Shoulder injuries - Mulder vs. Carpenter
I missed this somehow, but Mulder's rehab was very similar to Chris Carpenters.
I was curious to see if there were any differences or similarities in Mulder and Carpenters injury history. Here is what I found:
Carp had elbow problems in 1999 (surgery to remove bone spurs); he had a rough year in 2000 and had a great year in 2001. Then, in 2002 he came down with shoulder troubles. He had shoulder surger to repair a torn labrum to end the season in September 02.
The Blue Jays DFA'd him to AAA and he elected free agency. The cards picked him up for the minimum and he rehabbed through July in 2003 until he had to have a second shoulder surgery to remove scar tissue (sound familiar?) in July. He missed the rest of the year; before the surgery he was AWEFUL in his rehab assignment in the minors.
All this information is from the Cardinals bio page on Carp/Mulder.
Basically, Carp was terrible in 2002 (he was injured) and then was out from September 2002 through all of 2003 and started the season with the Cardinals in 2004. His injury and two surgeries kept him from being effective for two years.
Knowing this now, I'm really surprised that the Cardinals extended him long term. I was all for it when it happened, but that was a bad contract. They are now examining the higher risk mechanics and the hightened risk that bad mechanics bring with it (or so I've heard/Classic Mechanics), but hopefully that will allow them to make smarter decisions on signing pitchers (although it didn't help much with Wainwright, if Chris O'Leary is to be believed).
Mulder had a similar track record. He lost effectiveness in 2006 and went in for shoulder surgery in September. After coming back in late 2007 he had surgery again to repair scar tissue in September. His injury has kept him from being effective for two plus years.
Similar to Carp with a few significant differences. Mulder had the shoulder problems that lead to reduced performance, like Carpenter. He also had a second surgery to remove scar tissue. As I see it, there are some differences in their injuries:
- Carpenter also had elbow troubles. O'Leary says the inverted L causes both shoulder and elbow troubles, but I'm no expert. Hopefully Carp's shoulder is in good shape now.
- Mulder had to change his mechanics. I have not seen anything that shows that Carp had to change his mechanics after should surgery, but that doesn't mean it didn't happen.
- Carpenter had from July to spring training to recover from his surgery, 7 months; Mulder has had from September to May, roughly 8 months. Its a wash.
My point is this - pitchers can recover from shoulder trouble and be effective. I would hate to cut bait on Mulder before confirming that his shoulder is in tatters and he won't be an effective pitcher. I would hate to see him move to another team and regain his former self. Both of these guys are great guys, and its a shame to see them struggle due to injury (which is completely out of their control).
That said - I'll be the first to wave goodbye and move on if he is not effective. I will still quietly hate Billy Beane for what he did to us. I remember hearing the news about the trade and thinking "Carpenter & Mulder. Wow."
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Carp's Contract
It’s hard to say that the Carp signing was a bad contract, considering how well he had performed and the fact that he had been healthy for a few years. With someone that good, I would say that it’s worth it to take the risk. Nobody could really predict that he would need surgery, and now if he does get healthy, we still have him for a few years.
"I don't want to play golf. When I hit a ball, I want someone else to go chase it."- Rogers Hornsby
by redbirds8233 on Jul 7, 2008 10:21 PM EDT reply actions 0 recs
Carpenter had labrum surgery and Mulder had rotator cuff surgery. They’re different beasts. Clement had both (sigh).
by greenback06 on Jul 7, 2008 10:36 PM EDT reply actions 0 recs
Technically labrum is usually worse
(although it didn’t help much with Wainwright, if Chris O’Leary is to be believed).
There’s a good chunk of injuries that’s mechanics and (I know he’s reading) there’s at least as much a chunk that’s straight up unpredictable. He said Bert Blyleven, he of nearly 5000 innings, should’ve had “serious shoulder/elbow problems” (it’s since been taken down oddly/coincidentally enough). Peavy’s thrown 3 straight 200 IP years with awful (from an injury perspective) mechanics.
Point being it’s fairly unpredictable. There’s guys that all the Marshallites point to saying “aha I called it” and then there’s the Mark Mulders of the world whom are pretty much dead in line with their ideals and they’re just confirmation biasing to come up with any borderline-hilarious conclusions.
Would I enjoy giving Tim Melville’s M-arm action 2 million or whatever? Nope. Would you have been comfortable giving John Smoltz or Pedro Martinez or Jake Peavy or Bert Blyleven or Curt Schilling etc their contracts either?
"Regression to the mean is so much more fun to watch when it’s a Cub who is regressing." SleepyCA
by joker24 on Jul 8, 2008 2:18 AM EDT up reply actions 0 recs
Mechanics
“He said Bert Blyleven, he of nearly 5000 innings, should’ve had "serious shoulder/elbow problems" (it’s since been taken down oddly/coincidentally enough).”
Just for the record, it was Bert Blyleven that made me start to wonder if Marshall knew what he was talking about.
While Marshall thinks the elbows should never go behind the shoulders, I think he’s simply wrong about that. I think it’s fine if the elbows go behind the shoulders, as long as they always stay below the level of the shoulders.
I explain this in my piece on Scapular Loading…
http://www.chrisoleary.com/projects/Baseball/Pitching/RethinkingPitching/Essays/ScapularLoading.html
Also, if the Cards had listened to me, they wouldn’t have extended Carp and if the Tigers had listened to me, they wouldn’t have extended Bonderman…
Chris O’Leary
P.S. My piece on Blyleven is still up there, but I haven’t updated it to reflect my new thinking…
by thepainguy on Jul 8, 2008 12:36 PM EDT up reply actions 0 recs
How about the Braves?
Should they have listened to you in 1995 on Smoltz? Should the Red Sox have hated Pedro’s inverse-L in 1998? Pads never should’ve signed Peavy in the first place? Johan’s abduction should’ve kept the Twinkies from trying to make him a starter? Brandon Webb make you nervous? John Lackey? The A’s are really regretting drafting Zito’s 6 straight 200+ IP years. Surely Tom Glavine won’t last. I give you Billy Wagner, probably the 2nd best closer of the generation. Kelvim Escobar that’s gotta be a durable guy no?
I can’t find Blyleven hyperlinked anywhere on your site anymore. For it to actually be an active page it has to actually be accessible not just existing…
And congratulations, you predicted Bonderman would have….....a blood clot?
I continue to be concerned about the PAS shoulder of Adam Wainwright. His PAS elbow gets really high, and I am concerned that, ala Jonathan Papelbon, he could start having problems in August.
Adam Wainwright August 2007-September: 2.53 ERA in 74.2 IP. Why don’t you pat yourself on the back for that one? Paps doing OK too.
I know I’m being a dick at this point, sorry, I’m really not trying to rail on you hard here I really do (mostly) agree with your philosophy on mechanics. Though as I posted above the continual self-congratulations on Carp/Bonderman are grating…....that and the Mulder/Freddy Garcia “Case Studies in Confirmation Bias” articles. I was just-—once again—-making the point that mechanics aren’t everything. Factor it into the decision, but it isn’t exactly a 100% science here.
"Regression to the mean is so much more fun to watch when it’s a Cub who is regressing." SleepyCA
by joker24 on Jul 8, 2008 2:51 PM EDT up reply actions 1 recs
Items
First, I don’t think we will ever get this 100% right due to all the variables that are involved. However, I do think this is worth doing because there is significant room for improvement. We’re basically at point zero right now (total randomness in pitcher selections from an injury risk perspective), and even a small improvement will be dramatic in absolute terms.
Second, I am more concerned that people stop teaching this Inverted W, Inverted L, and other dangerous garbage at the youth level and instead go back to teaching the classic mechanics of durable guys like…
- Maddux
- Glavine
- Ryan
- Seaver
- Gibson
Third, I am in frequent contact with people at the major league level, so they obviously think this is a subject that is worth pursuing.
Regarding Smoltz, there is obviously some risk-reward involved here. With the good, you have accept the bad. I’m fine with a Smoltz as a #3, but I would prefer that my #1 and #2 guys were mechanically clean and thus lower risk (e.g. Maddux and Glavine).
With guys like Smoltz and Pedro, the risk also goes up as they get older.
Regarding Glavine, I have generally always liked him. However, he made it clear to me that there is some fudge in this, likely due to things like conditioning, pitching style (e.g. power vs. finesse), and anatomical differences.
Regarding Pedro and Zito, while the Red Sox and A’s were happy, the Mets and Giants haven’t gotten their money’s worth. I could see the same happening to the Mets regarding Johan.
Regarding Bonderman, I have learned that predicting exactly what injuries a pitcher will sustain is dicey. For example, it’s hard to predict whether a guy’s elbow or shoulder will let go first (but it’s usually the elbow). Now I prefer to just talk about general risk.
You could also easily attribute Bonderman’s injury to his mechanics. That his arm action led to the compression syndrome that led to the clots.
Regarding Freddy Garcia, it pointed out to me that Marshall was missing something in his ideas and pronouncements and made me aware of the problem of hyperabduction.
Here’s the page with the analysis of Blyleven…
I have deprecated the page of photo analyses now that I rely more on video, and because I have learned things over time, but it’s still available on my web site.
by thepainguy on Jul 8, 2008 4:29 PM EDT reply actions 0 recs
It's all good
It’s obviously worth doing, it’s valuable and 95% I’m all with you. But you frequently come across as though it is in fact absolute and that’s unwise(?) (cough outside of Anthony Reyes’ nuclear actions cough). Can’t think of a good word. Like I said I know I’m coming off like more of an ass than I want to but sometimes I just can’t help myself.
Kip Wells had the identical injury to Bonderman. You like Kip Wells mechanics. I don’t need to do too much deduction for anyone to find the problem with attributing Bonderman’s M to the blood clot. That’s just not smart. I’m devil’s advocate-ing on Bonderman, I don’t like his motion either but there’s no question the Tigers are happy they have had him and there’s no way you can say a blood clot was caused mechanically.
Pedro/Zito: Zito has said a million times over his arm is fine and his mechanics haven’t changed any for us to not believe him. The Giants would’ve loved to DL him…he’s lost 2-3 mph (ala Glavine/Maddux anyone?) he just doesn’t have the command/other pitches to deal with it. Every pitcher in the non-Nolan Ryan category is going to lose velocity after 1300 innings. Talk to me when he’s actually sidelined. Pedro: it’s easier to make the argument that his stature and his having been overworked (117 pitches per start in ‘97) led to the shoulder injury. 2600 innings into a career and something gives again it’s pretty damn tough to blame it on mechanics. No, the guys you need to (and you are) be focusing on to draw any conclusions are the draftees like say Phillip Humber who blow out their arms in 150 minor league innings while being babied. (on that note the one thing I see Humber doing is showing the ball to 2nd base…)
Philosophically, my biggest problem with comparing anyone to Maddux, especially the archetypical power pitcher Smoltz, is that there is a huge difference in the stresses between throwing 95 like Smoltz his entire career and 85 like Maddux for the last 2/3 of his. If I could get a Maddux ace I would; unfortunately there aren’t many (namely 1: Maddux) pitchers who can perform at an ace level while throwing 85. His injury risk was 100x lower regardless of mechanics just based on that so of course he’s going to be more durable: he has 25% less energy going through his arm and consequently drawing all these conclusions and comparisons to me seems reckless. Apples to oranges.
You say Glavine mechanically clean? He’s nearly an inverted L-er (maybe not 100% but he’s certainly of the “whip” arm action) and gets his elbow above the shoulder line. Huh?
"Regression to the mean is so much more fun to watch when it’s a Cub who is regressing." SleepyCA
by joker24 on Jul 9, 2008 10:49 AM EDT up reply actions 0 recs
Ugh
Joker, why do you say LS is usually worse than RCS? I’m counting on you correcting me here, but I believe RCS usually has been a career-ender for pretty much every good pitcher except Orel Hershiser.
by greenback06 on Jul 8, 2008 6:49 PM EDT reply actions 0 recs
I could be wrong
Neither has a good outlook but mostly I remember this article…....Will Carroll here: http://www.slate.com/id/2100895/
Neither one has very much success in returning anyway they both usually mean you are toast.
"Regression to the mean is so much more fun to watch when it’s a Cub who is regressing." SleepyCA
by joker24 on Jul 9, 2008 11:00 AM EDT up reply actions 0 recs

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