MLB Injury Roundup – Week 23

September 6, 2018 | insideinjuries | No Comments

Danny Duffy SP, Royals: shoulder impingement

IRC: High
HPF: Poor

Danny Duffy left his start Tuesday night with renewed discomfort in his pitching shoulder. The Royals have now decided to shut him down for the remainder of the year due to shoulder impingement, the same injury that forced him to miss 10 days last month. When he initially landed on the DL his IRC dropped to High Risk, and it stayed that way even when he returned. Shoulder injuries are highly recurrent for pitchers, especially when they don’t stay sidelined through their Optimal Recovery Time. Duffy returned nearly two weeks too early according to our algorithm, so unfortunately another trip to the DL was expected. With very little to play for, it’s the best decision for his long-term health. As long as there isn’t anything structurally wrong, he should have a fairly normal offseason and be ready to go for Spring Training.

Miguel Sano 3B, Twins: left shin contusion

IRC: High
HPF: Poor

When Sano injured his left leg earlier in the week, it was a scary scene that resulted in him being carted off of the field. Sano missed time late last season with a stress reaction in his shin. When it didn’t heal as expected, he was forced to undergo surgery. This looked like it could be another serious injury, but scans showed that it is just a contusion. He avoided another fracture and is not expected to land on the DL, although Inside Injuries is showing a two week Optimal Recovery Time. Don’t be surprised if his performance drops for a few days even when he is cleared to return to the lineup.

Shohei Ohtani DH/SP, Angels: UCL tear

IRC: High
HPF: Poor

Ohtani’s first start in three months wasn’t pretty, and unfortunately it was what Inside Injuries warned would happen. Ohtani lasted just two innings and caused more damage to his already injured elbow. After further evaluation, Tommy John surgery was recommended. When he landed on the DL back in May, we said it wasn’t a matter of if he would eventually need Tommy John surgery, the question was when. His tear was significant enough that injections and rehab weren’t going to do the trick, and it took just a few innings on the mound to cause more damage. Ohtani plans to continue to serve as the DH, but at this point he is just delaying the inevitable. If he waits to undergo surgery until after the season, there’s almost no chance he will pitch before 2020. He could DH late next season, but by delaying surgery now he is making a successful 2019 return even more of a challenge. This entire situation has been poorly managed by the Angels, and it’s only getting worse.

Justin Upton OF, Angels: concussion

IRC: High
HPF: Poor

Upton entered concussion protocol on Saturday following a collision with the outfield wall.  The Angels did not place him on the 7-day concussion DL (although they should have). Now he is a High Injury Risk. Upton was cleared to play catch on Wednesday and could return to the lineup as soon as Friday, but our analytics show he needs around two weeks to safely return.

David Price SP, Red Sox: wrist contusion

IRC: High
HPF: Above Average

Price was hit on his pitching wrist by a line drive last Wednesday, leaving hm with a painful contusion. But the good news is that Price didn’t land on the DL and he is expected to make his next start on Friday. Inside Injuries is showing an Above Average Health Performance Factor, so he should have had enough time to recover and perform well.

Eddie Rosario OF, Twins: quad strain

IRC: High
HPF: Below Average

A quad strain forced Rosario out of the lineup a week ago, and he hasn’t played since. Rosario was able to do some light running on Monday and take batting practice Wednesday, so he is slowly but surely working his way back. He is considered day-to-day but really should have landed on the DL. This injury needs at least 2-3 weeks to fully heal, and he will be at a high risk of re-injury if he returns in the next week.

Marwin Gonzalez UTI, Astros: right oblique strain

IRC: High
HPF: Below Average

Gonzalez left Monday’s game with right oblique discomfort. While the Astros have not placed him on the DL, he has not played since and could be out through the weekend. Oblique strains are very difficult injuries to recover from and always heal slower than expected, so his Injury Risk is very High. He shouldn’t return to the lineup until the last week of September, but that won’t happen. Don’t be surprised if he aggravates the injury and winds up on the DL.

Charlie Morton SP, Astros: right shoulder discomfort

IRC: Elevated
HPF: Below Average

Morton is expected to return and get the start on Saturday after the minimum 10 days on the DL. While the injury to his pitching shoulder was mild, there’s still some concern. Anytime a pitcher returns so quickly following an injury to the pitching arm, their injury risk is going to be increased. He is expected to be watched closely and likely won’t reach 6 innings to 100 pitches to protect his arm.

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