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Under the Knife: Latest News on Key MLB Injuries

The World Baseball Classic has come and mostly gone, leaving us a sparsely attended but passionately watched Caribbean final that should be a boon for Puerto Rico or the Dominican Republic.

I’ll leave it for others to debate why the power teams of the USA and Venezuela went out so quickly, instead focusing on the lack of injuries. In fact, there’s only one of any note, though there have been some minor injuries here and there, but nothing that doesn’t happen at normal spring training. 

The pitch limits have been especially controversial, almost becoming a part of the tactics. Some teams appeared willing to take more pitches, knowing that there were only so many any particular pitcher had in him. But where did these pitch-count restrictions come from and are they effective?

The fact is, no one seems to have any basis for the numbers, though they appear to have served their purpose. As the game moves towards the regular season, we have to wonder why these same sorts of tactics don’t work in reducing injuries.

Will Leitch does a great job looking at how much we don’t know about pitching in this article at New York, but misses the broader point. No one, aside from “some guy with a website” is looking into this. Did the Nationals commission a study that would show the exact forces of the so-called Inverted W? No, they looked at film and correlated to injury. 

If I told you that the new car you bought had half the horsepower and got half the mileage you were told at the dealer, what would you do? I’d get it to a mechanic who would likely put it on a dynamometer. Sure, you could just drive the car and say “wow, this doesn’t feel right” but I’d be very worried about driving a car in that condition. That’s basically what teams are doing all the time.

Brett Marshall, the pitcher Leitch uses as his example in the article, had Tommy John surgery, but the Yankees have never thought enough of the process to find out exactly what forces Marshall’s easy motion is generating. Were the changes he says he made post-surgery positive ones or is he headed back for another elbow ligament inevitably?

Brandon Sisk, Casey Kelly and others have added their names to the list of prospects that will miss a year of their careers rehabbing rather than competing. We’ll have more, I’m sure, and even bigger names.

At what point does a team throw everything aside and say “We’ve got to figure this out?” If there are any owners out there that want to save a couple million dollars this year, you know how to find me.

Powered by the Promus exuding stent, on to the injuries:

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6 Ideas MLB Could Take from Soccer

Baseball is trying to globalize itself and to some extent, it’s working. The third World Baseball Classic will hear the cry of “jugar a la pelota!” or maybe “bal spelen!” this week in another attempt to globalize the game with mixed results.

The game is still not nearly as popular around the world as football (soccer) or even basketball. There has been progress made, especially after players from Japan, Taiwan and Korea started coming to the U.S. to pursue major-league dreams. The success of Hideo Nomo and Ichiro Suzuki, as well as Chien-Ming Wang and Shin-Soo Choo, has led to an influx of talent, along with all the Latin and Caribbean talent that is at the heart of the game.

The next wave of talent could come from South Africa, Europe or even Brazil, where a couple of teams have set up academies. Those places are ingrained in soccer tradition, so maybe adopting a variety of traits from that sport could help popularize beisbol…I mean, baseball around the globe. Let’s take a look at several ideas that MLB could pick up on.

Will Carroll is the Lead Writer for Sports Medicine at Bleacher Report. He has written about sports injuries and related topics for 12 years.

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Can Chris Carpenter Ever Recover from Shoulder Injury That Will Cost Him 2013?

The Cardinals announced on Tuesday afternoon that Chris Carpenter would miss the 2013 season after a recurrence of shoulder problems. Carpenter missed the bulk of 2012 with a shoulder issue that was said to be corrected by surgery. The evidence and Carpenter’s injury history suggests that he will miss all of 2013 and could be done, period.

Carpenter had surgery to repair thoracic outlet syndrome in July, resulting in the removal of a rib to open up space in the area. This surgery is not uncommon for pitchers or other people with overhead, repetitive motions. (The occupation that most often has this issue? Carpenters, ironically, due to the hammering they do.) 

No other pitchers that have had this type of surgery have had significant setbacks of this type. That said, no other pitcher who has had this surgery has the long list of ailments that Carpenter has dealt with throughout his career. The best known comparables are David Cone and Kenny Rogers. 

Carpenter has always had injury issues, especially with his pitching shoulder, going back to his Blue Jay tenure. He came to the Cardinals after the Jays did not believe he would return to effectiveness after a rotator cuff and labrum problem.

The Cardinals rehabbed Carpenter through the 2003 season and were rewarded when he helped them get to the 2004 World Series with an excellent campaign. Carpenter did miss the World Series, losing the last month of the season and the playoffs due to a nerve injury in his shoulder.

Carpenter came back with a strong 2005 campaign, winning the Cy Young award. More problems arose in 2007 when he needed two elbow surgeries, including Tommy John reconstruction. Carpenter missed almost all of the 2008 season while rehabbing. 

Carpenter returned well in 2009, nearly winning the Cy Young Award. It should be noted that I was one of two voters that left Carpenter off his Cy Young ballot that season, though I had his fellow Cardinal Adam Wainwright as my No. 1 ahead of winner Tim Lincecum. My reasoning for picking Wainwright, Lincecum and Dan Haren over Carpenter was in large part based on Carpenter having missed a month with an oblique strain and the lost value of that time. 

Carpenter’s contract with the Cardinals expires after the 2013 season. GM John Mozeliak said at the press conference that he doesn’t believe that Carpenter will pitch for the Cardinals again. The extension, signed in 2011, was for two years and $21 million, but Carpenter was only able to pitch 17 innings at the end of last season. 

Mozeliak stated that the door was open for Carpenter to return this season if he is physically able, putting the team in a similar position to last year. In the meantime, the Cardinals will go young with their pitching. They will need Lance Lynn to give a full season of work after an excellent rookie campaign that saw him hit the wall in the second half.

They will also need top prospect Shelby Miller to step up, giving the team the SP2 that they now lack, while also not extending his young arm too far past the 150-inning mark he got to last season at two levels.

All quotes in this piece were obtained first-hand unless otherwise noted.

Will Carroll has been writing about sports injuries for 12 years. His work has appeared at SI.com, ESPN.com and MLB.com.

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