Darwin Barney's Pacific Coast League (PCL) Sprain
Darwin Barney went on the DL this week spraining "the other" cruciate or Posterior Cruciate knee ligament. I'm sure the Cubs called Iowa Cubs manager Bill Dancy to let him know that his Pacific Coast League (PCL) Iowa team might shortly be getting another middle infielder on rehab assignment for his lineup. Barney sustained the injury to his right knee on the play at home plate on Monday night, scoring the Cubs only run in a 1-0 victory. It looked like he bounced his knee in the dirt during a head first dive and he did stumble a bit getting up from his dive. The MRI showed injury without stretch (grade 1) to his Posterior Cruciate Ligament (PCL). This is considered fairly minor but probably needs to be protected from further injury for about 2-3 weeks.
"As soon as I slid into home plate last night, I knew something was really wrong," he said. "The whole knee went numb. I had an MRI today and it revealed that Grade 1 strain in my knee." (editiorial note: ligament injuries are sprains, muscle injuries are strains)
Right now Darwin Barney can't jump, but you can. So read more after the jump.
There has been plenty of media attention paid to the Anterior Cruciate Ligament (ACL) which when torn in a high performance athlete is treated with reconstructive surgery but little is written about in the media when the posterior cruciate ligament (PCL) is injured. The Posterior Cruciate is structurally the more robust of the two cruciates and isolated PCL injuries can occur but are less frequent and usually produce more subtle symptoms. If both the Anterior and Posterior Cruciates are torn, more drastic instability can occur including knee dislocation but fortunately that is not very common. Most people hear about the fairly common patella (kneecap) dislocation but a true knee dislocation (tibia-femur) is a severe injury and acute knee dislocations can even have nerve and artery damage.
The PCL attaches behind the knee on the tibia and goes to the medial (inner) side of the central notch on the femur. The ligament prevents posterior translation of the tibia relative to the femur above and also provides central rotational stability. Here is an excellent 3D modeling video of the PCL including how the ligament works in flexion and extension of the knee. The Anterior Cruciate (ACL) attaches to the anterior tibial spine near the front of the knee and goes to the lateral (outer) part of the femoral notch. The ligaments cross (hence, cruciate) each other and protect and stabilize the knee when working in tandem from excess rotation and translation.
Before MRI imaging was available, grade 2 vs 3 PCL injuries were sometimes subtle to diagnose on exam with what was called a "posterior sag" sign with the knee extended or a "posterior drawer" sign with the knee flexed. The PCL does image well on MRI studies (see "P" on image), so seeing injury to it (because the tissue signal is altered in injury) is straightforward making even subtle grade 1 injuries possible to diagnose these days.
The most common mechanism of injury is a direct blow to the front of the upper tibia, which is what seemed to happen to Barney's leg in the head first dive at home plate.
Certainly, a grade 1 strain should respond to rest and rehab in a few weeks but when the PCL has a third degree injury and the knee has instability there are arthroscopically assisted surgical reconstructive techniques (see video) available. These have evolved and are significantly improved over the last 2 decades and much of the technology has been based on arthroscopic considerations for the ACL which is now a frequently performed surgery. Brewer ace Yovani Gallardo tore his ACL in May 2008 (against the Cubs avoiding contact with Prince Fielder on a Reed Johnson bunt) and was able to come back to pitch in late September and started a playoff game vs the Phillies that season. The injured PCL has better blood supply than the ACL and therefore can heal without subsequent instability. The PCL is much less frequently reconstructed (than the ACL) and often has several other associated injuries including the ACL and meniscal tears making any associated instability more extensive, so the results are more difficult to assess and should not be compared to the more common anterior cruciate ligament reconstruction outcomes. I don't know of any major league players that have needed PCL reconstruction although I would be interested to hear if any mlb player has had this done.
I wonder if Doc Gryzlo will recommend a few games of rehab in the PCL for Barney's PCL once the swelling and soreness improves.
crunch - you do know that, taking defense out of the equation, Trout has led the AL in wRC+ each of those years, right?
And, if you want to complain about position adjustment (which would be serious #crunchsplaining), he's been in the top 3 in the AL in WC (not park/league/position adjusted). And the only players ahead of him (if there were any players ahead of him) in any of those years have been DHs or 1B that play lousy defense.
But sure - Trout sucks (or at least isn't as good as WAR says). Because it factors in defense and position.
early tim tebow stuff rolling in...
ran a 6.7 60yd (above average)...shagging flies in RF and showed off a rather impressive arm a few times, but average-at best on most of his throws...hit a few over the fence (both fields), fouled or weak contact a few...he's got a touch of power
it'll be interesting to see who bites on this project, if anyone. he probably projected himself out of RF and into LF/1st because of his arm, but unless he can make that power work on a steady basis it'll be hard for him to play himself up anyone's system.
LHP Clayton Richard (released by the Cubs earlier this month) is pitching very well as a starting pitcher for the San Diego Padres and could be a good candidate to get traded to a contender looking for a veteran SP before tomorrow night's post-season roster eligibility deadline.
Because they released him, the Cubs are paying most of Richard's 2016 salary (the Cubs are on the hooks for $2M, minus the pro-rated portion of the MLB minimum salary that is paid by the Padres).
it is honestly awesome (for real) that anyone would even have a strong opinion on AZL playoffs. i guess if you invest enough time watching it, you want to see a fair/just playoff structure.
plus, the kids deserve it.
The AZL team with the best record over the course of the full 2016 AZL season and the only AZL team to play .600 ball (the AZL Dodgers) did not qualify for the AZL playoffs, and the AZL East Division team with the best record over the course of the full season (the AZL Athletics) did not qualify for the AZL playoffs, either.
That's because of the ridiculous "split season" schedule most of the minor leagues now play, a stupid system that rewards mediocrity at the expense of the worthy.
Despite good movement on his fastball, I think location kept him from getting Ks. Left some pitches up and away that got hammered up and away. Then of course Travis Wood gave up the 2-run double in the 7th, but both runs counted against Arrieta.
"i'm gonna make you my main squeeze one day, bro. save the date."
This level of discourse is #charming.
I would be having this discussion with anyone who (a) blathered on ad nauseum about the topic. (See, "Olt, Mike, not given an opportunity") or (b) responded directly to what I posted (which you did).
Have a nice day.
what would you do without me? aside from having your posting content here cut by 75%+?
i'm gonna make you my main squeeze one day, bro. save the date.
In this instance, yes, I care more about the result of this big thing that isn't really a big thing.
Fangraphs WAR #s include baserunning and Hamilton is elite at that. He leads in SBs with the 54 and and has an 87% rate which is really good. I'm sure once he gets on base he's able to take the extra base quite often too. Both those things will up his overall WAR value.
The differences between BR and FG WAR is pretty well documented online and thus If there are discrepancies it's fairly easy to figure out why. It's fairly well accepted that BR WAR is fine as a snapshot but FG is better at predicting future value.
i have no doubt at all you quit reading at that point. you're very enamored with outcomes without caring what it takes to get there.
the fact it's exploitable, especially without someone to cover the running game for him, as well it's evolution in how people are testing possible exploits is interesting to some people...to me...i'm some people...hurrah.
some people want to check the boxscore to see who won, some want to know how it went down.
I read it as him saying it's not really that much of a concern and that the one time it really cost Lester, vs. K.C., was an anomaly.
if jeff says it, it's cool...when i say it, it's straight from the mouth of hitler.
aside from the lack of jeff touching on the insane leads runners take and lester's inability to throw if he's fielding, this is a lot of what i've said about the issue.
exploitable, needs his own personal catcher to control his shortcomings, relies on his ability to get outs along with his personal catcher keeping runners in check before things become further exploited...
That would be Rice Krispy Treat
Butterfinger or Baby Ruth?