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Type: Posts; User: Heezy1323

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  1. Replies
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    Very interesting stuff. Certainly hard to...

    Very interesting stuff. Certainly hard to discount anything Altchek says (he is a giant in the profession) but I was at a conference recently (Altchek was also there, but not sure if he was at the...
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    I have spent a lot of time thinking about this...

    I have spent a lot of time thinking about this question of 'are kids throwing too much nowadays or not enough?' What I have come to think is this: the main difference between the situation you...
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    Great question. The answer is because the results...

    Great question. The answer is because the results of cuff repair in pitchers have been miserable in regards to return to play. In fact, the results of surgery to address ANY shoulder pathology in...
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    985

    I don't have exact numbers, but my intuition is...

    I don't have exact numbers, but my intuition is that you are correct. The hard part is going from 'excellent theory' to 'data-driven fact'. The example I use with patients is a paper clip. If you...
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    Couldn't agree more. Certainly there is more...

    Couldn't agree more. Certainly there is more awareness about the injury now than 10-15 years ago- which I think is mostly a good thing. The focus on velocity is also a big one. When I see these kids...
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    I don't think it is the weightlifting...

    I don't think it is the weightlifting specifically, but the fact that all the weightlifting makes you stronger- allowing you to throw harder which places more stress on the elbow/shoulder. There is...
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    I agree 100%- that would be extremely valuable...

    I agree 100%- that would be extremely valuable research. Unfortunately it is almost impossible to do... (this idea is similar to an idea for a project I was working on that I just wasn't able to get...
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    TJ article on ESPN.com

    I'm certainly not a frequent poster on TD, but really enjoy the site/commentary/etc. There was a nice article today on ESPN.com that many have likely already seen regarding the incidence of Tommy...
  9. My experience with this has been that most...

    My experience with this has been that most commonly there is an open discussion between the surgeon(s), player, agent and the team. Every situation is a little bit different in terms of the quality...
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    I'm an orthopedist yes. I trained with Dr....

    I'm an orthopedist yes. I trained with Dr. Andrews recently so I have a fairly decent understanding of some of the thought processes in play for these guys. I certainly don't have all the answers but...
  11. They likely did do serial mris. The issue is not...

    They likely did do serial mris. The issue is not interpretation of the MRI, it comes down to the player's ability to play with what he has. Nearly all elbow mri's done on baseball players show some...
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    Thats exactly correct. Many times it is not...

    Thats exactly correct. Many times it is not necessarily that it takes so long to make a diagnosis of UCL injury- it is deciding how long to try to treat it non operatively before resorting to...
  13. I think it's interesting that some people enjoy...

    I think it's interesting that some people enjoy the human element to calling balls and strikes and yet lose their mind over plays like the Arizona State vs. Wisconsin ending in the football game last...
  14. To our discussion, a link from today on...

    To our discussion, a link from today on grantland.com:

    How Concern Over Pitcher Usage Can Actually Give College Coaches a Recruiting Edge - The Triangle Blog - Grantland
  15. Keeping in mind I'm in the medical field and not...

    Keeping in mind I'm in the medical field and not on the baseball side, I will give you my impression/opinion. There is not to my knowledge a current 'rule' for relievers- I believe teams differ in...
  16. Yes the things I noticed were some minor...

    Yes the things I noticed were some minor operative details. The remaining info was pretty sound I thought. I think one thing to consider about the increasing incidence is that our understanding of...
  17. Been reading twins daily for a year or more but...

    Been reading twins daily for a year or more but haven't yet posted anything. I have some expertise in TJ surgery and felt I could answer a couple of the above questions. The article was indeed a good...
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