Nationals Arm Race

"… the reason you win or lose is darn near always the same – pitching.” — Earl Weaver

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2014 Tommy John Post-Mortem

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Jose Fernandez is (arguably) the biggest name to go down to TJ surgery yet.  Photo via thestar.com

Jose Fernandez was (arguably) the biggest name to go down to TJ surgery in 2014. Photo via thestar.com

When we hit 20 MLB pitchers going under the knife for blown Ulnar Collateral Ligaments (UCL) on the 2014 season, I posted on possible reasons for the epidemic.  By the time the season was over, more than 90 players in professional baseball (and a handful of marquee amateurs, including two first round picks and our own) had gone under the knife for blown UCLs/Tommy John surgery.  2014 was the year of the elbow ligament, no question, in terms of volume and awareness.

This post lists all the major league pitchers who had the surgery this year, with links to the announcements as they happened, along with stills of the pitchers’ mechanics to do a quickie thumb nail analysis of mechanics and whether there’s a relationship to the injury. At the bottom i’ve captured any significant news related to the surgery, MLB being proactive in preventing the injuries, and other TJ news.


First, here’s the complete Tommy John fall-out for the year for major league arms.  According to the great injury tracking links below, no less than 91 players in all levels of pro baseball had the surgery in calendar year 2014, of which 29 were MLB-experienced pitchers.

(data from baseballheatmaps.com, which has detailed Disabled List data).

10 of these 29 pitchers are getting the surgery for the 2nd time.  Wow.

Here’s links to other notable non-MLB pitchers who have gotten the surgery as well in 2014:

  • Jamison Taillon: the Pirates #1 pitching prospect and one of the best pitching prospects in the game.  Diagnosed 4/6/14, surgery 4/9/14.
  • Danny Rosenbaum: Nats AAA starter and long-time farmhand.   Surgery 5/8/14.  Tough for Rosenbaum because he’s a MLFA this coming off-season, now facing a very uncertain future.
  • Miguel Sano: one of the best prospects in the minors, had the surgery 3/12/14.  He’s not a pitcher, and he initially injured his arm playing in the Dominican Winter League, but it still costs Minnesota one of its best prospects.
  • Jeff Hoffman, ECU’s right handed starter and consensus top 5 pick in the 2014 draft, hurt his arm and was diagnosed on 5/8/14.  He dropped 5 places from his likely drafting spot by the Cubs at #4, which cost him about $X in slot dollars.   We talked about whether the Nats (picking at #18) were a likely suitor for him at the time of the injury in early May.
  • Erick Fedde, UNLV’s friday starter and projected mid-1st round pick, was diagnosed two days after Hoffman on 5/10/14.  He dropped perhaps 8 places from his estimated drafting spot of mid 1st round and was picked by Washington.  His injury didn’t really cost him much in slot money thanks to the Nats paying over-slot.
  • Our own Matthew Purke, diagnosed and set for TJ surgery 5/29/14 after really struggling out of the gate this year for Harrisburg.   Purke may face an options crunch by the time he’s done re-habbing, thanks to his MLB deal signed on draft-day.  (Update: the Nats never let him get there, releasing him on 11/14/14).
  • Chad Billingsley having flexor tendon surgery while trying to recover from his 2013 TJ surgery.    This isn’t counted as a TJ, but is noteworthy.
  • Not a pitcher, but key Orioles player Matt Wieters had to have TJ surgery on 6/18/14.
  • Matt Cain dodged a bullet by just being diagnosed with elbow chips, but still had season-ending elbow surgery on 8/5/14.
  • Padres uber-prospect and 2012 first rounder Max Fried went under the knife in mid-august.
  • Yu Darvish didn’t fall victim to the TJ surgery, but an elbow issue is shutting him down in late August, just the latest nail in the coffin of the Rangers’ season.
  • Jonathan Mayo discussion on elbow surgeries and prospects from Mid-Late August.

Here’s quickie images of every MLB starter diagnosed this year as they land to make a quick judgement about their mechanics:

VentersJonny landingHefnerJeremy landing

SkaggsTyler landingJonesNate landingChatwoodtyler landingTanakaMasahiro landing

ArroyoBronson landingBurnettSean landingBellTrevor landingWithrowChris landing

PerezMartin_landingCisnerJose landingFernandezJose landingGriffinAJ landing

 

FigueroaPedro landingNovaIvan landingJohnsonJosh landingMooreMatt landing

 

GearrinCory landingParnellBobby landingDavisErik landingHernandezDavid landing

 

MLB: Spring Training-Arizona Diamondbacks at Los Angeles DodgersRondonBruce landingCorbinPatrick landingParkerJarrod landing

BeachyBrandon landingMedlenKris landingHochevarLuke landingLeubkeCory landing2

Quick and Dirty Mechanics analysis (images in same order as list of pitchers above, which is chronological in order of diagnosis in 2014):

  • Inverted W: Hefner, Skaggs, Withrow, Griffin, Nova, Gearrin, Beachy, Hochevar
  • Sideways M: Ventors, Chatwood, Bell, Burnett, Fernandez, Johnson, Davis, Moylan, Rondon, Parker, Medlen
  • Inverted L: Jones, Tanaka, Arroyo, Perez, Cisnero, Figueroa, Moore, Parnell, Hernandez, Corbin, Luebke

Conclusions? None.  They’re all over the road.  TJ injuries this year happened to those thought to have “dangerous” mechanics and clean mechanics.  TJ injuries happened to the league’s harder throwers (Rondon, Ventors, Fernandez) and its softest throwers (Medlen and Arroyo, both of whom are usually at the absolute bottom of the league in terms of fastball velocity).  Starters and relievers, no discernable pattern.

I think all you can conclude is this: if you throw a lot of innings, you’re more prone to injury.  I know, ground breaking analysis.


Other notable/interesting links I’ve collected on the topic over the length of the season:

  • Yahoo’s Tim Brown interviewed Zack Greinke (published 5/15/14)who says he made a conscious decision to throw fewer sliders, noting that he could really feel it in his elbow after starts where he threw too many.  This tends to support the notion that sliders make a difference.
  • Jerry Crasnick interviewed commissioner Bud Selig on 5/15/14 and Selig said he’s “concerned.”  Great!  On a scale of “Resolve Oakland/San Jose territorial rights” concerned to “Resolve MASN dispute” concerned, I wonder where he falls?  Maybe he’ll form a blue-ribbon committee that can meet for several years without arriving at any solutions.
  • Stephania Bell‘s articles on the spate of TJ injuries: from April and again in May.
  • Nate Silver‘s new blog 538 chimes in in mid-may.
  • Neil Weinberg from Peter Gammons‘ website posts his own theory on 5/16/14 that is basically related to the rise in youth/showcase events.
  • Shawn Anderson from the blog HallofVeryGood.com posts his theory (overuse).
  • An older link to Will Carrol from July 2013 talking about the surgery, how its done, who’s had it and some other great stuff.
  • The American Sports Medicine Institute (led by Dr. James Andrewsreleased a statement on 5/28/14 on the issue of Tommy John surgeries (as pointed out by David Schoenfield and/or Craig Calcaterra in late may and/or Jerry Crasnick on the same day).  Their basic point: don’t throw with max effort.
  • Dr. James Andrews announced that he’s releasing an app to help keep pitchers healthy.   Per screen shots, it will be relatively simple and will have pitch counts, age and rest days calculate a max number of pitchers that a player can throw today.
  • An interesting analysis of Kansas City’s Yordano Ventura after he was diagnosed with a non-UCL related elbow injury in May.
  • Thoughtful piece from Dirk Hayhurst about the quest for velocity and the value of soft-throwers like Mark Buehrle.
  • Danny Knobler special piece to the BleacherReport in June 2014 discussing “child abuse” of kids over-throwing, throwing too much, too hard, too soon.
  • A sleeve has been announced that may help prevent TJ injuries (its called the Motus Pitcher Sleeve).  Dirk Hayhurst subsequently did some research and interviews about the sleeve and offers some thoughts.
  • CBS’s Jon Heyman breaks the news that #1 overall pick Brady Aiken may have an “elbow ligament issue,” thus holding up the signing.  Wow.  As we all know, this turned into a big-time stalemate, the non-signing of Aiken (which cascaded down and cost the Astros their 5th round pick too), possible grievances, possible lawsuits, all sorts of NCAA eligibility concerns, and a whole big black-mark for the Astros organization.  All over $1.5M.  Remember; this is the same team that gave $30M last off-season to 5th starter Scott Feldman.
  • There was a two hour special on the injury on MLB Radio Networks on 7/17/14 that I hope they replay or transcribe to the internet.
  • Bud Selig still awaits the Tommy John study in Mid July 2014.  If its anything like his other blue-ribbon panels, he’ll be waiting a long time.
  • Discussion about youths with UCL/TJ injuries in USA Today on 7/23/14.
  • Study from USA Today on how prep pitchers are avoiding TJ.
  • MLB unveils “Pitch Smart” guide in Mid November to help youth’s understand workloads.  Also discussed by Jeff Passan.

Hope you’ve found this trove of TJ links as interesting as I have.

Nats Off-season News Items Wrap-up 12/25/11 edition

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Welcome to Washington Mr. Gonzalez. Photo by Thearon W. Henderson/Getty Images via cbssports.com

This is your semi-weekly/periodic wrap-up of Nats and other baseball news that caught my eye.  No better time than today to publish, since there’s not much else going on Christmas day.

Nationals In General

  • Bus Leagues Baseball profiles Matthew Purke, with a nice scouting report and recap of his journey to the Nats franchise.
  • Nice little bench move here: Nats claimed infielder Carlos Rivera from Philadelphia’s waivers and stuck him on the 40-man.   He theoretically can play both SS and 3b, though reports are that his SS defense is suspect.  I’m not going to nit pick moves like this and the Mike Cameron signing; our farm system kind of has a gap in terms of player development from the last Bowden draft years, so we are missing these roster-augmentation players that otherwise would be filled from within.  Soon though with the college-heavy drafts of the past couple years we should have all the spare parts we need sitting in AAA so that we’re not signing mid 30’s utility players and claiming mediocre players.
  • Welcome to 2012’s version of Jerry Hairston; Mark DeRosa to sign with the Nats and be our super utility guy.  Can’t argue with the move; he fills a need, is willing to be a bench player, and can play a bunch of positions.
  • Congrats to ex Nat Jason Marquis, who looks to sign a deal with Minnesota.  I’m glad he’s landed on his feet after a freak fractured tibia just after we traded him last year.
  • Obviously the big news this cycle is the Gio Gonzalez move.  Frequent readers here saw a very healthy discussion in the past week in this space.  I’ll post some reaction links here not posted elsewhere: Buster Olney‘s blog (the take away for me is how badly Oakland’s fans seem to be reacting), Jim Bowden‘s video reaction and his description how the deal went down (the interesting takeaway being how the 2nd player thrown into the deal from Oakland’s side turning the tide).  Keith Law values our prospects highly and says we overpaid.  Another prospect-heavy analyst John Sickels analyzes our outgoing prospects (surprisingly Sickels says the A’s got “fair value” instead of calling it a loss for the Nats as Law did).  Here’s Tim Brown‘s reaction, plus Ken Rosenthal‘s original report.  Lastly, fangraph’s David Fung graphically analyzes projected WARs and determines that we gave up nearly twice the value in future production, which involves quite a leap of trust that all four of these guys pan out to their potential.  Lastly, here’s Baseball Prospectus’ take on both sides; not nearly as glowing for the 4 prospects gained as I thought they would be.

Free Agents/Player Transaction News

  • Roy Oswalt is considering one-year deals, immediately bringing nearly every MLB team into the discussions.  I’d love to have him on the Nats but suspect that he may end up in a situation that makes it easier for him to get one more relatively lucrative FA contract.  I.e., an easier division that’s closer to home.  Imagine him in San Diego against weaker NL west teams.  With the Gonzalez signing though, my guess is that we’re out of the FA pitcher race.
  • Interesting take on the Yu Darvish bidding results and the Toronto loss from Buster Olney (insider only), intimating that all the talk about the Toronto interest was overblown.
  • Great points by David Schoenfeld on espn, pointing out another similar article on Grantland, talking about the “Prospect Mania” that has become the norm in baseball over the past 10 years.  Ironically, this same issue was seen in our Gonzalez deal; are our prospects really that good, or are we over-valuing them and their potential?

General Baseball News

  • College Baseball Newspaper announces its pre-season Collegiate All American team.  From first glance, Florida looks really strong (4 guys on the first team, another four on the 2nd team, wow).  South Carolina returns two all-american starters, virtually guaranteeing weekend series wins all year.  Finally Texas has 2 first team, 3 second teamers just in its rotation.  Too early to predict Florida versus Texas in the Omaha final in June 2012?
  • George Washington, a lesser Div-1 baseball program that has given the Nats some later-round org players in recent years, is renovating Barcroft park in South Arlington, where they play their home games.  They’re putting in artificial turf, nicer facilities and a nicer snack bar.  Nice.  It was already a nice place to see good collegiate baseball; now it should be this much better.
  • Documentation/Actual testimony from a player who won an appeal of his PED positive test.  Latest rumor I read about Ryan Braun is that he was taking something for an STD.  I can’t find a link so perhaps its just that; a ridiculous rumor.
  • Good, non-hysterical analysis of the new CBA’s winners and losers from Basball America’s J.J. Cooper and Jim Callis. Callis continues with this analysis of the impact on big and small market teams.
  • Man, I can’t wait to see this soap opera in Spring Training; former Marlins manager says that Hanley Ramirez won’t go to third easily.
  • Nice shirt, Mike Napoli.  (NSFW, in other words, “Not Safe for Work.”)  Not really; you can barely see the “R-rated” part.
  • I wonder why they left the field?  A current picture of Detroit’s old stadium.  We were in Detroit 3yrs ago and drove by this stadium as it was only in partial de-construction.
  • LA Dodger’s plans to sell dealt a blow by a bankrupcy judge.  Or were they?  I’m not entirely clear how this ruling affects anything frankly.  As long as Frank McCourt is removed from the picture, I think everyone will be happy.

General News; other

  • Categorize this in the “people who don’t have a sense of humor, ever” department: Pat Robertson found the hilarious Tim Tebow skit on SNL last weekend “disgusting.”  Hey Pat; I find your opinions on race, discrimination, acceptance, tolerance, and your stated stances on the reasons that Hurricane Katrina, the Haitian earthquake and 9-11 happened to be “disgusting” as well.
  • This link was ironic for me, in that my family just had the same discussion about what is the best Xmas movie of all time.  Jim Caple presents a 64-team bracket for Xmas movies.  I think the selection committee screwed over “Scrooged,” giving it only a 9 seed.  In another bracket, its a regional winner :-).