MLB Injuries

Dr. Morse’s weekend MLB injury round up

Photographer: Daniel Bartel/Icon Sportswire

Hitters

Ryan Braun

Braun left today’s game with tightness in his trapezius muscle. It sounds like this is mild and should only keep him out only a couple of days. Expect Braun to be out until Wednesday or Thursday, if he’s not feeling better by then, he might need a quick DL stint to get him feeling better. Stay tuned, I should have an update mid-week.

Yoenis Cespedes

The Mets’ star re-aggravated his hamstring and unfortunately this time the Mets will likely take much longer to allow Cespedes to return. I wouldn’t be surprised if Cespedes is not back until late May or early June. He’s eligible to return from the DL on May 9th.

David Freese

Freese, who splits time at first and third base, suffered a hamstring injury that landed him on the DL. Freese has been one of Pittsburgh’s best hitters, batting .321/.418/.536 with 3 HRs and 10 RBIs. With the Pirates already without Starling Marte for a while, this injury may make it harder for the Pirates to compete in their division. Expect Freese to be out in between 2 to 4 weeks. Danny Ortiz was called up from AAA, as of now, Ortiz isn’t fantasy relevant.

Adam Eaton

Eaton was the Nationals’ top trade piece during the offseason, unfortunately he suffered a torn ACL during an ugly attempt to beat out a throw at first base. Eaton was just starting to get hot, hitting .297 with 2 HRs, 13 RBIs, 24 runs scored and 3 SBs, and mind you he was often hitting in the 6-hole, whereas he usually leads off. Eaton not only suffered a full thickness tear of his left ACL, but also a meniscus tear and a high ankle sprain. Expect Eaton to undergo ACL reconstruction surgery in the next week or two. This will likely put him out for the next 9 to 11 months.

So who’s going to try to replace Eaton’s production? First it may start with Michael Taylor, who you should go pick up now if somebody already hasn’t. He’s been hot and has a fantastic combination of power and speed, and hitting in a lineup that scored 23 runs today!!! Other options are Rafael Bautista, as well as top prospect Victor Robles, who is currently in High-A but still only 19 years old. Robles is likely going to be a star, if you can afford a spot on him, pick him up if he’s available.

Avisail Garcia

Garcia left today’s game with groin tightness. Garcia has been playing really well recently, and hopefully this removal was precautionary. Stay tuned to @TheFantasyDRS for more updates.

Brandon Crawford

Crawford, initially placed on bereavement list, but is also dealing with a strained groin. Expect him to be out for at least 2 weeks, possibly up to 4 weeks if the strain is worse than reported.

Travis Jankowski

Updating my mid-week post, Jankowski was diagnosed with a hairline fracture in his foot. Depending on the exact bone, this will likely keep him out for at least 4 weeks, likely closer to 8 weeks. Every once in a while the fracture does not heal appropriately and surgery is required, pushing the recovery time closer to 3-4 months.

Original Post:

Jankowski, the 25 year old speedy OF for the San Diego Padres, was placed on the 10-day DL after suffering a bone bruise on his right foot. He had a rough start to the season, batting .160/.263/.180, and possibly this foot issue is to blame. Jankowski stole 30 bases in 2016 while batted .245 over 131 games. If you have him a roto league, you could consider putting him on your IR since he can significantly impact your SBs.

Pitchers

Noah Syndergaard

Thor left today’s start with possibly a new injury. Noah has been dealing with biceps tendinitis for the past few weeks, and was asked to undergo an MRI on his biceps to determine the extent of the injury, but he declined this request saying that he felt fine and did not want to undergo an MRI. Then, today, Syndergaard started the first inning pitching well, with good velocity, but his command was off. Thor was pulled in the second inning after pitching 1.1 innings, giving up 5 hits, 5 earned runs, while striking out two and walking two. It appears that the injury that caused him to leave the start was not actually his elbow, but instead a strained right lat. It is a possibility that he was trying to compensate for his elbow tenderness and overthrowing using more of his shoulders and back, lead to the lat injury.

Unfortunately, this should be a HUGE SIGN to all athletes, reiterating to them that they should LISTEN TO THEIR TEAM PHYSICIANS. We have trained a long time, many over 15 years of schooling and professional training (after high school), to be able to anticipate, diagnose, and fix injuries correctly. These professional organizations hire physicians and other members of the medical staff to help protect their multi-million dollar players and address the issues early and appropriately. When Thor decided to overrule the Mets’ team physicians’ recommendations, by declining the MRI, he put both his health at risk but also the organization’s medical staff at risk as well. Rather than potentially preventing this injury by pushing back his start, Syndergaard took it upon himself to declare that he was healthy enough to start. Obviously, in hindsight he wasn’t healthy enough to start, which not only caused the Mets to lose a game, but also put additional stress on their already taxed bullpen, as well as possibly lose their ace for likely 3-8 weeks, depending on the MRI results that Syndergaard is traveling back to New York to get on Monday.

Sean Manaea

Manaea, who many picked as a sleeper this year, was placed on the DL earlier today with a shoulder strain. It is possible he may only miss one turn in the rotation, but sometimes shoulder strains require corticosteroid injections to help them heal, leading to longer stays on the disabled list. Expect him to be out anywhere from 2 to 4 weeks. The good news for the A’s is that they are expected to activate Sonny Gray (back) from the DL on Tuesday, and he can take over for Manaea. I wouldn’t drop Manaea quite yet, as he still has the potential to be an SP3 this year, despite struggling to start the year, posting a 5.18 ERA after giving up 14 ERs over 23.1 innings.

Tyler Skaggs

Skaggs was placed on the DL earlier this week with an oblique strain that will likely sideline him for at least 2 weeks, possibly up to 4 weeks. There is a possibility he will undergo an MRI to determine the extent of the injury. Rushing oblique injuries can lead to frequent recurrences and improperly healed obliques, which for a pitcher will inevitably send him back to the DL. Skaggs has pitched decently to start the season, with a 3.99 ERA, 1.26 WHIP, 29 K’s over 29 innings. Alex Meyer, Manny Banuelos, Daniel Wright and Yusmeiro Petit are all options to get starts while Skaggs is getting healthy.

Madison Bumgarner

Shedding additional light on the Madison Bumgarner injury, he actually suffered a grade 2 shoulder sprain, including partial ligament tears in AC joint of shoulder. He was examined by both the Giants and 49ers doctors, plus famous orthopedic surgeons Drs. ElAttrache and Andrews, all of whom said no surgery was required. Expect Bumgarner to be sidelined at least through the end of June, more than likely he will not return to the mound until sometime in July. Tough break for MadBum owners.

Felix Hernandez

King Felix was placed on the DL earlier this week after being diagnosed with bursitis of his pitching shoulder. There is a bursa in the shoulder, which is kind of like a pillow that help absorbs the wear-and-tear that can get inflamed. When this gets inflamed it is referred to as bursitis. This injury often requires a corticosteroid injection to help calm down the inflammation and promote healing. Expect him to be out likely 3-4 weeks. The Mariners called up Chase De Jong, but he doesn’t make for a good fantasy option.

Shelby Miller

This is was my post from mid-week:

Miller, the SP who was controversially traded to the Diamondbacks a couple years ago, was placed on the DL with right elbow inflammation. The results of his MRI are apparently concerning, as they required a second review by famous orthopedic surgeon Dr. Neal ElAttrache, now just released a third review by Dr. James Andrews. This is usually a very concerning sign. Stay tuned for more news, but expect that Miller is going on the DL for a while, how long remains to be seen. The best case scenario? Flexor tendon strain of forearm. Worst case scenario? Torn ulnar collateral ligament (UCL), requiring Tommy John surgery.

Unfortunately for Miller, it was the worst case scenario. He was diagnosed with a partially torn UCL, and will undergo Tommy John surgery. It is not clear who will be performing the surgery yet but expect Miller to be sidelined for at least 12 months, probably closer to 16-18 months. This may put Miller out until late-2018 season.

This was written for the @TheFantasyDRS by Dr. Jesse Morse. I am a Family Medicine trained physician, and I will be beginning a Sports Medicine Fellowship in the next couple of months. If you have any questions or comments, you can contact me directly at @DrJesseMorse

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