Injury Report: March 24th, 2018

Hello and welcome!

Reminder that:

  • R and L are added wherever available to denote right and left side.
  • Notations (1), (2), or (3) are included to denote the Grade of strains and sprains where available.

We’ve seen the following players leave the report due to returning to play or no longer being a part of the MLB roster:

Ender Inciarte, Chris Davis, Javier Baez, Pedro Strop, Nicky Delmonico, Tyler Saladino, Scooter Gennett, Michael Brantley, Tom Murphy, Pat Valaika, Blaine Hardy, Paulo Orlando, Chris Young, Ehire Adrianza, Miguel Sano, Yoenis Cespedes, Anthony Swarzak, Nelson Cruz, Ryon Healy, Andrew Romine, Brad Miller, Martin Perez, Randal Grichuk, Justin Smoak, Marcus StromanAdam Eaton and Michael Taylor.

We also saw quite a few players join the table. Each new player has a small blurb describing their injury and a projected timetable for return. Updates are also posted where available. Be sure to check out my thoughts on Madison Bumgarner, and why I’m more optimistic about Justin Turner‘s return than most. Let’s check out the table:

Team DL Pos Player Inj. Date Injury Timetable Est. Return Countdown
ARI RP Randall Delgado 9-28-17 R flexor strain, oblique tightness 2-4 m 5-1-18 0y 1m 7d
ARI SP Zack Greinke 3-14-18 R Groin tightness 1-2 w 4-15-18 0y 0m 22d
ARI SP Shelby Miller 5-10-17 R Tommy John surgery 12-18 m 7-1-18 0y 3m 7d
ARI SS/2B Chris Owings 7-31-18 R Long finger fracture 6-8 w 5-1-18 0y 1m 7d
ARI OF Steven Souza Jr. 3-21-18 R Pectoral strain 6-8 w 5-1-18 0y 1m 7d
ATL 3B Johan Camargo 3-14-18 Back tightness 1-2 w 4-15-18 0y 0m 22d
ATL 60 RP Grant Dayton 8-29-17 L Tommy John surgery 12-18 m 9-1-18 0y 5m 8d
ATL SP Luiz Gohara 2-27-18 L ankle sprain 1-2 w 5-1-18 0y 1m 7d
BAL SS Tim Beckham 3-22-18 Groin strain DTD 3-29-19 1y 0m 5d
BAL 60 RP Zach Britton 12-21-17 R Achille’s tendon tear 5-9 m 7-1-18 0y 3m 7d
BAL DH Mark Trumbo 3-8-18 R Quad strain (2) 3-4 w 4-15-18 0y 0m 22d
BAL SP Gabriel Ynoa 3-9-18 Stress reaction in shins 2-4 w 4-15-18 0y 0m 22d
BOS 3B Marco Hernandez 5-26-17 L Shoulder surgery 4-6 m 6-1-18 0y 2m 8d
BOS RP Austin Maddox 3-1-18 R Shoulder inflammation 1-2 w 3-29-18 0y 0m 5d
BOS 2B Dustin Pedroia 10-25-17 L Knee surgery, cartilage restoration 7-10 m 6-1-18 0y 2m 8d
BOS SP Drew Pomeranz 3-2-18 L Flexor strain 1-2 w 3-29-18 0y 0m 5d
BOS SP Eduardo Rodriguez 10-17-17 R Patellofemoral ligament reconstruction 6-8 m 5-1-18 0y 1m 7d
BOS RP Tyler Thornburg 6-16-17 Thoracic Outlet Syndrome surgery 12+ w 3-29-18 0y 0m 5d
BOS SP Steven Wright 5-8-17 L Knee surgery, cartilage restoration 7-10 m 5-1-18 0y 1m 7d
CHC RP Shae Simmons 3-8-18 R Shoulder tightness 1-2 w 4-15-18 0y 0m 22d
CHC 60 SP Drew Smyly 6-17-17 L Tommy John surgery 12-18 m 7-1-18 0y 3m 7d
CWS 1B Jose Abreu 3-20-18 Hamstring strain (1) 1 w 3-29-18 0y 0m 5d
CWS OF Micker Adolfo 2-23-18 R Elbow UCL sprain (1 or 2) 6-8 w 5-1-18 0y 1m 7d
CWS SP Carlos Rodon 9-27-17 L Shoulder surgery, bursitis 6-8 m 6-1-18 0y 2m 8d
CWS C Kevan Smith 3-20-19 L Ankle sprain 2-4 w 4-15-18 0y 0m 22d
CIN SP Anthony DeSclafani 3-11-18 Strained oblique (2) 4-8 w 5-15-18 0y 1m 21d
CIN 60 SP Rookie Davis 10-9-17 R Hip surgery 8-10 m 6-1-18 0y 2m 8d
CIN SP Brandon Finnegan 3-11-18 L Biceps strain (1) 1-2 w 3-29-18 0y 0m 5d
CIN RP Michael Lorenzen 3-20-18 R Teres major strain 6 w 5-15-18 0y 1m 21d
CIN OF Jose Siri 2-23-18 L Thumb sprain 4-6 w 3-29-18 0y 0m 5d
CLE 60 SP Cody Anderson 3-27-17 R Tommy John surgery 12-18 m 5-1-18 0y 1m 7d
CLE SP Julian Merryweather 3-9-18 R Tommy John Surgery 12-18 m 4-1-19 1y 0m 8d
CLE OF Brandon Guyer 9-16-17 L Wrist extensor tendon repair 2-4 w 5-1-18 0y 1m 7d
CLE SP/RP Danny Salazar 1-15-18 R Rotator cuff inflammation 2-4 w 5-1-18 0y 1m 7d
CLE 3B Giovanny Urshela 3-21-18 R Hamstring strain (1) 1-2 w 4-15-18 0y 0m 22d
DET SP Mike Fiers 3-18-18 Back soreness 2-4 w 4-15-18 0y 0m 22d
COL RP Carlos Estevez 3-19-18 L Oblique strain (1) 1-2 w 4-15-18 0y 0m 22d
COL 60 RP Rayan Gonzalez 4-1-17 R Tommy John surgery 12-18 m 5-1-18 0y 1m 7d
COL SP Jeff Hoffman 3-4-18 R Shoulder soreness 2-4 w 5-1-18 0y 1m 7d
HOU 1B Yuli Gurriel 2-28-18 L Hook of hamate resection 6-8 w 5-1-18 0y 1m 7d
HOU RP Jandel Gustave 6-21-17 R Tommy John surgery 12-18 m 8-21-18 0y 4m 28d
HOU SP Brady Rodgers 5-2-17 R Tommy John surgery 12-18 m 7-1-18 0y 3m 7d
KC 60 SP Jesse Hahn 3-6-18 R Elbow UCL sprain (1 or 2) 8-10 w 5-1-18 0y 1m 7d
LAA SP Andrew Heaney 3-19-18 L Elbow inflammation 2-4 w 4-15-18 0y 0m 22d
LAA 60 SP Alex Meyer 9-12-17 R Glenoid labrum surgery 12-14 m 4-1-19 1y 0m 8d
LAA SP Nate Smith 9-15-17 L Shoulder surgery, anterior capsule 12-14 m 4-1-19 1y 0m 8d
LAD SP/RP Tom Koehler 3-2-18 R Shoulder strain (2) 1-3 m 6-1-18 0y 2m 8d
LAD 3B Justin Turner 3-19-18 L wrist fracture 6-8 w 5-15-18 0y 1m 21d
LAD 60 SP Julio Urias 6-27-17 L Shoulder surgery, anterior capsule 12-14 m 7-1-18 0y 3m 7d
MIA OF Lewis Brinson 3-22-19 Head injury DTD 3-29-18 0y 0m 5d
MIA SP Wei-Yin Chen 5-5-17 L Elbow UCL sprain (2) 4-6 m 6-1-18 0y 2m 8d
MIA RP Brian Ellington 3-5-18 R Biceps tendinitis 2-4 w 4-15-18 0y 0m 22d
MIA SP Brett Graves 3-6-18 Oblique strain 2-4 w 4-15-18 0y 0m 22d
MIA INF/OF Martin Prado 7-28-17 R Knee surgery 6-8 m 5-1-18 0y 1m 7d
MIA C J.T. Realmuto 3-9-18 Back contusion DTD 3-29-18 0y 0m 5d
MIA SS J.T. Riddle 8-11-17 L Shoulder surgery, SLAP tear 10-12 m 6-1-18 0y 2m 8d
MIA OF Magneuris Sierra 3-14-18 L Hamstring tightness 1 w 3-29-18 0y 0m 5d
MIA SP Dan Straily 3-20-18 R Forearm inflammation 1 w 3-29-18 0y 0m 5d
MIL RP Boone Logan 3-21-18 L Triceps strain (1) 2-4 w 4-15-18 0y 0m 22d
MIL SP Jimmy Nelson 9-20-17 Shoulder surgery 12-14 m 6-15-18 0y 2m 22d
MIL C Stephen Vogt 2-28-18 R Shoulder strain 4-6 w 5-1-18 0y 1m 7d
MIN SP/RP Trevor May 3-22-17 R Tommy John Surgery 12-18 m 5-1-18 0y 1m 7d
MIN 60 SP Michael Pineda 7-18-17 R Tommy John Surgery 12-18 m 8-1-18 0y 4m 8d
MIN SP Ervin Santana 2-6-18 R Long finger surgery 10-12 w 5-1-18 0y 1m 7d
NYM OF Michael Conforto 9-6-17 R Shoulder surgery, post. capsule 4-6 m 5-1-18 0y 1m 7d
NYM SP Rafael Montero 3-22-18 R Elbow UCL sprain (3) 12-18 m 4-1-19 1y 0m 8d
NYM 60 1B T.J. Rivera 9-14-17 R Tommy John Surgery 12-18 m 8-1-18 0y 4m 8d
NYM 1B Dominic Smith 2-25-18 L Quad strain 2-4 w 3-29-18 0y 0m 5d
NYM SP Jason Vargas 3-18-18 R Hamate fracture 4-6 w 3-29-18 0y 0m 5d
NYM 3B David Wright 6-17-16 Neck surgery 2-3 m 8-1-18 0y 4m 8d
NYY OF Jacoby Ellsbury 3-2-18 R Oblique tightness 1-2 w 4-15-18 0y 0m 22d
NYY OF Clint Frazier 2-26-18 Concussion 4-6 w 6-1-18 0y 2m 8d
OAK SP Paul Blackburn 3-22-18 R Forearm tightness 2-4 w 4-15-18 0y 0m 22d
OAK RP Santiago Casilla 3-12-19 R Shoulder tightness 1-2 w 3-29-18 0y 0m 5d
OAK 60 SP Jharel Cotton 3-21-18 R Elbow UCL sprain (1 or 2) 4-6 m 7-1-18 0y 3m 7d
OAK RP Ryan Dull 2-25-18 R Shoulder sorness 2-4 w 4-15-18 0y 0m 22d
OAK OF/3B Renato Nunez 2-24-18 L Hamstring strain 2-4 w 4-15-18 0y 0m 22d
PHI SP Jerad Eickhoff 3-16-18 R Lat strain 6-8 w 5-15-18 0y 1m 21d
PIT RP Nick Burdi 5-31-17 R Tommy John Surgery 12-18 m 8-1-18 0y 4m 8d
PIT RP A.J. Schugel 2-25-18 R Shoulder discomfort 1-2 w 4-15-18 0y 0m 22d
SD OF Alex Dickerson 2-25-18 L Elbow UCL sprain (1) 12-18 m 4-1-19 1y 0m 8d
SD C Austin Hedges 3-22-18 L Calf soreness DTD 3-29-18 0y 0m 5d
SD SP Colin Rea 3-8-18 R Lat strain 1-3 m 5-1-18 0y 1m 7d
SEA OF Ben Gamel 3-4-18 Oblique strain 4-6 w 5-1-18 0y 1m 7d
SEA SP Felix Hernandez 2-26-18 R Forearm contusion 1-2 w 4-15-18 0y 0m 22d
SEA RP David Phelps 3-17-18 R Elbow UCL sprain (3) 12-18 m 4-1-19 1y 0m 8d
SEA SP Erasmo Ramirez 2-18-18 R Lat strain 1-3 m 4-15-18 0y 0m 22d
SEA SS Jean Segura 3-21-18 Sore thumb DTD 3-29-18 0y 0m 5d
SEA OF Ichiro Suzuki 3-14-18 R Calf tightness DTD 3-29-18 0y 0m 5d
SF SP Madison Bumgarner 3-23-18 L 5th metacarpal fracture 10-14 w 7-1-18 0y 3m 7d
SF SP Jeff Samardzija 3-22-18 R Pectoral strain 1-3 m 5-15-18 0y 1m 21d
SF RP Will Smith 3-28-17 L Tommy John Surgery 12-18 m 6-1-18 0y 2m 8d
STL RP Luke Gregerson 3-23-18 Hamstring strain 1-2 w 3-29-18 0y 0m 5d
STL SP/RP Alex Reyes 2-16-17 R Tommy John Surgery 12-18 m 5-15-18 0y 1m 21d
TB SP Jose De Leon 3-13-18 R Tommy John Surgery 12-18 m 4-1-19 1y 0m 8d
TB SP Brent Honeywell 2-27-18 R Tommy John Surgery 12-18 m 4-1-19 1y 0m 8d
TEX 60 SP Clayton Blackburn 3-15-18 R Elbow UCL sprain (1) 10-12 w 6-1-18 0y 2m 8d
TEX RP Tim Lincecum 3-22-18 R middle finger blister 1-2 w 4-15-18 0y 0m 22d
TOR OF Anthony Alford 3-13-18 R Hamstring strain (2) 1-2 m 5-15-18 0y 1m 21d
TOR OF Dalton Pompey 3-15-18 R Wrist discomfort 4-6 w 5-1-18 0y 1m 7d
TOR SS Troy Tulowitzki 2-25-18 R Heel bone spur 4-6 w 5-1-18 0y 1m 7d
WSH RP Joaquin Benoit 3-17-18 R Forearm strain 4-6 w 4-15-18 0y 0m 22d
WSH 2B Daniel Murphy 10-20-17 R Knee microfracture surgery 7-10 m 5-1-18 0y 1m 7d
WSH 60 SP Joe Ross 7-19-17 R Tommy John surgery 12-18 m 9-1-18 0y 5m 8d
WSH RP Koda Glover 2-18-18 R Shoulder inflammation 2-4 w 5-1-18 0y 1m 7d

UPDATES

Johan Camargo (3B, Atlanta Braves) – Has not progressed as the Braves have hoped. Reported to begin the year on the 10DL but should return when first eligible.

Zach Britton (RP, Baltimore Orioles) – Britton has his walking boot off and has been throwing. Britton is optimistic that he can return near the beginning of June. This feels possible but not probable.

Gabriel Ynoa (SP, Baltimore Orioles) – Ynoa has been out of the walking boot as of 3-17-18. Hopefully, the rest and protection were sufficient for the stress reaction in his shins to subside. He’ll still begin the season on the DL as he’ll have a ways to go to get into throwing shape. He could return in mid-April with a pen role or late-April as an SP. I’ll monitor to get a sense of the O’s plan for him.

Drew Pomeranz (SP, Boston Red Sox) – Pomeranz will need to bring his pitch count up prior to the start of the season or he’ll begin the year on the DL. We’ll probably get an indication this weekend. If he requires a DL stint, it will likely only be for the first week or so – he may miss two starts.

Steven Wright (SP, Boston Red Sox) – Got shelled in a minor league outing and doesn’t figure to take a rotation spot in Boston. Even when he returns, he figures to face a 15-game suspension for domestic violence.

Danny Salazar (SP/RP, Cleveland Indians) – Salazar threw off a mound for the first time this spring on 3-22-18. A whopping 20 pitches. We’re still looking at May at the earliest.

Michael Conforto (OF, New York Mets) – Conforto figures to see Grapefruit League action on 3-24-18 and looks like a good bet to beat his initial timetable. Early-May and mid-April seem to hold equal possibilities at this point. We should find out which way to lean by Opening Day.

Dominic Smith (1B, New York Mets) – Smith has still not returned to running and doesn’t seem like he’ll return by Opening Day at this rate. Either way, he won’t have time to win a job.

Alex Dickerson (OF, San Diego Padres) – Dickerson, who previously opted for conservative management of his UCL sprain now figures to get TJS before the end of March.

Luke Gregerson (RP, St. Louis Cardinals) – From an oblique to a hamstring, Gregerson isn’t getting much work in this spring. It may cost him the closer role to begin the season.

ADDITIONS

Steven Souza Jr. (OF, Arizona Diamondbacks) – I have him slotted for a return near the start of May since we don’t have a definitive grade of the strain available. He could be pushed back based on how his rehab goes.

Tim Beckham (SS, Baltimore Orioles) – Showalter has been ambiguous but this appears to be a minor issue. I don’t expect Beckham to miss much time at all.

Jose Abreu (1B, Chicago White Sox) – Reportedly very mild, and Abreu is progressing well. He is currently not expected to miss any time to start the regular season.

Kevan Smith (C, Chicago White Sox) – I’ve put a rather safe timetable as we’re still waiting for MRI results. X-ray coming back negative ensures that nothing is fractured, but we could still be dealing with moderate to severe ligament damage.

Michael Lorenzen (RP, Cincinnati Reds) – Teres major is a smaller muscle in the back that assists internal rotation at the shoulder. It’s difficult to know how long Lorenzen will be out with no strain indicated. I’ve put 6 weeks because any extended period of absence will lead to a longer throwing program, and he will need to fully rest before then. I will provide updates as more information is available.

Giovanny Urshela (3B, Cleveland Indians) – Currently anticipated to be an option for the Tribe in mid-April

Carlos Estevez (RP, Colorado Rockies) – Experienced a setback in rehabbing an oblique strain. Should return in mid-April barring additional setbacks.

Mike Fiers (SP, Detroit Tigers) – Once again, a safe timeline as we have limited information. The Tigers have the luxury of being patient with Fiers (who had a brutal spring so I doubt he’s even on your roster) as they don’t need a 5th starter until mid-April.

Justin Turner (3B, Los Angeles Dodgers) – Multiple reports are likening Turner’s wrist fracture to Springer and Freeman, but the wrist is so complex that each injury should be considered individual and unique. I’ve taken a couple of screenshots of the point of impact for each (Freeman, Springer, Turner from left to right).

Turner was hit on his front hand while the other two were struck on their back hand. This is important because of wrist positioning. During a swing, the front hand is prone and the back hand is supine. This has implications for how the ulna and radius are positioned, and thus how close the ulna is to the carpus (the other 8 wrist bones). This may have created a situation where Turner’s ulna incurred the fracture as opposed to any of the carpal bones (typically the hamate or triquetrum). This hypothesis is supported by imaging.

  • Freeman’s X-rays came back inconclusive and additional imaging (MRI and CT scan) were required to accurately diagnose a fracture. Turner’s X-rays revealed a fracture. It is often difficult to diagnose a fracture to a carpal via X-ray imaging because the bones are so tightly bound by ligaments.

I could be wrong – we’d need to see the x-rays or have it explicitly stated which bone was broken in order to confirm or deny the hypothesis. Regardless, Turner appears to have a smoother course of rehab ahead of him already due to the fact that he’s in a splint rather than a cast. There’s some research available to suggest that wrist injuries have negative effects on a batter’s future power numbers. If it is a broken ulna I think we can at least partially quell this fear. I think there’s also a very real chance that he is back on the field prior to the 8-week timetable passing, and without a noticeable change in ISO. Time will tell.

Andrew Heaney (SP, Los Angeles Angels) – Heaney figures to require at least a few weeks to get back up to speed once the inflammation has subsided. We can craft an accurate timeline once he begins throwing again based on how much time he’s missed.

Lewis Brinson (OF, Miami Marlins) – Concussion protocol not initiated. Brinson is considered day-to-day unless this changes.

Dan Straily (SP, Miami Marlins) – Straily is currently slated to refrain from throwing until the end of the weekend. If he sticks to that timeline, he’ll be fine for Opening Day. He is a big set-back risk at the moment, though, and a setback could lead to a month off.

Boone Logan (RP, Milwaukee Brewers) – Figures to begin the year on the 10-day.

Rafael Montero (SP, New York Mets) – Completely torn UCL. TJS time. We’ll see how he’s doing in 2019.

Jason Vargas (SP, New York Mets)  – Jason Vargas was signed by the Mets as a sacrifice and will now absorb injuries for the entire starting rotation… I wish this were true. Vargas fractured the hamate in his right hand, and it sounds as though he had an operation to have the fragment removed. This option makes sense, and really the surgical wound itself is the biggest barrier to Vargas returning. He figures to miss somewhere between 0 and 2 starts to begin 2018.

Paul Blackburn (SP, Oakland Athletics) – Blackburn will be shut down from throwing for approximately 10 days to allow forearm tightness to subside. He then figures to need some time to resume his throwing program. He should return to the starting rotation in mid-to-late April barring any setbacks.

Santiago Casilla (RP, Oakland Athletics) – Casilla has returned to throwing bullpens. He figures to return to play this weekend if all remains well, which would have him ready for Opening Day.

Austin Hedges (C, San Diego Padres) – Hedges was struck by a pitch on his left calf. He may miss a game or two but should be just fine.

Jean Segura (SS, Seattle Mariners) – Segura is not expected to miss much time. He should be ready for Opening Day.

David Phelps (RP, Seattle Mariners) – Phelps is done for 2018 as he’ll receive TJS on Monday. We’ll see how he’s doing in 2019.

Madison Bumgarner (SP, San Francisco Giants) – This sucks. Appears to be an intra-articular 5th MCP fracture. No reason to expect any complications for the moment other than the time missed this season. He’ll be assessed as to whether he can have the pins removed at the 4 week and 6 week points, from there we look at returning to full hand functioning and then returning to throwing.

Jeff Samardzija (SP, San Francisco Giants) – We’re early into this pec strain and still waiting to see which end of the timetable we’re destined for. Bochy seems optimistic, as he said Loose Lips is expected to miss 3-4 weeks. Realistically we’ll probably land somewhere in the middle.

Tim Lincecum (RP, Texas Rangers) – Timmy shows up late to the Year of the Blister. He was behind schedule anyway after signing so late, so I wouldn’t expect him until the second half of April at this point.

Joaquin Benoit (RP, Washington Nationals) – Limited information available at this time. We’ll look for an update once Benoit returns to throwing – he should only be a few weeks out at that point.

Jeff Davis

Jeff is a registered occupational therapist with experience in upper extremity rehabilitation. Jeff pitched at Northwestern Oklahoma State University.

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