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Surgery for Sano?

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#21 Seth Stohs

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Posted 05 October 2017 - 11:59 PM

 

I want to hear concrete medical information, not some media guy saying "Don't be surprised if..." Sounds like unsubstantiated speculation.

 

Knowing and talking with Doogie, he isn't going to put something out there without knowledge from someone who knows. He doesn't need to give up his sources, but he's one of the most reliable people in the market for this stuff... someone told him that there is a concern that he may need surgery. 

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#22 Doomtints

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Posted 06 October 2017 - 09:41 AM

 

It would be good to get a great defensive third baseman who is at least OK at the plate, if Sano doesn't project to be much more than a DH.

 

Dozier could move over to 3rd.


#23 Doomtints

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Posted 06 October 2017 - 09:43 AM

 

I really don't understand why, if he needed surgery, why it wasn't done right away. Seems like a massive waste of time.

 

This isn't how it's done generally in baseball or other sports. Barring something catastrophic, the first course is always going to be to let the body try to heal itself.

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#24 big dog

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Posted 06 October 2017 - 10:02 AM

 

Bit old school here as far as Medicine goes, but there are one 2 reasons that surgery might be needed: a. if there are a whole bunch of bone fragments around, which need to be cleaned or b. stabilize the leg after a pretty nasty tibia fraction.

 

Both of those 2 cases would not been diagnosed as a "stress reaction" with an old school X-ray, much more with an MRI.

 

And the 'stress' part (which denotes injury due to repetition vs. due to event as in 'acute') was totally BS because his leg was hurt with that foul ball, and that is a distinct event, as in an accident.

 

Either the lying has to go, or the Twins' med stuff have to go...

Or it's at least remotely possible there is a third interpretation of events.

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#25 Doomtints

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Posted 06 October 2017 - 10:11 AM

 

I want to hear concrete medical information, not some media guy saying "Don't be surprised if..." Sounds like unsubstantiated speculation.

 

As if any of us were qualified to read a medical report.....


#26 Taildragger8791

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Posted 06 October 2017 - 10:37 AM

 

Dozier could move over to 3rd.

 

I didn't think Dozier had the arm for 3rd? And a lot of his troubles at shortstop were related to attacking or charging in on balls, which is something a 3rd basemen has to do regularly (and Sano is great at). Dozier is best when he can hang back and let the ball come to him, which is why he's excelled more at 2B.

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#27 Doomtints

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Posted 06 October 2017 - 11:54 AM

 

I didn't think Dozier had the arm for 3rd? And a lot of his troubles at shortstop were related to attacking or charging in on balls, which is something a 3rd basemen has to do regularly (and Sano is great at). Dozier is best when he can hang back and let the ball come to him, which is why he's excelled more at 2B.

 

Balls are usually hit to third very hard, though yes he would have to hustle a bit too. I think he could do it.


#28 Taildragger8791

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Posted 06 October 2017 - 12:04 PM

 

Balls are usually hit to third very hard, though yes he would have to hustle a bit too. I think he could do it.

 

Usually, but you also get plenty of dribblers and rollers that need to be attacked downhill and then thrown with some mustard on them. You're often playing 90-100 feet from home instead of 130-140 feet. There's a reason he went from being unsatisfactory at SS to pretty good at 2B. I just don't think he's comfortable making the plays that need to be made on the left side of the infield.

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#29 T_J

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Posted 06 October 2017 - 12:20 PM

Wait... Lets not rip the team doctors... I'm about to see a former one next Friday about a shoulder issue and I liked my confidence in him until I read over this! 

 

Really though, from the amazingly little I know about medicine, there best treatment option for something like this is time. 

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#30 h2oface

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Posted 06 October 2017 - 01:28 PM

 

Because obviously there was some hope he could play, that he tried, and failed to play well, doesn't make it the wrong decision.Having surgery at the time would have wasted the rest of the season. 

 

There's nothing that chides me more than casual fans second-guessing medical evaluations.It happens with every injury that puts a player out for any extended time.Ugh.

 

Duh. There's nothing that chides me more than casual fans fansplaining the obvious that every casual fan knows. Of course it would have put him out (not wasted in my opinion) the rest of the season, but it would have been the safest and best long term for Sano and the team. Him being healed, and having the best opportunity to be ready and healthy for 2018 is why I don't understand it. After all, Falvey/Levine were sellers, and have done nothing to try to compete farther than the wild card game. At all. So the decision to drag this along is fair game for speculating...... as casual  an obsessive fan. Ugh.

Edited by h2oface, 06 October 2017 - 01:43 PM.


#31 KGB

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Posted 06 October 2017 - 04:01 PM

http://www.twincitie...re-specialists/

I think it's going to hard to blame they Twins medical staff after 2 outside specialists confirmed the diagnosis.
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#32 cmoss84

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Posted 06 October 2017 - 04:14 PM

 

It would be good to get a great defensive third baseman who is at least OK at the plate, if Sano doesn't project to be much more than a DH.

I could see us going after a guy like Todd Frazier on a 1 or 2 year deal. Decent fielder with good power. If Sano needs time to ease his way back, Frazier can take over. I'm sure he could also play a little 1st base. 

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#33 PseudoSABR

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Posted 06 October 2017 - 06:41 PM

 

 but it would have been the safest and best long term for Sano and the team. 

That's not a fact (at best it's hindsight speculation).And likely was not the diagnosis/prognosis at the time.  

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#34 Deduno Abides

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Posted 06 October 2017 - 06:53 PM

Dozier could move over to 3rd.


I assume you're thinking that Gordon could take second in that scenario. That could work, also, although I think it's unlikely that Gordon starts the year with the Twins, unless he shows up at training camp looking a lot stronger and proceeds to rip.

#35 Heezy1323

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Posted 07 October 2017 - 07:00 AM

 

Duh. There's nothing that chides me more than casual fans fansplaining the obvious that every casual fan knows. Of course it would have put him out (not wasted in my opinion) the rest of the season, but it would have been the safest and best long term for Sano and the team. Him being healed, and having the best opportunity to be ready and healthy for 2018 is why I don't understand it. After all, Falvey/Levine were sellers, and have done nothing to try to compete farther than the wild card game. At all. So the decision to drag this along is fair game for speculating...... as casual  an obsessive fan. Ugh.

If surgery is necessary for this (which I continue to believe is unlikely), the approximate healing time is likely around 6-10 weeks. As such, performing surgery Sept 1st or Oct 1st carries no additional benefit when compared to Nov 1st with respect to having him ready for ST in February. I suspect that is the reasoning. This is different from TJ or SLAP repair in a pitcher that requires a many months-long rehab. 

 In addition, surgery has risks (obviously). This particular surgery has specific risks as well, depending on the specific surgery performed. If a rod is used to 'fix' this stress fracture, pain in the front of the knee is common after surgery (since the rod is inserted just below the knee). If a plate/screw construct is used, there can be pain or tenderness at this site of the plate. Both of these things are relatively common. In the vast majority of cases, conservative treatment is appropriate for stress reactions/fractures and results in successful healing. I have no doubt that these options have and are being carefully considered. If he continues to have symptoms without significant improvement for another month or two, I suspect a firm decision will need to be made. 

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#36 spinowner

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Posted 07 October 2017 - 08:41 AM

 

As if any of us were qualified to read a medical report.....

Heezy1323 is an orthopedic surgeon. He (or she?--most orthopedic surgeons are male) gave us some briefings on Perkins' shoulder situation in the early part of the 2016 season.

Edited by spinowner, 07 October 2017 - 08:42 AM.

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#37 ChiTownTwinsFan

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Posted 07 October 2017 - 11:06 AM

If surgery is necessary for this (which I continue to believe is unlikely), the approximate healing time is likely around 6-10 weeks. As such, performing surgery Sept 1st or Oct 1st carries no additional benefit when compared to Nov 1st with respect to having him ready for ST in February. I suspect that is the reasoning. This is different from TJ or SLAP repair in a pitcher that requires a many months-long rehab.
In addition, surgery has risks (obviously). This particular surgery has specific risks as well, depending on the specific surgery performed. If a rod is used to 'fix' this stress fracture, pain in the front of the knee is common after surgery (since the rod is inserted just below the knee). If a plate/screw construct is used, there can be pain or tenderness at this site of the plate. Both of these things are relatively common. In the vast majority of cases, conservative treatment is appropriate for stress reactions/fractures and results in successful healing. I have no doubt that these options have and are being carefully considered. If he continues to have symptoms without significant improvement for another month or two, I suspect a firm decision will need to be made.

Thank you, Heezy! It's really nice having you contribute like this. I know you yourself can only speculate on Sano specifically, but the medical expertise you bring to us regular fans helps a great deal with giving us better perspective.
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#38 jctwins

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Posted 07 October 2017 - 11:27 AM

Is Plouffe available? I smell a reunion coming!!


#39 jimmer

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Posted 07 October 2017 - 11:58 AM

Mauer was 1st in UZR for MLB 1B and 6th in DRS for MLB 1B (only 6th due to innings). His performance at 1B was much better than 'Good'

 

Twins finished 8th in UZR and 10th in DRS.

 

And Sano optimal position has always been DH.

 

The team's offense was good and likely to improve. The team's overall defense, however, even with a great year from Buxton and a good performance by Mauer, was not much better than league average. They also have a budget and greater needs. A lower cost, strong defensive third baseman could improve the pitching and allow for more money to be spent elsewhere, such as on actual pitchers. It would also allow Sano to DH, which, unfortunately, is starting to appear to be his optimal position, and to back up Mauer at first base.

 

Edited by jimmer, 07 October 2017 - 11:59 AM.


#40 Heezy1323

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Posted 07 October 2017 - 12:57 PM

Thank you, Heezy! It's really nice having you contribute like this. I know you yourself can only speculate on Sano specifically, but the medical expertise you bring to us regular fans helps a great deal with giving us better perspective.

I truly appreciate the compliment- enjoy contributing where I can and glad some find it helpful.

A big part of the reason I enjoy this site is that there are so many bright people with a broad range of backgrounds that all bring different perspectives.
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