Posts Tagged "Tommy John surgery"

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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.

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.

Injured Players Continue To Return Prematurely

bautistaIt’s no surprise that many athletes suffer setbacks from returning to competition too soon after suffering injuries. The healing process can only be prodded so much, and the demands that sports place on healing structures can readily create overuse and breakdown. And then there is the inherent risk of traumatic injury.

Of the many current injuries in MLB, a number of them might have been avoided with a slower progression back to the field. Others appear to be exacerbations waiting to happen.

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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