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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  • vogelbomb debut for tacoma (AAA SEA)... 3-3, 1bb, 1 HR, 1 double...DH'd.

    while he mostly played 1st considerably more than DH for AAA CHC, DJ Peterson is probably going to see most of the time at 1st for AAA SEA.

    crunch 7 hours 38 min ago view
  • Carl Jr.! Very nice!

    Baez with another "WTF?" play trying a delayed steal with a runner on 3rd and one out.. Remarkable talent, needs to make better decisions.

    billybucks 8 hours 35 min ago view
  • m.montgomery up in the pen with a man on 2nd, 2 out, and rondon 20 pitches into the inning.

    ...and rondon ends it 22 pitches in with a popout to RF.

    crunch 8 hours 45 min ago view
  • I gotta say with the crappy defense the Brewers have displayed outside of Fowler I'm pretty disappointed the offense hasn't shown more and Rizzo seems to be very swing happy lately. That said my god am I happy Madden has finally given Carl Edwards a chance after multiple times up with nothing. I don't think he could handle a starting role with his body frame but his stuff plays so well in a relief role and he seems to be able to handle high stress situations very well.

    johann 9 hours 49 min ago view
  • 2nd at bat. Fowler is good for the Cubs run differential.

    Cubster 11 hours 25 min ago view
  • welcome back fowler.

    crunch 11 hours 51 min ago view
  • More slow news...

    http://chicago.cbslocal.com/2016/07/22/cubs-albert...

    Did Davey Martinez have to bring the shotgun?

    http://www.madcoversite.com/mad104printid.jpg

    Cubster 12 hours 13 min ago view
  • glad to see almora going to AAA to get work.

    .265/.291/.422 through 86PA...2hr, 7 doubles.

    i don't expect too much of an improvement when he's taking over CF next year, but the team doesn't really need him right now as much as they need him to get regular work (imo).

    crunch 14 hours 10 min ago view
  • CHITOWNMVP01: The Cubs MLB Reserve List (40-man roster) has had one slot open since 7/6 (when RHRP Joel Peralta was Designated for Assignment). 

    Arizona Phil 14 hours 40 min ago view
  • The problem with the September roster is all of the pitching changes. They should find a way to limit pitchers to twelve except for extra inning games. More pinch hitters or pinch runners do little to slow the game down and are more fun than endless calls to the bullpen. I also think the fans get cheated when they use position players to pitch because employed a half dozen pitchers with righty-lefty switches. Having as few as four positions players on the bench to start a game also leads to some pretty ugly defensive substitutions.

    Non Roster Invitee 14 hours 52 min ago view
  • CHITOWNMVP01: Joe Nathan's 30-day Article XIX-C minor league rehab assignment expires tomorrow, but he doesn't have to be reinstated from the 60-day DL tomorrow. 

    Arizona Phil 14 hours 55 min ago view
  • Also, I think 40 man roster should be full, not at 39, unless I counted wrong. I'm in a hurry to leave the house.

    chitownmvp01 14 hours 58 min ago view
  • Dexter Fowler is back! "You go, we go!"

    He's being activated for tonight's game. Almora down and Montgomery replaces Patton.

    http://espn.go.com/mlb/story/_/id/17126605/chicago...

    Also, doesn't Nathan have to be activated tomorrow? Pitchers aren't allowed to spend more than 30 days of rehab and he was sent to rehab assignment on June 23rd. Tomorrow is July 23rd.

    chitownmvp01 15 hours 6 min ago view
  • Yeah, last night was a bummer. I clicked on the espn Gamecast just in time to see the 5-2 score change to 5-5.

    Their next 10 are Dodgers, Mets and Marlins.

    billybucks 17 hours 50 min ago view
  • Arizona Phil 18 hours 30 min ago view
  • Cubster 18 hours 34 min ago view