Moylan Undergoes Tommy John Surgery

Written by Jonathan on May 8, 2008 – 11:09 pm

Not being seen much as a surprise, Braves’ reliever Peter Moylan underwent Tommy John surgery today when he went to see his doctor in Birmingham.  After the surgery, Moylan’s doctor, James Andrews, confirmed that a bone spur had lodged itself into the UCL in Moylan’s right elbow.  This had compromised the integrity of the ligament to the point that it would not have been rehabilitable.

The Braves are no strangers to Tommy John surgery.  The surgery, which involves replacing the UCL in the elbow with a tendon from the leg, requires at least a year of rehabilitation and recovery time until the individual can pitch again.  Moylan’s hoping that he can return to the Braves’ bullpen around this time next year and continue to help carry the bullpen as a setup man.  In seven appearances thus far this season, Moylan had posted a 1.59 ERA.

Tags: Injury, Peter Moylan, Surgery, Tommy John
Posted in Injuries |

The TJ Club

Written by Akshay on May 8, 2008 – 9:24 am

With Peter Moylan on the brink of season ending reconstructive surgery, we here at BravesBlast thought it would be a good idea to profile the surgery itself as well as some of the Braves that have had the surgery: the list isn’t short.
The surgery itself was developed in 1974 when the now infamous Tommy John developed a pain in his elbow as well as a noticeable drop in velocity. After tests, Dr. Frank Jobe diagnosed John with a torn UCL, ulnar collateral ligament. The UCL is the ligament in the elbow that connects the upper arm bone (humerus) to the ulna and radius of the forearm.

At the time, there was no reconstruction and recovery procedure for the injury and pitchers that suffered from a torn or “compromised” (like Moylan) ligament were doomed to sit out the rest of their days. Dr. Frank Jobe decided to try a new, unheard of procedure on John. He hypothesized that if he could use a tendon from another part of the body (most likely the arm or leg) and attach it to the elbow, it would grow into a ligament. Jobe tried the procedure but had to wait an entire year to witness the results of the surgery.

Jobe was delighted to see that the surgery was a success. John went on to a 10-10 record in his first season back, 1976. John went on to pitch 13 more seasons in the bigs and compiled a 288-231 record and had a 3.34 career ERA.

With John being the first to successfully complete a rehab from the UCL surgery, the reconstructive procedure took on his name and to this day is considered a pitcher’s best friend.

Now as far as its ties to the Braves go, several pitchers on our staff have had the surgery already:

John Smoltz – In 1999 Smoltzie started throwing with a side-arm and three quarters-arm delivery. I don’t know if this is what caused the UCL tear or if he pitched that way because of arm troubles, but it was fairly effective. Smoltz went 11-8 with a 3.19 ERA. Smoltz pretty much lost all or part of five years with the surgery as a starter. It’s probably that he would be a 300 game winner, or at least within reach of the milestone. But there’s another one he can get to at this point: 200 saves.

Mike Hampton – Wow…what more is there to say about Hampton. He was off to what looked like a career year for the Braves before having fore-arm soreness in May on 2005. He made one more start that year towards the end, before electing to have the procedure. He sat out all of 2006 rehabbing from the injury, but unfortunately tore another ligament in the same elbow.

Rafael Soriano – Soriano was supposed to be a great relief pitcher for the Mariners. He struck out 68 in 53 innings in 2004 with a 1.53 ERA, but had to have the surgery late in 2004. He pitched well in 2006, but had to sit out the last month with a severe concussion after getting hit with a line drive in the head. The Braves then traded for him and he has had mixed success in his time with the Braves. Luckily the MRI on Soriano’s elbow came back negative for anything serious.

Jorge Campillo – Campillo also pitched for the Mariners (what is with us and getting players from AL west teams, a few from the A’s and a couple from the Mariners and one big one from the Rangers). He debuted in 2005, but quickly required the surgery after just two appearances. He was released after rehabbing because the team was not pleased with his progress. He signed with the Braves this past offseason and has been a great addition to the roster.

Jeff Bennett – Bennett pitched one season with the Brewers going 1-5 in 60 appearances. Bennett required the surgery in 2006 after spending 2005-06 in the minors. Bennett signed with the Braves after the 2006 season and spent much of 2007 in the minors. During the September call-ups, Bennett proved he could pitch in the majors and won a spot as the long-reliever/spot starter in spring training.

Among other pitchers in the Braves organization, Anthony Lerew underwent the surgery after two starts last season and is currently rehabbing.

Kelly Johnson also underwent the surgery after a tear on a throw from the outfield during the 2005 season. Braves personnel decided to shift him to second base (he was originally drafted as a short stop) to avoid any further injuries to his arm. He sat out the entire 2006 season, but has returned the Braves lineup as an asset as the leadoff man.

With more and more pitchers electing to get this surgery on a regular basis, it poses the question, “what’s the best way to pitch?” Pitchers get hurt pitching overhand, side arm, whatever. Is there really a perfect way to pitch to avoid injuries? So far Tom Glavine and Greg Maddux may be the best examples of two pitchers that have avoided pitching-related injuries for as long as they have.

Tags: Anthony Lerew, Greg Maddux, Jeff Bennett, John Smoltz, Jorge Campillo, Kelly Johnson, Mike Hampton, Rafael Soriano, Tom Glavine, Tommy John
Posted in Injuries |