Evidence map›Paper›PMID 39022521›Full record

ArticleCureus2024

Changes in Pitch Velocity and Selection in Major League Baseball Pitchers Following the Ulnar Collateral Ligament Reconstruction.

Oluwa Toba J Akinleye, Jason B Kreinces, Bruno Alonso, Daniel Bleykhman, Daniel Zelazny

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Oluwa Toba J AkinleyeOrthopaedic Surgery, New York Medical College, New York City, USA.
Jason B KreincesOrthopaedic Surgery, New York Medical College, New York City, USA.
Bruno AlonsoOrthopaedic Surgery, New York Medical College, New York City, USA.
Daniel BleykhmanOrthopaedic Surgery, New York Medical College, New York City, USA.
Daniel ZelaznyOrthopaedic Surgery, Westchester Medical Center, New York City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ulnar collateral ligament (UCL) is a soft-tissue stabilizer of the elbow, that is commonly injured among baseball pitchers due to excess valgus stress in overhead throwing motions. The location of a UCL tear typically ranges from the central aspect of the ligament to an avulsion-type injury at its proximal insertion site on the medial epicondyle of the humerus, or its distal insertion site on the ulna. The effect of UCL reconstruction on pitching performance has become a well-studied topic in medical literature. In our study, we aimed to identify general performance patterns amongst those having undergone UCL reconstruction surgery.

methodsData for patients with UCL reconstruction performed between 2010 and 2020 were extracted from publicly available databases. Pitching data was extracted from Brooks Baseball, a publicly available database for Major League Baseball (MLB) player statistics. We identified patients who played at least one full season after surgery and rehabilitation. Patient characteristics were evaluated for intergroup differences.

resultsOf 109 patients with UCL reconstruction, 87 were included in the final analysis. Compared to the preoperative group, the average postoperative fastball usage rate was less despite there being an increase in the off-speed usage rate. Velocity analysis demonstrated shifts of less than 1% for all three pitch groups compared to preoperative velocity average values (all P-values <0.05). Earned Run Average (ERA)+ demonstrates a decrease in the postoperative group; this finding was not significant (P=0.61).

conclusionsPatients treated surgically demonstrated a throwing tendency for their secondary and tertiary pitches and a decreased usage of fastballs. Further studies are needed to explore the factors contributing to the change in pitching performance.

Indexed as

baseball pitcherprofessional baseball playerssports overuse injuriessurgeryulnar collateral ligament

Identifiers

PMID39022521
PMCPMC11254374

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.