make to hang in there for years that you blow off as being so easy is HUGE. I agree. I was an athletic trainer in the minors attempting to work my way up the ladder. I even did the Mexican league in the winter for extra money. With a family it just became to hard. I know I didn't make even the money the players did but any player who guts it out for 11 years is really dedicated and loves the game. My hat is off to him.
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QUOTE (Real @ Jul 8, 2010 -> 02:09 AM) http://sports.espn.go.com/chicago/mlb/colu...tory?id=5362822 I think there's two videos, one explains the injury and another gives some opinions Good couple of vids, imo After watching the video, the injury makes biomechanical sense. I hadn't noticed it before, but on the pitch he ruptured the tendon he really dropped down and pulled his arm across his body. One of the major functions of the lat is to do adduction of the shoulder which is exactly what that motion was. He will need to drastically alter that motion after the surgery to prevent this from happening again. Hopefully it won't be a significant problem for him.
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QUOTE (iamshack @ Jul 7, 2010 -> 08:04 PM) I feel pretty much the same way. It might even save Kenny from himself and prevent him from trading Hudson away. I just shudder at the wasted $... hopefully, they get some of it back from insurance. It won't be the whole 16-17 mil or whatever it is but hopefully some.
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One article has him going to see Andrews and Yocum. Those are two of the most highly regarded shoulder physicians in the nation. If they can't figure it out, no one will. Just ask Yocum he'll tell you that.
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QUOTE (BearSox @ Jul 7, 2010 -> 04:22 PM) I just hope its nothing that will effect his mechanics. The worse thing that can happen is him trying to overcompensate with his arm, and then we are headed down a spiral slope. Hopefully everything turns out good. I know from a players standpoint, you want to come back ASAP, but it might not be a bad idea just to say wait till next year, and take every precaution to get him at a full 100% for next season. We have too much money invested in him, we gotta take every precaution possible. It shouldn't effect it much. The shoulder will be structurally intact. If fact, while the surgeon is in there, he or she will probably tighten the joint up a bit using a thermal device and he may come out better off.
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QUOTE (The Ginger Kid @ Jul 7, 2010 -> 04:21 PM) I think of Tommy Harris detaching his hamstring from the bone and this doesn't make me feel good, not for this year or next. It's nowhere near that bad. The hamstring needs to take the weight and load of such a big person that it is a big problem. The lat is an accelerator of the arm during the pitching motion. While it's important, it doesn't take the stress that the decelerators do.
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QUOTE (BearSox @ Jul 7, 2010 -> 04:14 PM) so how serious is this? Best case is out until September, but will it have lingering effects? Can he come back from this 100% with a good chance of not having it happen again? How bad is it compared to TJ surgery? Also, hopefully we don't have to see Marquez at all unless we are getting blown out or blowing the other team out. As for Hudson still a possibility for Sunday, how long does Marquez have to be up before we can send him back down? He should be able to come back 100% without lingering effects. It's a tendon re-attachment not a reconstruction. It's pretty straight forward. Just like with th Mitchell surgery, we'll know if it was a rupture from the bone or a mid substance tear when they give the length of rehab estimate. If they say 2-6 months it's a straight forward reattachment and there won't be any lingering problems. If they say up to 9 months then it's a different story.
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QUOTE (fathom @ Jul 7, 2010 -> 04:12 PM) Sounds like this could have been avoided if they did an MRI after the KC start, but because the MRI a week before that came back clean, they decided not to do another one. At this point, hopefully he's fine for 2011. What pitchers have come back from this injury in the past? I don't think so. This is in a different area than the usual "fluid" in the shoulder. It's not part of the same area really. This type of thing may be hidden as a "bicep tendon inflammation". Because it's so deep to all the other tissues, you wouldn't really see this specially on an MRI.
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QUOTE (NorthSideSox72 @ Jul 7, 2010 -> 03:34 PM) Detached may not mean fully severed, in which case surgery may not be necessary. Part of the muscle can detach, and the muscle generally can heal. Beyond that, ptatc will have to provide more color. And us acquiring an SP doesn't seem to make much sense. Unless they either don't believe in Hudson (and I think they do), or Hudson is being traded. If they say detached, that means it came off the bone.
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QUOTE (chw42 @ Jul 7, 2010 -> 03:18 PM) Where's Dr. ptatc? If it's truly detached the season is over for him. The long tendon of the lat can be ruptured from the attachment site in the bicepital groove on the anterior part of the humeral head. This would be the grade 3 tendon injury. If this is what happened he will need surgery. The physician will need to find the tendon re-route it back up through the groove and re-attach it. The good news is that tendons usually respond very well to re-attachment to bone. If it is in the mid-tendon area, it is much worse but it usually comes off the bone. This is similar to the injury that Mitchell suffered in ST where a tendon pops off the bone. This is a best case 3 month injury and worst 8 to 9 month injury. I have never seen this injury in a pitcher. I have seen it in other throwers, javelin specifically and it went well.
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QUOTE (caulfield12 @ Jul 7, 2010 -> 04:38 AM) Any of the numerous muscles and tendons that contribute to the movement and coordinated stability of these joints can become strained in a shoulder injury. The main muscles associated with the shoulder include the trapezius, latissimus dorsi, pectoralis major, deltoid, rotator cuff (SITS muscles), serratus anterior, and the biceps and triceps muscles. Manual testing can often quickly identify which of these muscles are weakened and painful upon contraction after an injury. Shoulder Injury Mechanics While shoulder injuries can be quite individual and complex, several common patterns have been identified:4 ■an arm forced into external rotation and abduction (anterior dislocation and/or labrum tear); ■a blow to the anterior shoulder (can cause ligamentous tears resulting in dislocation); ■a fall onto top of shoulder (may cause a ligamentous tear resulting in AC joint separation); ■a fall on an outstretched arm (can result in AC separation, posterior dislocation, labrum or rotator cuff tear); ■sudden traction to the arm (momentary subluxation or brachial plexus traction injury); or ■sudden pain during activity or lifting (consider rupture of muscle/tendon or labrum tear). Rehabilitation of Shoulder Sprains Significant damage to one or more of the connective tissues of the shoulder can result in joint instability and chronic dislocations. Treatment of grade 3 or moderate-to-severe grade 2 sprains generally includes some external support (sling or taping) and restricted activities. Once the ligaments have undergone sufficient early repair, controlled passive motion can help to prevent the formation of adhesions (scarring in areas of movement). Resistance exercises are introduced to stimulate a stronger repair and to assist in remodeling. Isometric is progressed to isotonic forms of resistance, based on the patient's tolerance for joint motion. For athletes, regaining full stability may require advanced forms of exercise in the functional phase of rehabilitation, such as proprioceptive training and plyometrics. These maneuvers help to re-coordinate the sensory receptors and motor controls at the spinal cord (nonthinking) levels.5 Rehabilitation of Shoulder Strains Injured muscles and tendons of the shoulder girdle may need a brief period of support and restricted activity, but controlled restrengthening should be initiated early. Elastic tubing is a safe and effective method of providing progressive resistance exercises.6 A very easy and effective program starts with a consistent isotonic exercise routine using surgical tubing equipment to perform external rotation. This is initially performed within a limited, pain-free range of motion, building to full range as pain subsides. Eventually, additional shoulder exercises should be performed as indicated, including internal rotation; flexion; extension; abduction; and adduction. This inexpensive rehabilitative program should initially be practiced under supervision to ensure proper performance. Once good exercise mechanics and control are demonstrated, a self-directed program of home exercises is appropriate. As with sprain injuries, shoulder strains in athletes may require more specific, sports-performance exercises, such as eccentrics and plyometrics. Specific sports skills (such as throwing) may also need to be retrained. He had a strain not a sprain. The difference is that when looking at different tissues a sprain involves ligaments or passive tissue whereas a strain involves muscles or active tissue. they are graded the same. usually on a 1 to 3 but some physicians use a 1 to 5 scale. A grade 1 is a involves minor soreness and edema with no lose of motion and activity level. This is typically " advanced soreness" A grade 2 involves a tear of up to 50% of the fibers with moderate pain and edema with up to 50% lose of painfree motion and activity must be limited. A grade 3 is a near rupture of the tissue involved with significant pain and edema and an inability to do most any activity. Rehab of the active vs. passive tissue is totally different and pretty well described in your paragraphs above.
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QUOTE (caulfield12 @ Jul 7, 2010 -> 04:43 AM) Fister takes no-hitter into 7th, M's top Orioles Apr 20, 2010 Orioles OF Felix Pie will miss three months after doctors determined he has a torn left latissimus dorsi muscle. No surgery is required, just rest and rehab. (MSNBC -- Sports) That was April 20th, he came back on July 6th, so worst case scenario (an actual TEAR, and not strain/sprain) would be 2 or 2 1/2 months. Other pitchers/players with similar issues recently include Brad Penny, Kerry Wood and Gabe Kapler. Sept. 20th "Brett Myers boarded an airplane to South Florida last night, ready to rejoin the Phillies today and hoping to pitch by early next week. But a timetable set by the team was more conservative.An MRI in Philadelphia yesterday showed that Myers had suffered a Grade 1 strain of his right latissimus dorsi (back) muscle, a team spokesman said last night. The righthander is scheduled to throw a bullpen session on Tuesday, and the Phillies hope - but did not guarantee - that he will return by the end of the regular season.Reached by telephone yesterday afternoon, Myers told The Inquirer that he was optimistic about appearing in a game early next week."I think I could be ready by the homestand,"" The way he reacted, it was obviously a muscle strain of some kind. It's rare that you tear something significantly with one pitch. It's usually a slow degeneration. He has more than a Grade one strain, probably a two based on the reaction. The lat is a muscle that is on the back but has about a 7 inch long tendon that wraps around the bottom of the shoulder and attaches in the same groove that the biceps tendon passes through on the anterior portion of the shoulder. The function of the lats during the pitching motion is acceleration of the internal rotation toward the plate and to stabilize the anterior movement of the humeral head. This is nowhere near as bad as if he injured the deceleration muscles such as the rotator cuff muscles. One worry is that with the previous "fluid build up" is there an underlying instability in the glenohumeral joint that is affecting all of these different tissues. It's hard to tell by symptoms and I'm sure the medical staff is monitoring it. He will probably need 1-2 weeks of healing then a buildup of strength, so he is probably looking at 3-4 weeks.
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QUOTE (SoxFan562004 @ Jun 23, 2010 -> 12:25 AM) when has that happened before? It may have, I just can't think of any specific examples off the top of my head. For the most part the Sox are extremely straightforward with injury news. He's straightforward but also says that when a player says he's ready, he gets another day. Vizquel will probably start at SS today.
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QUOTE (FlaSoxxJim @ Jun 22, 2010 -> 01:49 PM) I've eaten at two Legals and one was excellent (the one across from New England Aquarium) and the other very forgettable (is south Florida). The family that started Legal was instrumental in the modernization of the way commercial seafood is handled and processed in the US though, so yeah, they have quite a good industry reputation for quality control. I didn't realize they had them out of the Boston area. Kind of like the Chicago pizza franchises. Uno's is good anywhere in Chicago but the ones in Florida, Boston and California were bad.
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QUOTE (justBLAZE @ Jun 22, 2010 -> 11:41 PM) Ramirez just suffered a cut under his middle finger on his throwing hand. Said he will play tomorrow. - Scott Merkin They'll just put skin glue on it and he'll be fine.
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Sox vs Atlanta 6-22 game thread 7:10 first pitch
ptatc replied to southsider2k5's topic in 2010 Season in Review
QUOTE (JohnCangelosi @ Jun 22, 2010 -> 09:56 PM) I believe his name is Allen Thomas he's the strength and conditioning coach for the White Sox That was Allen -
The Official Stephen Strasburg needs Tommy John Thread
ptatc replied to Jordan4life_2007's topic in The Diamond Club
QUOTE (Balta1701 @ Jun 22, 2010 -> 08:33 AM) We have had an awful rash of that in Chicago sports lately haven't we? If you see constant soft tissue problems in multiple areas, it does make you wonder about the etiology. -
QUOTE (Chi Town Sox @ Jun 22, 2010 -> 10:35 AM) What I didn't realize is that I didn't say the name of the restaurant in the North End, Neptune Oyster My bad ptatc Neptune Oyster is a good place. You can't go wrong there. Legal is a chain, but don't sell it short. It still has outstanding food.
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QUOTE (Chi Town Sox @ Jun 21, 2010 -> 08:20 PM) If you like Lobster/Lobster Rolls, head over to the North End and get yourself a cold Lobster Roll and a side of Fries, AMAZING I actually Google Image it sometimes to bring back memories of how good it was The North End is mostly Italian eateries. The Atlantic Fish Company or Legal Seafood on Boylston has better Lobster rolls. The lobster rolls at Fenway are pretty good as well.
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Sox vs Atlanta 6-22 game thread 7:10 first pitch
ptatc replied to southsider2k5's topic in 2010 Season in Review
QUOTE (chw42 @ Jun 21, 2010 -> 06:03 PM) Wow, we really do suck against Lilly don't we? I think we take 2 of 3. The Sox can't beat "crafty" lefties. Never could. -
QUOTE (The Beast @ Jun 21, 2010 -> 03:38 PM) In certain areas, jobs in specific fields aren't doing well, virtually are non-existent or can't be found as a result of "keen competition." Obviously, I have inquired many times about people and their jobs, as well as of what to go into. Though I would rather hear some thoughts on what fields or jobs are actually growing from people instead of just researching blogs and websites online that seem to be spouting off incredible and irrelevant information to the answer that I'm seeking. While I am interested in getting into the sports industry, it is competitive and I just didn't get an internship with the seven places that I applied to. I got one interview with the Academy in Lisle but I never heard back from them, so I'm considering different options as far as "careers" go. With that being said, in your professions, particularly in the healthcare, legal, PR or business fields, what do you see as some jobs that are growing in the DuPage and Chicago land areas? Or if you aren't in those fields, what do you believe is growing and dying? There is always a demand for physical therapists. However, it is 3 more years of schools once you get your Bachelor's degree. You come out with a DPT, Doctor of Physical Therapy degree and are guaranteed a job.
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The Official Stephen Strasburg needs Tommy John Thread
ptatc replied to Jordan4life_2007's topic in The Diamond Club
QUOTE (RockRaines @ Jun 21, 2010 -> 05:13 PM) I was listening to B&B the other day and they quickly exonerated all pitchers from being on steroids because "steroids only help you with trying to mash the ball." Not true at all. Those substances helped many pitchers in that era not only recover quickly from outings, but slow the breakdown of their shoulders over the tail end of their careers. Those guys were going out every 5th day feeling much fresher than a natural player would. The largest group of abusers were relief pitchers for this exact reason. They don't slow down the breakdown of tissue though. It will increase the ability to workout but will damage other tissue due to this abnormal increase in strength ratio. McGwires constant tendonitis and plantar fasciitis were prime examples. Don't listen to everything B&B say. They are entertaining but not usually factual. I've e-mailed Bernstein a few times and if you disagree with his point he'll send a snide remark and ignore you. He always sticks to his high horse performance to put people down. He is fairly knowledable but only listens when it's agrees with his views. -
Taking the family to Alaska for two weeks.
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Chris Sale signs for a bargain; expected in majors this year
ptatc replied to Eminor3rd's topic in Pale Hose Talk
QUOTE (He_Gawn @ Jun 21, 2010 -> 08:15 AM) Arguing over a pitchers arm motion is pointless because throwing a baseball is not a regular body motion. So really any pitcher could be gone in five years. An evolution biologist will argue your first statement. As bipedal beings we are designed to walk on two legs and use our arms for overhead activities. The bolded is true. However, there are certain biomechanical principles which will decrease the stress on the upper extremity that will decrease the possibility of this happening. -
Chris Sale signs for a bargain; expected in majors this year
ptatc replied to Eminor3rd's topic in Pale Hose Talk
QUOTE (SoxAce @ Jun 20, 2010 -> 11:19 PM) He also said Strasburgs was much, much worse. Like Jeff said, you really could say that to most prospects even with the "perfect mechanics" right Mark Prior? Mark Prior had a similar motion. His mechanics were perfect as are Sale's for the philosophy they were taught. This is why Prior's problems were so ambiguous. He didn't have a specific injury. His shoulder just got loose and was sore and painful all the time. I'm not saying Sale will definately get injured soon and he won't have a career. Some pitchers can pitch like this without significant problems. Nothing is sure about the picting motion, poroved by the vast number of theories and philiosophies out there. Sale's motion probably adds velocity and sipn to his pitches, so he may need it. I am saying the probability of injury with that motion is higher due to the stress at the shoulder. It may mainifest itself at the elbow but the shoulder is more likely.
