Sandy Alcantara’s Volume and Velocity Lead to an All-Too-Familiar Place: Surgery

Alas, even throwbacks get injured. For all of the excitement about the extent to which Sandy Alcantara bucked recent trends by piling up innings and pitching complete games en route to the 2022 NL Cy Young award, his combination of volume and velocity — both at the outer edge of what pitchers of recent vintage have shown they could sustain — placed him at risk for an arm injury. His season ended about a month before those of his Marlins teammates, who made it as far as the NL Wild Card Series, and on Friday the 28-year-old righty announced that he had undergone Tommy John surgery, which will sideline him for the 2024 season.
Alcantara missed just one start over the first five months of the season due to a bout of “very mild” biceps tendinitis in late April, but after throwing eight innings in his September 3 start against the Nationals, he landed on the injured list with what was initially diagnosed as a flexor strain. On September 13, Marlins manager Skip Schumaker told reporters that an MRI revealed that Alcantara had actually sprained his ulnar collateral ligament. Even so, he soon resumed a throwing program. After multiple pain-free bullpen sessions, he was allowed to make a rehab start for Triple-A Jacksonville on September 21. He threw four scoreless innings, but afterwards told the team that he felt renewed tightness in his forearm. The Marlins announced that he was being shut down for the remainder of the season.
While the Marlins hadn’t offered any indication that Alcantara’s sprain was significant enough to merit surgery, it’s not terribly surprising; after all, a sprain is a tear, and with a UCL sprain, it needn’t be a full thickness tear to require surgery. It’s unclear whether the injury worsened with that rehab outing, but the more likely explanation is that as with the Orioles and Félix Bautista, the Marlins qualifying for the postseason made it worth seeing whether Alcantara could pitch through a partial tear. The answer, sadly, was no. Read the rest of this entry »