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re: Doug Norman out for the year

Posted on 2/27/17 at 3:22 pm to
Posted by ell_13
Member since Apr 2013
84943 posts
Posted on 2/27/17 at 3:22 pm to
Touch your pinky and thumb together with your hand facing you and bring your hand forward. The tendon that pokes up right at your wrist is what they use. 15% of the population doesn't even have this tendon so it's not used for anything. With pitchers who don't have one, they take a tendon that wraps around the knee.
Posted by ProjectP2294
South St. Louis city
Member since May 2007
70095 posts
Posted on 2/27/17 at 3:26 pm to
I need to pick The Arm (Jeff Passan) back up. I started it last summer, but never finished it. There is a chapter that explains the whole surgery. When you mentioned the touching thumb and pinky thing I remembered reading about it in that book.

The big takeaway from the book though is that we still mostly don't know shite about what truly causes it, but we have some ideas. And any prevention we're doing now is simply guesswork.
Posted by MountainTiger
The foot of Mt. Belzoni
Member since Dec 2008
14661 posts
Posted on 2/27/17 at 3:29 pm to
quote:

Touch your pinky and thumb together with your hand facing you and bring your hand forward. The tendon that pokes up right at your wrist is what they use.

Thanks, I was wondering about that too.
Posted by ell_13
Member since Apr 2013
84943 posts
Posted on 2/27/17 at 3:40 pm to
quote:

The big takeaway from the book though is that we still mostly don't know shite about what truly causes it, but we have some ideas
And we don't really understand the physiology of the surgery either. You take a tendon and put it where a ligament used to be. After 5-7 months, it no longer has characteristics of a tendon and "acts" like a ligament. And after a few years an MRI can't pick up any differences other than some scar tissue if anything. And even though it has a huge success rate, there are still some oddities that can happen.

1) Different doctors cut in different places. Some cut between the two arm bones while others cut along the inside. Cutting between the bones means you have easier access to do the work while cutting on the inside means you have to work around or even move the nerve that runs right along side that ligament. That can be risky. Parts of my arm are still numb.

2) How the tendon is knotted isn't consistent. Dr. Field patented the "Field Knot" which has a much higher success rate. However, no matter which knot used, it has to be "folded down" to keep away from that nerve. Mine, of course, moved. Originally, we though the discomfort I was feeling was scar tissue and I was getting "scraped" twice a week. Scraping is where they take a plastic device that's about as thin as the back edge of a butter knife and literally scrap along the muscle and bone to try and break up the tissue. I ended up having to have a second surgery for the knot to be cut. It was pointless by that point.

3) Rehab has nothing to do with the elbow other than range of motion. That's the first 1-2 months is just being able to straighten your arm out again. After that, it's all shoulder and core strength. Shoulder injuries are way more common for post-TJ pitchers. Too much; too soon, or some combination.
This post was edited on 2/27/17 at 3:48 pm
Posted by bubbz
Baton Rouge
Member since Mar 2006
22810 posts
Posted on 2/27/17 at 3:46 pm to
Good informative posts Ell.
Posted by ell_13
Member since Apr 2013
84943 posts
Posted on 2/27/17 at 3:52 pm to
few and far between, right?
Posted by im4LSU
Hattiesburg, MS
Member since Aug 2004
31926 posts
Posted on 2/27/17 at 3:57 pm to
Posted by Jack Daniel
In the bottle
Member since Feb 2013
25412 posts
Posted on 2/27/17 at 4:15 pm to
Looks like we have a bunch of resident orthopedic surgeons here.
Posted by TheBadgerOfHoney
Member since Nov 2011
1847 posts
Posted on 2/27/17 at 5:03 pm to
Do we get Cartwright back at any point this year?
Posted by MottLaneKid
Gonzales
Member since Apr 2012
4543 posts
Posted on 2/27/17 at 5:09 pm to
frick !!!!!!
Posted by MountainTiger
The foot of Mt. Belzoni
Member since Dec 2008
14661 posts
Posted on 2/27/17 at 5:12 pm to
quote:

Do we get Cartwright back at any point this year?

Nope.
Posted by Captain Crown
Member since Jun 2011
50665 posts
Posted on 2/27/17 at 5:18 pm to
Have to hate that for him. I hope he has a speedy recovery.
Posted by TigerAlum93
Member since Sep 2010
3004 posts
Posted on 2/27/17 at 5:20 pm to
Prayers for a speedy recovery!
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