Tagged: baseball injury

A reprieve

Jedd Gyorko is now on the DL for plantar fasciitis.  At this time, it is not clear how long he is going to be out.  Position players have had a total of 5 DL stays in the previous 4 years with 3 being less than one month but Logan Forsythe and Albert Pujols both missing >60 days in 2013.  For those of you who have never had the joy of plantar fasciitis, it is typically a chronic, recurrent pain on the bottom of one’s foot near one’s heel.

Courtesy, wikipedia images

Courtesy, wikipedia images

It’s so painful that even the great Mr. Albert Pujols said he would rather be a bed wetter than risk aggravating his plantar fasciitis again.

That being said, Mr. Gyorko already crushed my spirit this spring.  I took him late for a 2B with greater than 20 homers last year, thinking I got a steal and he broke my heart. If Mr. Gyorko is still starting on your fantasy team, however, this is a super time to go out on a limb.  No one is going to fault you anymore than they would for sticking with a sub-Mendoza line Mr. Gyorko still.  Consider, for example, the Twins’ Danny Santana, the Yankees’ surprising Yangervis, and the fall back acceptable Scooter Gennett of the Milwaukee Brewers.

Yu

Yu Darvish is having an MRI of his spine in his neck today after complaining of “neck stiffness.”  Mr. Darvish has not reported arm weakness but one has to be concerned that he too may have a herniated disc in his neck.  With so many key components of their team already out this year and Mr. Darvish complaining that this pain feels the same as his original injury that led to a DL stint at the beginning of the year, there’s no reason to believe he will not have another 15 day DL stint even if he only has a pulled muscle in his neck.

Follow up on Mr. Fielder

As you have probably already seen, Mr. Fielder requires season ending neck surgery.  From the good doctors Roberts, Roc, and Hsu, here is a brief overview of the success and time to return for major league pitchers over a 25 year period.  Keep in mind, pitchers tend to have a longer DL stint than position players for almost every injury:

 

1945f08058b5cbe5b415f47b62a8d72c

Roberts D, Roc G, Hsu W. Outcomes of Cervical and Lumbar Disk Herniations in Major League Baseball Pitchers. ORTHOPEDICS. 2011; 34: 602-609. doi: 10.3928/01477447-20110627-23

Gio

Mr. Gonzalez had not looked sharp in his previous two outings before going on the DL after complaining of “beyond normal soreness.”  His MRI and arthrogram fortunately showed “shoulder inflammation” without any apparent structural damage. As discussed earlier, pitchers with shoulder inflammation tend to fall into two groups:  Those who miss the minimum or just above and those who are out more than 90 days.  At this point, Nationals fans can hope that his recurrent stiffness really is a one or two day setback but that is not clear just yet.  The Nationals have not yet announced a plan for further evaluation of Mr. Gonzalez’s shoulder so until he starts throwing or follows up with the team doctors, Mr. Gonzalez’s expected length of absence will remain unknown.

Domo Arigato, Mr. Joey Votto

The title isn’t funny.  I could have gone with Grand Theft Votto.  Or Joey is My Vato.  Or even tried to make a reference to the Walking Dead if I could convince myself to care about that show.  But none of those are funny either.  I never promised funny.  But I do have good news.  Mr. Votto’s MRI shows a quadricep strain and no injury to the actual knee.  A quadricep strain if it requires a DL stint averages about 4 weeks (based on DL stints related to quadricep injuries in 2010-2013) and that’s including Rick Ankiel’s monster 80 day stay in 2010 when he reinjured his quadricep during his rehab and injuries to Jarrett Hoffpauir in 2010 who played in 21 games in his career but in 2010 managed to still miss 65 games in the middle of the season as well as Tony Abreu in 2013 that clearly involved more than his quadricep.  If we take out those three outliers, the expected absence drops closer to 3 weeks.  While the Reds apparently have not made up their mind yet, it is clear that the team will manage Mr. Votto’s injury conservatively given that he is the expected face of their franchise for the next decade.  Since I cannot come up with a final title, I will leave you with this picture which purports to show the batter’s use of hip muscles in creating power, courtesy of LWW:

ludicrous baseball picture

Cal Ripken, Rest Easy.

Prince Fielder missed tonight’s game due to a herniated disc in his neck, breaking his streak at 547 games.  He held the longest active continuous games played streak but as of today Hunter Pence now holds that record at 215 games, which means he will be 45 years old by the time he reaches 2,632 games.  So unless Julio Franco is Mr. Pence’s role model  Mr. Ripken, your record is safe until the 2030s at least.

If you are interested in the procedure Mr. Fielder is having, this is an animated description.

 

Jason Kipnis

Mr. Kipnis is out with a right oblique strain, an injury similar to that suffered by Chris Davis.  However, Mr. Kipnis bats left handed (although he throws right handed) and injured his right obliques so we should expect a slightly longer DL stay with position players missing on average 29 days with oblique strains opposite their dominant side.

Hyun-Jin Ryu

Mr. Ryu is on the DL retroactive to April 28 for “shoulder inflammation.”  This is hard to predict the length of stay on the DL because it is so nonspecific.  In 2013 alone, there were 13 pitchers placed on the DL with shoulder inflammation as the initial reason with two returning at the minimum stay, three more returning in under three weeks, four missing one to two months, and 4 missing greater than two months.  There were 29 pitchers placed on the DL in 2013 with diagnoses that could have been called “shoulder inflammation” in the absence of an MRI and this group had a much more bimodal distribution with roughly half missing less than a month and roughly have missing two or more months.  With what information is available now, I would think Mr. Ryu is more likely to return soon (under a month) but this prognosis could definitely change if he ends up having an MRI due to persistent pain.  

Image

Source: Wikipedia

Beware the bat.

Jean Segura has now missed three games due to a facial laceration after getting hit by Ryan Braun’s bat while in the dugout. It is not clear that he will avoid the DL but if he does, at least we can hope that he has forgotten this: