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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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Recent comments
crunch (view)
STL traded away a lot of minor league talent that went on to do nothing in the arenado + goldschmidt trades. neither guy blocked any of their minor league talent in the pipeline, too. that's ideal places to add talent.
TarzanJoeWallis (view)
Natural cycle of baseball. Pitching makes adjustments in approach to counter a hot young rookie. Now it’s time for Busch and his coaches to counter those adjustments. Busch is very good and will figure it out, I think sooner than later.
TarzanJoeWallis (view)
In 2020, the pandemic year and the year before they acquired Arenado, the Cardinals finished second and were a playoff team. Of the 12 batters with 100 plate appearances, 8 of them were home grown. Every member of the starting rotation (if you include Wainwright) and all but one of the significant relievers were home grown. While there have been a relative handful of very good trades interspersed which have been mentioned, player development had been their predominant pattern for decades - ever since I became an aware fan in the ‘70’s
The Arenado deal was not a deal made out of dire need or desperation. It was a splashy, headline making deal for a perennial playoff team intended to be the one piece that brought the Cardinals from a very good team to a World Series contender. They have continued to wheel and deal and have been in a slide ever since. I stand by my supposition that that deal marked a notable turning point within the organization. They broke what had been a very successful formula for a very long time.
crunch (view)
busch is having a really intense k-filled mini slump. he deserves better after coming back to wrigley after that hot road trip.
crunch (view)
i know alzolay isn't having a great time right now, but i trust hector "ball 4" neris even less than alzolay based on what i've seen coming out of their arms.
azbobbop (view)
Neris reminds me of Don “Full Pack” Stanhouse.
Eric S (view)
Happ, Busch, Dansby and Madrigal have a combined 25 runners left on base through 7 innings, with Busch accounting for 9 of those. Seems like a lot.
crunch (view)
PCA finally gets a hit! 2r HR!!!
Charlie (view)
They certainly could be coupled. It could also be the case that a team needs good players at the heart of the team and if they are not coming from one source (development) they have to be sought out elsewhere. I don't see the evidence needed to infer the cause.
crunch (view)
bases loaded for the cubs, 0 out...and no runs score.
cubbery.