ptatc

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

QUOTE (knightni @ Jun 20, 2010 -> 10:46 PM) So, does this mean then, that they will want to work on his delivery? Many pitchers were taught this as kids. Especially on the West Coast where Tom House is based now. His philosophy has really permeated the baseball culture out there. This is an offshoot of his theories. This is a very difficulty thing to change in the biomechanics. It's not just a tweak it's a major overhaul. They would need to change the position of his forearm just before the cocking phase of his motion. This could change everything from breaking ball rotation, the velocity of his fastball, to the 3/4 delivery he has. My guess is they may try to change it a bit but they will mostly leave it alone because he learned it as a kid and he will be a totally different pitcher without it.

QUOTE (Pants Rowland @ Jun 14, 2010 -> 11:15 PM) This thread reminds me of the M*A*S*H* episode when Hawkeye and Trapper invented a doctor, Captain Tuttle, just to mess with Frank and Hot Lips. What? Tuttle wasn't invented. He died in a mine field bring help to orphans!

QUOTE (Balta1701 @ Jun 8, 2010 -> 09:23 AM) Project Prospect has a ton of details on Sale, and concludes that they're more worried about his mechanics than impressed by his numbers. They think long term he winds up a closer. I'm extremely impressed with this analysis. The late forearm turn over as they call it, is the delayed external rotation in a biomechanical model. It put a great deal of stress on the shoulder as the excessive internal rotation forces the humeral head posterior in the shoulder and the subsequent external rotation needed for pitching forces the humeral head anterior. This extra bit of translation causes a gradual stretching of the shoulder joint and eventually loosens the shoulder. This in turn causes increased wear on the shoulder stabilizers such as the labrum, rotator cuff and ligaments. His is not a bad a Strasburg's whose external rotation is further delayed.

QUOTE (southsider2k5 @ Jun 20, 2010 -> 10:42 AM) Exactly. Enjoy the good times or you are missing the point of watching the games in the first place. Does anyone enjoy watching baseball for the sake of the game? I know I still really enjoy just watching a game because it's still the best sport out there. I guess the other question would be can you enjoy a game even if the Sox lose? If it's a well played game it still can be fun to watch.

QUOTE (Heads22 @ Jun 18, 2010 -> 11:28 PM) Remind me how much we're paying you to be here? I've got it from a very reliable source that the check is in the mail.

QUOTE (Chisoxfn @ Jun 18, 2010 -> 05:05 PM) If he's going to pitch, I assume that means this has more to do with general soreness and a little fluid associated with a non serious injury. Fluid just means inflammation. I'm sure they are treating it with NSAIDS and ultrasound and the extra day or so is to let the meds take effect. Meds like ibuprofen are only pain killers until they have been in your system on a consistent basis for 5 days or so. This is probably the reason for the extra time to allow the anti-inflammatory effect to kick in. Sorry for the quick and inconsistent post. I'm in Boston for a convention and can't get to a computer often. Just getting back from Fenway for the Red Sox-Dodgers game. I saw two young pitchers that got really hit around. The score was 10-6 and neither pitcher made it through the 6th.

QUOTE (Chisoxfn @ Jun 17, 2010 -> 11:09 AM) The problem is, the Rangers method is kind of stupid, since the development would have to start at a far younger age to ensure guys muscles are ready to handle it all. Might work a little easier with the high school guys, but college players have to go through quite the transformation and obviously at the very least it needs to be started from the low-minors onward. I think removing guys because of the sake of a pitch count is dumb, you have to watch for things like stress innings, mechanics, etc, but you also have to do what you can to ensure your guys aren't beat up. The reality is these guys make a lot more money than they did in the past so you are benefited by doing what you can to try to reduce the chances of an injury. In the old days, they didn't make tens of millions of dollars so if a guy got hurt, a team didn't have to worry about all of the money it had sank away and how it had ruined there budget. This is wrong due to the factors you mentioned earlier. The pitchers have always been conditioned to throw a certain number of pitches. Also, many of the pitchers cannot handle that type of workload and you will injure them. As I stated earlier they haven't been weeded out in the minors and with the money they make the teams don't want to take that chance and I don't blame them. It's just like running. Some people can log hundred of miles a week without injury and other will get injured with 20 miles per week.

QUOTE (greg775 @ Jun 16, 2010 -> 11:43 PM) How did the pitchers in the old days throw so many pitches and have long careers? Seems like the modern starting pitcher is very brittle. In the old days pitchers threw alot more pitches and innings in the minor leagues. There were also fewer MLB and many MiLB teams. If a pitcher was going to blow out his arm he did it in the minors and we never heard of them. The ones who couldn't handle the workload were weeded out before the majors.