Posts Tagged "elbow"

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Breaking Down Brian Wilson’s Elbow Nerve Irritation

 Flickr-9889661873So much is written about injuries to the ligaments of pitchers’ elbows but less so about nerve irritation such as that resulting in Dodgers’ reliever Brian Wilson now being on the DL.

We know that the repetitive nature of pitching, especially at such high velocities, places undue demands on the elbow, particularly at the inner aspect of the joint. The ligament that serves as the primary stabilizer of that region – the ulnar collateral (UCL) – is often the prime target, but the muscles, tendons and even the nerves in the area also contend with these stresses, making them prone to overuse injuries.

The ulnar nerve…

Another Pitcher Down – Bobby Parnell’s Partial UCL Tear

imgresAfter hearing that Mets’ closer, 29 year-old Bobby Parnell, was diagnosed with an incomplete medial collateral ligament (MCL) tear in his right elbow, one jumps to the logical conclusion that surgery is in his immediate future. That is especially so with a team physician – Dr. David Altchek – who pioneered a very successful modification of the original Tommy John procedure.

The first thing to realize is that the medial collateral ligament of the elbow is also known as the ulnar collateral ligament – or UCL – because of its attachments to the humerus and ulna at the inner (medial) elbow. Now that you know that, the first thought of any Mets’ fan might be that Matt Harvey recently succumbed to surgery to address the same injury (though perhaps the extent of the tears is not identical). Both men complained of primary symptoms in the forearm.

Matt Harvey resisted the knife initially and now, evidently, Parnell is following suit. The Mets tweeted that after having a Platelet Rich Plasma (PRP) injection, Parnell will rest for two weeks before beginning a throwing program, after which it will be determined whether surgery will be required.

Well, what do you think the outcome will be?

Stephen Strasburg Underplays Soreness

Steven StrassbergThe news out of the Washington Nationals’ “Strasburg Watch” is that he won’t miss a start in spite of the slight stiffness and soreness reported in his throwing forearm after Tuesday’s game, in which he threw 93 pitches. Though by all accounts Strasburg’s elbow and arm are structurally sound, even Scott Boras, Strasburg’s agent had acknowledged the symptoms, which Manager Davey Johnson said might be due to a nerve irritation from the electrical stimulation used pre-game. Though I’ve no first hand knowledge of the situation, I highly doubt the treatment was the cause.

Mark Teixeira: No Slam Dunk To Return In 8-10 Weeks

196px-Mark_Teixeira_basepaths_2011So, as expected, the two weeks initially projected for Mark Teixeira to rest and rehab his wrist injury has morphed into a likely eight to ten-week recovery period; That is certainly more realistic and still no slam-dunk. The strain was identified as being to Teixeira’s ECU, or extensor carpi ulnaris tendon. Brian Cashman was quoted as saying that “treatment is four weeks of no activity and then four to six weeks of getting him going, which is dry swings and eventually the tee, and then toss and then batting practice and spring training.

Astounding Number Of Tommy John Surgeries In 2012

200px-IMG_1341_José_ContrerasAn astounding thirty-one major league pitchers underwent Tommy John surgery in 2012 and another, 40 year-old Jose Contreras, was diagnosed in June with a tear of the ulnar collateral ligament (UCL) and flexor pronator in his throwing elbow. Three other pitchers continue to ramp up their rehab from UCL reconstructions performed in 2011 by pitching this month in simulated games, in the instructional league and in the minors. These figures do not include those who returned to major league competition in 2012 following earlier surgeries.

The ulnar collateral ligament is the primary stabilizer of the elbow.

Fixing The Flexor Tendon

colby lewisThere are a total of nine muscles located in the palm side of the forearm. Some play a role in flexing the wrist or fingers, while others rotate (pronate or supinate) the forearm. Some of these also assist with bending the elbow. These muscles are divided into three layers and the five in the outermost (superficial) and middle layers all attach at the inner elbow in what is known as a common flexor tendon.

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