Nationals Arm Race

Lester joins the Cubs revolution. Photo via weei.com

(Editor’s Note: sorry for the tardiness on this post: I had it completely written and a WordPress or browser glitch lost 1,000 words of analysis.  So it took a bit of time to cobble back together what I had originally written.  Then the Souza trade hit, then the Cuban thing … and this got pushed).

What a GM Meeting week!  As one of the Fangraphs guys noted, there were so many transactions, so fast, that he literally gave up trying to write individual analysis pieces and went to a running diary of sorts.  I was amazed at the number of significant deals and trades made, especially when it came to starters.  So lets take a look at who shook things up.

Many teams are making big moves (almost the entirety of the the AL it seems) to try to win in 2015.  And many teams have revamped their rotations.  First, here’s a quick run through teams that have made significant acquisitions to their starting rotations (using BP’s Depth Charts page, Fangraphs stats pages and BaseballProspectus‘ page for injury history, Cots at BP for salaries, and of course baseball-reference.com).

Teams who have Improved

• Chicago White Sox: acquired Jeff Samardzija in Oakland’s fire sale to go with established ace Chris Sale, the highly underrated Jose Quintana.  From there the White Sox have question marks: John Danks is just an innings eater at this point and Hector Noesi was not effective in 2014.  But the White Sox have one of the brightest SP prospects in the game at AAA in Carlos Rodon (their fast-rising 2014 1st round pick) and their former #1 prospect Erik Johnson (who struggled in his debut in 2014 but has a good minor league track record).  So by the latter part of 2015 the White Sox could be a scary team for opposing offenses to face.
• Minnesota: just signed Ervin Santana to join a rotation containing the rejuvinated Phil Hughes, the decent  Ricky Nolasco and first rounder Kyle Gibson.  If they (finally) call up former Nats 1st rounder Alex Meyer to fill out the rotation and replace the dregs that gave them #4 and #5 rotation spot starts last year, they could be significantly improved.  Of course, the problem they face is the fact that they’re already playing catchup in the AL Central and still look like a 5th place team in this division.
• Los Angeles Angels: adroitly turned one year of Howie Kendrick into six years of Andrew Heaney, who should thrive in the big AL West parks.  If the Angels get a healthy Garrett Richards back to go along with the surprising Matt Shoemaker, they may have a surplus of decent arms being stalwards Jered Weaver and C.J. Wilson.
• Miami has spent some cash this off-season, but they’ve also gone shopping and upgraded their rotation significantly.   After acquiring the decent Jarred Cosart at the trade deadline, they’ve flipped bit-players to acquire Mat Latos, added Dan Haren and a $10M check  while parting ways with the unproven youngster Andrew Heaney, and should get ace Jose Fernandez back by June 1st if all goes well with his TJ rehab.  Add to that Henderson Alvarez and the Marlins look frisky (their new-found depth enabled them to move Nathan Eovaldi to the Yankees).  Rumors are that Haren won’t pitch unless he’s in SoCal, but $10M is an awful lot of money to turn up your nose at.  This is an improved rotation no doubt, and the rest of the Marlins lineup looks good too.
• New York Mets get Matt Harvey back.  Enough said.  Harvey-Jacob deGrom is one heck of a 1-2 punch.
• Chicago Cubs: added an ace in Jon Lester, re-signed their own effective starter in Jason Hammel, and will add these two guys to the resurgent Jake Arrieta.  Past that you have question marks: Kyle Hendricks looked great in 2014.  And the Cubs gave nearly 60 starts last year to Travis Wood (5+ ERA) and former Nat Edwin Jackson (6+ ERA).  I could envision another SP acquisition here and the relegation of Wood & Jackson to the bullpen/AAA/scrap heap.
• Pittsburgh was able to resign Francisco Liriano and get A.J. Burnett for an under-market deal.  This should keep them afloat if they end up losing Edinson Volquez in free agency.   Otherwise they have decent back of the rotation guys and will get back Jamison Taillon perhaps in the early part of the year.  This could help them get back to the playoffs with the anticipated step-back of NL Central rivals Cincinnati.
• Los Angeles Dodgers said good bye to a stable of starters (Josh Beckett, Chad Billingsly, Kevin Correia, Dan Haren, Roberto Hernandez and Paul Maholm are all either FAs or have been traded away) and signed a couple of guys to go behind their big three of Kershaw, Greinke and Ryu who could quietly make a difference (Brandon McCarthy and Brett Anderson) if they remain healthy.  That’s a bigger “if” on Anderson than McCarthy, who excelled once leaving the circus that Arizona was last year before the management house cleaning and should continue to excel in the huge park in LA.  Were I Andrew Friedman, I’d re-sign at least a couple of these FA guys for 5th starter insurance … but then again, the Dodgers also have a whole slew of arms in AAA that could be their 5th starter.  Or they could just open up their wallets again; there’s still arms to be had.  Nonetheless, replacing 32 Haren starts with McCarthy will bring immediate benefits, and whoever they end up with as a 5th starter has to be better than the production they got last year out of that spot.

Team most improved: likely the Cubs.

What teams’ rotations have taken step backs or are question marks heading into 2015?

• Boston: after trading away most of their veteran rotation last season, the Red Sox seem set to go into 2015 with this rotation: Clay Buchholz, Rick Porcello, Justin Masterson, Joe Kelly and Wade Miley.  This rotation doesn’t look as good as it could be; Buchholz was awful in 2014, Porcello is good but not great, Masterson the same, Kelly seems like a swingman, and Miley has back to back 3.98 FIP seasons in the NL and will see some ERA inflation in the AL (though not as much as normal since Arizona is a hitter’s park).  But Boston’s entire AAA rotation are among their top 10 prospects, so there’s plenty of depth they could use in trade or as reinforcements. 
• Detroit: Arguable if they’ve really taken a “step back,” but you have to question their direction.  In the last two off-seasons they’ve traded away Doug Fister, Rick Porcello, Drew Smyly, prospect Robbie Ray and have (seemingly) lost Max Scherzer to free agency so that they can go into 2015 with this rotation: David Price, Justin Verlander, Anibel Sanchez, Alfredo Simon and Shane Greene.   Is this a winning rotation for 2015?
• Kansas City: They have replaced departing free agent ace James Shields with newly signed Edinson Volquez, keeping newly acquired Brian Flynn and 2014 draft darling Brandon Finnegan in the bullpen for now.  KC is going to take a step back and will struggle to compete in the new super-powered AL Central in 2015, but have a slew of 1st round arms that look like they’ll hit in late 2015/early 2016.  I do like their under-the-radar signing of Kris Medlen though; he could be a very solid addition to their rotation if he comes back from his 2nd TJ.
• Oakland will have a new look in 2015, having traded away a number of core players.  But their rotation should be OK despite having traded away Samardzija and let Jon Lester and Jason Hammel walk.  Why?  Because they stand to get back two very good rotation members who missed all of 2014 with TJ surgery in A.J. Griffin and Jarrod Parker.  They should re-join the 2014 rotation members Sonny Grey, Scott Kazmir, newly acquired Jesse Hahn and either Jesse Chavez/Drew Pomeranz to form another underrated rotation.  Of course, if these guys have injury setbacks, it could be a long season in Oakland.
• Texas made a couple of acquisitions, re-signing their own Colby Lewis and trading for Nats cast-off Ross Detwiler (who should fit in immediately as their 4th starter), to go with ace Yu Darvish and recently recovered Derek Holland.  But Texas could significantly improve come mid-season when injured starter Martin Perez should return.  The big question mark for Texas is Matt Harrison, who had to have two vertebrae in his back fused and may not return, ever.   But if Harrison can come back, that gives Texas an opening day 1-5 that’s pretty improved over last  year.
• Cleveland didn’t exactly have the world’s best rotation in 2014 but has done little to improve it going forward.  They will continue to depend on Corey Kluber, newly minted Cy Young winner to head the line, but then its question marks.  Carlos Carrasco was great in a combo role in 2014; where’d that come from?  He was awful in years prior.  Is Trevor Bauer dependable?  They better hope so; that’s your #3 starter.  They just signed Gavin Floyd after his injury shortened 9-game stint with Atlanta last year; he’s no better than a 4th/5th innings eater.   Is Gavin Salazar ready for prime time?  He wasn’t in 2014.  And there’s little else on the farm; the Indians don’t have a significant starting pitcher prospect in their entire system. 
• Atlanta: The Braves surprisingly parted ways with Kris Medlen and not-so-surprisingly parted ways with Brandon Beachy, Gavin Floyd, Ervin Santana and Aaron Harang.  That’s a lot of starter depth to cut loose.  They look to go into 2015 with ace Julio Teheran followed by the newly acquired Shelby Miller, the inconsistent Mike Minor, the excellent but scary Alex Wood and under-rated 5th starter David Hale.  That’s not a *bad* rotation … but it isn’t very deep.  They have cut ties with guys who made nearly half their 2014 starts AND the guy who went 10-1 for them in 2012.  They (inexplicably) picked up a starter in Rule-5 draft who had TJ surgery in June; are they really going to carry him that long on the active roster?  They have no upper-end SP talent close to the majors.  If one of these 5 starters gets hurt, Atlanta could be in trouble.
• Philadelphia: all you need to know about the state of the Philadelphia franchise can be summed up right here: A.J. Burnett declined a $12.75M player option to play for the Phillies in 2015 and, instead, signed for 1  year, $8.5M to play for Pittsburgh.  They will head into 2015 with their aging 1-2 punch of Cole Hamels and Cliff Lee, the former being constantly dangled in trade rumors but going nowhere because the Phillies GM clearly over-values what a guy like Hamels and his guaranteed contract can actually bring back in return in this market.  Past Hamels/Lee there’s a bunch of non-descript names (David Buchanan, the waiver-claim Jerome Williams and the untested Cuban FA Miguel Gonzalez).   Can this team even broach 70 wins?
• Cincinnati is moving backwards: they’ve traded away Mat Latos for  pennies on the dollar (Keith Law says there’s “make-up issues.”) and moved the effective Alfredo Simon for other bit players.  They’re putting a ton of faith that one-pitch Tony Cingrani will last a whole season and the youngster Anthony DeSclafini (obtained for Latos) will comprise a workable rotation.  They do have a couple of decent prospects at AAA (Robert Stephenson and Michael Lorenzen) but they seem to be accepting that they’re taking a step back.
• St Louis traded away their least effective starter (Shelby Miller) and acquired the best defensive RF in the game (Jason Heyward).  Not a bad bit of work.  But they now will go into 2015 with a question mark in the rotation; prospect Carlos Martinez will get the first shot and could be good; oft-injured Jaime Garcia is still hanging around, and there’s a couple of good arms in AAA who could matriculate into the rotation via the bullpen as Martinez did in 2014.  It could end up being addition by subtraction (Martinez for Miller) but we’ll see.
• Arizona has boldly re-made their rotation this off-season, dealing away 2014 opening day starter Wade Miley for a couple of SP prospects and dealing for 6 arms in total thus far.  New rotation may not be flashy at the top (the enigmatic Josh Collmenter is slated for the opening day start in 2015) and is followed by former Tampa pitcher Jeremy Hellickson (traded for prospects), the two pitchers acquired from Boston for Miley in Rubby de la Rosa and Allen Webster and then a cattle-call for the 5th starter competition this spring.  Arizona also ended up with former Nats farm-hand Robbie Ray, still have the highly regarded Archie Bradley waiting for his free agent clock to get pushed out a year, plus 2013’s darling Patrick Corbin coming off of TJ, not to mention Bronson Arroyo coming back from TJ later in the season.  So there’s a lot of arms out there to choose from, eventually.  But getting to Bradley-Corbin-Hellickson-de la Rosa-Webster from where they’ll start will be rough.
• San Francisco‘s 2015 rotation could be just as effective as it needs to be (after all, they won the 2014 world series having lost Matt Cain mid-season and given the ineffective Tim Lincecum 26 starts).  They seem to set to go with Cain, WS hero Madison Bumgarner, the age-less Tim Hudson, and then with Lincecum and re-signed aging FA Jake Peavy.  This pushes Yusmeiro Petit to the bullpen for the time being and seemingly closes the door on Ryan Vogelsong‘s SF time.  Rumor had it that they were all over Jon Lester… and missed.  So a big acquisition to permanently sent Lincecum to the pen could still be in the works.  SF’s bigger issue is the loss of offense.  But the NL West is so weak they could still sneak into the playoffs again.  I list them as question marks though because Cain might not be healthy, Lincecum could still suck, and Hudson and Peavy combined are nearly 80 years of age.
  
• San Diego has completely re-made their offense; do they have the pitching they need to compete?   They signed Brandon Morrow to replace 32 awful starts they gave to Eric Stults last year; that should be an improvement.  But they’ve traded away their 2nd best guy (Jesse Hahn) and are now set to have two lesser starters (Odrisamer Despaigne and Robbie Erlin) compete for the rotation.  The Padres re-signed lottery ticket Josh Johnson (coming off what seems like his millionth season-ending arm injury) and still have TJ survivor Cory Luebke in the wings, possibly ready for April 1st.  Their 1-2-3 of Andrew Cashner, Tyson Ross and Ian Kennedy isn’t that inspiring, but in San Diego’s home park, you don’t have to be Sandy Koufax to succeed.  Have they done enough to compete in the NL West?

Which team has taken the biggest step back?  Clearly for me its Arizona.

Who is left?

Well, clearly the two big FA names are Max Scherzer and James Shields.  Scherzer gambled heavily on himself when he turned down 6/$144M.  Would the Tigers make him a new offer?  Are the Nationals possibly involved (I hope not for the sake of the team’s chemistry; what would it say to players if the Nats jettisoned Jordan Zimmermann so they could give Scherzer $150M?).   He’d make a great fit in San Francisco … who wanted Lester but would get nearly the same great performance out of Scherzer.  Meanwhile Shields could fit in Boston or for the Dodgers to give them the depth they’ve lost.

Past the two big names, you have older guys likely to go on one year deals.  There’s no longer really room for Ryan Vogelsong in SF; he could be a decent option for someone.   Aaron Harang has earned himself a likely 2 year deal as someone’s back of the rotation guy.  Guys like Kyle Kendrick or Joe Saunders could be someone’s starter insurance policy.  And of course there’s a slew of injury guys who are like pitching lottery tickets.  Beachy, Billingsley, and Alexi Ogando all sound intriguing as reclamation cases.

But, once you get past Scherzer and Shields, anyone looking for a big upgrade will have to hit the trade market.  The problem there seems to be this: there’s just not that many teams that are already waving the white flag for 2015.   From reading the tea leaves this off-season, Atlanta is giving up, Cincinnati may be close, Philadelphia has begrudgingly admitted they’re not going to win, Arizona has already traded away its assets, Colorado is stuck in neutral, Oakland may look like they’re rebuilding but they still will be competitive in 2015, and  young teams like Houston and Tampa aren’t giving up what they currently have.  So a GM might have to get creative to improve their team at this point.

Jose Fernandez was (arguably) the biggest name to go down to TJ surgery in 2014. Photo via thestar.com

When we hit 20 MLB pitchers going under the knife for blown Ulnar Collateral Ligaments (UCL) on the 2014 season, I posted on possible reasons for the epidemic.  By the time the season was over, more than 90 players in professional baseball (and a handful of marquee amateurs, including two first round picks and our own) had gone under the knife for blown UCLs/Tommy John surgery.  2014 was the year of the elbow ligament, no question, in terms of volume and awareness.

This post lists all the major league pitchers who had the surgery this year, with links to the announcements as they happened, along with stills of the pitchers’ mechanics to do a quickie thumb nail analysis of mechanics and whether there’s a relationship to the injury. At the bottom i’ve captured any significant news related to the surgery, MLB being proactive in preventing the injuries, and other TJ news.

First, here’s the complete Tommy John fall-out for the year for major league arms.  According to the great injury tracking links below, no less than 91 players in all levels of pro baseball had the surgery in calendar year 2014, of which 29 were MLB-experienced pitchers.

(data from baseballheatmaps.com, which has detailed Disabled List data).

• Jonny Venters, recovering from his 2nd TJ surgery, re-tore the ligament and is going for his THIRD.
• Jeremy Hefner, already on the shelf from a TJ surgery *last* year, suffered a big set-back and may have to have a 2nd procedure (announced 8/11/14)
• Tyler Skaggs was diagnosed on 8/10/14 with needing the surgery.
• Nate Jones: diagnosed 7/31/14.
• Tyler Chatwood: diagnosed 7/17/14
• Masahiro Tanaka, diagnosed with torn UCL 7/10/14; a huge blow, nearly as big of an announcement as Jose Fernandez’ if he has to get TJ surgery.  No announcement yet though that he’s having the surgery.  But, as of 8/5/14 he’s re-habbing and experiencing no pain while throwing, and eventually was able to avoid the surgery.  For now.
• Bronson Arroyo diagnosed 7/8/14, a surprise considering his durability and soft-tossing nature.
• Trevor Bell, diagnosed 4/23/14 but finally getting the surgery 7/16/14.
• (… we go more than a month without another diagnosis after getting them nearly daily in April and May.  Odd).
• Sean Burnett: diagnosed 5/28/14 (would be his 2nd)
• Chris Withrow: diagnosed 5/29/14 (though technically he’d been optioned to AAA; not sure if this should count as a MLBer)
• Martin Perez: diagnosed 5/15/14
• Jose Cisnero: diagnosed 5/14/14.
• Jose Fernandez: diagnosed 5/13/14.  Wow, biggest name to fall yet.
• AJ Griffin: getting the surgery 4/27/14
• Pedro Figueroa: diagnosed 4/24/14 (his 2nd, first in 2010)
• Ivan Nova: diagnosed 4/25/14
• Josh Johnson: diagnosed/announced 4/23/14, surgery 4/24/14.  His 2nd (first in 2007).
• Matt Moore: surgery 4/22/14
• Cory Gearrin: diagnosed 4/8/14
• Bobby Parnell: diagnosed 4/2/14
• Erik Davis: diagnosed 4/2/14
• David Hernandez: diagnosed 3/31/14
• Peter Moylan: diagnosed 3/22/14 (his 2nd)
• Bruce Rondon: diagnosed 3/21/14
• Patrick Corbin: diagnosed 3/17/14
• Jarrod Parker: diagnosed 3/17/14. (his 2nd)
• Brandon Beachy: diagnosed 3/17/14 (his 2nd)
• Kris Medlen: diagnosed 3/9/14. (his 2nd)
• Luke Hochevar: announced 3/7/14
• Cory Luebke: surgery in 2/4/14 (his 2nd)

10 of these 29 pitchers are getting the surgery for the 2nd time.  Wow.

Here’s links to other notable non-MLB pitchers who have gotten the surgery as well in 2014:

• Jamison Taillon: the Pirates #1 pitching prospect and one of the best pitching prospects in the game.  Diagnosed 4/6/14, surgery 4/9/14.
• Danny Rosenbaum: Nats AAA starter and long-time farmhand.   Surgery 5/8/14.  Tough for Rosenbaum because he’s a MLFA this coming off-season, now facing a very uncertain future.
• Miguel Sano: one of the best prospects in the minors, had the surgery 3/12/14.  He’s not a pitcher, and he initially injured his arm playing in the Dominican Winter League, but it still costs Minnesota one of its best prospects.
• Jeff Hoffman, ECU’s right handed starter and consensus top 5 pick in the 2014 draft, hurt his arm and was diagnosed on 5/8/14.  He dropped 5 places from his likely drafting spot by the Cubs at #4, which cost him about $X in slot dollars.   We talked about whether the Nats (picking at #18) were a likely suitor for him at the time of the injury in early May.
• Erick Fedde, UNLV’s friday starter and projected mid-1st round pick, was diagnosed two days after Hoffman on 5/10/14.  He dropped perhaps 8 places from his estimated drafting spot of mid 1st round and was picked by Washington.  His injury didn’t really cost him much in slot money thanks to the Nats paying over-slot.
• Our own Matthew Purke, diagnosed and set for TJ surgery 5/29/14 after really struggling out of the gate this year for Harrisburg.   Purke may face an options crunch by the time he’s done re-habbing, thanks to his MLB deal signed on draft-day.  (Update: the Nats never let him get there, releasing him on 11/14/14).
• Chad Billingsley having flexor tendon surgery while trying to recover from his 2013 TJ surgery.    This isn’t counted as a TJ, but is noteworthy.
• Not a pitcher, but key Orioles player Matt Wieters had to have TJ surgery on 6/18/14.
• Matt Cain dodged a bullet by just being diagnosed with elbow chips, but still had season-ending elbow surgery on 8/5/14.
• Padres uber-prospect and 2012 first rounder Max Fried went under the knife in mid-august.
• Yu Darvish didn’t fall victim to the TJ surgery, but an elbow issue is shutting him down in late August, just the latest nail in the coffin of the Rangers’ season.
• Jonathan Mayo discussion on elbow surgeries and prospects from Mid-Late August.

Here’s quickie images of every MLB starter diagnosed this year as they land to make a quick judgement about their mechanics:

Quick and Dirty Mechanics analysis (images in same order as list of pitchers above, which is chronological in order of diagnosis in 2014):

• Inverted W: Hefner, Skaggs, Withrow, Griffin, Nova, Gearrin, Beachy, Hochevar
• Sideways M: Ventors, Chatwood, Bell, Burnett, Fernandez, Johnson, Davis, Moylan, Rondon, Parker, Medlen
• Inverted L: Jones, Tanaka, Arroyo, Perez, Cisnero, Figueroa, Moore, Parnell, Hernandez, Corbin, Luebke

Conclusions? None.  They’re all over the road.  TJ injuries this year happened to those thought to have “dangerous” mechanics and clean mechanics.  TJ injuries happened to the league’s harder throwers (Rondon, Ventors, Fernandez) and its softest throwers (Medlen and Arroyo, both of whom are usually at the absolute bottom of the league in terms of fastball velocity).  Starters and relievers, no discernable pattern.

I think all you can conclude is this: if you throw a lot of innings, you’re more prone to injury.  I know, ground breaking analysis.

Other notable/interesting links I’ve collected on the topic over the length of the season:

• Yahoo’s Tim Brown interviewed Zack Greinke (published 5/15/14)who says he made a conscious decision to throw fewer sliders, noting that he could really feel it in his elbow after starts where he threw too many.  This tends to support the notion that sliders make a difference.
• Jerry Crasnick interviewed commissioner Bud Selig on 5/15/14 and Selig said he’s “concerned.”  Great!  On a scale of “Resolve Oakland/San Jose territorial rights” concerned to “Resolve MASN dispute” concerned, I wonder where he falls?  Maybe he’ll form a blue-ribbon committee that can meet for several years without arriving at any solutions.
• Stephania Bell‘s articles on the spate of TJ injuries: from April and again in May.
• Nate Silver‘s new blog 538 chimes in in mid-may.
• Neil Weinberg from Peter Gammons‘ website posts his own theory on 5/16/14 that is basically related to the rise in youth/showcase events.
• Shawn Anderson from the blog HallofVeryGood.com posts his theory (overuse).
• An older link to Will Carrol from July 2013 talking about the surgery, how its done, who’s had it and some other great stuff.
• The American Sports Medicine Institute (led by Dr. James Andrews) released a statement on 5/28/14 on the issue of Tommy John surgeries (as pointed out by David Schoenfield and/or Craig Calcaterra in late may and/or Jerry Crasnick on the same day).  Their basic point: don’t throw with max effort.
• Dr. James Andrews announced that he’s releasing an app to help keep pitchers healthy.   Per screen shots, it will be relatively simple and will have pitch counts, age and rest days calculate a max number of pitchers that a player can throw today.
• An interesting analysis of Kansas City’s Yordano Ventura after he was diagnosed with a non-UCL related elbow injury in May.
  
• Thoughtful piece from Dirk Hayhurst about the quest for velocity and the value of soft-throwers like Mark Buehrle.
• Danny Knobler special piece to the BleacherReport in June 2014 discussing “child abuse” of kids over-throwing, throwing too much, too hard, too soon.
• A sleeve has been announced that may help prevent TJ injuries (its called the Motus Pitcher Sleeve).  Dirk Hayhurst subsequently did some research and interviews about the sleeve and offers some thoughts.
• CBS’s Jon Heyman breaks the news that #1 overall pick Brady Aiken may have an “elbow ligament issue,” thus holding up the signing.  Wow.  As we all know, this turned into a big-time stalemate, the non-signing of Aiken (which cascaded down and cost the Astros their 5th round pick too), possible grievances, possible lawsuits, all sorts of NCAA eligibility concerns, and a whole big black-mark for the Astros organization.  All over $1.5M.  Remember; this is the same team that gave $30M last off-season to 5th starter Scott Feldman.
• There was a two hour special on the injury on MLB Radio Networks on 7/17/14 that I hope they replay or transcribe to the internet.
• Bud Selig still awaits the Tommy John study in Mid July 2014.  If its anything like his other blue-ribbon panels, he’ll be waiting a long time.
• Discussion about youths with UCL/TJ injuries in USA Today on 7/23/14.
• Study from USA Today on how prep pitchers are avoiding TJ.
• MLB unveils “Pitch Smart” guide in Mid November to help youth’s understand workloads.  Also discussed by Jeff Passan.

Hope you’ve found this trove of TJ links as interesting as I have.

Jose Fernandez is (arguably) the biggest name to go down to TJ surgery yet. Photo via thestar.com

Its the biggest story in baseball so far in 2014.   We’ve had nearly 20 MLB pitchers get diagnosed with torn elbow ligaments so far this calendar year.  All of them have or are set to undergo “Tommy John” surgery (also known as ulnar collateral ligament/UCL replacement surgery).  That’s nearly as many as who got the surgery ALL of 2013 and we’re just 6 weeks into the season.  There’s an alarming trend upwards over just the past few seasons of pitchers getting this surgery.  There’s been plenty more minor leaguers (two Nats farmhands in Erik Davis and Danny Rosenbaum have already gotten it in 2014) and already a couple of very high-profile draft prospects as well (including as discussed in this space potential 1st rounders Jeff Hoffman and Erick Fedde just in the last week).

Lots of people are talking about this story, especially some heavy-weights in the baseball world.  A sampling:

• Dr. James Andrews, perhaps the most famous sports doctor in the world, attributes the growing trend to the rise in year-round baseball competition in the US.
• SI.com’s Jay Jaffe reviews Dr. Andrews comments and had other excellent stats about the trend in this April 2014 piece.
• The Washington Post’s Dave Sheinin did an excellent piece in the paper a few weeks ago about the injury, which he attributes to youth usage.
• Tom Verducci (he of the “Verducci effect”) proposed a solution in a column this week after the Jose Fernandez announcement.  His idea?  Lowering the mound across all levels of the sport.  He draws this conclusion after hosting a very interesting round-table on MLB Network.
• Jayson Stark teamed up with ESPN injury analyst Stephania Bell and former player Alex Cora to discuss the rise in arm injuries in this ESPN.com video, and they follow Andrews’ theory of year-round pitching.
• Chris O’Leary, king of the Inverted-W (whether you believe his theories or not, I’ve included this link here) has his own theories as discussed here.  He doesn’t really have much in the way of explanation, just more whining about how every pitcher’s mechanics has something you can complain about.
• Jeff Passan basically calls out baseball executives for not having any answers.
• If you want an index of all of ESPN.com’s stories on the topic, click here.  It will have columns, analysis and press releases for individuals getting the surgery.

Some interesting stats about Tommy John surgery:

• Per a Will Carroll 2013 study, roughly 1/3 of current MLB pitchers in the majors have had the surgery.
• Per a study by the American Journal of Sports Medicine, of those pitchers who have the surgery, about 83% make it back to the majors and 97% returned to pro pitching.  Only five of 179 pitchers in the study failed to return to their craft.
• The number of pitchers getting TJ surgery has risen dramatically in just the past few years, from a couple dozen in the early part of last decade to nearly 70 a couple of years ago.

So what the heck is going on??  Lets talk about some theories.  I’ll highlight them in Blue.

The new “hot theory” is essentially this: Over-throwing at Showcase events, which have become crucial scouting events for kids raised in the United States, are to blame.  Thanks to the rise in travel leagues and select teams, scouts spend less time sitting at high school games and more time at these all-star events.  To prescribers of this theory, it isn’t so much about the amount of innings or pitches that kids throw … its the nature of the “showcase” events and the high pressure situations that those events put kids under.  Kids are throwing year-round, and they’re ramping up max-effort pitches at national competitions multiple times per year, and in some cases out of “season.”  This leads to serious damage to kids’ arms done as 16 and 17 yr olds, which then manifests itself over the years and results in blown ligaments in pro ball.

Do you buy this explanation?  It certainly makes sense to me, but how do you prove this?  And, it doesn’t explain the similar rise in elbow injuries to non-American pitchers.

Is it less about the showcase events and more about the Larger Increase in Youth pitched innings thanks to the rise in Travel Leagues?   This theory also makes some sense to me: thirty years ago kids played an 18-20 game spring Little League season, at best would pitch half those games and that was it.  Maybe they played in the fall too, but there were specific innings limits in place that protected kids.  Now instead of playing limited spring and fall seasons, kids are playing AAU travel teams that play 40-50 games a summer, plus weekend tournaments, plus (eventually) the above showcase events as they get closer to matriculation.  This theory certainly is supported by a startling rise in youth arm injuries, as noted in this 2010 study by the American Academy of Orthopaedic Surgeons.

But, if its “bad” to play more baseball … then shouldn’t we be seeing even MORE injuries from players who grew up in third-world baseball hot beds like the Dominican Republic or Venezuela, where by all accounts kids play baseball from sun-up to sun-down 12 months out of the year in tropical climates?

Interestingly, of the list of 19 MLB players so far who have been diagnosed with a torn UCL (see next section), there’s 4 non-American developed pitchers (Rondo, Nova, Figueora, Cisnero).  4 of 19 = 21%, whereas about 22% of MLB pitchers are non-American developed (my 22% figure comes from this quick study that I did; I grabbed every active MLB pitcher as of early May 2014 and did a quick-and-dirty player upbringing analysis to determine that about 78% of players “grew up” in the current American system of player development).  It is small sample size … but the percentage of american versus foreign developed players are so far exactly in line with the total percentage of each type of player in the larger pool of MLB pitchers.  This doesn’t seem to support either of the two above theories.

We’ve all heard horror stories about pitch counts and pitcher abuse at  high school events in Japan (this came to light over the winter as we looked at Masahiro Tanaka and learned about these Japanese showcase events; this article here at thebiglead.com talks about one Japanese prospect’s 772 pitches thrown over 9 days, and Jeff Passan talked about Tanaka’s own pitch count abuse stories and his average pitch counts as a Japanese-league pro).   Unfortunately there’s not a ton of data available about this TJ theory and Japanese pitchers.  I can find a couple of instances of Asian pitchers getting the surgery (Kyuji Fujikawa in 2012 being the most recent example), but not enough to establish any trends.

But lets state it this way: you can’t have things both ways.  Both these stereotypes about player upbringing cannot be true:

• Latin American poor youth plays baseball from sun up to sun down 12 months a year, building arm strength constantly, therefore his arm is “stronger” and he’s less suceptible to injury
• American little leaguer plays limited schedules (18 games in the spring, perhaps fewer in the fall), has closely monitored pitch counts, therefore does not abuse his arm as a youth and thus his arm is “stronger” later in life as a result.

Here’s a list of the 19 MLB pitchers who have already gone under the TJ knife so far in 2014 (data from baseballheatmaps.com, which has detailed Disabled List data).

• Jose Cisnero: diagnosed 5/14/14.
• Jose Fernandez: diagnosed 5/13/14.  Wow, biggest name to fall yet.
• AJ Griffin: getting the surgery 4/27/14
• Pedro Figueroa: diagnosed 4/24/14 (his 2nd, first in 2010)
• Ivan Nova: diagnosed 4/25/14
• Josh Johnson: diagnosed/announced 4/23/14, surgery 4/24/14.  His 2nd (first in 2007).
• Matt Moore: surgery 4/22/14
• Cory Gearrin: diagnosed 4/8/14
• Bobby Parnell: diagnosed 4/2/14
• Erik Davis: diagnosed 4/2/14
• David Hernandez: diagnosed 3/31/14
• Peter Moylan: diagnosed 3/22/14 (his 2nd)
• Bruce Rondon: diagnosed 3/21/14
• Patrick Corbin: diagnosed 3/17/14
• Jarrod Parker: diagnosed 3/17/14. (his 2nd)
• Brandon Beachy: diagnosed 3/17/14 (his 2nd)
• Kris Medlen: diagnosed 3/9/14. (his 2nd)
• Luke Hochevar: announced 3/7/14
• Cory Luebke: surgery in 2/4/14 (his 2nd)

Of these 19 pitchers, they are evenly split between being starters (10) and relievers (9).  So that doesn’t seem to lend itself to any Starter vs Reliever usage conclusion.

How about Pitching Mechanics?  We’ve all heard ad-naseum about the “Inverted W” and people talking about pronation and timing and elbow lift and etc etc.  Here’s a quick attempt to analyize the mechanics of each of these 19 guys (all photos grabbed as thumbnails from google images for the purposes of demonstration; no copyright infringement intended).

Quick and Dirty Mechanics analysis (images in same order as list of pitchers above, which is choronological in order of diagnosis in 2014):

• Inverted W: Griffin, Nova, Gearrin, Beachy, Hochevar
• Sideways M: Fernandez, Johnson, Davis, Moylan, Rondon, Parker, Medlen
• Inverted L: Cisnero, Figueroa, Moore, Parnell, Hernandez, Corbin, Luebke

But I’ll immediately add a caveat to these classifications; at various stop-points in a guy’s delivery, he may exhibit “good” or “bad” trends.   Maybe some of these “sideways-M” guys are actually “inverted-W” guys.  Maybe some of these inverted-W guys are ok and the stills make their mechanics seem worse than they are.

Nonetheless; there’s no trend among the 19 guys in terms of their mechanics.  In some cases they’re “bad” (Griffin and Gearrin’s look awful) but in some cases excellent (nobody should look at Moore’s mechanics and say they’re anything but clean, nor with Parnell or Corbin).  These pitchers are overhanders, 3/4-slot guys and even side-armers/submarine guys (Gearrin and Moylan).   These guys include hard throwers (Rondon had the 3rd highest velocity of *any* pitcher in 2013) and softer-throwing guys (Medlen had one of the lowest fastball velocities in the majors in 2013).  There’s starters and relievers almost equally represented in this list.

Conclusion; there’s no conclusions to draw from pitching mechanics analysis.  I think all attempts to look at guys’ mechanics and make judgements are useless.  I think (as does Keith Law and other pundits in the field) that the “Inverted W” is nonesense and that “research” posted online by concerned-fathers-turned-self-appointed-mechanics-experts is not exactly trustworthy.  The fact of the matter is this: throwing a baseball over and over is hard on the body.  Throwing a ball is an unnatural motion, and throwing a ball at max-effort will eventually lead to pitching injuries, no matter what your mechanics.  They can be “good” or “bad” according to someone’s pet theory on bio-mechanics and it has nothing to do about whether a pitcher is going to throw 10 seasons without injury or have two tommy johns before they’re 25.

Some historical context for pitching mechanics arguments: the pitcher who has the 2nd most innings thrown in the non-knuckleballer modern era (behind Nolan Ryan) was Don Sutton.  Sutton displayed absolutely *classic* inverted-W mechanics, never hit the D/L in his career and threw nearly 5,300 innings over the course of 23 seasons.   Walter Johnson‘s mechanics were awful; he slung the ball sideways as he literally pushed backwards away from the hitter at the end of his delivery.  If someone saw Johnson’s mechanics today they’d talk about how over-compensated he was on his shoulder and how he lost velocity thanks to landing stiff and having zero follow through.  Johnson only threw 5,900 innings in his pro career; yeah those mechanics really held him back.  Nolan Ryan was a freak of nature, throwing at that velocity for as long as he did.  The point?  You just don’t know.

Maybe there’s something to the “showcase abuse” theory for some players.   Maybe there’s something to the travel-ball overuse theory for some kids.  But I think the answer may be a bit more simple.  We all know there’s been a rise in the average MPH of fastballs in the majors, both on starters and especially with relievers.  My theory is simply this: kids who “can” throw upper 90s spend all their time trying to throw upper 90s/max effort fastballs 100% of the time, and human arms just cannot withstand that kind of abuse over and over.  In prior generations, kids who “could” throw that hard wouldn’t, or would rarely try to throw that hard, and thus suffered fewer elbow injuries.

Side note: I also firmly believe that we’re “victims of our own success” to a certain extent with respect to modern medicine; 30 years ago would someone have just “blown out their arm” instead of being diagnosed specifically with a “torn ulnar collateral ligament?”  Would some kid in the low minors who hurt his harm even bother to get an MRI?  How much of the rise in these injuries is simply the fact that we’re better at diagnosing injuries in the modern sports world?

Why are these kids trying to throw so hard these days?  Because velocity is king, and that’s what scouts look for.   A kid who “only” throws mid 80s as a 17-yr old is dismissed, while the kid who can throw mid 90s at the same age is fawned over.   Guys like Greg Maddox, Mark Buehrle, and Tom Glavine probably don’t even get drafted in the modern baseball climate thanks to the over-focus on pure velocity.

You can talk about upbringing and showcase events and pitch counts and mechanics all you want, but I think it comes down to Pitcher over-exertion thanks to the rising trend of fastball velocity and the human nature urge of prospects and farm-hands to show more and more velocity so they can advance their careers.

What do you guys think?  Do you dismiss the “inverted-W” arguments like I do?  Do you think its all about showcase events?

The ace on the best rotation in the game. Photo: talksportsphilly.com

Last year, with my excitement over Washington’s Dan Haren signing and my supposition that Washington had the best rotation in the game, I ranked all 30 team’s rotations ahead of the 2013 season.  Then, after the season was done, I revisited these pre-season rankings with a post-mortem to see how close (or, more appropriately, how far off) my rankings turned out to be.

Here’s the 2014 version of this same post: Pre-season rankings of the MLB’s rotations; 1 through 30.  Warning; this is another huge post.  I guess I’m just verbose.  At this point midway through Spring Training there’s just a couple of possible FAs left that could have altered these rankings (Ervin Santana being the important name unsigned right now), so I thought it was time to publish.

The top teams are easy to guess; once you get into the 20s, it becomes pretty difficult to distinguish between these teams.  Nonetheless, here we go (I heavily depended on baseball-reference.com and mlbdepthcharts.com for this post, along with ESPN’s transaction list per team and Baseball Prospectus’ injury reports for individual players).

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