ptatc

QUOTE (southsider2k5 @ Jul 10, 2010 -> 09:39 AM) So this potentially makes for an interesting point. If there is insurance involved here, could this mean we now have the cash to make a bigger move than we thought? I'm sure there is some insurance involved. The amount of coverage they were able to get is the question. They couldn't get the whole contract covered but they usually have at least a portion covered.

QUOTE (Frankensteiner @ Jul 10, 2010 -> 09:36 AM) So was the shoulder fatigue and fluid build up that Peavy was experincing in May/June a precursor to this injury or are they completely unrelated? I believe it's an unrelated problem. Usually the fluid is in the larger portion of the shoulder capsule and caused by inflammation of the stabilizing muscles such as the rotator cuff. The shoulder is one of the few joints in the body that really relies on muscle for stability instead of ligaments. This is why the rotator cuff is so important. When it isn't functioning properly the shoulder gets loose and can cause irritations which can produce excess inflammation or release true excess synovial fluid in the joint.

QUOTE (greg775 @ Jul 9, 2010 -> 10:46 PM) What are the odds of him being better than average again? Not good. This was ... wasted money. It's not just Jake. It's giving pitchers these mega contracts. Very very stupid business. My guess is that he'll come back and be the same pitcher, without the drop down pitches. I've rehabbed this injury before, although not with a pitcher and they were fine. The positive side of this injury is that it is not a stabilizer of the shoulder such as the rotator cuff or the biceps. The surgery is to reattach a tendon to bone which a lot easier than repairing a tendon like in a rotator cuff surgery or cartilage like in a labrum surgery. It's an uncommon surgery but an easier one. I do agree giving pitchers long contracts is very risky. I would rather give them alot of money in shorter term deals.

QUOTE (zimne piwo @ Jul 9, 2010 -> 01:24 AM) I usually don't advise anyone to check out that s***hole, but it has provided some very entertaining reading over the past couple of weeks. I also noticed that one clown who uses up all the bandwidth with his ridiculous stats and his "The Cubs are 6-5 when the Santa Ana Winds blow on a Tuesday Evening" crap is still being his usual nimrod self. That's a great name. Anytime beer is included in a name it's all good.

QUOTE (Kalapse @ Jul 8, 2010 -> 07:59 PM) Our RHH are above average vs RHP, it's our LHH who are killing us vs RHP because they are not good hitters. our RHH vs RHP: .259/.326/.443/.769 league average: .259/.318/.410/.728 our LHH vs RHP: .259/.324/.364/.688 league average: .263/.336/.407/.743 Just as we suspected during ST: we're getting no power from the left hand side. Personally, I don't really care what side of the plate our newly acquired hitter bats from just as long as he's a good hitter with above average power because that's what we're lacking: productive hitters with some pop. It just so happens that some of the more intriguing names out there are left handed hitters. Agreed. That's why I don't think the focus should be on a LHH only.

QUOTE (Thunderbolt @ Jul 8, 2010 -> 07:36 PM) You should detach one of its arms. Really. I should have known the Peavy injury was going to happen! My Peavy bobblehead came in the mail with it's arm broken off.

QUOTE (Kalapse @ Jul 8, 2010 -> 07:41 PM) .259/.325/.412/.738 vs righties (that's before today, worse after getting shutdown by Santana) .234/.319/.385/.704 vs Lefties and then comes the rub . . . 2390 PA vs RHP and only 702 vs LHP. 77.2% of our total PA this season have come vs righties (higher after today). We go up against SIGNIFICANTLY more righties than lefties and our team line vs RHP is below league average which is .264/.333/.415/.747. It would stand to reason that we could use a some help against the pitchers that we face more than 3/4 of the time when our team OPS is 9th in the AL against said pitchers. I agree we could use some help. Our offense is below average all across the board except HRs. Even though we face more RHP (at least so far this year) we are worse off against LHP. I don't know if the trend of the drastic difference in LHP vs RHP will continue but as a team we are worse against the LHP and might be as much if not a higher priority. Our RHH don't seem to be getting the job done against the LHP. Of course maybe thats because they haven't seen many this year.

QUOTE (Thunderbolt @ Jul 8, 2010 -> 07:04 PM) We don't need to make this move. Frankly, we really shouldn't. This hurts us long-term and is a bit of overkill in the short. Just get a lefty bat and a lefty arm for the pen. Everyone keeps saying we need a lefty bat. If I'm reading the stats right we have a 259BA and 738OPS against RH pitchers and a 227BA and 696 OPS against LH pitchers. This would imply to me that we need help from RH hitters not LH hitters or at least players that can hit LH pitchers effectively.

QUOTE (scenario @ Jul 7, 2010 -> 12:25 PM) Gimmee a break. You're 19 and never had a real job. I've got shoes older than you. Nice to be idealistic and say what you'd think you'd do. But the commitment some of these minor leaguers make to hang in there for years that you blow off as being so easy is HUGE. I agree. I was an athletic trainer in the minors attempting to work my way up the ladder. I even did the Mexican league in the winter for extra money. With a family it just became to hard. I know I didn't make even the money the players did but any player who guts it out for 11 years is really dedicated and loves the game. My hat is off to him.

QUOTE (Real @ Jul 8, 2010 -> 02:09 AM) http://sports.espn.go.com/chicago/mlb/colu...tory?id=5362822 I think there's two videos, one explains the injury and another gives some opinions Good couple of vids, imo After watching the video, the injury makes biomechanical sense. I hadn't noticed it before, but on the pitch he ruptured the tendon he really dropped down and pulled his arm across his body. One of the major functions of the lat is to do adduction of the shoulder which is exactly what that motion was. He will need to drastically alter that motion after the surgery to prevent this from happening again. Hopefully it won't be a significant problem for him.

QUOTE (iamshack @ Jul 7, 2010 -> 08:04 PM) I feel pretty much the same way. It might even save Kenny from himself and prevent him from trading Hudson away. I just shudder at the wasted $... hopefully, they get some of it back from insurance. It won't be the whole 16-17 mil or whatever it is but hopefully some.

One article has him going to see Andrews and Yocum. Those are two of the most highly regarded shoulder physicians in the nation. If they can't figure it out, no one will. Just ask Yocum he'll tell you that.

QUOTE (BearSox @ Jul 7, 2010 -> 04:22 PM) I just hope its nothing that will effect his mechanics. The worse thing that can happen is him trying to overcompensate with his arm, and then we are headed down a spiral slope. Hopefully everything turns out good. I know from a players standpoint, you want to come back ASAP, but it might not be a bad idea just to say wait till next year, and take every precaution to get him at a full 100% for next season. We have too much money invested in him, we gotta take every precaution possible. It shouldn't effect it much. The shoulder will be structurally intact. If fact, while the surgeon is in there, he or she will probably tighten the joint up a bit using a thermal device and he may come out better off.

QUOTE (The Ginger Kid @ Jul 7, 2010 -> 04:21 PM) I think of Tommy Harris detaching his hamstring from the bone and this doesn't make me feel good, not for this year or next. It's nowhere near that bad. The hamstring needs to take the weight and load of such a big person that it is a big problem. The lat is an accelerator of the arm during the pitching motion. While it's important, it doesn't take the stress that the decelerators do.

QUOTE (BearSox @ Jul 7, 2010 -> 04:14 PM) so how serious is this? Best case is out until September, but will it have lingering effects? Can he come back from this 100% with a good chance of not having it happen again? How bad is it compared to TJ surgery? Also, hopefully we don't have to see Marquez at all unless we are getting blown out or blowing the other team out. As for Hudson still a possibility for Sunday, how long does Marquez have to be up before we can send him back down? He should be able to come back 100% without lingering effects. It's a tendon re-attachment not a reconstruction. It's pretty straight forward. Just like with th Mitchell surgery, we'll know if it was a rupture from the bone or a mid substance tear when they give the length of rehab estimate. If they say 2-6 months it's a straight forward reattachment and there won't be any lingering problems. If they say up to 9 months then it's a different story.

QUOTE (fathom @ Jul 7, 2010 -> 04:12 PM) Sounds like this could have been avoided if they did an MRI after the KC start, but because the MRI a week before that came back clean, they decided not to do another one. At this point, hopefully he's fine for 2011. What pitchers have come back from this injury in the past? I don't think so. This is in a different area than the usual "fluid" in the shoulder. It's not part of the same area really. This type of thing may be hidden as a "bicep tendon inflammation". Because it's so deep to all the other tissues, you wouldn't really see this specially on an MRI.

QUOTE (NorthSideSox72 @ Jul 7, 2010 -> 03:34 PM) Detached may not mean fully severed, in which case surgery may not be necessary. Part of the muscle can detach, and the muscle generally can heal. Beyond that, ptatc will have to provide more color. And us acquiring an SP doesn't seem to make much sense. Unless they either don't believe in Hudson (and I think they do), or Hudson is being traded. If they say detached, that means it came off the bone.

QUOTE (chw42 @ Jul 7, 2010 -> 03:18 PM) Where's Dr. ptatc? If it's truly detached the season is over for him. The long tendon of the lat can be ruptured from the attachment site in the bicepital groove on the anterior part of the humeral head. This would be the grade 3 tendon injury. If this is what happened he will need surgery. The physician will need to find the tendon re-route it back up through the groove and re-attach it. The good news is that tendons usually respond very well to re-attachment to bone. If it is in the mid-tendon area, it is much worse but it usually comes off the bone. This is similar to the injury that Mitchell suffered in ST where a tendon pops off the bone. This is a best case 3 month injury and worst 8 to 9 month injury. I have never seen this injury in a pitcher. I have seen it in other throwers, javelin specifically and it went well.

QUOTE (caulfield12 @ Jul 7, 2010 -> 04:38 AM) Any of the numerous muscles and tendons that contribute to the movement and coordinated stability of these joints can become strained in a shoulder injury. The main muscles associated with the shoulder include the trapezius, latissimus dorsi, pectoralis major, deltoid, rotator cuff (SITS muscles), serratus anterior, and the biceps and triceps muscles. Manual testing can often quickly identify which of these muscles are weakened and painful upon contraction after an injury. Shoulder Injury Mechanics While shoulder injuries can be quite individual and complex, several common patterns have been identified:4 ■an arm forced into external rotation and abduction (anterior dislocation and/or labrum tear); ■a blow to the anterior shoulder (can cause ligamentous tears resulting in dislocation); ■a fall onto top of shoulder (may cause a ligamentous tear resulting in AC joint separation); ■a fall on an outstretched arm (can result in AC separation, posterior dislocation, labrum or rotator cuff tear); ■sudden traction to the arm (momentary subluxation or brachial plexus traction injury); or ■sudden pain during activity or lifting (consider rupture of muscle/tendon or labrum tear). Rehabilitation of Shoulder Sprains Significant damage to one or more of the connective tissues of the shoulder can result in joint instability and chronic dislocations. Treatment of grade 3 or moderate-to-severe grade 2 sprains generally includes some external support (sling or taping) and restricted activities. Once the ligaments have undergone sufficient early repair, controlled passive motion can help to prevent the formation of adhesions (scarring in areas of movement). Resistance exercises are introduced to stimulate a stronger repair and to assist in remodeling. Isometric is progressed to isotonic forms of resistance, based on the patient's tolerance for joint motion. For athletes, regaining full stability may require advanced forms of exercise in the functional phase of rehabilitation, such as proprioceptive training and plyometrics. These maneuvers help to re-coordinate the sensory receptors and motor controls at the spinal cord (nonthinking) levels.5 Rehabilitation of Shoulder Strains Injured muscles and tendons of the shoulder girdle may need a brief period of support and restricted activity, but controlled restrengthening should be initiated early. Elastic tubing is a safe and effective method of providing progressive resistance exercises.6 A very easy and effective program starts with a consistent isotonic exercise routine using surgical tubing equipment to perform external rotation. This is initially performed within a limited, pain-free range of motion, building to full range as pain subsides. Eventually, additional shoulder exercises should be performed as indicated, including internal rotation; flexion; extension; abduction; and adduction. This inexpensive rehabilitative program should initially be practiced under supervision to ensure proper performance. Once good exercise mechanics and control are demonstrated, a self-directed program of home exercises is appropriate. As with sprain injuries, shoulder strains in athletes may require more specific, sports-performance exercises, such as eccentrics and plyometrics. Specific sports skills (such as throwing) may also need to be retrained. He had a strain not a sprain. The difference is that when looking at different tissues a sprain involves ligaments or passive tissue whereas a strain involves muscles or active tissue. they are graded the same. usually on a 1 to 3 but some physicians use a 1 to 5 scale. A grade 1 is a involves minor soreness and edema with no lose of motion and activity level. This is typically " advanced soreness" A grade 2 involves a tear of up to 50% of the fibers with moderate pain and edema with up to 50% lose of painfree motion and activity must be limited. A grade 3 is a near rupture of the tissue involved with significant pain and edema and an inability to do most any activity. Rehab of the active vs. passive tissue is totally different and pretty well described in your paragraphs above.

QUOTE (caulfield12 @ Jul 7, 2010 -> 04:43 AM) Fister takes no-hitter into 7th, M's top Orioles Apr 20, 2010 Orioles OF Felix Pie will miss three months after doctors determined he has a torn left latissimus dorsi muscle. No surgery is required, just rest and rehab. (MSNBC -- Sports) That was April 20th, he came back on July 6th, so worst case scenario (an actual TEAR, and not strain/sprain) would be 2 or 2 1/2 months. Other pitchers/players with similar issues recently include Brad Penny, Kerry Wood and Gabe Kapler. Sept. 20th "Brett Myers boarded an airplane to South Florida last night, ready to rejoin the Phillies today and hoping to pitch by early next week. But a timetable set by the team was more conservative.An MRI in Philadelphia yesterday showed that Myers had suffered a Grade 1 strain of his right latissimus dorsi (back) muscle, a team spokesman said last night. The righthander is scheduled to throw a bullpen session on Tuesday, and the Phillies hope - but did not guarantee - that he will return by the end of the regular season.Reached by telephone yesterday afternoon, Myers told The Inquirer that he was optimistic about appearing in a game early next week."I think I could be ready by the homestand,"" The way he reacted, it was obviously a muscle strain of some kind. It's rare that you tear something significantly with one pitch. It's usually a slow degeneration. He has more than a Grade one strain, probably a two based on the reaction. The lat is a muscle that is on the back but has about a 7 inch long tendon that wraps around the bottom of the shoulder and attaches in the same groove that the biceps tendon passes through on the anterior portion of the shoulder. The function of the lats during the pitching motion is acceleration of the internal rotation toward the plate and to stabilize the anterior movement of the humeral head. This is nowhere near as bad as if he injured the deceleration muscles such as the rotator cuff muscles. One worry is that with the previous "fluid build up" is there an underlying instability in the glenohumeral joint that is affecting all of these different tissues. It's hard to tell by symptoms and I'm sure the medical staff is monitoring it. He will probably need 1-2 weeks of healing then a buildup of strength, so he is probably looking at 3-4 weeks.

QUOTE (SoxFan562004 @ Jun 23, 2010 -> 12:25 AM) when has that happened before? It may have, I just can't think of any specific examples off the top of my head. For the most part the Sox are extremely straightforward with injury news. He's straightforward but also says that when a player says he's ready, he gets another day. Vizquel will probably start at SS today.

QUOTE (FlaSoxxJim @ Jun 22, 2010 -> 01:49 PM) I've eaten at two Legals and one was excellent (the one across from New England Aquarium) and the other very forgettable (is south Florida). The family that started Legal was instrumental in the modernization of the way commercial seafood is handled and processed in the US though, so yeah, they have quite a good industry reputation for quality control. I didn't realize they had them out of the Boston area. Kind of like the Chicago pizza franchises. Uno's is good anywhere in Chicago but the ones in Florida, Boston and California were bad.

QUOTE (justBLAZE @ Jun 22, 2010 -> 11:41 PM) Ramirez just suffered a cut under his middle finger on his throwing hand. Said he will play tomorrow. - Scott Merkin They'll just put skin glue on it and he'll be fine.

QUOTE (JohnCangelosi @ Jun 22, 2010 -> 09:56 PM) I believe his name is Allen Thomas he's the strength and conditioning coach for the White Sox That was Allen

QUOTE (Balta1701 @ Jun 22, 2010 -> 08:33 AM) We have had an awful rash of that in Chicago sports lately haven't we? If you see constant soft tissue problems in multiple areas, it does make you wonder about the etiology.