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Article: Alex Kirilloff To Miss 2017 After Tommy John Surgery

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#41 diehardtwinsfan

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Posted 01 March 2017 - 04:19 PM

 

It's not the Twins call, they're not opting for anything. Kirilloff isn't a piece of property, he's a young man who gets to make his own medical decisions. Which of us would immediately choose the torturous process of getting knocked out, cut open and subject to a very lengthy period of incapacitation if there was a chance something else would work?

 

We also tend to underestimate the fact that surgery can have real complications.I don't have a problem at all with an attempt to rehab first. 

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#42 Deduno Abides

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Posted 01 March 2017 - 04:34 PM

I'm more concerned about how his elbow got to this extreme of an injury than I am about the delay in surgery. A UCL tear doesn't appear out of nowhere. There are weeks or months of pain first, which can involve tendinitis, tendinosis and a sprain along the way. Sometimes the pain radiates throughout your arm and sometimes it wakes you up at night. Rest along the way can be a great cure. After one prize position player loses important development time to TJ, you'd think the team would have implemented new processes for managing its top prospects, including building an understanding and level of trust that all physical issues must be reported.

Second, I'm concerned more about this injury for Kiriloff than I was for Sano or would be for the average player. Kiriloff apparently is a product of his training program. The word last year was that he was more advanced than other players because of his program, whereas other players were considered to possibly have more upside, because they were roughly equivalent but hadn't had the benefit of a program that was as good as Kiriloff's. Now, it is likely that Kiriloff will not be able to continue with that program, because (1) he will be in a rehab program and (2) his past program may have been the cause of his problem. If his training program was a foundation of his success and he can no longer do it, a lot more doubt attaches to his value.

Edited by Deduno Abides, 01 March 2017 - 04:35 PM.

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If I had to do the same again, I would, my friend, Fernando!

#43 David HK

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Posted 01 March 2017 - 05:18 PM

Oh, my gosh. You have to feel for that young man. I hope he will recover well, and keep his spirit up in the meantime.
Yet, somehow, this is just so... so... Twins.

#44 caninatl04

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Posted 01 March 2017 - 06:53 PM

 

I'm trying to remind myself it could be worse - this could be Berrios, May, or one of our pitching prospects that is almost major-league ready - but still this hurts.

The day is still young

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#45 caninatl04

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Posted 01 March 2017 - 06:59 PM

 

Sometimes I think that the day after we draft and sign these guys we should just do this surgery and get it over with.

Following the draft, we'll send our top three picks directly to Dr. James Andrews.Or, we'll hire the previous Vikings' staff so they can tear their biceps instead.

 

Maybe the U of Minnesota might want to invest in a Top 20 graduate physio program.Oh wait:

https://www.usnews.c...herapy-rankings


#46 DJSim22

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Posted 01 March 2017 - 07:35 PM

 

Just unreal it took him till the start of ST to decide on surgery. That's something that should be evaluated way more to see how he is progressing as opposed to just making that decision after months of rehab. Twins always seem so tentative with their injuries.

 

That's almost as bad as playing in the WBC!;)


#47 tarheeltwinsfan

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Posted 01 March 2017 - 07:36 PM

 

 

.  

As a surgeon, I hope I never reach the point in my career that I am doing preventative TJ surgery. I will hang up my scrubs the day that happens.

How is that any worse than a woman having breast enhancement?


#48 Heezy1323

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Posted 01 March 2017 - 08:46 PM

 

 

.  

How is that any worse than a woman having breast enhancement?

 

I would say that the difference is that a breast aug is cosmetic. TJ is not. 

I'm not saying there aren't orthopedists out there who would do it (though I don't know any). I'm just saying it's not something I would be willing to do. When I consider signing someone up for surgery, the benefit needs to outweigh the risk, or I don't recommend surgery. There are an extremely small number of circumstances under which I would operate on a normal, uninjured joint. 

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#49 mikelink45

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Posted 01 March 2017 - 09:53 PM

I cannot judge this, I only think of all the injuries over all the years where we have waited and delayed and then finally did what was needed.  I hope that this was not poor judgment, but there have just been too many instances where we wait and wait and suddenly the player is lost for a longer period.


#50 glunn

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Posted 02 March 2017 - 03:26 AM

 

I would say that the difference is that a breast aug is cosmetic. TJ is not. 

I'm not saying there aren't orthopedists out there who would do it (though I don't know any). I'm just saying it's not something I would be willing to do. When I consider signing someone up for surgery, the benefit needs to outweigh the risk, or I don't recommend surgery. There are an extremely small number of circumstances under which I would operate on a normal, uninjured joint. 

I am grateful for all of your posts in this thread. It's very informative to hear the perspective of an actual surgeon. I wish that you had been around to explain plantar fascitis and chronic leg fatigue when we were trying to comprehend those injuries.

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#51 Sconnie

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Posted 02 March 2017 - 05:26 AM

Rhett Bollinger wrote that he had a platelet injection before the R&R. It makes more sense then. Still practically unheard of injury for High School OFs...

thanks for sharing. It's slightly more encouraging that Kirilloff spent his offseason getting treatments beyond R&R.

I wish Alex well and a speedy recovery.
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#52 puckstopper1

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Posted 02 March 2017 - 07:41 AM

The phrase "The beatings will continue until moral improves" comes to mind... 

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That Twins 2nd baseman - #29 - he doesn't run, he "ca-rew-zes" - Earl Weaver


#53 Trov

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Posted 02 March 2017 - 10:07 AM

 

I posted this link in the other thread as well, but it is helpful in answering this question. The short answer is (at least according to this study), most.

 

http://journals.sage...325967114S00021

 

It isn't just the Twins that take this approach- that is the approach taken by the vast majority of teams/colleges.

Thanks for the link, very informative.  It just seemed to me in recent past Twins took the rehab approach and then spent months doing that before going surgery route, but this shows there is valid reason to go that route.  My guess is when rehab did the work it is not as big of a story is not noted as when they end up having it.  Again thank you for the link.

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#54 Trov

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Posted 02 March 2017 - 10:17 AM

 

It's not the Twins call, they're not opting for anything. Kirilloff isn't a piece of property, he's a young man who gets to make his own medical decisions. Which of us would immediately choose the torturous process of getting knocked out, cut open and subject to a very lengthy period of incapacitation if there was a chance something else would work?

Yes, of course it is always the persons decision to do surgery or not, but the Twins medical staff will have input to help make the players decision.  In terms of your question I myself opted to have surgery to a repair of ligament over doing just rehab, because I was informed the surgery had higher level of success and long term health benefits.  Had I been informed by my doctor that rehab was the best route then most likely would have chose that route.  For me it came down to the information that was provided to me.  

As Heezy provided a helpful link to suggest the information is rehab is the proper route, which was what my question was asking.  As for your take that the Twins had control over the decision that was not the intended take from my comment, but what kind of recommendations the Twins staff was giving the players to help make the players decision. 

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#55 Heezy1323

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Posted 02 March 2017 - 05:52 PM

 

I am grateful for all of your posts in this thread. It's very informative to hear the perspective of an actual surgeon. I wish that you had been around to explain plantar fascitis and chronic leg fatigue when we were trying to comprehend those injuries.

I genuinely appreciate the compliment. I really enjoy this TD community and have learned a lot about baseball by reading others' posts. I enjoy chipping in where I can offer some insight.  As far as bilateral leg weakness... let's just say that I'm not sure I would've been much help then, either. 

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#56 drjim

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Posted 03 March 2017 - 07:11 PM

I cannot judge this, I only think of all the injuries over all the years where we have waited and delayed and then finally did what was needed. I hope that this was not poor judgment, but there have just been too many instances where we wait and wait and suddenly the player is lost for a longer period.


This is the nature of injuries and athletes.
Papers...business papers.



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