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Message
re: Tommy John - Not If, but When?
Posted on 5/3/23 at 2:28 pm to lsu777
Posted on 5/3/23 at 2:28 pm to lsu777
quote:
everything you just posted is false. already went over this. everything.
Love your passion for the game. But, there has been tons of research on pitching injuries over the past several decades that indicate the post you responded is indeed correct, just not complete.
Overuse is a major factor.
Biomechanics is a major factor.
Increased velocity is a major factor.
Strength is a contributing factor as well.
Depending on the individual, one of those 4 factors can override the ligament and failure occurs.
Example. A player can have great mechanics, throw at a high velocity and be strong in measurables that are indicative of protective health for the pitcher, but still suffer a UCL injury because of over use. The ligament sustains microtears over time that often are asymptomatic until enough damage is done that a larger tear occurs or a complete tear.
Surgeons will tell you that when they open up the arm of a teenager for Tommy John that the ligament looks vastly different than one of an adult player having TJ. Why? The amount of use over time for the adult player.
So, a player can seemingly do everything they can to prevent injury, but if they are pitching at close to maximum effort almost year round, they are putting a lot of miles on their arm. It is going to catch up with a lot of them.
Conversely, many younger players can be deficient in several of those risk factors. They can throw too much, be going through a growth spurt and not strong enough to support the velocity they are throwing and their mechanics are bad. It doesn't take much to tear the ligament on these players.
However, it can not be dismissed that the increase in the number of pitches is a major contributor to the rise in injuries.
This post was edited on 5/3/23 at 2:30 pm
Posted on 5/3/23 at 3:11 pm to deathvalleytiger10
quote:
Increased velocity is a major factor.
never said increased velo isnt a contributing factor
quote:
Overuse is a major factor.
Biomechanics is a major factor.
never said these were not issues, i said they are not the major issues. there is less overuse than there ever was. many like to claim such in such team is playing 90 games....not at the aaa or majors level there isnt. went back and checked all the major orgs.
like i said before fall ball that used to be played is abotu the same amount of games as played by most travel orgs during fall
the spring is march-end of june, same as little league if you make regional tourney for all stars. also the same as when legion was played with hs.
quote:
Increased velocity is a major factor.
Strength is a contributing factor as well.
increased velo with lack of strength is the #1 thing. i have pointed out over and over again leading causes than indicate TJ is a possibility. over and over again i went over the issues. read what i wrote, spelled it all out between the 2 threads, if you want the links, i can provide them.
quote:
So, a player can seemingly do everything they can to prevent injury, but if they are pitching at close to maximum effort almost year round, they are putting a lot of miles on their arm. It is going to catch up with a lot of them.
quote:
So, a player can seemingly do everything they can to prevent injury, but if they are pitching at close to maximum effort almost year round, they are putting a lot of miles on their arm. It is going to catch up with a lot of them.
Conversely, many younger players can be deficient in several of those risk factors. They can throw too much, be going through a growth spurt and not strong enough to support the velocity they are throwing and their mechanics are bad. It doesn't take much to tear the ligament on these players.
i have never said this is wrong. i just went over all the strength issues, lack of strength or imbalances and these can be from any number of issues but the #1` issue is because parents keep loading up on the horsepower of the engine but never upgrading the breaks nor the shocks....aka keep trying to have little johnny throw harder through max intent throws...which is fine...but they fail to put him in strength training because they are scared to stunt growth despite all the evidence pointing to the opposite and the stance of every respected org being the opposite of that.
quote:
However, it can not be dismissed that the increase in the number of pitches is a major contributor to the rise in injuries.
but most kids are not throwing more than ever. thats the thing, everyone likes to claim that but its not true. in fact kids actually throw less, on average. there is not nearly the amount of just toss for fun that was done in the past
also the biggest cause besides lack of strength is being underprepared for the workload. kids go out and immediately in jan/feb and start high intent throwing with no on ramp. or they throw 15 pitch bullpens until first tournament and go out and try adn throw 75 pitches and boom...we have an issue.
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