Tommy John (Ulnar Collateral Ligament) Surgery

Stretching: The Truth

I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.

We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.

Diagnoses such as:

GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.

Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.

Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.

...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).

My attention to this topic started last summer, when  I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.

More on how the arm bone is connected to the...after the jump.

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  • I love winning! It's, like, better than losing?

    billybucks 4 hours 17 min ago view
  • LOLLYGAGGERS!

    Dusty Baylor 5 hours 40 min ago view
  • You lollygag the ball around the infield. You lollygag your way down to first. You lollygag in and out of the dugout. You know what that makes you? Larry!

    Jackstraw 8 hours 25 min ago view
  • Its too bad Warren didnt get to pitch. He would have saved us.

    The E-Man 8 hours 42 min ago view
  • Whoa -- that Contreras play in the 8th looked too much like a "Schwarber" -- nearly crashed into the wall going full speed, with Heyward doing the same.

    New rule: if you are a catcher playing LF, and find yourself sprinting after a fly ball in the gap -- stop, let the CF go after it and get ready to play it off the wall.

    billybucks 8 hours 53 min ago view
  • Cubs have no spark and no life. Pretty boring to watch these days.

    billybucks 10 hours 26 min ago view
  • I thought trips to Miami were supposed to be fun. This one sucked.

    The bottom half of the bullpen now turns close games into blowout losses. Not good.

    Once Fowler went to the DL, the team went into the tank. Wonder if he'll get any love this offseason? Probably not.

    billybucks 10 hours 30 min ago view
  • 6IP, 2ER. The last one scored because of another botched Zobrist DP turn.

    And now, a bad throw by KB. Sloppy.

    billybucks 11 hours 12 min ago view
  • What is it with Hammel always starting well and sucking after a couple months?

    The E-Man 12 hours 46 min ago view
  • Ahhh...sad. Lke a few of you here, I saw him play during the '69-'71 seasons. He was the "hot Zobrist" for the club in August/September of '69 while everyone else was fizzling out...

    The E-Man 13 hours 25 min ago view
  • I predict: "They will play hard and if they give the same effort every day, they'll win a lot of games."

    The E-Man 13 hours 28 min ago view
  • OK, boys -- find a way to win today.

    billybucks 14 hours 22 min ago view
  • There's some BA is missing too, here's all signing bonus BA doesn't have some:

    -6 Hockin $241,000 (slot price), 7 Cruz $75,000 (saved $110,00), 8 Ridlings $120,000 (saved $53,800), 9 Robinson $30,000 (saved $132,300), so far the Cubs have saved an extra $297,100

    cubbies.4ever 16 hours 12 min ago view
  • per Muscat...
    Zobrist (2B), Hayward (CF), Bryant (3B), Rizzo, Contreras (LF), Montero, Russell, Coghlan (RF), Hammel

    Cubster 16 hours 21 min ago view
  • Also -- despite losing 6 of their last 10, the Cubs picked up a game on both STL and PIT during that period. Weird, given that they swept PIT and were swept by STL.

    billybucks 16 hours 21 min ago view
  • Also, I'd like to know if there are numbers to back up my suspicion that there are a lot more fast starts than late June romps. This seems like a time where everybody not named Willson Contreras is looking a little tired and/or banged up a bit.

    For once, the Cubs got off to a fast start. Seems like I've been waiting for that for 50 years.Everybody is really gunning for this team, too. It's their playoffs.

    Old and Blue 17 hours 46 min ago view