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.
AZ PHIL- Is Clayton Richard a free agent or not? One site I see he is, on another no. MLB has him listed as a free agent, Cot's contracts says he is a FA, baseball-reference says he's not, but Cubs have him on active roster. I know that he is just short of MLB 6 years service by just like 15 days, but that doesn't always matter.
Except that he gave up Russell and McKinney for a half-season of Hammel...
Beane cam at least point and laugh at Hammel.
The genius Angelo traded Olsen at Martzs request
Maybe Theo will sign Shark just so he can call Billy Beane and say: "Let's see...Russell? Check. McKinney? Check. Hammel? Check. Ninja? Check. Any other deals?"
To be fair to Emery and Trestman the foreshadowing of last year started happening well before them with the failure or mismanaging of multiple draft classes forcing the team to overspend in a free agency market that is even worse than baseball. Kyle Long seems like a good pick but they traded away another good one in Olson because of Martz's stupidity and inability to change his offense to fit the team talent.
HAGSAG: I think Domonic Brown does fit the criteria of a reclamation project, but unless he is willing to accept a minor league contract with an NRI to Spring Training, I don't think the Cubs would be interested given where the Cubs are right now. A couple of years ago? Yes. But probably not now.
Brown would be better-off going to a club that is rebuilding and re-establish his value there, like Chris Coghlan did with the Cubs. And if he can re-establish his value, he could get traded to a contender at the trade deadline and take it from there.
"they just fade away"
(Except in the cases of no-fade lefties like Moyer, Orosco and Rich Hill.)
Amazing to me how quickly it fell apart under Trestman. Year 1, they were a Chris Conte brain fart away from making the playoffs. Year 2 -- coach, staff and GM all fired.
I am sure Jonathon Mota will be signed next.
AZ Phil, what is your thoughts on Domonic Brown as a reclamation project?
He also played LF in deference to Curtis Granderson.
Meh... other moves to make...hope to see a move or two soon.
I haven't seen much Bears football this year - difficult to watch the games out here, but the game I saw the week before I was watching in shock as I saw them actually make tackles. And Cutler has looked really good, too.
I guess people can quibble about play calling, but the team I saw is way more than 50% better coached (my only very minor disagreement with your comment).
Under Trestman, the team didn't do anything right. This team played like a well coached team when I saw them play the Rams.
"What is sometimes overlooked about Vogelbach because of his "bad body" and because he has struggled so much defensively is that he is a hard worker, has a great attitude, loves to play the game, and is very well-liked by his teammates, and while that may not seem important, teams do actually value stuff like that. "
As well they should. Replace a word here and there and you are describing any worker someone would hire.
Hak-Ju Lee signs a minor league contract with SF Giants.
Some closure on the 6 degrees of Separation for Matt Garza/Chris Archer