Sampo Gida said:Its good news if the UCL is really in good shape and its "just" the flexor -tendon. However, the sensitivity of the MRI in detecting UCL tears is only 57% which means it has a 43% false negative rate (not a Dr but I have read this elsewhere as well). There are many cases where a pitcher is first diagnosed with a flexor-tendon strain and only later found to need TJ surgery as a result of a ucl tear that was not detected in the initial exam. There are many more where a flexor-tendon strain occurs w/o a UCL problem.
http://www.ncbi.nlm.nih.gov/pubmed/8129106
dcmissle said:The average of that is 5 weeks, the number Fister spent on the DL. So 6 starts, maybe fewer quite possibly more, that will have to come from someone else. Spit and baling wire, the arm and the team.
Nothing. I just took an expert's range and identified the midpoint, noting that this was the time served by someone else who very recently came of the DL with the same sort of problem.NDame616 said:
What about Clay Buchholz makes you think he would be out the "average" number of starts with an injury?
PaulinMyrBch said:We all sit around and post non-injury related tweets until DRS gets off the beach, or the pool deck, or sailing the Charles, or throwing BP to his kid, or whatever the fuck he's doing and comes in here and charges us all $10
If you must know, I was at the U2 concert last night and I'm going to the Sox game today with my son...PaulinMyrBch said:Guys, we have a protocol when one of ours has an ortho style injury. We all sit around and post non-injury related tweets until DRS gets off the beach, or the pool deck, or sailing the Charles, or throwing BP to his kid, or whatever the fuck he's doing and comes in here and charges us all $10 for shit we can read (but not quite understand) on WebMD. It will be 2 sentences of gold with some speculation and a disclaimer so we don't sue him. But its coming, trust me. Sit tight everyone.
It's a flexor....unless.
PaulinMyrBch said:Guys, we have a protocol when one of ours has an ortho style injury. We all sit around and post non-injury related tweets until DRS gets off the beach, or the pool deck, or sailing the Charles, or throwing BP to his kid, or whatever the fuck he's doing and comes in here and charges us all $10 for shit we can read (but not quite understand) on WebMD. It will be 2 sentences of gold with some speculation and a disclaimer so we don't sue him. But its coming, trust me. Sit tight everyone.
It's a flexor....unless.
History has shown that Clay is pretty lousy at gauging what his body is telling him, actually. And a second opinion is SOP--nothing to see here unless and until interesting results come from it.HomeRunBaker said:What doesn't sound encouraging is that he is going to Birmingham for a second opinion. Clay knows his body and feels that something isn't right. Those trips down south seem to be like a date with the devil sometimes.
They really just do it for the BBQ.DaveRoberts'Shoes said:Yes, I would not read too much into a trip to see Jimmy. It's almost routine operating procedure (no pun intended) to have almost any elbow diagnosis in a picture confirmed with a second opinion, not infrequently in Birmingham.
Andrews should move his office to KC.They really just do it for the BBQ.
Right?
When is Clay going south (to Birmingham)?HomeRunBaker said:What doesn't sound encouraging is that he is going to Birmingham for a second opinion. Clay knows his body and feels that something isn't right. Those trips down south seem to be like a date with the devil sometimes.
Clay could use an atomic structure in that armDaveRoberts'Shoes said:If you must know, I was at the U2 concert last night and I'm going to the Sox game today with my son...
Most likely "just" a flexor muscle strain for Buchholz, so likely 5-6 weeks out. There is a lot of confusion in this area because there are so many "at risk" an atomic structures in the same area of the medial elbow (flexor muscle, flexor tendon, UCL), but the reports of his MRI seem encouraging.
You should probably read some posts above.LogansDad said:Oh, that is just GREAT news.
The only thing new there is the date.LogansDad said:Oh, that is just GREAT news.
You meant to say QO, right?threecy said:Clay will be 31 in August.
In his previous 5 seasons, he's averaged 23 starts for 145 IP. He made $7.7M last year and is making $12M this year.
If he ends up needing Tommy John, the Sox would essentially be looking at $26.5M for 145 IP if they pick up his options (ie missing 2016 and then getting average Clay health in 2017). He'd be 33 at the end of the options, at which point in theory they could offer him arbitration if he's still of value (if recent history is any indication, they probably wouldn't offer him a competitive multi-year deal at that juncture).
You can ask this hypothetical about every single pitcher in the history of the sport.AB in DC said:Better question...suppose no Tommy John, but a very slow recovery and then re-injury sometime before the season is over. Then what?
Pitchers do not come back from TJ surgery stronger and better than ever. Show me even one pitcher who has come back from this procedure with an appreciably higher max velocity or better control than their peak.ivanvamp said:Not sure how this works given his age, but these days pitchers who undergo TJ surgery often come back stronger and better than before. Would it be worth taking the chance, and having Clay for 2017 as a Clay that is even better than he is now? Maybe during the rehab they negotiate another, smaller, extension - say 2/20.
Risky on both sides I guess. For the Sox, that Clay does in fact get back to being the good Clay (and even better, really). For Clay, that he ends up with a much below market contract in 2018-19.
I dunno. Kind of interesting.
Snod is correct here. While TJ is not the death-knell for careers that shoulder surgery is, it doesn't make pitchers better than their peak. It can get them better than they were immediately pre-injury due to the not-infrequent gradual, attritional nature of the condition, but it doesn't make them bionically a better pitcher. Some of the more recent literature looking at UCL surgery shows that the overall success, while still very high, has probably been overstated in the lay press.Snodgrass'Muff said:Pitchers do not come back from TJ surgery stronger and better than ever. Show me even one pitcher who has come back from this procedure with an appreciably higher max velocity or better control than their peak.
Have parents been 'abusing' their kids with having this done to help the overstated perceived success? In Alabama, I covered some high school baseball programs where a few may have been opted in to TJ. Not necessarily to Andrews.DaveRoberts'Shoes said:Snod is correct here. While TJ is not the death-knell for careers that shoulder surgery is, it doesn't make pitchers better than their peak. It can get them better than they were immediately pre-injury due to the not-infrequent gradual, attritional nature of the condition, but it doesn't make them bionically a better pitcher. Some of the more recent literature looking at UCL surgery shows that the overall success, while still very high, has probably been overstated in the lay press.
Well he called it as a flexor injury, not a UCL, just by watching him during the game. That's pretty strong work.PaulinMyrBch said:Guys, we have a protocol when one of ours has an ortho style injury. We all sit around and post non-injury related tweets until DRS gets off the beach, or the pool deck, or sailing the Charles, or throwing BP to his kid, or whatever the fuck he's doing and comes in here and charges us all $10 for shit we can read (but not quite understand) on WebMD. It will be 2 sentences of gold with some speculation and a disclaimer so we don't sue him. But its coming, trust me. Sit tight everyone.
It's a flexor....unless.
Since we are all just sitting on our hands waiting for him to come back, I'll bite on this.czar said:
Aside from the whole "let's sell high before anyone figures anything out!"
Platelet rich plasma. They spin your blood down and then reinject just the platelets to stimulate healing.MuzzyField said:What's a PRP injection? He received one during his Dr. Andrews visit.