Pitchers and catchers have been in camp for all of a day and a half, and the baseball gods may have already claimed the first pitcher to feed their insatiable hunger for elbow ligaments and heartbreak. Alex Reyes of the Cardinals, a top-five prospect in all of baseball — if not the best (keep an eye out for Eric Longenhagen’s final rankings) — is headed for an MRI after experiencing the dreaded elbow discomfort. According to Jeff Passan, there’s significant worry within the organization that Reyes will need Tommy John surgery.
That’s a massive blow to the Cardinals, who were almost surely counting on Reyes for major contributions in their rotation. The rest of the pitching staff is largely a patchwork of the old (Adam Wainwright), the ineffective (Mike Leake) and the recently repaired (Lance Lynn). Only Carlos Martinez stands out as a real candidate to turn in 190 or so genuinely good innings. Knowing the Cardinals, they’ll probably still get a few prospects to emerge out of thin air and provide value at the big-league level, but Reyes is Reyes.
His fastball is the sort of pitch that’s spoken of in hushed and reverent tones. The curveball isn’t far behind. He’s the prototypical über-prospect in the age of Noah Syndergaard. He’s what they look like. For a Cards team that’s projected to win just 84 games, he was going to be a vital cog. He may be gone for the whole season.
There are two major implications here: one for the status of the club this year and one for the status of Reyes and his career. The second is largely an unknown. Every elbow reacts differently. Reyes may not need Tommy John. He may need it, and then another one. The Cards are almost surely praying that he’ll just need rest and rehabilitation, and that the ligament is still somewhat intact. Ervin Santana and Masahiro Tanaka have been pitching with partial tears of their ulnar collateral ligaments. It can be done, but it would likely eat into Reyes’ titanic velocity. We don’t yet know what the damage is.
If he does require surgery, the prognosis isn’t excellent. Research by Jon Roegele suggests that, for pitchers who undergo a Tommy John procedure between ages 16 and 23 (Reyes is 22), the median figure for innings pitched after the surgery is just 221. Only 40% of pitchers in that age group reach the 500-inning threshold. That 221-inning mark is worrisome for someone of Reyes’ age. But again, we’re not yet certain if he’ll need surgery.
Read the rest of this entry »