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The Minnesota Twins front office has taken a lot of heat for the lack of moves made at the trade deadline. It's fair to levy that criticism, because since they opted not to deepen their depth, they've been systematically depleted by injuries. On the other hand, we shouldn't overlook the talent they have accumulated: The front office initially put together a promising roster for the current season. The roster has simply been one of the most injured in baseball.
Byron Buxton and Carlos Correa grab the headlines when it comes to injured Twins, but there have been a lot of other important players who have spent or are spending time on the injured list. As much as Buxton's and Correa's absences were felt over the last month and change, having Joe Ryan and Brock Stewart around would have been even bigger difference-makers. According to Baseball Prospectus, the Twins currently rank near the top of the league in WARP lost to injuries, only trailing the Dodgers, Braves, Red Sox, Astros, Giants, and Rangers.
But this isn't just a local story--not by a long shot. There is a disturbing league-wide trend of rising elbow, shoulder, hip, and back injury rates; all of those areas have resulted in more IL stints throughout MLB this season than in any of the previous four full campaigns. The baseball world has been watching this trend (especially pitcher arm injuries) for many years now, but seeing that it has hit another peak shows that many answers still need to be found.
Here is a quick rundown of currently injured Twins, and their maladies: Alex Kirilloff (back discomfort), Max Kepler (patellar tendinitis), Joe Ryan (strained shoulder), Daniel Duarte (elbow-UCL), Brock Stewart (shoulder), and Justin Topa (patellar tendinitis). Each of those players fits into one of the categories above. Only Chris Paddack (strained forearm) and Anthony DeSclafani (flexor tendon) don't fit into any of those rising categories, and really, both of those are elbow injuries by other names.
Coming off of a stretch (and a season, for that matter) of bad losses due to the bullpen struggles, it is easy to wonder: What if Stewart had been healthy, and had any semblance of the 2023 success that made him so integral to their relief corps last fall? Stewart helping lock down the back end of the Twins playoff bullpen? Duarte, who briefly looked brilliant before requiring season-ending surgery in the early going, as a surprising complementary setup option?
Topa hasn’t been able to grace the mound for the Twins after being acquired from the Mariners. His 2023 2.61 ERA would be a breath of fresh air, as the Twins have tried shuffling arms in and out of the bullpen for any sense of competency. DeSclafani (early) and Ryan (late) going down thinned the rotation and put more pressure on the young arms we now see fighting for the finish line.
While there was a path for the Twins to do something to help midseason, a bigger problem looms for Major League Baseball—a problem that has greatly affected the Twins this season. Can baseball continue to let players max out at this velocity, foot speed, and bat speed? Is it time to introduce some more parameters or rule changes that will help force players to play at a different exertion level? Maybe that's too extreme, but then, does the league as a whole need to reconsider its best practices for injury prevention and management? Do teams need to prescribe different training methods?
Major League Baseball has reportedly considered a rule that would push starters to pitch six innings, barring a few exceptions. This rule change could cause starters to strike a different balance between stamina and high effort than they currently do. Potentially, that could be part of the answer to the injury problem among starting pitchers. The problem is that the league's injury issues seem to have broken free of the pitching sphere.
We see plenty of instances of injuries among relievers, who already have their own version of this rule. So what about them? And what about hitters dealing with more hip, knee, and back trouble? That is a question facing the Twins, but it can't all be laid at their feet; the problem is league-wide. The Twins especially can’t afford to see this many key players hit the IL without investigating if there is a way to prevent them.
The Twins put together a strong roster. Now, it is time to find a way to keep that talent in the field. They have to do that better, but so does the league as a whole.







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