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July 22, 2011
Sticks and Stones
Stephen Drew, ARI (Right ankle surgery) [AGL: 65, ATD: TBD] (Explanation)
Even though initially the injury was thought to be from contact with the catcher's shin guards, the video clearly shows that the injury process was already in motion, as the ligaments are being sprained prior to contact. It was the continued rotational force between the ground and the body—not the compressive force of the shin guard—that caused the fracture.
Drew's surgery will include a plate and three screws, obviously knocking him out for the rest of the year. In the long term it should not affect his offensive production significantly, but his range in the field may be affected for a time. Often in these cases, short quick bursts of speed take time to return to pre-surgical levels, even absent complications similar to those seen in Kendrys Morales. Sometimes, the quick bursts never come back, and the player is not as quick and agile as before.
Grady Sizemore, CLE (Sports Hhernia surgery) [AGL: 46, ATD: +.046]
Sports hernias simply aren’t something that most people can play with for long before the pain becomes too intense and needs to become addressed. The ATD above suggests that performance suffers during the period before the move to the disabled list and improves after the problem has been addressed. Sizemore's hernia will keep him out for the next six to eight weeks, which will give both his abdomen and knee a chance to heal.
Carlos Gomez, MIL (Fractured left clavicle) [AGL: 55, ATD: +.040]
Carlos Gonzalez, COL (Right wrist inflammation) [AGL: 3 (21DL), ATD: +.023(+.010DL)]
This complex is mainly composed of a disc and several ligaments that keep it in place. It is only 5 mm thick, but it is the main stabilizer to the distal radioulnar ulnar joint on that side of the wrist and permits most motions of the wrist to occur. Injuries to this structure can be difficult to identify, and they’re commonly misdiagnosed as recurrent simple sprains that end up requiring surgery. They can be difficult to pick up on MRI, leading to further imaging after the wrist continues to cause problems.
After leaving the game on Thursday with a painful right wrist, Gonzalez went straight for an MRI to try to tease out the cause for the continued pain. The initial diagnosis of inflammation of the ligaments is not very specific, but it could include an injury to the TFCC. It's becoming obvious that Gonzalez needs more than a few days here and there to resolve the issue fully, so even if the TFCC is not injured, there is a chance that he will end up on the disabled list.
Orlando Hudson, SDN (Unconsciousness) [AGL: TBD, ATD: +.TBD]
Flesh Wounds: Fernando Rodney should be activated in the next few days from a strained back... Brandon Kintzler will have the surgery for the stress fracture in his elbow, ending his season... Brad Thomas has been shut down from throwing for the next four weeks, since his elbow continues to be inflamed from a small spur... Kyle Lohse is having a “finger issue” examined, according to Tony La Russa, which could mean anything from a tendon injury to a circulatory issue. More details to come... Jordan Schafer was scratched yesterday because of a left middle finger sprain after sliding headfirst on Wednesday... Jason Bay is day-to-day with a tight right hamstring.
Corey Dawkins is an author of Baseball Prospectus. Follow @CoreyDawkinsBP