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Collateral Damage 

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04-01

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1

Collateral Damage: Santana's Uphill Battle
by
Corey Dawkins and Stephani Bee

02-19

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1

Collateral Damage: Pop Goes the Knee Joint
by
Corey Dawkins and Stephani Bee

02-06

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3

Collateral Damage: Barely Begun and Already Through
by
Corey Dawkins and Stephani Bee

01-23

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1

Collateral Damage: A Pain in the Hip
by
Corey Dawkins and Stephani Bee

11-16

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12

Collateral Damage: 2012 Year-End Injury Summary: AL East
by
Corey Dawkins and Stephani Bee

11-14

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0

Collateral Damage: 2012 Year-End Injury Summary: NL East
by
Corey Dawkins and Stephani Bee

11-12

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4

Collateral Damage: 2012 Year-End Injury Summary: AL Central
by
Corey Dawkins and Stephani Bee

11-09

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2

Collateral Damage: 2012 Year-End Injury Summary: NL Central
by
Corey Dawkins and Stephani Bee

11-07

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0

Collateral Damage: 2012 Year-End Injury Summary: AL West
by
Corey Dawkins and Stephani Bee

11-01

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6

Collateral Damage: NL West Year-End Injury Summary
by
Corey Dawkins and Stephani Bee

06-25

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11

Collateral Damage: The Year of the Injuries?
by
Corey Dawkins and Stephani Bee

04-04

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0

Collateral Damage: How Much Pain Could the Doctor (Up)Chuck?
by
Corey Dawkins and Stephani Bee

04-02

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3

Collateral Damage: Spring Tune-Ups
by
Corey Dawkins and Stephani Bee

03-30

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1

Collateral Damage: Let the Games Begin
by
Corey Dawkins and Stephani Bee

03-28

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4

Collateral Damage: Clearing the Air
by
Corey Dawkins and Stephani Bee

03-26

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2

Collateral Damage: The Tommy John Brotherhood
by
Corey Dawkins and Stephani Bee

03-23

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2

Collateral Damage: Spring Soreness
by
Corey Dawkins

03-21

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4

Collateral Damage: Fillet o' Philly
by
Corey Dawkins and Stephani Bee

03-19

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6

Collateral Damage: Bullpen Blowout
by
Corey Dawkins and Stephani Bee

03-16

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5

Collateral Damage: Mets Misery
by
Corey Dawkins and Stephani Bee

03-14

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7

Collateral Damage: Spring Uprising
by
Corey Dawkins and Stephani Bee

03-12

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6

Collateral Damage: Battle of the Bulge
by
Corey Dawkins and Ben Lindbergh

03-09

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10

Collateral Damage: Stairway to Heaven
by
Corey Dawkins and Stephani Bee

03-05

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9

Collateral Damage: Valley of Infections and Tears
by
Corey Dawkins and Stephani Bee

03-02

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4

Collateral Damage: Socket to Him
by
Corey Dawkins and Rebecca Glass

02-29

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2

Collateral Damage: Spring Training Injury Roundup: Don't Try This At Home
by
Corey Dawkins and Rebecca Glass

02-27

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8

Collateral Damage: Spring Training Injury Roundup: It's What's for Dinner
by
Corey Dawkins

02-24

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5

Collateral Damage: The DL Kings: Chad Fox
by
Corey Dawkins and Rebecca Glass

02-20

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3

Collateral Damage: The DL Kings: Nick Johnson
by
Corey Dawkins and Ben Lindbergh

02-17

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1

Collateral Damage: The DL Kings: Kelvim Escobar
by
Corey Dawkins

02-15

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5

Collateral Damage: The DL Kings: Alex Escobar
by
Corey Dawkins

02-13

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4

Collateral Damage: The DL Kings: Justin Duchscherer
by
Corey Dawkins

02-07

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10

Collateral Damage: The DL Kings: Chris Snelling
by
Corey Dawkins and Rebecca Glass

02-03

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6

Collateral Damage: The Disabled List: A History
by
Corey Dawkins and Rebecca Glass

01-30

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14

Collateral Damage: Rounding Up the Usual Suspects: Grand Finale
by
Corey Dawkins and Rebecca Glass

01-27

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0

Collateral Damage: Rounding Up the Usual Suspects: Abdominal/Oblique Strains
by
Corey Dawkins

01-23

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0

Collateral Damage: Rounding Up the Usual Suspects: Herniated Disks
by
Corey Dawkins and Ben Lindbergh

01-20

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5

Collateral Damage: Rounding Up the Usual Suspects: Hip Labrum Tears and FAI
by
Corey Dawkins and Ben Lindbergh

01-16

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9

Collateral Damage: The Latest Offseason Surgery Updates
by
Corey Dawkins and Ben Lindbergh

01-13

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6

Collateral Damage: Rounding Up the Usual Suspects: Thoracic Outlet Syndrome
by
Corey Dawkins and Ben Lindbergh

01-09

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10

Collateral Damage: Rounding Up the Usual Suspects: Sports Hernia/Athletic Pubalgia
by
Corey Dawkins and Ben Lindbergh

01-06

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4

Collateral Damage: Rounding Up the Usual Suspects: SLAP Tears
by
Corey Dawkins and Ben Lindbergh

01-02

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3

Collateral Damage: Rounding Up the Usual Suspects: Tommy John Surgery
by
Corey Dawkins and Ben Lindbergh

12-30

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7

Collateral Damage: Rounding Up the Usual Suspects: Ankle Sprains
by
Corey Dawkins and Ben Lindbergh

12-23

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1

Collateral Damage: Rounding Up the Usual Suspects: Thumb Injuries
by
Corey Dawkins and Ben Lindbergh

12-20

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2

Collateral Damage: Rounding Up the Usual Suspects: Fractures
by
Corey Dawkins and Ben Lindbergh

12-16

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8

Collateral Damage: Rounding Up the Usual Suspects: Rotator Cuff Tears
by
Corey Dawkins and Ben Lindbergh

12-13

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2

Collateral Damage: Rounding Up the Usual Suspects: Cartilage Injuries
by
Corey Dawkins and Ben Lindbergh

12-09

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8

Collateral Damage: Rounding Up the Usual Suspects: The Torn ACL
by
Corey Dawkins and Ben Lindbergh

12-05

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7

Collateral Damage: Rounding Up the Usual Suspects: Impingement
by
Corey Dawkins and Ben Lindbergh

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If Johan Santana is able to recover from his upcoming surgery, he will be a trailblazer for major-league pitchers.

It’s the final year of Johan Santana’s six-year, $137.5 million deal, but it looks like his Mets tenure has already concluded. Dr. David Altchek is scheduled to perform shoulder surgery on Santana tomorrow, after the lefty reportedly re-tore his anterior capsule during a spring bullpen session.

This will be the second time the former Cy Young winner has undergone the procedure. Santana first underwent the surgery back in 2010 and subsequently missed the entire 2011 season. When he returned, the southpaw was a shadow of his former self, posting a FRA+ of 102—better than average, but his worst numbers in over 10 years.

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February 19, 2013 5:00 am

Collateral Damage: Pop Goes the Knee Joint

1

Corey Dawkins and Stephani Bee

There are a variety of reasons why ACL injuries like Mat Gamel's can recur.

Some players can’t escape the injury prone label, and Mat Gamel might earn it soon. On Monday, we learned that Gamel suffered a mid-portion tear of the ACL graft in his surgically repaired right knee. Despite his knee receiving a green light twice within the last month, Gamel suffered the ACL tear during the first full-squad workout on Saturday.

ACL surgery, while one of the more prevalent surgeries in sports medicine, is both never routine and not guaranteed to be 100 percent successful. Among top sports medicine surgeons, the failure rate ranges up to three percent, while 10 percent is a commonly cited figure for most others. Even though failure is unlikely, the primary cause for ACL graft failure is a technical error by the surgeon that causes additional stress across the graft. The surgeon can make several errors including, but not limited to: improper drill hole angles in the femur or tibia, too much or too little tension in the graft after securing it, and a failure to recognize a concomitant injury such as a partial PCL tear. These mistakes can lead to the ACL getting too much force or getting force too quickly.

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February 6, 2013 5:00 am

Collateral Damage: Barely Begun and Already Through

3

Corey Dawkins and Stephani Bee

Chris Carpenter's season is over before it had a chance to begin thanks to a thoracic outlet syndrome flare-up.

Chris Carpenter made an amazing return from Thoracic Outlet Syndrome (TOS) surgery last year, but his 2013 season—and, potentially, his career—is now in jeopardy following a setback with his shoulder. Carpenter was throwing off the mound recently when his symptoms returned, this time worse than before. He is also experiencing numbness in his arm and bruising in his shoulder and hand. Carpenter informed Cardinals general manager John Mozeliak of the situation after trying to throw three different times without success. During their conversations, Carpenter expressed concern about how his shoulder will respond to life after baseball, let alone pitching at a high level.

Carpenter’s surgery was not an experimental one, but it’s not a common one, either. The area affected involves the neurovascular bundle as it passes from the neck and trunk through the shoulder and down the arm, as pictured in Figure 1.

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January 23, 2013 5:00 am

Collateral Damage: A Pain in the Hip

1

Corey Dawkins and Stephani Bee

Checking in on injuries to Alex Rodriguez, Mike Napoli, Corey Hart, Jesse Litsch, and more.

Alex Rodriguez
Rodriguez finally underwent surgery on his left hip, and even though it went as expected, he’ll probably be out until mid-July. During the arthroscopic surgery, three small incisions were made for the instruments before Dr. Bryan Kelley addressed a cam impingement, a torn labrum, a cyst, and cartilage damage. It's not the worst possible scenario, but it's a lot of things to fix in one procedure.

Last year, Ben and I authored a mini-series focusing on common baseball injuries. One of the best-received articles covered hip injuries, focusing on impingement with labral tears—a condition that is becoming increasingly more prevalent in all athletes. You can read that article here. A quick recap: The labrum is a ring of cartilage that deepens the socket for the femoral head to stay in. Cam lesions are bumps off the femoral head that develop over time. The x-ray below illustrates this more clearly:


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The AL East was a disaster zone for injuries in 2012.

The American League East was simply not good at keeping their players healthy in 2012. Teams might now decide to invest more in their medical staff, but that’s doubtful. However, there is a good shot of these ranking being roughly the same in 2013. With that, let’s check the final installment of the year-end injury review.

Division: American League East

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November 14, 2012 5:00 am

Collateral Damage: 2012 Year-End Injury Summary: NL East

0

Corey Dawkins and Stephani Bee

The Phillies' injuries led to their plunge in the team-health rankings.

In the National League East, only one team, the Miami Marlins, was able to maintain a positive health ranking. The Phillies, on the other hand, took a major health plunge.

Division: National League East

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November 12, 2012 5:00 am

Collateral Damage: 2012 Year-End Injury Summary: AL Central

4

Corey Dawkins and Stephani Bee

The White Sox are usually one of the industry's injury-prevention leaders, but they were surpassed by a division rival in 2012.

The American League Central is the healthiest division in baseball. This hasn’t always been the case, but the White Sox are consistently near the top of the health charts. However, Chicago’s rivals are now starting to give it a run for its money.

Division: American League Central

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November 9, 2012 5:56 am

Collateral Damage: 2012 Year-End Injury Summary: NL Central

2

Corey Dawkins and Stephani Bee

One team known for military training techniques does surprisingly well when it comes to injuries.

This was the last season of the NL Central’s six-team division, but it still represented the best and some of the worst in baseball in TAWL.

Division: National League Central

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November 7, 2012 5:00 am

Collateral Damage: 2012 Year-End Injury Summary: AL West

0

Corey Dawkins and Stephani Bee

The Rangers and Athletics struggle to keep their teams healthy, while the Mariners pulled off a surprisingly clean season.

There were no significant surprises in the NL West rankings, but in today’s column, one team will most likely surprise some about their health record.

Division: American League West

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Now that the season is over, here's a recap of the injuries sustained by NL West clubs and how great an impact each injury had.

Now that another year is officially in the books, we can look back and get a clearer picture of just how injuries played a role in each team’s record. Using the same methodology as last year, we looked at every team and calculated how much injuries cost each club from a production standpoint. Summarizing the process, we looked at WARP on a plate appearance basis and used data from 2010 -2012 in our calculations. We’ll star in the NL West, home of the world champion San Francisco Giants.

Division: National League West

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June 25, 2012 5:00 am

Collateral Damage: The Year of the Injuries?

11

Corey Dawkins and Stephani Bee

Has there been a significant increase in injuries in 2012?

With the emphasis being placed on injuries, it’s no wonder why some people are running around like Chicken Little screaming, “The sky is falling!” Headlines scream about injuries and range from “The Year of the Injury Plagues MLB” to “Baseball’s Biggest Stars are Hurting.” How hard and fast the sky is falling depends on the team you root for. If you live in New England, surely you have heard at least some fans making excuses about the Red Sox’ record because of the high number of DL moves. If you cheer for the White Sox or Marlins, injuries probably aren’t being brought up too much. So, who is right: those that say that the sky is falling, or those who shrug it off, understanding that Chicken Little is simply over exaggerating? I mean, could it really be that bad across Major League Baseball?

There has to be a reason though why 2012 seems like it’s been a bad year for injuries. In order to get an idea of what’s going on, I went back and looked at all DL moves between 2005 and now. I also looked at why players were placed on the DL for. What’s the injury that pops into your head when you hear a pitcher gets injured? Tommy John Surgery (TJS) is probably one of the top two, so let’s start our focus there.

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Andrew Bailey will be hitting the surgical table soon, a pitcher finds extra discomfort while vomiting, and the AL East bullpens suddenly look much thinner.

Andrew Bailey, Boston Red Sox (Right Thumb Surgery)
The Red Sox were not giving many details about Bailey’s thumb injury largely because they could not pinpoint when Bailey was injured. The pitcher’s visit with Dr. Graham confirmed he’ll need surgery on the ulnar collateral ligament in his thumb and will be out for several months at least.

Major acute ligament injuries in the thumb can almost always be attributed to a specific incident. The player may not remember the exact play, but in the following days there will be bruising, swelling, and/or pain. True acute injuries do not just hide and then pop back up 10 days later without something new to aggravate the injury. Bailey was apparently able to pitch a few more times before he felt pain while showering.


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