This Spring in Tommy John Surgery
Last week, the bell tolled for the 2018 season of the Diamondbacks’ Taijuan Walker. The week before that, it tolled for the Padres’ Dinelson Lamet, and before him, the Angels’ JC Ramirez and the A’s A.J. Puk. If it feels like March and April are particularly full of Tommy John surgery casualties, that’s because they are, at least when it comes to recent history. In early March, just after Rays righty Jose De Leon discovered that he had torn his ulnar collateral ligament, I noted some recent trends regarding everyone’s favorite (?) reconstructive elbow procedure, including the extent to which those early-season injuries are rather predictive of the season-long trend. With April now in the books, and with my nose still in Jon Roegele’s Tommy John Surgery Database, the situation is worth a closer look.
Via the data I published in the De Leon piece, just under 28% of all Tommy John surgeries done on major- or minor-league pitchers (not position players) from 2014-17 took place in March or April, with the figure varying only from 24.8 % to 30.0% in that span. Even expanding the scope to include February as well, which doesn’t increase the total number of surgeries by much but does capture significant ones such as that of Alex Reyes last year — gut punches that run counter to the optimism that reigns when pitchers and catchers report — the range is narrow, with 27.5% to 33.0% of pitcher surgeries taking place in that span.
After my piece was published, a reader pointed out that The Ringer’s Ben Lindbergh took an in-depth look at the phenomenon, but intuitively, it’s not hard to understand. Not only do pitchers’ activity levels ramp up dramatically once spring training begins, as they move from lighter offseason throwing programs to facing major-league hitters and therefore place far more stress on their arms, but many pitchers are finally forced to reckon with injuries that did not heal over the winter.