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Squirrel

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  1. Like
    Squirrel reacted to Brock Beauchamp for a blog entry, Introducing Achievements!   
    Welcome to the brief rundown of Twins Daily’s newest feature, achievements! I’ve been waiting a *really* long time to roll this feature out to users and have spent a rather unhealthy amount of time developing it for the site. I hope you enjoy experiencing it as much as I enjoyed making it.
    Achievements, or awards, or gamification… you’ve probably run into it before in other avenues of your digital life. Achievements are most common (and were largely born out of) the console video game world, beginning on the Xbox platform in the mid-2000s.
    Basically, it boils down to this: do stuff, get (sometimes silly) awards and badges for doing it. Over the past month, I’ve designed over 60 custom badges that you can be awarded for performing sometimes mundane, other times complex, tasks across the Twins Daily platform. Comment on a post, get a badge. Write a blog post, get a badge. Vote on a poll, get a badge… you get the point. Do some of these tasks multiple times and sometimes (many times) you’ll get additional badges.
    If you visit your user profile page, you’ll see it now looks different, with achievements being prominently displayed near the top.

    With over 60 badges available right now, some of you older, veteran Twins Daily users will start accumulating achievements the moment you begin participating in various aspects of the site, as many (as many as possible, but not all) of the achievements are back-dated to the time you began using the site. So explore the site, try completing some random tasks like post a status update, and see if you get a badge for doing it!
    As you "achieve" new things, on top of badges, you will also be awarded points. Once you hit certain milestones in points, you raise in rank (out of 14 ranks in total). In the image above, my rank is "draft eligible", the third rank you will achieve.
    Here is a sampling of a few of the badges you can be awarded right now:

    Some achievements will be won seemingly at random but I assure you, there is a specific set of items that awarded you the badge (and sometimes, those items need to be completed in a specific order). And some badges will be awarded manually for “exceptional” things done on the site. Those will be the hardest to collect and the rarest achievements available on Twins Daily.
    And if anyone manages to get them all or one of the *really* difficult-to-uncover achievements, Twins Daily may have some special prizes available to users who can accomplish those rarest of feats on the site…
  2. Like
    Squirrel reacted to ashbury for a blog entry, 40 Starts a Season   
    Recently a side comment came up about why modern pitchers don't start 40 games a season like they used to.  The question intrigued me so I did a little searching.  The results surprised me.  Mostly I used the Stathead tool at baseball-reference.com, and the most useful table I constructed is this:
    https://stathead.com/tiny/SBDaM
    Since the modern era, 1901 and forward, it's never been the case that pitchers in general were regularly making 40 starts.
    For periods of years, the major league leader would regularly reach 40.  A few years, there would be more than just one, but never ever as many as there were teams, meaning less than one per team.  So it wasn't part of the job description, it was an achievement.
    There was kind of a peak of 40-game starts around 1904-08, another 1914-17, then it picked up again after expansion in 1962 (when the season got a little longer), then quieted down and peaked again around 1973, then basically died out around 1979.  The last 40-game starter was knuckleballer Charlie Hough in 1987, who come to think of it had that in common with other "recent" 40-game-starters Phil Niekro and Wilbur Wood. 
    In those 87 years, there were a total of 140 such pitcher-seasons.  One or two a year.  Zero since then of course.
    The individual pitchers weren't doing it for years and years without end, either.  Only 31 such seasons were logged by pitchers over the age of 30 (despite the myth that that was when a player would enter his prime).  8 by anyone 35 or older.  Starting 40 was always a young man's game.
    For another perspective, Sandy Koufax in 1965 holds the record for season strikeout percentage, 29.5%, among pitchers who started 40 games in a season (and of course Sandy led his entire league in that regard that year, among players who qualified for the ERA title).  By contrast, in 2019 there were 16 ERA qualifiers who had a higher percentage than that.  And even though Sandy was a "unicorn" of his era, and also a prototype for today's pitcher, he was finished before his 31st birthday.  Most of the guys who ever started 40 games weren't striking out the side.
    Today it's 5-man rotations. Divided into 162 games, that's about 32 starts per season.
    Used to be 4-man rotations. Divided into 162, that gives you 40. Divided into the older 154-game schedule, that's 38 or so.
    Of course in really olden days, back into the 19th century, you might have 3 or even 2 workhorses who handled the bulk of the chores.  But back then the schedules could be more erratic too, and the game was just played differently.
    Anyway, major league teams settled into an every-fourth-game routine a lot quicker than people sometimes remember.  Well, remember reading about.  That made 40 an uncommon feat.
    Managers would love to have their best pitcher get as many starts as possible, so they'd be sending someone out 40 times if they could.  The tImes changed, not the intestinal fortitude of the players.
  3. Like
    Squirrel reacted to ashbury for a blog entry, Woo! Worcester   
    Mrs Ash and I went to Worcester last night to see their brand-new AAA team, the Worcester Red Sox (known almost exclusively as the Woo Sox).  It's part of our farewell tour in New England as we prepare to move back to Nevada.
    We took a train scheduled to arrive an hour early, so as to have time to take in the sights, but mechanical troubles had us traveling about 5 MPH for the last 5 miles, meaning we arrived about when the next train was supposed to (though it became delayed too, in a ripple effect), and we found our seats only in time for the first pitch.
    Polar Park, named for a local soft-drink maker, is a nice modern ballpark.  Most of the food tends toward mundane hot dogs and nachos, but we did pass up the long line for the George's Coney Island hot dog stand (which is a satellite of a Worcester landmark that Mrs Ash and I ate at on one previous trip to the city) and likewise long line at a BBQ stand.  The park was pretty close to a sellout crowd on this Wednesday night, not too surprising for a brand new team/park but the waning of the pandemic makes everything hard to predict.
    The game itself was not much better than the train ride, a 18-5 drubbing at the hands of the visiting Rochester Red Wings, who apparently took the Twins' snub personally when St Paul came into the league, as they have aligned themselves with another franchise, the Nationals. What ingrates.  The visitors had the losing record (7-18) coming in, whereas the home team was 15-10, but the game didn't reflect the past.
    Daniel Palka was in the lineup as DH for the Wings, and Chris Herrmann subbed in at catcher for the Woo Sox. Twins fans may recall they were once swapped for each other in a trade with Arizona.  Both have bounced around a bit since then, still seeking another chance in the majors. Palka had much the better of it last night, launching home runs in two consecutive innings; I don't remember Herrmann doing anything except look tall behind the plate.  Palka was aided by a very short porch in right field, with an outfield wall insufficiently high to moderate the advantage to a dead-pull lefty bat.  Kind of the opposite layout to Fenway Park in that regard, and the AAA decision makers apparently chose to not even try to draw comparisons to the major league counterpart 40 miles to the east. (Although, they do play Sweet Caroline during the 8th inning, because Red Sox.)
    Among young talent in the lineups, Rochester had only Luis Garcia, a highly-regarded 21-year old second baseman, and Carter Kieboom, who I thought was a "perennial prospect" but turns out to be still only 23.  Worcester had a broader smattering of starters 25 and under,  I'm not sure anyone really stood out for me - I saw various bad reads and weak arms in the outfield, and a strange decision by third-baseman Yairo Munoz to not dive for a grounder than looked reachable. 
    Until about the 8th inning or so, none of the pitchers for either side registered higher than about 90 on the radar gun.  Not many sharp breaking pitches diving into the dirt, for that matter.  Made it nearly through the entire first inning before a walk and then a strikeout.  Coincidentally or not, 26-year old Wings starter Sterling Sharp was the youngest of ten men (five for each team) to take the mound.  For pitchers, AAA seems to be the graveyard of dreams, and few with a live fastball or good sliders stay there for long.  AAA is really kind of my least favorite level of baseball, but oh well.  On a less grouchy note, Rochester hurler Joan Baez came into the game for the sixth inning; if they played Diamonds & Rust on the PA system when he was introduced, I missed it.
    I snapped a few photos at the park but none came out as anything interesting. Here's a routine shot of Josh Ockimey striking out against Wings starter Sharp in the fourth inning.

     
  4. Like
    Squirrel reacted to ScrapTheNickname for a blog entry, Baseball Books During our Downtime   
    Baseball Books!?
     
    During these down days away from Twins baseball -- when I'm not so sure I even want to see the Twins play baseball again -- I accidentally read a book about baseball. How do you accidentally read a book about baseball?
     
    Well, I know of this author, John Fante, but I hadn't read 1933 Was a Bad Year, which happens to be about a high school senior (it's not a children's book at all), presumably written in the 1930s. A fun short novel about a left-armed high school boy in Colorado who believes without a doubt that he's destined for the Big Leagues, and the narrator is crafty enough to not let us know if he's honestly good or if he’s deluding himself. The book is set during is a snowy spring and not an actual baseball is thrown.
     
    A book I really like, and have read twice, is The Universal Baseball Association, Inc. J. Henry Waugh Proprietor, by Robert Coover. All about the dark obsessive underbelly of a baseball fan. Mr. Waugh lives increasingly in a fantasy world in which he creates entire sports teams, but not only that, he creates their wives, their after-game dinners, their drinking habits, the owners who own and trade and trade them, etc. The whole nine imaginary yards. It's based on a dice game J. Henry plays, which determines the course of action – similar to Strat-o-Matic baseball. But what happens when the outcome that is necessary to keep the illusion alive is not what in the dice roll?
     
    When I was in Junior High (full disclosure: I’m 63) I read Going, Going Gone, and then, this winter, I found it on Amazon and I reread it. It’s still pretty good, surprisingly. About a high school boy who’s a confident home run slugger who willfully ignores his defensive weaknesses. He just assumes his hitting will get him to the Bigs. He learns, after being benched by a his tough-minded coach, and support from his teammates, that defense is as important as offense.
     
    The Kid Who Batted 1.000, written by Bob Allison, tickled me when I was a kid. (No, not that Bob Allison.) A country boy can’t hit, but he sure can take a walk ... Hey, Astudillo, you ought to read this one! ... He walks and walks and walks. He’s a miracle walker! But when push comes to shove, and a hit is needed and a walk won't do, will the kid come through? It's a children’s book, after all.
     
    The Science of Hitting by Ted Williams. Man, I wish I’d known about this book when I was in high school! Ted was knowledgeable about the craft of beyond belief. It’s a must read for any age, 1975 or 2075. Was he not the greatest hitter of all time? Perhaps, knowing that he missed whole seasons flying fighter jets in both WWII and Korea.
     
    The Teammates: A Portrait of a Friendship by David Halberstam. About the enduring friendship between four Red Sox greats, Williams, Pesky, Dom DiMaggio and some other guy. As I recall it tells of their youthful on-the-field exploits as well as it explores their lifelong friendship as they age out of their playing days into old age. I loved this book but don't remember much about it.
     
    The Natural by Bernard Malamud. I found the prose dull as dust, didn’t get very far into it before I put it down. Same with The Art of Fielding, published just a couple of years ago, and quite popular; I expected to like it but lost interest and laid it down to rest next to The Natural.
     
    Like a chicken, I've just scratched the surface of possible baseball books ...
     
    Have you read any of these books?
     
    What did you think?
     
    What other baseball books have you read that you would recommend or steer us away from?
  5. Like
    Squirrel reacted to SweetLou! for a blog entry, Twins Tunes #2: "Kitty Kaat"   
    Hello and welcome to the second installment of Twins Tunes. My name’s Louie.
     
    The second edition features Jim Kaat, Senators/Twins pitcher from 1959 to 1973. He also looks like he could be my uncle. And is also a lefty pitcher!
     
    If you like what you hear, feel free to share it on social media and whatnot. I don’t have any of those anymore, so if this thing’s gonna go viral, it’s up to you, Twins Daily masses.
     
    Special thanks to my cousin Bubba, who mixed, engineered, produced, and mastered the track. You can check out his music at BubbaHolly.com or by searching for “Bubba Holly” on Spotify/BandCamp/wherever you get your music. His new album is terrific. Also, Bubba and I make music under the name Bunkin’ Cousins, if you’d like to hear concept albums about the late medieval period or epic cabin weekends.
     
    (Also, if anyone knows how to embed a SoundCloud track, let me know! I'm struggling with it, so a link will have to suffice in the meantime.)
     
    Without further adieu, enjoy “Kitty Kaat.”
     
    https://soundcloud.com/twinstunes/kitty-kaat
  6. Like
    Squirrel reacted to SweetLou! for a blog entry, Twins Tunes #1: "Randy Bush"   
    Hello and welcome to the first installment of Twins Tunes. My name’s Louie, the P.T. Barnum of this particular big top.
     
    What is Twins Tunes? Basically, I’m going to write and record a song about a different Twin or piece of Twins’ history and post it on here every couple weeks.
     
    The inaugural edition features Randy Bush, Twins pinch-hitter extraordinaire from 1982-1993. (Bush is also well-known for being the obvious replacement for Dan Gladden in the lead-off spot in RBI Baseball.)
     
    If you like what you hear, feel free to share it on social media and whatnot. I don’t have any of those anymore, so if this thing’s gonna go viral, it’s up to you, Twins Daily masses.
     
    Special thanks to my cousin Bubba, who mixed, engineered, produced, and mastered the track. You can check out his music at BubbaHolly.com or by searching for “Bubba Holly” on Spotify/BandCamp/wherever you get your music. His new album is terrific. Also, Bubba and I make music under the name Bunkin’ Cousins, if you’d like to hear concept albums about the late medieval period or epic cabin weekends.
     
    I’d love to get suggestions for future songs; I have a few in the hopper but would love for this project to be collaborative.
     
    (Also, if anyone knows how to embed a SoundCloud track, let me know! I'm struggling with it, so a link will have to suffice in the meantime.)
     
    Without further adieu, enjoy “Randy Bush.”
     
    https://soundcloud.com/twinstunes/randy-bush
     
    Twins Tunes · Randy Bush
  7. Like
    Squirrel reacted to Parker Hageman for a blog entry, What I'm Reading   
    Welcome to What I'm Reading. This is a collection of interesting or insightful articles I’ve read this past week.
     
    Behind Nelson Cruz’s Maniacal Preparation:
     
    From his Seattle Mariner days but a reminder of how much work the 40-year-old Cruz puts in to maintain his elite level of play.
     

    Nap time can vary, but it’s daily. 

    “If we play at home, I like to do it after BP,” he said. “If we are on the road, I do it before BP.”
    Post nap will include a dip in the cold tub for about five minutes, followed by some time in the warm tub. 

    Cruz’s on-field workout is another process. He doesn’t walk into the cage and try to bomb homers. There’s a plan to his batting practice, which includes driving the ball to the opposite field. Sure, by the end, he’s launching balls over the fence at distances his teammates only wish they could reach. 

    But he’s become a more complete hitter by showing this discipline in batting practice. Though he rarely plays in the field anymore, Cruz will still take fly balls on most days because he still wants to play in the outfield at some point. He’ll even take ground balls in the infield to keep his body active. 

    “It’s fun for me,” he said. 
    Kansas City Royals Pitching Development Has Changed:
     

    “We’re not going to draft a guy, have them come in and be like, ‘We need to do this, this and this,'” Stetter said. “The biggest thing is, you have to trust your eyes. If a pitch is working, the hitter is going to tell you. The hitter is going to let you know if your stuff is good enough. And if it is, you’re going to keep going with it. And if you get to Double-A and the hitters start hitting it, you’re not getting swings and misses, we’ll know what kind of changes we might make to that pitch to make it better.” 

    {snip} 

    “A lot of times, if you’re having a guy throw a four-seam, and it’s got a two-seam tilt, it might not always add up that he should be throwing all four-seams,” Stetter said. “There’s some stuff with Rapsodo and Edgertronic camera where we can sit there and make a decision on a guy, where, it might be more beneficial if he throws more two-seams, or it might be beneficial that he throws more four-seams. With new technology, you can tailor it to the guy. Certain grips play better to horizontal-breaking sliders.” 
    Joe West Never Missed A Call:
     

    "This is what people don't understand: When an umpire has a bad night, he goes back and looks at it," he said. "There has to be a reason you missed the call. Three ways you can miss a call: lack of concentration, lack of positioning, lack of timing. The Denkinger play at first base [in 1985 when the] Cardinals lost the World Series to the Royals. Don Denkinger overhustled on that play. He took himself out of position to see that play. Is that a bad thing that he hustled? No. But he put himself in the wrong spot. He's one of the best umpires the American League has ever had. He's remembered for that call. That's not fair. There's no batting average for performance for an umpire. They grade you, yes. But when you miss some, you can't go out and hit a homer. You have no recourse to get that back." 
    99-Year-Old Roger Angell On Modern Baseball Statistics:
     

    I think some of the new stats are useful. Good baseball played by Major Leaguers is so far beyond us—it’s the hardest game in the world to play well. And what underlies [the stat revolution] is, I think, a conscious and effective way to get some of this back, to say, “We know better. We know what the batters are doing. They don’t know what they’re doing.” It’s understandable, but it doesn’t add to the joy of the game for me. I’m not very statistical by nature, so I could be wrong about this. And I know a lot of people now use these stats and talk about them with interest. But also, it’s part of the huge alteration of the game itself. People tilting their swings and swinging for homers and striking out in huge numbers. This is a gigantic change in the game. I think home runs are OK, but on the whole, I prefer a triple. 
    Are We Teaching Wrong?

    Mr. Hirsch also takes issue with grade schools’ focus on “skills.” Whether it is imparting “critical thinking skills,” “communication skills” or “problem-solving skills,” he says such instruction is a waste of time in the absence of specific knowledge. He describes the findings of the National Academy of Sciences on the subject of the “domain specificity of human skills.” What this means, he explains in the new book, “is that being good at tennis does not make you good at golf or soccer. You may be a talented person with great hand-eye coordination—and indeed there are native general abilities that can be nurtured in different ways—but being a first-class swimmer will not make a person good at hockey.” 

    He cites the “baseball study,” conducted by researchers at Marquette University in the 1980s, which found that kids who knew more about how baseball was played performed better when answering questions about a text on baseball than those who didn’t understand the game—regardless of their reading level. The conventional response in education circles is that standardized tests are unfair because some kids are exposed to more specific knowledge than others. In Mr. Hirsch’s view that’s precisely why children should be exposed to more content: Educators “simply haven’t faced up to their duty to provide a coherent sequence of knowledge to children.” 
    What I'm Listening To (Spotify Playlist)
     
    What I'm Listening To (Podcast Recommendation)
  8. Like
    Squirrel reacted to mikelink45 for a blog entry, Baseball has a special connection to Black Lives Matter   
    I cannot refuse to play baseball, basketball, hockey, soccer, but I would if I could. I will support those who can, I will stand for the Black Lives Matter and not confuse it with the need to respect all lives. I will always feel a connection with the American Indian and the genocide of that Indian race in our nation. I will sympathize with the racism that affect the Chinese who built our railroads and the Japanese put in prison camps.
     
    I grew up in a black neighborhood, I spent time with my relatives on the reservation in Lac Court O'Reilles, WI. To deny racism is to be blind to the world around us. To say that racism exists in only one color of people would be wrong, but the record of treaties broken, of people sold and resold exceeds other stories.
     
    I want to trust the police, but they continue to disappoint me. I want to think that we have gone beyond lynching, but it is not acceptable to have white nationalists in uniform using guns instead of ropes.
     
    Destruction of property, looting, defacing the cities is not acceptable, but neither is the indignity of those who complain because freeways are blocked, because peaceful people with tears in their eyes deserve our sympathy and understanding.
     
    Baseball took half a century to recover from the racism of Cap Anson. It kidded itself that it was the great major league but was it. Who was better? When Jackie Robinson broke the color barrier with Branch Rickey and Larry Doby, it became a flood in the NL and suddenly we had Aaron, Robinson, Mays, Banks, and other great stars giving the NL a period of dominance. It should have been an awakening. The same was true of other sports and the NHL is still in the backwash of history.
     
    Sports have always been a measure of our nation and its progress. Despite our racism Jesse Owens in the Berlin Olympics was a great national victory. Louis over Schmeling was a blow to the Nazi claims of superiority. But the Black gloves held skyward in during their medal ceremony in the Olympic Stadium in Mexico City on October 16, 1968, by two African-American athletes, Tommie Smith and John Carlos offended many – it should not have. It was appropriate and is still meaningful.
     
    We have let hate stop the progress towards equality. We have let selfish motives block the rights of people easily identified by skin color as different.
     
    We should not be moving towards fascism; we should be moving towards compassion. Our nation should not be worshiping guns, but rather the opportunity of equal rights for all and I mean ALL.
     
    I am growing old with the candle of hope flickering in the winds of hate that have been unleashed in our nation. Please - is Peace and Love really a bad slogan to live by?
  9. Like
    Squirrel reacted to mikelink45 for a blog entry, sixty   
    Somehow I am trying to get my head around sixty games - and I keep coming up with the number 60 must have some significance or the curmudgeons that rule baseball might have taken the players options like 104 games. And of course 60 is the magic number - It is Babe Ruth.
     
    Sorry but 73 is a number I have to look up to remember Mr Bonds, maybe I need steroids to improve my memory. And Mark McGwire your 70 was really fun because you and Sammy smiled every day, but it was like a fantasy game and we never really believed in you. And of course 61 made a great movie, but all Maris got was clumps of hair falling out. 60 is still celebrated. It is still the holy grail. Sammy Sosa had 3 seasons with more than 60 HRs, McGwire had 2, Ruth, Bonds, and Maris had one each.
     
    And then there is the sixty yard dash. It is a test for baseball - I do not know if anyone else cares. The Baseball Training website says - "And for a good reason, we need this type of speed to steal bases, beat out a drag bunt, and get under the ball if we’re far away and in the outfield. Speed training for these reasons (and many others) is incredibly important for baseball performance." And this is quite funny since the space between bases is 90 feet so be as fast as you want for 60 - you better be able to go that last 30. And we have Byron Buxton who is so fast that he almost doesn't notice second base as he flies around the field.
     
    What happened in 1960 - the Yankees lost to the Pirates. Bill Mazeroski hit the winning home run and is the HOF because of it. Our team had not traveled west yet so they were in DC and finished 10th of 16 (71 - 63). Harmon hit 31 HRs, Bob Lemon hit 38. Lenny Green led in BA with 294, Harmon Killebrew was second on the club with 276. In OPS+ Killebrew had 142, Lemon 129. Pascual and Ramos were the pitching leaders. This was the final season of 154 games.
     
    In sixty games the 2018 Yankees and Red Sox were 41 - 19. Wow.
     
    In 2011 Jose Bautista had a 1.226 OPS.
     
    In 2008 Chipper Jones hit 408
     
    In 1999 Randy Johnson and Pedro Martinez struck out 143 batters - think what could happen in this K happy season.
     
    In 1998 Juan Gonzalez drove in 76 runs!
     
    https://www.mlb.com/news/mlb-players-first-60-games-big-performances
     
    In 1936 Charlie Gehringer hit 60 doubles! The problem was - Earl Webb hit 67 in 1931 and Paul Waner, Hank Greenberg, Joe Medwick and George Burns hit 62 - 64 doubles in the thirties too (Burnes was 1926).
     
    In Triples there is the Pythagorean triple which I cannot understand https://mathworld.wolfram.com/PythagoreanTriple.html, but no one in MLB had 60 triples in a season. In Australia you can sign up for Triples - "The draw for the Men’s Over 60’s Triples is now available. Fifty two teams will battle it out to be crowned the 2019 champions. In a change from recent years sectional play and the alignment round will be played Monday 25th November at Como and Osborne Park Bowling Clubs with the finals all held on Tuesday 26th November at Osborne Park Bowling Club, meaning the competition will conclude in only two days instead of the usual three."
     
    Of the 162 Major League Baseball players who have hit 100 or more triples, 69 are members of Baseball's Hall of Fame.
     
    Who ranks number sixty in the career stats? Dale Murphy with 398 HRs, Roberto Alomar is number 60 in doubles with 504, Tony Perez is number 60 in hits with 2732 (yes he does belong in the HOF), Willie Keeler and Harry Davis are tied for number 59 which means they are also tied for 60th in career triples with 145. Chick Hafey is number 60 with a 317 batting average.
     
    Old Hoss Radbourne won 59 games in 1884, but wait a minute. "The classic MacMillan Baseball Encyclopedia, as well as other sources credit Radbourn with 60 wins (against 12 losses), other sources place his win total as high as 62." Bert Blyleven fell short of the record only giving up 50 HRs in one season (and he is HOF?)
     
    Number 60 is filled with two names who are also tied for number 59 in wins all time - Mordecai Brown and David Wells with 239. Jay Bruce is number 60 in striking out with 1535, Eddie Plank is the pitcher ranked number 60 with 2246 Ks and in those days batters did not want to strike out like today.
     
    Since there are 15, 213 people who have played in MLB since 1871 according to SABR, ranking number 60 is pretty good.
     
    Also according to USA Today Dallas Kuechel is the best player to wear number 60.
     
    According to Baseball Reference 1860 is when baseball was born - I know they played in the civil war and Tom Custer (George Armstrong Custer's brother) was a good pitcher. Baseball Reference has Sam Thompson as the best of the players from that time with a 44 WAR and in the HOF. John Ward with 34 WAR is second and also in the HOF.
     
    Does that justify the 60 games? No - I doubt if MLB is even aware of these connections.
  10. Like
    Squirrel reacted to mikelink45 for a blog entry, Health and careers   
    The Covid sickness that hit coach Tommy Hottovy created a memorable video https://www.espn.com/mlb/ as he discussed his case - it is good to watch since so many act like the Covid-19 is just another flu. As the TD contributor Doctor Gast states - the video is mostly about the pain of separation. Should you want to know more about the survival from this virus you might want to read this San Francisco report - https://www.sfgate.com/news/editorspicks/article/What-they-don-t-tell-you-about-surviving-15347792.php or this description of the Brain Fog that comes after the virus by the American Psychological Association https://www.apa.org/monitor/2020/09/aftermath-covid-19. The choices of Ian Desmond, Ryan Zimmerman and Jo Ross not to play should be applauded for their courage just as the Twins decision to protect their oldest coaches was wise and prudent. As much as I want to see and read about baseball I do not want to read about tragedies.
     
    When we are young we all make poor decisions based on our own sense of mortality. I made climbs, ran rapids, and pushed the envelop thinking that nothing could happen to me. My son, at age 21 did the same thing, and he died as a result. Age does not protect us. Nor does physical fitness. This is a serious time and now we learn that there is a new swine flu that might follow Covid. It is frightening. And maybe time to remember how we can be chopped down by microscopic organisms in the prime of our life.
     
    Baseball players are constantly facing injury - concussions, thoracic injuries, Tommy John surgery, broken bones. The good thing about them is that they heal. Bad backs ruined careers and freak accidents like the gas that Christy Mathewson was exposed to during training. His respiratory system was weakened and resulted in contracting tuberculosis, from which he died in Saranac Lake, New York in 1925. He was only 45. Tuberculosis also took seven other players who are mostly lost to memory because their careers were too short and too long ago.
     
    We watched drugs ruin careers like Doc Gooden and Daryl Strawberry, two more who had a HOF path ahead of them. And Sandy Koufax had his amazing career stopped at its peak because of arthritis. Like so many elderly people I can only relate too well to the pain that he suffered from this debilitating disease.
     
    I remember when J R Richards suffered a stroke and had to leave the field. This great Astros pitcher seemed like a sure HOF player, a person who would hold all the Astros records - he averaged 16 wins per season his first five years. In 1980 he was 10 - 4 with a 1.90 era and he was in magnificent physical condition. In two years he was homeless and sleeping under a bridge. He went on to the ministry and preached to those same homeless individuals. It was a big fall from the top.
     
    Jimmy Piersall suffered from mental illness and a potentially great career was ruined by bipolar disorder and still he was so good he managed 17 years.
     
    When it comes to disease what baseball fan does not know of Lou Gehrig and ALS - now called Lou Gehrig Disease. The Iron Horse was toppled and dead at age 38. He seemed invincible but disease does not avoid the strong and healthy.
     
    Ross Youngs died at age 30 of Brights Disease (a kidney disease). He played 10 years with a 322 BA.
     
    Dave Parker, former Pirate and one of my favorite players lives with Parkinson's disease a serious and long term disease that impacts so many aspects of your body functions. Kirk Gibson lives with Parkinsons and Dee Gordon plays baseball with it. But this is serious and life changing.
     
    HOF pitcher Addie Joss from Wisconsin attended St. Mary's College (later part of Wyalusing Academy) in Prairie du Chien and the University of Wisconsin. "In April 1911, Joss became ill and he died the same month due to tuberculous meningitis. He finished his career with 160 wins, 234 complete games, 45 shutouts and 920 strikeouts."
     
    Wikipedia provided this list of type 1 diabetes sufferers from MLB
    Ron Santo, Chicago Cubs (1960–1973) and Chicago White Sox (1974) infielder, type 1, deceased (2010 at age 70).
    Sam Fuld, Chicago Cubs (2007–2010), Tampa Bay Rays (2011–2013), and Oakland Athletics (2014–) outfielder, type 1.[13]
    Mark Lowe, Seattle Mariners (2006–2010, 2015), Texas Rangers (2010–2012), Los Angeles Angels of Anaheim (2013), Cleveland Indians (2014), Toronto Blue Jays (2015), and Detroit Tigers (2016–) pitcher, type 1.[14]
    Brandon Morrow, Seattle Mariners (2007–2009) and Toronto Blue Jays (2010–2014) pitcher, type 1.[14]
    Dustin McGowan, Toronto Blue Jays (2005–2008, 2011, 2013–2014), Philadelphia Phillies (2015), and Miami Marlins (2016–) pitcher, type 1.
    Jackie Robinson, Brooklyn Dodgers (1947–1956), type 2, deceased (1972 at age 53).
    Bill Gullickson, Montreal Expos (1979–1994), type 1[15]
    Adam Duvall, Cincinnati Reds (2015–), Type 1
    James "Catfish" Hunter, Kansas City/Oakland Athletics (1965-1974) and New York Yankees (1975-1979) pitcher, type 1, deceased (1999 at age 53 of ALS)

    There are more stories of Alzheimer's that may have come from concussions, cancers, and other, but finally, we should look to the Spanish Flu - "the flu took: Cy Swain, a minor leaguer from 1904 to 1914 who slugged 39 home runs in 1913; Larry Chappell, a big league outfielder for the White Sox, Indians and Boston Braves between 1913 and 1917; catcher Leo McGraw, a minor leaguer between 1910 and 1916; catcher Harry Glenn, a minor leaguer from 1910 to 1918 who spent time with the 1915 Cardinals; minor league pitcher Dave Roth, who played between 1912 and 1916; and minor league pitcher Harry Acton, who played in 1917." https://baseballhall.org/discover/1918-flu-pandemic-didnt-spare-baseball
     
    The Twins have their own tragic stories too - Danny Thompson, a promising shortstop was diagnosed with Leukemia when he was 26, in 1973. He played four more seasons and died ten weeks after his final game. Walter Bond - died of Leukemia in the closing weeks of the 1967 baseball season — a year during which he had made the Twins' roster coming out of spring training. Wikipedia entry says this about the end - "Bond made the team and batted .313 in part-time duty during the season's first month. But the Twins released him on May 15, and although Bond caught on with the Jacksonville Suns, his declining health forced him to the sidelines after only three games.[2] He entered a Houston hospital for treatment, but died there at age 29. Said his physician, Dr. Hatch Cummings: "He showed the strength of character and will that only champions possess. It was an exhibition of courage, and in the best tradition of baseball."
     
    We want baseball, but we can live without it if it comes down to a threat to players health and lives.
  11. Like
    Squirrel reacted to Parker Hageman for a blog entry, What Are We Going To Do About This Hand Twin Thing?   
    A friend of mine passed away over the holiday weekend.
     
    We had attended high school together, were distant friends through college, and spent two years as roommates back in the cities after that.
     
    When we lived together, he was attending culinary school and the roommates would have the benefit of eating food that is normally not accessible to broke post-college kids trying to repay student loans. He would concoct four course meals and we were more than happy to be test subjects.
     
    We’d declare it the best thing we’ve ever eaten and he, being his own worst critic, would inform us that it was garbage and would vow to make it better next time.
     
    He modeled himself a bit after Anthony Bourdain. He had a beat up copy of Kitchen Confidential that he constantly implored me to read. I never did.
     
    Eventually the house split up. We went separate ways and saw each other less. Everyone my age or older likely has friendships like that. I had a growing family and he was launching a culinary career that took him to Central America and Alaska for work.
     
    The relationship became just a bi-yearly message to each other on Facebook, randomly sharing a couple inside jokes and stupid obscure pop culture references. We exchanged one just the previous week.
     
    He sent a one-liner: What are we going to do about this hand twin thing?
     
    It came from a Friends episode we watched years ago. He had an ability to bring groups of people together and our house used to host viewing parties during the final seasons. The line, delivered by Joey Tribbiani in the bathroom of a casino, always cracked us up. Sharing innocuous lines like that over the years just let each other know you were thinking about them.
     
    I spent most of Sunday night reflecting on our time. I spoke with another roommate of ours who had moved out of state as well. We shared memories of the years we all lived together.
     
    I realized how much baseball fandom can imprint on our lives.
     
    He once hosted a weekend-long party at his college house in Duluth. It was epic, as the kids would say. Thinking back to the revelry, I also remember slipping away to see Matt Lawton hit two home runs in Cleveland.
     
    Another time he went to visit a girl in New York City. He returned with a small panoramic of the old Yankee Stadium that he got at a secondhand shop because he knew how much I despised the Yankees. I still have that picture and I still hate the Yankees.
     
    His family would host gatherings at their cabin in northern Minnesota. They were amazingly hospitable people. His mom legitimately made the best sloppy joes. When my daughter wasn’t even a year old, he invited us for a low-key weekend of boating and bonfires. On the drive home, as my little girl slept in the back, I listened to Johan Santana’s 17-strikeout performance on the radio.
     
    When the Twins had a weekend series at Wrigley Field, we ran into each other at the Cubby Bear, the bar across the street from the stadium. We took time to share a Cubby Blue Bomb together, update each other on our current lives, and then went back to the separate group of friends we came with into Chicago.
     
    The last time we saw each other in person I was handing off tickets to him before a Twins game.
     
    We met at The Depot Tavern and played catch up. His seats were on one side of the ballpark and ours were on the other. We vowed to meet on the concourse or somewhere after the game but neither of us followed through.
     
    You are not supposed to live with regrets yet we do. I regret not reaching out more, not making an effort to stay connected. I regret not checking in more frequently to hear about his family, fiancee, and other adventures.
     
    Thirty-nine is way too young. You feel like you always have more time: There will be some other opportunity to catch up, there will be some other chance to reconnect, or some other time to say those were amazing memories.
     
    Looking back, I admired how he followed his passion. We were just becoming functioning adults and he already knew that he wanted to run kitchens and make people happy through food. Someone shared a video of him teaching a culinary class in a Facebook remembrance, making the room laugh in doing so. In a way he did become a version of Bourdain, traveling the world and experiencing cuisine in parts unknown.
     
    Maybe now I’ll listen to him and read that book.
  12. Like
    Squirrel reacted to mikelink45 for a blog entry, Mighty Covid at Bat   
    Covid at the Bat
     
     
    The outlook wasn't brilliant for the Mudville nine that day:
    The score stood four proposals down, with one idea more how to play ,
    And then when Clark died with the first, and Manfred did the same,
    A pall-like silence fell upon the patrons of the game.
     
    A straggling few got up to go in deep despair. The rest
    Clung to the hope which springs eternal in the human breast;
    They thought, "If only Manfred could but get a whack at that—
    We'd put up even money now, with owners and union both at bat."
     
    But Clark preceded Manfred, as did also Buster Olney’s take,
    And the former was a hoodoo, while the latter was a cake;
    So upon that stricken multitude grim melancholy sat,
    For there seemed but little chance Covid would let us bat.
     
    But Players let drive a single, to the wonderment of all,
    And Manfred, the much despised, tore the cover off the ball;
    And when the dust had lifted, and men saw what had occurred,
    There were players taking practice safe at parks and a-hugging third.
     
    Then from five thousand throats and more there rose a lusty yell;
    It rumbled through the valley, it rattled in the dell;
    It pounded on the mountain and recoiled upon the flat,
    For Covid, mighty Covid, was grabbing at the bat.
     
    There was ease in Covid’s manner as he stopped them in their place;
    There was pride in Covid's bearing and a smile lit Covid's face.
    And when, responding to the cheers, he lightly doffed his hat,
    No stranger in the crowd could doubt 'twas Covid at the bat.
     
    Ten thousand eyes were on it as players rubbed their hands with dirt;
    Five thousand tongues were silence when they rubbed it on their shirt;
    Then while the writhing pitcher wiped the virus that hung upon his hip,
    Defiance flashed in Covid's eye, a sneer curled Covid's lip.
     
    And now the leather-covered sphere came hurtling through the air,
    And Covid stood a-watching it in haughty grandeur there.
    Close by the sturdy virus the ball unheeded sped—
    "That ain't my style," said Covid. "He tested positive!" the doctor said.
     
    From the benches, black with people, there went up a muffled roar,
    Like the beating of the storm-waves on a stern and distant shore;
    "Kill him! Kill the doctor!" shouted someone on the stand;
    And it's likely they'd have killed him had not Covid raised his hand
     
    .
    With a smile of unChristian charity great Covid's visage shone;
    It stilled the rising tumult; the game would not go on;
    It signaled to the Phillies, and once more the Blue Jays flew;
    But Covid still ignored it and the doctor said, "that’s two!"
     
    "Fraud!" cried the maddened thousands, and echo answered "Fraud!"
    But one scornful look from Covid and the audience was awed.
    They saw his face grow stern and cold, they saw his muscles strain,
    And they knew that Covid wouldn't let us play ball again.
     
    The sneer is gone from player’s lips, their teeth are clenched in hate,
    He pounds with cruel violence his infection upon the plate;
    And now the owners hold the ball, and now they all let go,
    And now the air is shattered by the force of Covid’s blow.
     
    Oh, somewhere in this favored land the sun is shining bright,
    The band is playing somewhere, and somewhere hearts are light;
    And somewhere men are laughing, and somewhere children shout,
    But there is no joy in baseball —mighty Covid has struck them out.
     
    AND HERE IS THE ORIGINAL - MY APOLOGIES TO MR THAYER
     
    Casey at the Bat
    Ernest Lawrence Thayer - 1863-1940
     
    The outlook wasn't brilliant for the Mudville nine that day:
    The score stood four to two, with but one inning more to play,
    And then when Cooney died at first, and Barrows did the same,
    A pall-like silence fell upon the patrons of the game.
     
    A straggling few got up to go in deep despair. The rest
    Clung to the hope which springs eternal in the human breast;
    They thought, "If only Casey could but get a whack at that—
    We'd put up even money now, with Casey at the bat."
     
    But Flynn preceded Casey, as did also Jimmy Blake,
    And the former was a hoodoo, while the latter was a cake;
    So upon that stricken multitude grim melancholy sat,
    For there seemed but little chance of Casey getting to the bat.
     
    But Flynn let drive a single, to the wonderment of all,
    And Blake, the much despisèd, tore the cover off the ball;
    And when the dust had lifted, and men saw what had occurred,
    There was Jimmy safe at second and Flynn a-hugging third.
     
    Then from five thousand throats and more there rose a lusty yell;
    It rumbled through the valley, it rattled in the dell;
    It pounded on the mountain and recoiled upon the flat,
    For Casey, mighty Casey, was advancing to the bat.
     
    There was ease in Casey's manner as he stepped into his place;
    There was pride in Casey's bearing and a smile lit Casey's face.
    And when, responding to the cheers, he lightly doffed his hat,
    No stranger in the crowd could doubt 'twas Casey at the bat.
     
    Ten thousand eyes were on him as he rubbed his hands with dirt;
    Five thousand tongues applauded when he wiped them on his shirt;
    Then while the writhing pitcher ground the ball into his hip,
    Defiance flashed in Casey's eye, a sneer curled Casey's lip.
     
    And now the leather-covered sphere came hurtling through the air,
    And Casey stood a-watching it in haughty grandeur there.
    Close by the sturdy batsman the ball unheeded sped—
    "That ain't my style," said Casey. "Strike one!" the umpire said.
     
    From the benches, black with people, there went up a muffled roar,
    Like the beating of the storm-waves on a stern and distant shore;
    "Kill him! Kill the umpire!" shouted someone on the stand;
    And it's likely they'd have killed him had not Casey raised his hand.
     
    With a smile of Christian charity great Casey's visage shone;
    He stilled the rising tumult; he bade the game go on;
    He signaled to the pitcher, and once more the dun sphere flew;
    But Casey still ignored it and the umpire said, "Strike two!"
     
    "Fraud!" cried the maddened thousands, and echo answered "Fraud!"
    But one scornful look from Casey and the audience was awed.
    They saw his face grow stern and cold, they saw his muscles strain,
    And they knew that Casey wouldn't let that ball go by again.
     
    The sneer is gone from Casey's lip, his teeth are clenched in hate,
    He pounds with cruel violence his bat upon the plate;
    And now the pitcher holds the ball, and now he lets it go,
    And now the air is shattered by the force of Casey's blow.
     
    Oh, somewhere in this favoured land the sun is shining bright,
    The band is playing somewhere, and somewhere hearts are light;
    And somewhere men are laughing, and somewhere children shout,
    But there is no joy in Mudville—mighty Casey has struck out.
    This poem is in the public domain.
  13. Like
    Squirrel reacted to Ted Schwerzler for a blog entry, Thank You and Now for Action   
    Whether you've been a reader here, at Twins Daily, or through Twitter, this message is a thank you of sorts. I was reading a blog post by a client tonight and it was in reflection of the George Floyd killing. What I realized in reading it is that with a platform or audience comes a responsibility. One phrase in that post prompted me to reflect on how I can best handle said responsibility.
     
    In reflecting on the events that both led to and have come from the death of George Floyd, this post read, "It is not important that you/I am not a racist; what is essential is that I/we become anti-racist." That hit me, hard.
     
    Here's the thing, society has spent the days since that tragic moment putting out statements and unifying behind black squares on social media. It's great to have a common purpose, and it shouldn't be lost on anyone that saying "black lives matter" or "I'm not a racist" has no place being controversial. Those phrases however are hollow in and of themselves.
     
    Reading his words, "what is essential is that I/we become anti-racist" is a call to action. It isn't about what we can say, what conversations we avoid, or how we connect with the world around us. No, those words should push forth the idea that there is opportunity. Black individuals and communities still deal with the same oppression they always have because our actions have often lagged behind our words.
     
    This isn't a situation of systemic negativity that gets fixed simply by talking. By speaking on the topic we're simply putting the key into the ignition. It's by what we do, and how we act, that will eventually push towards a change.
     
    The senseless killing of George Floyd should cause each one of us to think about how our lives may be different than that of our neighbor. What are the true feelings on our hearts? And then when that reflection has taken place, how can we act upon an opportunity to create change. There's never been a more impactful and widespread time for the world to commit to change. We're more connected and plugged in than ever before, but it takes action to get the ball rolling.
     

     
    I don't know what my action plan is throughout the year, but I absolutely will have one. In this space it will make sense to tie it back to baseball, but I want to be anti-racist and a part of the solution rather than just watching from the sidelines.
     
    Thank you for providing an opportunity, thank you for supporting my hobby, and here's to hoping we'll have baseball again soon to bring us together on a similar playing field.
     
    For more from Off The Baggy, click here. Follow @tlschwerz
  14. Like
    Squirrel reacted to Heezy1323 for a blog entry, UCL Reconstruction Techniques   
    UCL Reconstruction Surgery
    Heezy1323
     
     
    I recently posted a blog about Chris Sale and the news that he was set to undergo UCL reconstruction. That post covered some questions surrounding the diagnosis and decision-making that occurs when players/teams are faced with this dilemma. That post got a little lengthy, and I chose not to delve into the surgery itself, as I felt that may be better presented as a separate entry. My intention with this post is to discuss some of the different techniques that are used to perform UCL reconstruction. This does get fairly technical, and I apologize in advance if it is more than people would like to know.
     
    First, we should revisit the anatomy. The ulnar collateral ligament (UCL) is a small but strong ligament on the medial (or inner) part of the elbow. It is around the size of a small paper clip. Ligaments (by definition) connect one bone to an adjacent bone. The UCL spans from the medial epicondyle of the humerus (the bump you can likely feel on the inside of your elbow) to the sublime tubercle of the ulna (one of the two forearm bones). (As an aside, sublime tubercle is one of my favorite terms in all of anatomy).
     




     
    As with nearly any reconstructive surgery in orthopedics, our aim is to recreate the native/normal anatomy as closely as possible. In order to do this, most techniques utilize small tunnels that are drilled into the bone at the ligament attachment sites. The tissue that is used to reconstruct the ligament is then woven through these tunnels and tightened to create a secure new ‘ligament’ that heals and strengthens over time.
     
    The primary differences between different techniques are the ‘approach’ (or how tissues are moved aside to see the damaged areas), the specifics of how the tunnels are made and used, the type of tissue (or graft) that is used to make the new ligament, and the way that the graft is secured in place. There are a number of variations that exist, but I’ll cover a few of the most commonly used methods.
     
    First, some history may be in order. The first UCL reconstruction was, famously, performed on Tommy John. Tommy John was an outstanding pitcher for the LA Dodgers in the early 1970’s, and had compiled a 13-3 record in 1974 when he had a sudden injury to his elbow and was unable to throw. Imaging was performed, and the diagnosis of a UCL tear was made by pioneering orthopedic surgeon, Dr. Frank Jobe (of the famous Kerlan Jobe clinic in LA). Dr. Jobe had an idea to perform a reconstruction of the UCL, and practiced on several cadavers until he felt he had worked out a promising technique. He told Tommy that he thought he had a 1 in 100 chance of a successful return to MLB pitching. John decided to go ahead. The surgery was ultimately successful, and John returned to pitching in 1976. Though Tommy made it back, he did have a temporary palsy of his ulnar nerve after surgery, which is the ‘funny bone’ nerve that is near the UCL. This caused him significant weakness in his hand at first, but fortunately the strength returned over time and Tommy was able to return to pitching. Interestingly, he won more MLB games after surgery than he did before surgery, and pitched until 1989. There is a story that Jose Canseco hit a homer off John late in his career. Apparently Canseco’s father was Tommy’s dentist, and Tommy said something to the effect of “When your dentist’s kid starts hitting home runs off you, it’s time to retire.”
     
    The technique used for this first surgery was termed the Jobe Technique (for obvious reasons). It involved removing the attachment of the muscles to the inner part of the elbow and pulling the muscles toward the wrist to get a good look at the UCL itself. Tunnels were drilled in the bone at the normal attachment sites of the ligament, and a small tendon from the forearm (called the palmaris) was used to weave through the tunnels making a ‘figure-8’ in order to make a new ligament. (The palmaris is a non-necessary tendon that is located in the forearm of about 2/3 of the population. For those patients who don’t have a palmaris, we usually use a hamstring tendon called the gracilis for this procedure.) The old ligament was left in place and sewed into the graft. The nerve was also moved from its normal location (behind the bump) to in front of the bump to take some of the tension off. This is called a ‘transposition’ of the ulnar nerve.
     


     
    This technique was used for a while, but it did have some drawbacks, such as a high percentage of patients having ulnar nerve problems after surgery and some weakness resulting from detaching and reattaching the muscles of the forearm. Because of this, other surgeons sought new ways to perform this surgery.
     
    One commonly used technique was termed the ASMI-modification of the Jobe Technique. ASMI stand for American Sports Medicine Institute (in Birmingham, AL) and this modification was initially described by Dr. James Andrews and colleagues. This involved similar bone tunnels, but the main difference was in the way that the muscles were treated. Rather than detaching the muscle and reattaching at the end of the surgery, in the ASMI technique the muscle was lifted up (and not detached) and the work was done underneath the muscle. The ulnar nerve is transposed when this technique is used (like the Jobe technique). The passing and fixation of the graft is essentially identical to the Jobe Technique as well.
     


     
    Another commonly used technique is called the ‘docking method’. There are a couple of main differences between the docking method and ASMI method. First, the docking method utilizes a ‘muscle-splitting’ approach rather than a ‘muscle-lifting’ approach like the AMSI technique (see figure). This means that the muscle is divided between its fibers and a ‘window’ is created in the muscle in order to see the torn UCL and make the tunnels. There is also a difference in the way the tunnels are made. In the ASMI technique, the tunnels are the same size all the way through, and the graft tissue is passed all the way through the tunnels. In the docking technique, the tunnel on the ulna side is the same. But on the humeral side, the tunnels are sort-of half tunnels with smaller tunnels continuing on through the back side of the bone. This is because the graft is fixed in a different way- there are strong stitches that are attached to the ends of the graft that pull each end into the large tunnels. The stitches then pass through the small portion of the tunnels and are tied behind the bone, which secures the graft in place.
     


     
    This technique does not require transposition of the ulnar nerve, which is an advantage because less handling of the nerve generally means less risk of trouble with the nerve after surgery.
     
    There are a handful of other techniques that are slight variations on these themes, primarily using different devices such as anchors, interference screws or metal buttons to achieve graft fixation. There have been a number of cadaver biomechanical studies done that have compared methods, and they have been found to be largely equivalent. There seems to be a smaller incidence of ulnar nerve symptoms after surgery when the nerve is not handled/transposed (which makes some sense). The return to play rates are very similar regardless of which technique is used, with perhaps a slight favor to docking technique depending on the study.
     
    I trained with Dr. Andrews, and performed nearly 100 UCL reconstruction cases during my fellowship using the ASMI technique. In my own practice, I tend to use the docking technique most commonly. I do this because I would prefer not to transpose the nerve if I don’t have to in order to decrease the likelihood of nerve problems after surgery. We also saw some problems with fracture of the bone near the humeral tunnels when using the ASMI technique, and using the docking technique allows us to make smaller tunnels. This makes fracture in this area less likely. That said, Dr. Andrews has had (and continues to have) tremendous success using this technique. As we have learned more about this type of surgery, it has become clear that it is important that the bone tunnels be made very accurately, as improperly placed tunnels seem to be a risk factor for inability to return to full participation. There has also been some investigation as to whether addition of PRP or other biologics to the reconstruction area at the time of surgery makes a difference in healing speed or strength. At this time, I am not aware that any research has shown a difference.
     
    If anyone has managed to make it this far without falling asleep, I hope you found this discussion interesting. Feel free to leave a comment below if you have additional questions. Thanks for reading. Safe wishes to you and your families.
  15. Like
    Squirrel reacted to Twinternationals for a blog entry, Introducing Twinternationals!   
    Welcome to Twinternationals! This is a space for Twins fans from different countries to read about their team in their native language. This section is run by Venezuelan Mariana Guzmán (@TwinsLatinos) and Brazilian Thiéres Rabelo (@TwinsBrasil).
     
    On this blog, we’re going to write articles in Spanish and Portuguese, our native languages. Our goal is to spread the Minnesota Twins popularity to a much greater audience. American sports have grown each day more popular in South America and possibly all over the world, so we want to take advantage of that. We love the Twins this much!
     
    If you are a fellow foreigner that roots for the Twins, feel free to comment and interact with us here and also on our Twitter accounts. If you are from a country that doesn’t speak those two languages and you would like to be a contributor to this blog as well, please let us know. Our door is open!
     
    We hope you enjoy our work!
    ¡Bienvenidos!
    Bem-vindos!
  16. Like
    Squirrel reacted to scottz for a blog entry, Looking Ahead: Who Starts Game 3 of the 2021 ALCS?   
    Slowly but surely, even the least observant among us will have noticed the precious minutes of daylight being added since the winter solstice, spreading good cheer to Druids everywhere. And with the countdown to pitchers and catchers reporting falling to a mere 23 days, our thoughts turn to baseball, opening day, the first game cancelled due to snow, the All-Star Game, the trade deadline, rosters expanding in September, the Arizona Fall League, the Wild Card game, the Divisional Series, the League Championship Series, the World Series, winter meetings, the hot stove league, and pitchers and catchers reporting in 2021.
     
    With such a plethora of events to keep us non-Druid baseball fans occupied, it's easy to overlook the complex machinations of who might start Game 3 of the 2021 American League Championship Series for your Minnesota Twins. But with the sun well shy of the 2020 vernal equinox, it's time to fire up our crystal balls and clear up the somewhat muddy waters of October 2021. Let's look at the candidates:
     
    Trevor Bauer - Fresh off a World Championship season with the Cincinnati Reds, Bauer looks every bit the part of a #1 starter, so why include him here? Well remember, we're talking about 2021, and you can be darn sure that we won't be skating to the divisional championship with as much ease as we did in 2019 and 2020. Playing the division down to the wire means our rotation isn't exactly lined up how we'd prefer. Still, having Bauer settle in as our #3 for the rotation is not so bad, huh friends? I sure don't think so, and that's why he's my first choice here.
     
    Robbie Ray - Sure, he hasn't pitched in a playoff game since 2017 and totally fell apart down the stretch for us in 2021, but when a guy has an alliterative name, you slot him in as the Third Thrower, amiright? Besides, he has an October birthday. He was practically born to pitch the third game in the series before next year's Fall Classic.
     
    James Paxton - Yes, I know he's 32 in 2021. Yes, I know it isn't likely he'll even be on the Twins. But when every body else is looking to the right? The wise move is to look left. That's why I could see him making a lot of sense here.
     
    Randy Dobnak - That mustache and glasses costume just doesn't get old. Still just 26 years old in 2021, Dobnak is ready to grab the spotlight and squeeze it in a way that normal people can't squeeze light. He's the kind of guy who seems ready-made to step into the folklore of Minnesota baseball. Are you ready for Legenddobnak?
     
    Johan Santana - Hey, I don't think it'll happen either, but we're talking about 2021 here. Anything can happen, including Johan coming out of retirement with a brand new arm and the same ol' circle change. Would you want to face a brand-new-armed-Johan in Game 3 of the 2021 American League Championship Series? I didn't think so.
     
    Now it's your turn to get real about the playoffs of next season. Who do you think should start Game 3 of the 2021 American League Championship Series for the Twins?
  17. Like
    Squirrel reacted to scottz for a blog entry, Remaining Free Agents (and why they won't sign here)   
    Felix Hernandez RP 34 - Doesn't want to share crown with Aquatennial Queen of the Lakes
    Josh Donaldson 3B 34 - Loons kinda freak him out
    Jacoby Ellsbury CF 36 - No longer very good at baseball
    Dallas Keuchel SP 32 - Concerned that North Stars fans still aren't over it
    Edwin Encarnacion DH 37 - Weather too cold for imaginary parrot
    Alex Gordon CF 36 - Retro baby blue uniforms clash just a little with all his Royal blue gear
    Hyun-Jin Ryu SP 33 - Airport not close enough to the west coast
    Ryan Zimmerman 1B - Feels like anyone who has been through Zimmerman, MN might not like him right off the bat
    Russell Martin C 37 - Has heard a catcher is more likely to be concussed here
    Wei-Yin Chen RP 35 - 6.59 ERA in 2019
    Rich Hill SP 40 - He's 40
    Ben Zobrist 2B 39 - He's 39
    Martin Prado 3B 36 - Keeps alpacas in Texas
    Mark Trumbo DH 34 - Isn't Nelson Cruz
    Marcell Ozuna LF 29 - Sees how Rosario is treated
    Nick Castellanos RF - Unbalanced schedule - doesn't want to have to go back to Detroit that much
    Yasiel Puig RF 29 - Keeps fainting goats in 49 other states
    Alex Wood SP 29 - Insufficient quantities of chiropractors
    Trevor Cahill RP 32 - We've got a shot here
    Brian Dozier 2B 33 - Never heard of him
    Tommy Hunter RP 34 - Insists on being called Tommy, Lord of the North, and that just doesn't fly
    Jason Kipnis 2B 33 - Doesn't like state fairs
    Kole Calhoun RF 32 - Doesn't want to change his name to Kole Bde Maka Ska
    Ivan Nova SP 33 - Longs to reunite with Pittsburgh
    Starlin Castro 2B 30 - Likely to sign him and cash in when in gets to 2000 hits
    Juan Nicasio RP 33 - Doesn't realize how many good restaurants we have
    Todd Frazier 3B 34 - Would prefer not to be around so many lakes
    Corey Dickerson LF 31 - Would prefer many more lakes
    Jason Castro C 33 - Number of lakes is fine, but would like less fish
    Pat Neshek RP 39 - Homecoming is possible
    Andrew Cashner RP 33 - Friend of a friend has heard Minnesota "smells a little"
    Jason Vargas SP 37 - Too many Jasons already here
    C.C. Sabathia SP 39 - Too many C.C.s already here
    Cesar Hernandez 2B 30 - Would never live up to Cesar Tovar's precedent
    Jonathan Schoop 2B 28 - Never heard of him
    Welington Castillo C 33 - Minnesotans would latch on to the "Beef" nickname too much
    Dellin Betances RP 32 - Keeps ostriches in New York
    Anthony Swarzak RP 34 - Homecoming is possible
    Drew Smyly SP 31 - Look at all these free agents left
    Derek Holland RP 33 - I honestly didn't think this bit would be this long
    Mitch Moreland 1B 34 - Mitch Moreland? More like Mitch Lessland, huh?
    Julio Teheran SP 29 - If he's not good enough for Atlanta
    Fernando Rodney RP 43 - If he's still throwing, homecoming is possible
    Jordy Mercer SS 33 - Is he related to Bobby Mercer?
    Billy Hamilton CF 29 - Is he still fast?
    Taijuan Walker SP 27 - Let's give it a try, Taijuan.
    Sam Dyson RP 32 - I think this bit is over
    Brandon Kintzler RP 35 - Yeah, it's over
    C.J. Cron 1B 30 - Definitely over
    Eric Thames RF 33 -
    Steve Cishek RP 34 -
    Steven Pearce 1B 37
    Jedd Gyorko 3B 31
    Pedro Strop RP 35
    Kevin Pillar CF 31
    Collin McHugh RP 33
    Tyson Ross SP 33
    Robinson Chirinos C 36
    Arodys Vizcaino RP 29
    Juan Lagares CF 31
    Travis Shaw 3B 30
    Yolmer Sanchez 3B 28
    Danny Salazar SP 30
    Justin Smoak 1B 33
    Hector Rondon RP 32
    Wilmer Flores 2B 28
    Will Harris RP 35
    Steven Souza RF 31
    Jon Jay RF 35
    Matt Adams 1B 31
    Jarrod Dyson CF 35
    Jimmy Nelson RP 31
    Brock Holt 2B 32
    Brian Duensing RP 37
    Asdrubal Cabrera 2B 34
    Addison Russell SS 26
    Chad Bettis SP 31
    Yoshihisa Hirano RP 36
    Clay Buchholz SP 35
    Wade LeBlanc RP 35
    Lonnie Chisenhall RF 31
    Shawn Kelley RP 36
    Matt Duffy 3B 29
    Nate Jones RP 34
    Tony Cingrani RP 30
    Hernan Perez 2B 29
    David Phelps RP 33
    Matt Albers RP 37
    Justin Bour 1B 32
    Matt Moore SP 31
    Jose Iglesias SS 30
    Martin Maldonado C 33
    Jonny Venters RP 35
    Craig Stammen RP 36
    Jared Hughes RP 34
    Edinson Volquez RP 36
    Logan Forsythe 2B 33
    Derek Dietrich 2B 30
    Brian McCann C 36
    Hunter Pence RF 37
    Neil Walker 2B 34
    Gio Gonzalez SP 34
    Domingo Santana RF 27
    Devon Travis 2B 29
    J.C. Ramirez SP 31
    Kazuhisa Makita RP
    Francisco Liriano RP 36
    Devin Mesoraco C 32
    Tim Beckham 3B 30
    Curtis Granderson LF 39
    Kyle Barraclough RP 30
    Chris Rusin RP 33
    Luis Garcia RP 33
    John Axford RP 37
    Luis Avilan RP 30
    Brandon Guyer LF 34
    Ryan Tepera RP 32
    Daniel Hudson RP 33
    Matt Wieters C 34
    Tyler Clippard RP 35
    Brandon Maurer RP 29
    Jerry Blevins RP 36
    Robbie Erlin RP 29
    Cory Gearrin RP 34
    Ryan Buchter RP 33
    Aaron Loup RP 32
    Steven Wright RP 35
    Jeremy Hellickson RP 33
    Dominic Leone RP 28
    Dan Otero RP 35
    Bryan Hoay C 32
    Cory Spangenberg 2B 29
    Greg Bird 1B 27
    Melky Cabrera LF 35
    Kevin Plawecki C 29
    Caleb Joseph C 34
    Josh Phegley C 32
    Nicholas Tropeano SP 29
    Jose Lobaton C 35
    Gorkys Hernandez LF 32
    Adam Rosales 2B 37
    Ervin Santana SP 37
    Logan Morrison DH 32
    Erasmo Ramirez SP 30
    Matt Joyce LF 35
    Adeiny Hechavarria SS 31
    Josh Tomlin RP 35
    Ryan Goins 2B 32
    Jerad Eickhoff SP 29
    Bryan Mitchell RP 29
    John Ryan Murphy C 29
    Xavier Cedeno RP 33
    Tyler Saino SS 30
    Cheslor Cuthbert 3B 27
    Jesus Sucre C 32
    Kelby Tomlinson 2B 30
    Andres Blanco 3B 36
    Tom Koehler RP 34
    Josh Fields RP 34
    Javy Guerra RP 34
    Fernando Abad RP 34
    Ronald Torreyes 2B 27
    Guillermo Heredia CF 29
    Tony Barnette RP 36
    Gordon Beckham 2B 33
    J.B. Shuck LF 33
    Allen Webster SP 30
    Michael Blazek RP 31
    Cody Anderson SP 29
    Josh Thole C 33
    Pat Venditte RP 35
    Ryon Healy 1B 28
    Elias Diaz C 29
    Matt Grace RP 31
    Jose Pirela 2B 30
    Dan Straily SP 31
    Jesse Biddle RP 28
    Edubray Ramos RP 27
    Kevan Smith C 32
    Trevor Hildenberger RP 29
    Joey Rickard LF 29
    Jacob Barnes RP 30
    John Hicks C 30
    Daniel Stumpf RP 29
    Tyler Olson RP 30
    J.T. Riddle SS 28
    Aaron Brooks SP 30
    D.J. Johnson RP 30
    Jacob Nix SP 24
    Ryan Burr RP 26
    Rajai Davis CF 39
    Carlos Gomez RF 34
    Tyler Austin 1B 28 EDIT: I'm removing Tyler Austin from the list because dex8425 said he signed with a team in Japan, that it was a pretty good deal for Tyler Austin actually, and that dex8425 is taking any and all wagers that Tyler Austin will rake. Also, I read on mlbtraderumors or on a Doogie tweet that Tyler Austin's girlfriend preferred being near an airport in Japan, so we never had a shot anyway.
    Kohl Stewart RP 25
    Tim Peterson RP 29
    Felipe Paulino SP 36
    Hector Santiago RP 32
    Eric Sogard 2B 34
    Mike Morin RP 29
    Homer Bailey SP 34
    Blake Parker RP 35
    Brian Schlitter RP 34
    Brooks Pounders RP 29
    Danny Hultzen RP 30
    Caleb Frare RP 26
    Thyago Vieira RP 27
    Ryan Feierabend SP 34
    Derek Law RP 29
    Jim Adduci CF 35
    Jason Adam RP 28
    Rob Brantly C 30
    Wilkin Castillo C 36
    Rico Garcia P 26
    Isaac Galloway RF 30
    Humberto Arteaga SS 26
    Oscar Hernandez C 26
    Erick Mejia 2B 25
    Deven Marrero SS 29
    Ian Gibaut RP 26
    Peter O'Brien RF 29
    Jace Peterson 3B 30
    Yadiel Rivera 2B 28
    David Hale RP 32
    Tom Milone SP 33
    Josh Smith RP 32
    Drew Gagnon RP 30
    Fernando Salas RP 35
    Joe Hudson C 29
    Francisco Cervelli C 34
    Austin Adams P 33
    Joe Panik 2B 29
    Ross Detwiler RP 34
    Aaron Slegers SP 27
    Zac Rosscup RP 32
    Chris Owings 2B 28
    Robby Scott RP 30
    Juan Minaya RP 29
    Brad Miller 2B 30
    Charlie Tilson CF 27
    Mike Gerber OF 27
    Kris Negron RF 34
    Edwin Jackson SP 36
    Tyler Lyons RP 32
    Buddy hers RP 32
    Jonathan Lucroy C 34
    Tim Federowicz C 33
    Sean Gilmartin RP 30
    Cameron Maybin RF 33
    Rookie Davis SP 27
    Donnie Hart RP 29
    Sean Rodriguez 2B 35
    Ricardo Pinto RP 26
    Gabriel Ynoa SP 27
    Yonder Alonso 1B 33
    David Carpenter RP 34
    Tayler Scott SP 28
    Ryan Eades P 28
    Matt Kemp LF 35
    Pablo Sandoval 3B 33
    Bobby Wilson C 37
    Rene Rivera C 36
    Nick Vincent RP 33
    Juan Centeno C 30
    Ryan LaMarre LF 31
    Gregor Blanco RF 36
    Chris Stewart C 38
    Marcos Mateo RP 36
    Erik Kratz C 40
    Tim Collins RP 30
    Jeff Bianchi 2B 33
    Rubby De La Rosa SP 31
    Josh Edgin RP 33
    Jemile Weeks 2B 33
    Travis Snider RF 32
    Kila Ka'aihue 1B 36
    Mike Zagurski RP 37
    Shane Robinson CF 35
    Cliff Pennington SS 36
    Alex Wilson RP 33
    Danny Espinosa SS 33
    Ricky Nolasco SP 37
    Logan Kensing RP 37
    Dylan Axelrod RP 34
    Johnny Giavotella 2B 32
    Duane Below RP 34
    J.C. can C 40
    Chris Withrow RP 31
    Nick Franklin LF 29
    Rafael Lopez C 32
    George Kontos RP 35
    Seth Maness RP 31
    Alcides Escobar SS 33
    Grant Green LF 32
    Neftali Feliz RP 32
    J.J. Hoover RP 32
    Wilin Rosario 1B 31
    Chris Hatcher RP 35
    Dan Runzler RP 35
    Collin Balester RP 34
    Brandon Beachy SP 33
    Brandon Hicks 2B 34
    Henderson Alvarez SP 30
    Juan Jaime RP 32
    Alex Torres RP 32
    Robbie Ross RP 31
    Drew Hutchison SP 29
    Zach McAllister RP 32
    Cole Gillespie LF 36
    Stolmy Pimentel RP 30
    Michael Martinez 2B 37
    Dioner Navarro C 36
    Logan Ondrusek RP 35
    Stephen Pryor RP 30
    Fernando Rodriguez RP 36
    Ezequiel Carrera LF 33
    Wilkin Ramirez LF 34
    Emilio Bonifacio CF 35
    Mark Rogers RP 34
    B.J. Rosenberg RP 34
    Justin Sellers SS 34
    Moises Sierra RF 31
    Scott Van Slyke LF 33
    Josh Zeid RP 33
    Zach Putnam RP 32
    Shelby Miller SP 29
    David Lough RF 34
    Brad Boxberger RP 32
    Hector Sanchez C 30
  18. Like
    Squirrel reacted to mikelink45 for a blog entry, Why the Eddie Rosario hate?   
    Why am I seeing shots at Eddie Rosario all over TD? No, he is not our best player, but he is a good player. He gets 1.6 WAR this year according to Baseball Reference. He had a line of .276 /.300/.500/.800 this year and in the little aside on the MVP for this year he sounds like he should be LVP. Last year he was .288/.323/.479/.803 and the same site named him MVP. Now we want to trade him for a broken bat and one of the regular season rabbit balls. What is going on.
     
    He is not HOF, but he is good. Who will take his place? Who will hit 32HRs and 109 RBIs if he is gone? Can we guarantee Larnach or Kiriloff are ready to do it? I hate having to be the one to speak up for Eddie, but someone has to question the madness.
     
    Here are some highlights - go ahead 3-run home run https://www.mlb.com/video/eddie-rosario-homers-21-on-a-fly-ball-to-right-center-field-luis-arraez-scores-m
     
    Astudillo and Rosario lead win
     
    Rosario 4 hit game https://www.mlb.com/video/rosario-homers-in-4-hit-game
     
    Garver and Rosario lead win
     
    Home Run 31 https://www.mlb.com/video/eddie-rosario-homers-31-on-a-fly-ball-to-right-center-field
     
    No he is not great - but he is good and if we choose to trade him it should not be because we want to get rid of him, but because we get a player who can do even more to help us win in the post season.
  19. Like
    Squirrel got a reaction from bighat for a blog entry, Posting styles discussing our frustrations about the Twins   
    In light of some posting styles we have been seeing lately on TD, I thought I'd do some venting of my own ... in a blog. The thread that broke this camel's back was this thread, 'It is time to end the insanity.' I've been meaning to address this for a while now, and have here and there in threads when posts become nothing more than venting general frustrations rather than addressing the topic at hand; and redundant threads get started on this same topic of frustration that seem more like rants than opening a new thread to discuss the latest news. Okay, okay ... the general topic of 'This is what's wrong with the Twins' is a topic of discussion ... but we've seen this in several threads already. Obviously there are new salient points that must be addressed, but it is this 'venting' and 'ranting' that becomes a detriment to my and others' enjoyment and participation in the forums.
     
    I've always thought the purpose of the forums on TD is for discussion, critical discussion. Yes, with disagreements and passion, but, nonetheless, critical discussion, with maybe a little humor and/or snark mixed in from time to time, no matter what side you fall on with any given issue. Posters have always been encouraged to start threads to discuss a particular topic, or general topic, or a news item you saw, or a blog you read, or a question you have, or a move that was made/not made, management issues, player issues etc. And yes, those discussions will get emotional and passionate as we all have a vested interest in the outcome of the Twins, and have our own opinions on what should/should not be, and often disagree on the best way forward. And sometimes threads do get a bit meandering and off topic despite our best efforts to try and keep them within loose boundaries. But this recent posting style, such as the OP, in my opinion, really needs to be directed towards the Blogs area on this site. These threads, such as the one I made example of, serve no purpose other than to regurgitate a list of generalized complaints and are not focussed points of discussion and only invite generalized regurgitating of someone else's complaints. The title of this thread 'End the insanity' in and of itself just opens the floor to everyone's complaints and soon we have a morass of unpleasant vomiting to wade through. Yes, we're frustrated and I'm not trying to take that away from anyone, not in the least, because well, it IS frustrating, to no end, at least for me. And I guess we each have our own way of dealing, but the Blogs are there for you to let it all out. You want to vent? Start a blog and vent away. You want to have a legitimate, critical discussion, stick to the forums and structure a thread that leads to that; a post or a thread that has been thought out and isn't some generalized rant that has no real basis in reality other than it's some emotional response, not a genuine reading of facts, to what you think should have happened. Don't just vomit up all your frustration for the rest of us to wade through; that's just lazy. Those are the types of threads and posts that keep me from the forums, not the stances people may take on the Twins in general or specifically. If you don't like a topic, you are free to not read it. If you don't like a particular poster, put them on ignore or skip over their posts. So I find myself more and more throwing my hands up and 'walking away' because threads just become unreadable the more this style continues.
     
    (Edit: I want to add that the thread I used as an example has generated a pretty fair and decent discussion. Many threads and posts of this 'listing of wrongs venting' have not. I'm in no way suggesting we can't be critical of the team and its management ... I mean, come on, look at the team ... I'm suggesting that don't just start a thread or make a post listing all that bothers you. Try to frame things so we can have legitimate discussions without being critical of fellow posters who might have a differing point of view, otherwise, try starting a blog. If you have to end a post or a thread start with '/end rant,' which this one did not, it probably would be better suited for a blog. They are very useful for 'getting it out' of your system. But given the OP of that thread, it was very easy for all of us to think to ourselves, 'Oy, this again?' and either walk away or get defensive or pile on. The following paragraph stands ... for all and everything. Stop the divisive language!)
     
    Another issue I want to address: this generalized characterization of posters some of you think necessary to throw into their posts. This 'The Twins can do no wrong crowd' or the 'Twins can do no right crowd' is hugely disrespectful and dismissive, and from this moderator, will not be tolerated. If you want to divide and pick sides, fine, go play a game of dodge ball, your posts will be removed. Lumping posters into such 'all or nothing' categories because they choose to disagree with a point here and there needs to stop. I try to stay fairly objective, as objective as I can in my own like/dislike of certain topics, in my reading here, despite my own frustrations with the team, but there really are only two or three posters that fall into those mentioned categories on each end of this spectrum. The large majority of posters fall everywhere in between. Yes, some have definite leanings, but I have seen very, very few posters who have blindly taken these all or nothing stances on everything Twins. If all you want to do is read posts only in agreement with you, then you are in the wrong place. It is nothing but smug self-righteousness to declare yourself so right and others wrong and then to label others in such a dismissive way. It's the same with the negative/positive crowd. This is nothing but from your perspective, and your perspective is NOT the end all to defining anyone else. Say your piece. Have at it. And if others disagree, so be it. Have a debate, be open-minded to another's views and why they take them, give them the benefit of the doubt, ask for explanations, and disagree if you just disagree, but don't be dismissive about it by saying 'You're just part of that crowd.' If one poster likes a move and another doesn't, they are not in any of the above-mentioned crowds, they just differ in opinions. And if a poster wants to point out a silver lining or a black cloud, so what? It's their opinion and no one is right or wrong here. I'm not sure why that is so difficult to understand. Does it bruise egos when someone doesn't like your point, or picks it apart with their own interpretation of the facts, or their own use (right or wrong) of various metrics, stats, other numbers? Get over it. Don't double down and hunker down so hard you develop tunnel vision, and resort to the "Oh, you just hate so and so" or "Oh, you just love so and so" as an argument. It's unproductive, lazy and weak. And it gets old, and frankly, loses credibility for the poster who uses that as an argument. And maybe, just maybe, we don't need to fight to the end. When it gets to the point of labeling posters, I think it's time to agree to disagree and just let it go.
     
    Okay ... I've run out of steam. Whew! That was so cathartic!!! You should give it a try.
     
    See what I did there? Here's how I got started and so can you. There are all sorts of things to click on to help you find your way through the blogs. There's even a tutorial ... which I didn't click, because I didn't need to. So ... have at it.
     
    1. On the red menu strip across the top, click on the word “Blogs”
    2. Click on the black rectangle that says ‘Create a Blog’
    3. Read the terms and rules, then check the box that says you have read and understood the terms, then click ‘Continue—>’
    4. Fill in the blanks with the Blog name, Blog description, choose blog type, then click continue.
    Example: Blog Name: ChiTown’s Fun Takes
    Blog Description: All that frustrates me about the Twins
    Blog Type: Local Blog
    5. Choose your settings
    6. Save
     
    At that point you can choose ‘Options’ and then ‘Add new entry’ and go to town. Or leave, collect your thoughts, come back and choose ‘Blogs’ from the red menu strip across the top, click ‘Add Entry’ and go to town.
  20. Like
    Squirrel reacted to Heezy1323 for a blog entry, Biceps Tendinitis Q&A   
    Biceps Tendinitis in Pitchers Q&A
    Heezy1323
     
     
    A request was made by a poster for me to write a blog covering biceps tendinitis. This is actually a fairly complicated topic with quite a bit of controversy, but I’ll do my best to share some basic info that hopefully TD peeps will find interesting. There are some technical parts, so apologies for that, but I do think a basic understanding of the anatomy is helpful.
     
    Question 1: What is the biceps, exactly?
     
    The biceps is a muscle that we are likely all familiar with, lying in the front of the upper arm and used to perform curls and similar exercises. The word ‘biceps’ has a Latin origin meaning ‘two heads’. This describes the upper (or proximal) end of the biceps where there are two tendon attachments.
     
    The first is the long head of the biceps which attaches to the labrum at the top of the socket in the shoulder. It then curves over the top of the ball (humeral head) where it exits the shoulder joint and begins its course down the front of the upper arm bone (humerus). At the front of the shoulder joint, it travels through what is called the ‘bicipital groove’ which is an area of the bone of the humerus between two bumps (called tuberosities). This groove is often the site of issues in pitchers (more on this below).
     


     
    The second is the short head of the biceps, which originates from a bony projection off the shoulder blade in the front of your shoulder called the coracoid. It travels straight from here to meet up with the long head of the biceps in the upper 1/3 of the arm. There, the tendons join and form the biceps muscle.
     
     
    Below this (distally), the muscle turns back into a tendon just above the elbow and a single tendon then travels down to one of the bones of your forearm (called the radius) where it attaches at a bony prominence called the radial tuberosity.


     
    Question 2: How is this tendon involved in throwing?
     
    This is a great question, and a subject of much debate amongst experts. The short head of the biceps likely has a relatively insignificant role in throwing. The long head (which is the one that attaches inside the shoulder joint) is much more involved in the throwing motion. When throwing at MLB speeds, the shoulder rotates at 7000 degrees per second, which is the fastest known human motion. One can imagine the stress this places on the structures that surround the shoulder.
     
    Without delving into the weeds too much, it seems as though the biceps has a role in position sense of the shoulder during throwing, likely a role in stability of the shoulder joint and also helps slow down the arm after ball release.
     
    At the other end of the tendon (distal), the elbow changes rapidly from a bent position to a straight position as the ball is released during a throw. In order to keep the bones of the elbow from jamming into each other at a high speed, the biceps muscle fires to slow down this elbow straightening (what we call an eccentric contraction). This allows some of the force of throwing to be dissipated by the muscle (kind of like a shock absorber).
    If it seems like that is a lot of jobs for a small tendon/muscle- it’s because it is…
     
    Question 3: What happens when someone gets biceps tendinitis?
     
    Tendinitis is a fairly broad term and can mean a number of different things depending on the context. With respect to the biceps, a thrower can develop issues at either the upper (proximal) or lower (distal) end of the biceps. The suffix -itis means inflammation, so the general thought is that there is inflammation that develops in or around the tendon.
     
    The reasons ‘why’ are heavily debated, but generally there is probably some combination of overuse/fatigue and altered mechanics or muscle imbalances that contribute. It takes a tremendous amount of efficiency of motion and coordination of muscle movements to throw a baseball in excess of 90mph, and any small abnormality can easily be compounded by the sheer number of repetitions and intensity of a typical pitcher. Over time, this can add up to cause damage to the tendon and result in inflammation and pain.
     
    Arthroscopic image of normal biceps tendon (left) and inflamed biceps (right)


     
    Question 4: How does the player/medical staff separate this injury from other issues that can seem very similar?
     
    This can be VERY difficult. Often the player will have pain at the front of the shoulder (in cases of proximal biceps tendinitis) or just above the elbow (in distal cases). A thorough history and exam is performed in order to hone in on the likely problem area.
     
    An MRI is ordered in some cases. One of the challenges with this type of issue is that in many cases, an MRI of a pitcher already has some abnormalities on it which are likely adaptive and have been present for a long time (and are not the actual cause of pain). In addition, in many cases the inflammation around the bicep isn’t something that can be clearly seen on MRI. So interpreting imaging studies can be a significant challenge.
     
    Usually the exam is (in my experience) the most helpful thing in recognizing biceps tendinitis when it is present. The athlete is usually tender right in the area of the tendon, which is a helpful finding.
     
    Question 5: Once a pitcher is diagnosed with biceps tendinitis, how are they treated?
     
    Again, there are a lot of variables here. But presuming it is significant enough to affect the performance of the pitcher, they would typically be shut down for a period of time to prevent worsening of the condition. Anti-inflammatory medication may be used. In some cases, injections of cortisone are used to try and decrease the inflammation.
     
    With the recent increases in the use of technology, video may be consulted to see if there have been subtle mechanical changes which may have contributed to the issue. Muscle strength can also be tested in various areas around the shoulder to see if weakness is contributing.
     
    In essentially all cases, a rehab program will begin that is likely to include strength and flexibility components. When the pain has subsided, a return to throwing program is begun and once complete, the athlete can return to play.
    A group out of Mayo Clinic (led by Dr. Chris Camp) recently did a study of pro baseball players (minor and major league) and causes of injury over a several year period. Tendinitis of the proximal biceps was actually the #4 cause of injury with an average return to play time of about 22 days.
     
    Question 6: Is surgery ever needed?
     
    It is quite uncommon for surgery to be needed for this issue. In fact, in Dr. Camp’s study above surgery was only required in 3% of cases of proximal biceps tendinitis. So clearly most of these cases improve with non-surgical treatment. In addition, surgery for this particular issue has a fairly poor track record and is avoided if at all possible.
     
    Question 7: What can be done to prevent biceps tendinitis?
     
    Great question, reader. If I knew the answer, we could likely both be millionaires given how common this injury is and the dollar figures involved when a high-priced starter or reliever is on the shelf for this reason.
     
    Generally, I believe monitoring the workload of pitchers through the season, doing what you can to ensure they maintain a good off-season program and having a good line of communication with the players are all important. As video analysis and other analytic measures become more popular, my hope is that they can be incorporated into injury prevention as well.
     
    Thanks for humoring me on this complex topic. Please feel free to add a request for a future subject in the comments. GO TWINS!!
  21. Like
    Squirrel reacted to JW24 for a blog entry, Road tripping introduction   
    Hey everyone, I have been kicking around the idea of starting this blog for a while and decided to just go for it. If there is another blog like this on Twins Daily, I apologize for duplicating any content or stepping on any toes.
     
    Each summer, a group of friends and I take a trip to watch the Twins play in a visiting ballpark, with the goal of seeing the Twins in all 30 MLB stadiums. I am hoping this blog can provide a space for others to share their experiences, either at the ballpark or in the cities of various teams as a reference for others, as well as a way for me to remember the trips taken with my friends.
     
    I have made it to 14 ballparks outside of Minnesota to see the Twins play so far, so I have some catching up to do entry-wise. I just got back from this summer's trip to Miami, so I will try to write about that experience as my first real post while the memories are still fresh.
     
    Some trips were done on tight budgets (started doing this back in college). Some trips were spread out over long weekends, and others were single-game experiences. Some summers were more memorable than others (2015 was my summer of Tommy Milone -- I went to 9 games in 4 different ballparks and Milone started 5 of the games), and some Twins teams were better than others. Through it all, my love for baseball has grown. I hope you all enjoy the future posts and comment with your experiences/recommendations as well.
  22. Like
    Squirrel reacted to Heezy1323 for a blog entry, Buxton Shoulder Q&A- What is a shoulder 'subluxation'?   
    Byron Buxton Shoulder Injury Q&A
    heezy1323
     
     
    Byron Buxton, as we all know, is an outstanding center fielder for our Twins. Unfortunately, he has dealt with a variety of injuries that have cost him significant time over the past few seasons. This weekend he sustained an injury to his left shoulder that was termed a ‘subluxation’ and is headed back to the IL. By the sound of things, he is likely to be away from the big club for at least a few weeks. This is a tough blow for the Twins as the Indians make a push to catch up to a team that has led the division essentially all season.
     
    Medical terminology can be confusing, so I thought a post about shoulder subluxations might be of interest to TD readers. As usual- my disclaimer is that I am not a Twins team physician. I have not examined Byron nor seen any imaging of his injury. I am not speaking on behalf of the Twins. I am only hoping to familiarize TD readers with some of the concerns that may be ahead regarding injuries similar to Buxton’s.
    Question 1: How does the shoulder normally work?
    The shoulder is considered a ball-and-socket joint. The round ball (humeral head) sits in the socket (glenoid) similar to how a golf ball sits on a golf tee. Around the perimeter of the golf tee is a strong cartilage tissue called a labrum. The labrum surrounds the socket similar to the red gasket on a mason jar lid. Its function is to help act as a ‘bumper’ to hold the golf ball on the golf tee. It is also an attachment point for ligaments around the shoulder that also contribute to shoulder stability. The ligaments make up the ‘capsule’ of the shoulder joint. I often tell patients that the capsule is like a water balloon that surrounds the joint. The ligaments that make up the capsule form the connection between the ball and the socket.
     
    Question 2: What is a shoulder subluxation?
     
    The term ‘subluxation’ is typically used in situations where a joint partially (or nearly) dislocates. This is not specific to the shoulder and can happen in a number of other areas of the body as well (such as the kneecap, for example). This is distinct from a true ‘dislocation’ where the ball comes completely out of the socket and then goes back in.
     
    If someone dislocates their shoulder and it stays dislocated, it is typically clear what has happened. Xrays will show the ball dislocated from the socket and the shoulder will be manipulated to ‘reduce’ the ball back to its normal position. However, in some cases cases the ball can completely dislocate and go back in on its own very quickly. In these cases, an xray would often look normal. In most cases when there is concern about an injury of this type, an MRI is ordered. This of course shows additional details of the bone and soft tissue that cannot be seen on an xray alone. Usually an MRI will allow for a pretty solid conclusion as to whether the injury that occurred was a ‘subluxation’ (less severe) or a true ‘dislocation’ (more severe).
     
    There is, of course, a spectrum of damage that can occur with any injury and this is no exception. It’s possible that there was some minimal stretch to the ligaments around the shoulder and no other significant damage (best case). It’s also possible that there was more significant damage to the ligaments and potentially even a tear of the labrum (more worrisome). The MRI would typically give a good approximation of these issues. In most cases, the damage that occurs with a subluxation is less significant than that which occurs with a dislocation.
    Question 3: Does it make a difference that the injury is to his left shoulder rather than his right?
     
    In my opinion, absolutely. Because it is his non-throwing shoulder, the stresses placed on it are less. Even small issues with the ligaments can be problematic in the throwing shoulder- particularly someone who can approach 100mph on throws from the outfield.
     
    That said, the left shoulder is Byron’s front shoulder when hitting. In most hitters it is the front shoulder that is more stressed. It is possible that Buxton’s recovery is more affected at the plate than in the field (though that’s impossible to predict with certainty, of course).
     
    Question 4: Does this injury make it more likely that Byron will dislocate his shoulder in the future?
     
    Possibly. As discussed above, there is a spectrum of damage that can occur with this injury. If the damage is near the minimal end, it probably doesn’t have a significant effect on his likelihood of injuring this shoulder in the future. If there is more significant structural damage, it may place him at higher risk.
     
    Question 5: What is the purpose of the rehab?
     
    In addition to the capsule and labrum discussed above in question 1, the muscles around the shoulder also contribute to stability. I often tell patients to imagine that there is canopy over the top of the golf ball pulling it down onto the golf tee and helping to hold it in place. This is similar to the way your rotator cuff functions. I suspect rehab for Buxton will include strengthening exercises for a number of muscles around the shoulder that contribute to stability.
     
    Also, these muscles can be strained during the injury, so they can sometimes need additional time to recover along with the ligaments.
     
    Question 6: Will Buxton need surgery?
     
    This is essentially impossible to answer right now, likely even for the physicians and training staff involved in Byron’s care. As I sometimes tell my patients, “The crystal ball is a little murky.” Without knowing the extent of any structural issues in Byron’s shoulder, I would say that it is somewhat unlikely this will require surgery. I would expect that even if surgery is required, it would only occur after an attempt at non-surgical treatment has been unsuccessful.
     
    Question 7: How long will it be before he is able to return to play?
     
    This is also a difficult question to answer. The fact that the early word is that he will be out a few weeks is consistent with what I would expect from an injury like this. The rehab often takes time to regain full motion and strength. I would hope he can be back patrolling center field before the end of August, but it’s certainly possible this lingers into September. It seems unlikely that this would be a season-ending injury, but only time will tell.
     
     
    Clearly this Twins team is better when Byron is on the field rather than on the IL. Let’s hope he heals quickly and can help the Twins down the stretch. GO TWINS!
  23. Like
    Squirrel reacted to Mike Sixel for a blog entry, Why Didn't the Twins Make a Trade Already?   
    Edit to note: the tables are now fixed, I believe.
     
    Fans, we are a demanding bunch! We want fixes now, and we want them cheap, so our favorite teams can do more fixing. I maybe spend too much time on Twins Daily, and I post a lot. That makes me wrong a lot……or maybe I’m just not all that good at this baseball thing, who knows. One of the main things being discussed right now is that the Twins should add some pitching, and I’ve been wondering just how realistic that is.
     
    What does it cost to get pitching? What kind of pitchers are actually traded before the deadline? When are they traded?
     
    Basically, in this series of blogs, I want to know what seems realistic in terms of trades, because I’d rather be informed when posting than not. Because baseball seems to have changed, I’ll be using data from 2013 on.
    First up in the analysis? So, how soon can we realistically expect trades in MLB?
     
    We’ll be looking at trades in June and July to see when players change hands, and the kinds of players that change teams. Given that the August deadline has gone away, we will be ignoring those trades, which admittedly may or may not change how one views the analysis…….
     
    June 1-15
     
    There isn’t much action in the first two weeks of June involving major league players.
     
    [table]


    Year
    Number of Trades
    MLB Pitchers
    MLB HItters
    Impact Trades


    2013
    2
    1
    1
    0


    2014
    1
    0
    1
    1*


    2015
    3
    3
    2
    1


    2016
    2
    0
    3
    1


    2017
    2
    1
    1
    1


    2018
    1
    0
    1
    1


    2019
    2
    1
    2
    1


    Total[td15][/td]

    6
    11
    6
    [/table]
     
    The MLB hitter and pitcher columns show the number of major league players involved. Impact trades could be either the major league player was good the year of the deal and/or after the deal, or one or more the minor league players is/was. Good is subjective, but I’m going for more than 1 fWAR in any given year as the litmus test.
     
    Not surprisingly, there just aren’t that many trades in the first half of June. Teams aren’t sure if they are in or out of the race, and those that are sure aren’t certain what they really need yet. More importantly, most articles and analyses on the internet indicate that teams wait until later to deal, in hopes of having more leverage (and getting a better deal). This aligns well with options theory, but we’ll have to do more analysis to see if waiting works or not.
     
    *In 2014, Manny Pina was traded. He was not a major league player at the time, so he doesn’t appear in the table above. But, he was pretty good for Milwaukee in 2017 and 2018.
     
    Mark Trumbo was part of a deal in 2015. He put up decent numbers after the trade, then a good season in the next year. Now? Not so much. But, he put up half a fWAR after the deal, and 2.2 in 2016. The other side of that deal? Welington Castillo went to Arizona. He was good that year, and in 2016 and 2017. Luckily for Twins fans, he’s not been as good in Chicago! Dominic Leone also went to AZ. He had one good year, but it wasn’t for them…..
     
    Chris Coghlan was traded in 2016, back to the Cubs. He put up .9 fWAR after the deal, but was hitless in 9 post season at bats. He fell off a cliff after that year. The player traded for him played parts of two seasons, and has bounced around the minors.
     
    2017 saw a name that might be in trade talks again in 2019 move in early June….Sam Dyson. He and cash were dealt for a player that is currently 26 and in AAA. Dyson has been good, but not great, though this year he has put up .5 fWAR in half a season. His traditional numbers are more impressive, probably, than his WAR would show…..Why was he so cheap? He was awful in Texas. Did his current team fix something, or is it the park/league?
     
    Last year? One reason C. J. Cron was available this off season is that Tampa traded for Ji-Man Choi in early June of 2018. They got him for cash and Brad Miller. I bet Milwaukee would like to have that trade back…….
     
    Edwin Encarcion was recently traded for a minor leaguer, but mostly because the Yankees absorbed a good chunk of EE’s salary. The Mariners are all in on the all-important financial flexibility thing right now….
     
    I’m actually surprised that six years in a row there were some impactful major league players traded. Now, not one of those had been consistently good, but it does show that some good players move in early June. Not many of those were pitchers, btw.
     
     
    June 16-30
     
    [table]


    Year
    Number of Trades
    MLB Pitchers
    MLB HItters
    Impact Trades


    2013
    5
    0
    5
    3


    2014
    2
    2
    1
    1


    2015
    3
    1*
    2
    0


    2016
    3
    1
    2
    1


    2017
    3
    0
    4
    0


    2018
    2
    0
    2
    1


    2019
    0
    0
    0
    0


    Total
    18
    [4
    16
    6
    [/table]
     
    In 2013, Colin McHugh was traded (not to the Astros) and he became quite good with the Astros. But, it was not an impactful deal for either team involved in the deal. He is an impactful player in the deal, so it counts. Eric Thames was also dealt that year, and put up a couple decent years after that. No one else in those five deals has done much, though Colin Cowgil managed to barely clear the 1 fWAR line in 2014…..so three impactful players were dealt that year!
     
    2014 saw a rare pitcher for pitcher trade. One of them just cleared 1 fWAR the following year, but neither did anything much. Neither did the hitter traded that year. Really, calling 1 year of fWAR impactful seems like maybe too low a bar…….I’d call it almost useful for 1 year, but barely.
     
    In 2015 AZ sent the injured *Bronson Arroyo and Touki Toussaint to Atlanta for a guy. Touki could be a real piece for Atlanta. This was clearly a salary dump situation, where Atlanta basically bought Toussaint for Arroyo’s contract. So far, though, he’s not produced even one half WAR, so maybe not.
     
    Chris Paddack and Fernando Rodney were traded for each other (so maybe pitcher for pitcher trades aren't rare?) in 2016. This looks like a great trade for the Padres for sure. Rodney, of course, has been ok to effective after that but was terrible in Miami. I’m still trying to figure out what Miami was doing…..No other trade that year mattered, unless you still pine for Oswaldo Arcia….
     
    There were no interesting trades in 2017 in the second half of June.
     
    Steve Pearce was quite good last year for Boston. He was traded for an ok AA player. The other trade last year was not all that interesting.
     
    This year? Well….there were zero trades in the second half of June.
     
    So, the second half of June saw one really good player change hands, plus Steve Pearce who was quite good last year for Boston. Other than that, not many players/trades mattered all that much. It’s an odd coincidence that there were six trades that cleared the approximately 1 fWAR barrier in both parts of June, but it’s just a coincidence.
     
    What did we learn?
     
    That depends on what you already knew, I guess……But here’s a summary of what I learned!
     
    Some good players have been traded in June. Most of those involved salary dumps, or odd decisions by poorly run teams (Miami, for example). There just are not many trades in June at all, and most of them amount to nothing much. It’s hard to criticize any team for not making deals before July, given this data. The best players were either picked up in salary dumps, or were near MLB ready minor league players (admittedly, those in the lower minors have not had a chance to do much yet. That said, in a quick glance, none look like big time prospects either).
     
    In other words, I'm not surprised nothing has happened much this year, given what has happened in recent history.
     
    In the next post, we’ll look at the first three weeks of July…..
  24. Like
    Squirrel reacted to Tim Fredrickson for a blog entry, Introducing Through a Child's Eyes   
    Introducing Through a Child’s Eyes
    A blog about how kids experiencing winning Twins baseball for the first time connect and have fun without concerns of payroll, unwritten rules, or judgement.
     
    The Twins’s postseason run and World Series Championship in 1991 was the first time I really got into baseball. I remember the 1987 Championship, but not that well as I was only six at the time. But 1991 put me in the prime age range to catch on to a fun club for a magical season. As my mom tells it, I was up early each morning to flip open the sports page of the Duluth News-Tribune to read the game recap and check the box score. I hated games out west that missed the deadline.
     
    I’ve always followed the club, but with a handful of years as the exception they’ve generally been a pretty bad franchise. Like many of us, I’ve thought back to 1991 a lot this year. In part, because the team seems to have “it” this year, but mostly because my kids are, for the first time, experiencing fun, winning baseball. They are 9(girl), 8(boy), almost 7(boy), and 5 (boy).
     
    Fox Sports North is on in the evenings at our house most nights, year-round. We follow all sports and the kids have wide-ranging interests. Prior to this season, baseball has been something they play, something they’re aware of, but not something with which they have any connection.
     
    Now we’re doing math on batting averages, they think Buxton is the world’s fastest man, and we’re talking about “triple home-runs” and the “real deal.” I hear my left-handed throwing son (8) want to be a catcher (sorry, bud.) My daughter (9) loves Garv-sauce. They ask about the back of baseball cards and we discuss the history of the game. My nearly seven-year-old wants to be an Air Force pilot like Ted Williams.
     
    Let me share one story as a quick introduction- My eldest son recently hollered to me while I was in the bathroom, “Dad, Buxton just swung at a slider, now it’s the real deal!”
     
    Me: “The real deal?”
    Son: “Yes! You know, three balls and two strikes!”
    Me: “You mean a full count?”
    Son: “Yeah, but with two outs! The real deal!”
     
    We laughed about it, and now in our house, a full count at-bat with two outs is now a Real Deal.
     
    I intend to write once or twice a week and share stories as my kids learn the game from a different perspective- a winning one- and hopefully fall in love with baseball. I hope you’ll come along with us as it’s been fun to watch baseball again as many of us first learned it -Through a Child’s Eyes.
     
     
    The author, Tim Fredrickson lives with his family in Brainerd, MN. He can be found on Twitter @TimFredrickson.
  25. Like
    Squirrel reacted to Heezy1323 for a blog entry, Graterol Shoulder Impingement Q&A   
    Brusdar Graterol Shoulder Impingement Q&A
    Heezy1323
     
     
    Heralded Twins prospect Brusdar Graterol was recently shut down and placed on the IL for ‘shoulder impingement’. This is concerning given how promising a start to the 2019 season Graterol has had and what it could mean for his future.
     
    So what is ‘shoulder impingement’? And when might it need surgery? Let’s see what we can figure out:
     
    [Disclaimer: I am not a team physician for the Twins. I have not treated or examined any Twins players. The information I am using is only that which is publicly available. My goal with these posts is to provide some education to TD readers around general injuries that are peculiar to baseball players.]
     
     
    Question 1: What is shoulder impingement?
    Shoulder impingement is a sort of catch-all term that can be used to mean a number of different things depending on the specifics of the situation. It Is a term that is often used in application to patients who have pain in their shoulders, often without any specific structural damage or a particular injury. Most frequently, people have pain in their shoulder area that gets worse when working above chest level. It is often treated with physical therapy, activity modification, oral medication and occasional cortisone injections. It is uncommon for these patients to require surgery, but it is sometimes needed after the preceding treatments have failed to provide adequate relief. Some also refer to this condition as shoulder bursitis. It involves irritation of the rotator cuff and the bursa, which lies between the rotator cuff tendons and a part of the bone of the shoulder blade (called the acromion). You may have friends or family members who have been told they have ‘impingement’- this is a fairly commonly used diagnosis. More specifically, this condition is referred to as ‘external impingement’.
     


     
    Shoulder impingement in pitchers, however, often means something entirely different than what is described above. Whereas external impingement occurs between the rotator cuff and the acromion (outside of the ball and socket joint of the shoulder), pitchers more commonly have problems with what is called ‘internal impingement’. This occurs specifically in overhead athletes because of the tremendous motion that is necessary to hurl a baseball 90+ mph accurately. During the course of throwing, the arm is cocked back, placing it in an awkward position. In this position, part of the rotator cuff can get pinched between the bone of the ball and the bone of the socket (also often including pinching of the labrum). This may not seem like a big deal, but over time this repetitive motion can begin to take its toll. Experts agree that some changes/damage to the structures of the shoulder are likely normal and adaptive in pitchers rather than problematic. In some cases, however, these structural changes progress down the spectrum and become an issue- causing pain, lack of velocity and/or control and fatigue of the shoulder.
     


     
    There is not perfect agreement amongst experts about why exactly these athletes begin to have pain in some cases. Regardless, it is likely a very complex combination of factors ranging from subtle changes in mechanics to core strength to gradual loosening of shoulder ligaments over time (and many others). Each individual case is likely different, and treatment needs to be tailored to the specifics of the athlete.
     
     
    Question 2: How/when did this injury occur?
    Typically, this is not an injury that results from a single trauma (though theoretically it can happen that way). It is much more typical for this to be the result of an accumulation of ‘microtraumas’ over a long period of time.
     
    Question 3: Does this injury always need surgery?
    No. As mentioned above, painful shoulder impingement in throwers is likely related to a complex set of factors. Because of this, treating any ONE thing with a surgery is somewhat unlikely to be effective. As a result, treatment is almost always begun by trying to calm down inflamed tissues. This typically involves rest from throwing. It may also involve oral medications and in some instances, cortisone injections. There is some discussion around PRP and so-called ‘stem cell’ injections (what orthopedists refer to as Bone Marrow Aspirate Concentrate or BMAC) for these types of problems, though this is not yet something I would consider standard of care.
    During this time, the athlete is also likely to undergo physical therapy to work on improving some of the other factors mentioned above- core strength, range of motion, rotator cuff strength, etc.
    As the pain and inflammation improve, the athlete is likely re-examined by trainers and physicians. This can take anywhere from a week or two to several weeks depending on the case. When things have improved sufficiently, the athlete is likely to begin an interval throwing program, which involves progressively more aggressive throwing sessions. Once they have completed this, they would likely return to the mound and begin throwing from there. Once appropriate progress has been made (and of course presuming no setbacks are encountered), they are likely cleared to return to play.
    The success of non-surgical treatment for these types of problems is all over the map in the literature. There are ranges from percents in the teens to 70%+. Again, it likely depends on a large number of factors which makes prognosticating nearly impossible.
     
     
    Question 4: How do we tell which cases of impingement need surgery and which do not?
    This can be among the most difficult decisions to make when dealing with pitchers. One of the problematic elements is that surgery to treat this problem is comparatively not very successful. As noted above, in general there are likely a number of different structural abnormalities in the shoulder that are in play with this injury. Some of them are adaptive and are considered ‘normally abnormal’ for pitchers. Others are problematic. Separating these two is something about which even experts readily disagree.
    It is difficult (and perhaps foolish in this setting) to quote surgery success rates, but in general they are not the best. There is a reason behind the old saying that for pitchers “If it’s the elbow, call the surgeon. If it’s the shoulder, call the preacher.”
     
     
    Question 5: What is done during surgery?
    This is widely variable depending on the specific structures that are injured, and (quite honestly) the particular views of the operating surgeon. I was recently watching a lecture on just this subject that featured a panel of a number of the preeminent North American surgeons that treat these problems. The differences of opinion and differences in strategy between surgeons were substantial. Yet another reason to make significant efforts to make non-surgical treatment successful.
     
     
    Question 6: How concerning is this for Graterol?
    This is hard to know from the information available. As stated earlier, the term ‘impingement’ can mean a wide variety of things- some more concerning than others. One of the positives in this case would seem to be that Graterol was pitching very effectively quite recently. Thus, this doesn’t seem to be something that has been festering for months. Hopefully that means they’ve ‘caught it early’ and can get things back on track sooner than later. I would imagine he will be out for a few weeks at least, but I would be surprised if he required any surgery in the near future.
    Overall, many pitchers have occasional blips on the radar with things like this that are improved with rest and rehab and don’t recur in the future. Predicting the future is difficult for anything- and this type of issue especially- but hopefully Graterol can get back on the mound throwing gas soon.
     
     
    Go Twins!
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