Strasburg to have Tommy John surgery

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Stephen Strasburg has a torn elbow ligament and will likely have Tommy John surgery, bringing the pitcher’s promising rookie season to an abrupt end.

Washington Nationals general manager Mike Rizzo said Aug. 27 an MRI on the right elbow revealed a “significant tear.” Strasburg will travel to the West Coast for a second opinion, but Rizzo anticipates the 22-year-old right-hander will need the operation that requires 12 to 18 months of rehabilitation.

Notable Post-Tommy John Careers

Strasburg Stephen Strasburg would have started only 12 games when and if he has reconstructive elbow surgery, a routine procedure in recent years. How others have fared afterward:

    W-L     ERA
Chris Carpenter       31-9    2.55
A.J. Burnett           79-64    3.95
John Smoltz           56-42    3.28
Kerry Wood           69-62    3.73

“As you can imagine, he was initially upset,” Rizzo said, “but he has really turned himself from being upset to being focused on his rehabilitation. He’s determined to get the surgery done and begin the process of rehabilitation.”

Strasburg was pulled from Saturday’s game at Philadelphia when he grimaced while grabbing and shaking his wrist after throwing a changeup to Domonic Brown. The Nationals initially called the injury a strained flexor tendon in the forearm, but an MRI taken Sunday raised enough questions for the Nationals to order a more extensive MRI in which dye is injected into the arm.

The No. 1 overall pick in the 2009 draft, Strasburg struck out 14 batters in a sensational major league debut in June. He is 5-3 with a 2.91 ERA and 92 strikeouts in 68 innings with the Nationals, who have kept him on strict pitch counts and had planned to shut him down once he reached about 105 innings.

But he has had medical setbacks along the way, despite the team’s best efforts to be as cautious as possible with its prized youngster. He was placed on the disabled list a month ago because of inflammation in the back of his right shoulder.

He was making his third start since returning from the DL when he had to leave the game against Philadelphia.

“The player was developed and cared for in the correct way, and things like this happen,” Rizzo said. “Pitchers break down, pitchers get hurt and we certainly are not second-guessing ourselves. … Frustrated? Yes. But second-guessing ourselves? No.”

There’s a great chance that medicine will restore Stephen Strasburg and the promise of a great career. But we certainly won’t bask in the wait to see him pitch once more, Buster Olney writes. Blog Insider

Rizzo said doctors believe Strasburg hurt himself on a particular pitch, as opposed to a gradual buildup. When Strasburg grimaced in the game at Philadelphia, he told the team he had felt something similar at San Diego State and had continued to pitch through it.

Doctors have decided that what happened in college was unrelated to the ligament tear.

Even so, Strasburg has been saying this week he is strong enough to pitch.

“Stephen felt pretty good and still feels OK,” Nationals president Stan Kasten said. “And that’s why this has been so confounding.”

Strasburg is an intense, competitive pitcher. He wasn’t thrilled with having to start the season in the minors or with the restrictions the Nationals placed on him. Now he faces the realistic prospect of not pitching again until 2012.

Strasburg was informed of the diagnosis Thursday night, but the Nationals chose not to announce the news because it would have upstaged the introductory news conference for 2010 No. 1 draft pick Bryce Harper.

Coincidentally, Thursday’s game marked the return of Jordan Zimmermann, another young Washington pitching prospect who had Tommy John surgery a year ago. His counterpart, Chris Carpenter of the St. Louis Cardinals, has also had the operation.

“I look at the bright side,” Rizzo said. “Tommy John surgery is a surgery that we’ve had great success at. The success rate for guys coming back from Tommy John and retaining their stuff is very good. We saw two examples of it on the mound yesterday at Nationals Park.”



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