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SPORTS MEDICINE :
SPORTS: BASEBALL :
SPORTS: INJURIES:
Stephen Strasburg: Medical Experts Weigh in on Innings Limit
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Stephen Strasburg: Medical Experts Weigh in on Innings Limit
By James Wagner
Published: August 15, 2012
The Washington Post
Nationals / MLB
http://www.washingtonpost.com/sports/nationals/stephen-strasburg-
medical-experts-weigh-in-on-innings-limit/2012/08/15/
f2c0684e-e6e4-11e1-936a-b801f1abab19_story.html
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A shorter URL for the above link:
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http://tinyurl.com/dycy4qg
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Doctors who specialize in sports medicine, including leading authorities on the
type of ligament replacement surgery performed on the throwing arm of Stephen
Strasburg, say they arent surprised by the Washington Nationals decision to end
their star pitchers season early sometime next month.
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Even so, they acknowledge there is no consensus on whether it is a necessary
step.
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The approach the Nationals are taking shutting Strasburg down once he reaches
a yet-to-be-decided cap, possibly between 160 and 180 innings is being
scrutinized and studied carefully by many across the sport.
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Its been conservative, more conservative than what weve done in the past, said
Kevin Wilk, whose group, Champion Sports Medicine, handles rehabilitation for
the practice of James Andrews, one of the nations foremost orthopedic surgeons.
But this may turn out to be the model that teams use as a result of it. Its
very interesting to watch, especially because its such a high-prized player and
the Nationals are doing so well.
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Since the surgery was first performed on the elbow of Los Angeles Dodgers
pitcher Tommy John in 1974, broad timelines have been hammered out, mostly by
trial and error, over how to treat pitchers in their first full season after
the procedure.
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Theres no proof that limiting the number of innings for a pitcher in his first
full season back from the surgery will prevent another injury, but some leading
medical experts on the subject agree that being cautious and limiting the
workload of a talented, young pitcher such as Strasburg, 24, is a sound
practice.
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Recovery from Tommy John surgery is typically a two-year process. Pitchers dont
start throwing at full throttle off the mound until eight to nine months after
surgery, and dont start pitching competitively until nine to 12 months after.
In the first full season back, or the second year of the recovery, a pitcher
starts to feel completely comfortable with the reconstructed elbow, the feel of
pitching and grip of the ball, and finds consistency. But there is no way to
truly tell when the transplanted tendon fully becomes a new ligament, nor is
there a consensus on when the restraints on a pitcher can be fully removed.
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The complete article may be read at the URL above.
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David Dillard
Temple University
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