Posts Tagged "New York Mets"

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David Wright’s Latest Injury. Shoulder Impingement?

34 year-old NY Mets third baseman David Wright has struggled these last few years, sidelined with a number of injuries and diagnoses. Wright’s latest ailment was reportedly diagnosed as a right shoulder impingement. However, accounts indicate that Wright is seeking a second opinion from orthopedists outside the Mets’ family. The result of this consult is not known as of this writing.

What is clear however, is that Wright is unlikely to be ready for opening day, may not be able to play every day when he does come back, and may have to consider a move to first to limit the need for him to throw longer distances with greater frequency. Wright is reportedly willing to do whatever is asked of him.

So what is impingement syndrome?

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?

Matt Harvey’s Partial Tear: Surgery Now Or Chance It?

imagesIf Matt Harvey were an everyday guy pitching in a Central Park League and he opted to try conservative management after partially tearing his ulnar collateral ligament (UCL), we wouldn’t give it a second thought.

With an uncertain outcome either way – and greater overall risks with surgery – what would he have to lose? It wouldn’t be as though his livelihood depended on the result. And, after all, if rehab alone didn’t wind up being the answer, surgery could be done later than sooner. The primary downside would be time spent or, depending on how you look at it, time lost.

My point exactly. It also appears to be a point made by Mets’ management, though the choice has rightly been left to the All Star.

Understanding Matt Harvey's Partial UCL Tear

imagesThe extraordinary stresses that pitchers place on the medial (inner) elbow – and the excessive loading of the region – can create inflammatory or degenerative conditions in a number of structures in the area. That may explain why Harvey’s symptoms were not initially localized to the UCL, which is the primary stabilizer of the elbow.

Pitcher Faces Thoracic Outlet Surgery

8963Mets starter Shaun Marcum began the 2013 season with what was diagnosed as right shoulder impingement syndrome and ended it this week with another type of impingement – that of the Thoracic Outlet.

Ed Coleman reported that Marcum is slated for surgery next week after an MRI confirmed the diagnosis. He has struggled at the mound recently and reported recurrent symptoms of tingling and numbness in his pitching hand. This, according to Mets assistant GM, John Ricco, “was affecting his ability to grip the ball.”

Thoracic Outlet is also sometimes implicated when a pitcher complains of a “dead arm”…

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