Thanks, Hollimon, Elias Update

A big thanks to Jon Paul Morosi for his article today and for approaching me for the information.

In other news that fell under the radar from Morosi, Michael Hollimon has a torn left labrum and is out until the middle of next year. I'm a bit strapped for time right now, but will try to have more on this later.

Really quick, I've updated the NL Infielders in the Elias Rankings. This may be the last update this week. I'm not sure how much time I'll have to update the pitchers.

More on Stress Fractures in the Shoulder

From the Abstract of "Stress Fracture of the humerous in college baseball pitchers: A case report" by Polu, et. al.:

As the number of young people participating in sports at the professional and amateur level grows, so does the incidence of stress fractures in the athletic population.¹³ Stress fractures usually result from a sudden change in volume or intensity in the athlete's regimen.⁵ Several theories have been proposed to explain stress fractures. One theory suggests that, over time, repetitive, nonviolent loads applied to bone overwhelm its ability to compensate. As a result, reabsorption exceeds formation and predisposes the weakened bone to a stress fracture.^1,5 A second theory considers that stress fractures occur when muscular fatigue leads to alterations in movement patterns, with a redistribution of force to the underlying bone.⁵ In effect, the shock or energy absorption capabilities of muscle are overpowered, and the bone is subjected to abnormal forces and predisposed to development of a fracture. Devas⁷ first described stress fractures in the athletic population in 1958. Since then, stress fractures have been documented in various athletic activities, most notably in the tibia or tarsus bones of runners.¹⁶ In contrast, stress fractures of the upper extremity have not been as widely reported. Although upper extremity injuries account for 20% of all athletic injuries,¹⁵ most are soft tissue injuries of the shoulder.^15,22 The number of reported humeral stress fractures is particularly low, and these fractures are usually not recognized until later in the course of injury, when a spiral fracture occurs secondary to muscular violence.^1,4,10,12,22 The patient who develops a humeral stress fracture usually experiences a period of arm fatigue and aching after cessation of the sporting activity. Gradually, the pain occurs during the activity itself and can be referred to the shoulder or elbow. Physical examination will reveal tenderness at the site of the stress fracture, but the range of motion of the elbow and shoulder are not affected.⁷⁶ Stress fractures usually appear as localized periosteal reaction, endosteal thickening, a radiolucent cortical line, or a combination of these three.²¹⁶ Bone scan and MRI are both sensitive imaging tools in detecting occult fractures. Scintigraphy detects minimal changes in blood flow and metabolism occurring during the abnormal bone remodeling process and is usually positive within 12 to 15 days after the onset of symptoms.^5,17,20 Roub et al.²⁰ demonstrated that tibial stress fractures in young athletes could be detected on radionuclide imaging before changes were seen on plain radiographs. Imaging modalities have played a valuable role in the diagnosis of stress fractures. Although plain radiographs are the first modality used in evaluation of bone injury, evidence of stress fracture on radiographs depends on the interval between injury and evaluation. It may take several weeks for stress fractures to become visible on plain radiographs. However, many patients with stress fractures do not have any radiographic findings.

So a stress fracture is either the result of a sudden change of activity (check) or alterations of movement patterns (compensating for injuries?). Obviously, Joel Zumaya's injury was so unique that the recovery process should not have been expected to go smoothly. It just seemed curious to me that he was allowed to continue pitching even though he complained of shoulder pain. Let's just be patient with him, let him get as close to 100 % as possible before letting him pitch again.

Now, what worries me is that something had to have caused this. It could be adjusted mechanics, or it could be something as serious as decreased stability in the shoulder. It just seems like he is at risk of this repeating.

Either way, he shouldn't be expected to contribute to the 2009 Tigers.

Another One Bites the Dust

Virgil Vasquez was placed on Toledo's disabled list with right shoulder tendinitis. This could be minor, but it's yet another injury that has struck a reserve starting pitcher. Vasquez has struggled in his past few starts, so something may have been up. Thank God for the emergence of Armando Galarraga. It also looks like Yorman Bazardo will be taking the spot of Vasquez. Hopefully, he can re-emerge in a starting role.

Curtis Granderson is in tonight's lineup. To make room, Clete Thomas was optioned out. Could Jacque Jones have saved his job by finally hitting for some power last night? Thomas did surprisingly well in his time up with the club, but Granderson is clearly a significant improvement, and could be a big spark plug for a team that still could use one.

That Felt Good

The excuses can finally stop. The Tigers are officially alive. Thanks to an offensive onslaught and a masterful Tigers' debut from Armando Galarraga, the Tigers dominated Cleveland yesterday 13-1. Detroit and Cleveland are now tied at 5-10. If you still believe this to be a two-team race, then the teams are tied. I'm becoming more and more convinced that Chicago will be a real threat in this things, but if the mission was to make up lost ground on the Indians, mission accomplished.

If Sabathia, Carmona, and the bullpen keep it up, remember this team the next time somebody tells you a team can win because of their pitching. A pitching staff is simply too unpredictable, even one coming off of a great season, especially bullpens. Cleveland, Seattle, and Toronto are all teams who had people claiming their great bullpen to be the key to their eventual success this year, and all three have had massive bullpen problems.

Watch out for Cale Iorg, who is smoking the ball in Lakeland. 2006 3rd rounder Brennan Boesch, on the other hand, has continued to showcase why doubts were raised about him last season.

James Andrews could not find anything wrong with Fernando Rodney's shoulder. It looks like more rehabbing until he's ready.

Random Thoughts after a Victory

As much as I thought Friday's performance would catapult the team, it turns out that wasn't the case. Monday night's comeback, on the other hand, should provide the spark the offense needs. As if they haven't been huge yet, tonight's game will be a big one for the offense, as it will be important to follow up on today's comeback.

Ryan Raburn was brought in as a defensive replacement last night. Talk about mixed signals. I was under the impression that the reason he had been getting the shaft over the past year was because of his defense. We know that Leyland can't possibly think Jacque Jones is a better hitter, can we?

The Disabled List Informer points out that Gary Sheffield's current shoulder problems may linger, suggesting that signs point to a possible rotator cuff issue. I'm really not well versed in the anatomy of the shoulder, so check that link out for some information.