Mark Rogers' Surgery

[Thunnis]

Nice to know Mark was back working out already in Arizona

[Prometheus ohm]

Remarkable?just remarkable, ?working out already,? what does that mean? Apparently not only can he throw fire he heals fast too.

 

Is his C-pack removed? What about the bursitis Dr. Conway surgically ?cleaned up?? Did he drain the Bursa or remove it? Can he exercise with a shunt sticking out his joint?

 

In a pre-op interview in Maine Mark said ?his surgery was needed to repair some frayed tissue and tighten up a ligament.?

 

Reportedly ?the shoulder dislocated every time he threw?

 

There are many types of operations to stabilize a shoulder. The most common method of ?tightening up a loose shoulder? prone to dislocation is the Bankart Repair (97% of cases). In this method the doctor first clears away any frayed or torn edges of tissue. Holes are drilled into the scapula bone. The capsular ligaments and labrum are then attached with structures to the bone.

 

The other method is the Capsular Shift. A newer and not as common a procedure, an incision is made to create a flap on the front of the joint capsule. The flap is then pulled over the capsule and sewn together.

 

Both procedures are done by arthroscopic. Which did he have done?

 

Internet Source published by Maine Sunday Telegram

January 14, 2007

Former Mt Ararat star has surgery

 

http://pressherald.mainetoday.com/sports/local/stories/070114rogers.html

[jackalope02ca]

I wish him well in his recovery.

 

But just out of curiousity when was the last time a top pitching prospect of ours had a major arm surgery like this and then pitched effictively for "THE BREWERS" after recovery? I can't think of anyone off the top of my head.

[deeswan]

But just out of curiousity when was the last time a top pitching prospect of ours had a major arm surgery like this and then pitched effictively for "THE BREWERS" after recovery?

 

None have pitched effectively for any stretch of time, but D'Amico did have one brilliant season after having multiple surgeries, including a capsular shift, IIRC.

[Brian the Automator]

[ But just out of curiousity when was the last time a top pitching prospect of ours had a major arm surgery like this and then pitched effictively for "THE BREWERS" after recovery? ]

 

Capuano's a former Tommy John victim... I know he wasn't "our" prospect, but there's life after the knife, for sure.

[Team Canada]

Sure, but TJ and shoulder surgery are two very different animals.

[DHonks]

when I hear about shoulder injuries, I cringe. Guys seem to be able to bounce back somewhat from Tommy John. Guys rarely seem to bounce back from labral and rotator cuff injuries.

[Nader Raider Tim]

I am a bit confused by this thread. Does anyone know exactly what Rogers went under the knife for and how long the standard recovery for said surgery is?

 

There just seems to be so much confusion and speculation.

[greeg35]

I am confused also by this thread also, who is thunnis? Seemingly a trusted source? What about his arch-enemy poster? Joe-schmo?

[whizkid]

If they told you that they'd have to kill you. I don't know either so I'm safe.

 

Until someone gives me a reason to do otherwise, I'm going by the newspaper article which I've turned into a link:

 

pressherald.mainetoday.com/sports/local/stories/070114rogers.html

[Thunnis]

It's my understanding that Mark is working out. I'm not sure that it's any more than trying to stretch and loosen up.

The labrum was not the issue although there apparently was a tightening and reattachment of ligaments. I do believe the only good information came out of Texas after the surgery and all news to this point is positive with no reason to suspect that he won't recover 100%.

[brewers1234]

Probably why asked not to contribute.....to many made up stories to even compete

 

See?!?! Mark's being difficult, per usual!!! Oh my sweet deity on high, how could we have ever picked such a malcontent over the second coming of Cy Young, Homer Bailey?!?!?

 

Do people just make up quotes here? Has anybody asked Mark's coaches/trainers to find out what happened or to hear what he has to say? Probably not! I have yet to read a story/interview/article where he is resistant to tell us anything we want to know. Get your facts straight before you post.

 

activated code in quote --1992casey

[thumperden]

Nice first post! I don't understand the angst first poster person. We're all in search of accurate information on his shoulder because we Brewer fans give a darn.

 

I can post from experience about the shoulder issues/surgery Mark has had. What I do not know is if they moved the ligament in the front of his shoulder socket or not to help prevent the "dislocating of his shoulder on every throw." I have the same shoulder instability in my throwing shoulder and will know in a couple weeks if a second surgery is needed. The doctors shaved a little bone in the front of my shoulder to give the ligament some space and hopefully free it up from making a snapping/popping noise. I think that the ligament and bone coming in contact with each other is the problem with Mark, but that's based on my experience.

 

The doctors held off on relocating the ligament until after rehab. I'm throwing now, with discomfort so I think they'll scope it again soon.

 

If I'm wrong with what happened to Mark, I'll certainly post if an error is made with my opinion. Again, I'm just relating his experience to my own.

[brewers1234]

I was referring to Katuluu's comments about Mark being resistant and difficult. This is simply untrue.

 

I appreciate your comments, Thumperden, because I know, like me, you are trying to figure out what happened to Mark's shoulder. It seems like the coaches made a lot of statements about him going into surgery and not a lot about him coming out. I do know that he is in rehab in Maryvale and never went home to Maine post surgery.

[colbyjack]

Just so you know brewers1234, Katuluu was being sarcastic (and then some) with his "Mark was being difficult" comment. If anything he was offering his support while taking a shot at some of the ridiculous things that others have been said about Rogers over the past year or two.

 

I know Kat can stick up for himself, but I'm not sure how often he drops in this forum during the offseason.

[brewers1234]

thx for clearing that.

[Katuluu]

I definitely lurk during the off-season, otherwise the constant rumor milling would drive me nuttier then a tutued lemur.

 

http://www.pikaflash.com/oekaki/pictures/4529.png

[Team Canada]

From the latest JS article:

 

"The prospect status of Rogers, the Brewers' first-round draft pick in 2004, is in jeopardy, however. Rogers had surgery a few weeks back to repair a SLAP lesion (superior labrum anterior-posterior) in his pitching shoulder and will miss the entire 2007 season."

[molitor fan]

Is a Slap Lesion the same thing that Mike Jones had to have repaired? The name is familiar, and daunting.

 

Edit: Answered my own question - yes, this is the same thing that Jones had done, and I have included a snip from a 2005 article with Batman and Will Carroll, in which Carroll describes the injury as baseball's "most fearsome"

 

One of the organization's most promising young hurlers, Mike Jones, has suffered through a number of serious injuries during his tenure as a Brewer. You described his latest, a SLAP lesion of the labrum in his pitching shoulder, as "baseball's most fearsome injury" 8 and one from which "only a small percentage of players ... are able to successfully return. 9 Does Jones have a chance to be one of those in that small percentage?

 

I hope so. Jones has some great stuff. We're learning more about labrum injuries and even seeing some returns (and odd side effects of those returns.) I think Jones has a great chance because of the organization, just how good he was (at 80% of his former self, he could still have value), and because Jim Rooney and his minor league staff really understand what's going on. It's going to be difficult and I can't give any sort of percentage of his chance of return, but I will say Jones has hope. Just a couple years ago, he'd need to be thinking about a new career.

[colbyjack]

That's disappointing news, and differs from what we have heard up until this point. This news started as Rogers missing the first part of the season with minor arthoscopic surgery to missing the entire 2007 season after having surgery to repair the SLAP lesion. The news just keeps getting worse.

 

As always, best wishes towards Rogers, as I know he's a good kid and he truly does have a special arm, and hopefully he has it in him to do what it takes to get back on track.

[Prometheus ohm]

http://www.mykneespecialist.com/images/illus-slap-lesion.gif

 

Photo shows the Superior labrum detached from the shoulder joint (glenoid).

 

SLAP is an acronym for a tear that occurs in the glenoid labrum . The labrum is composed of a material called fibrocartilage (firm and rubbery substance). The labrum is the rim of the socket (glenoid) of the ball-and-socket shoulder joint. At the top of the glenoid, the biceps tendon has its insertion into the labrum.

 

A SLAP lesion is when the labrum tears away from its glenoid attachment at the top part of the shoulder. ?S? stands for superior which means top. ?L? stands for labrum. ?A? stands for anterior which means front. ?P? stands for posterior which means back. Thus, a SLAP lesion is a tear of the top part of the labrum from the front to the back of the socket.

 

Repair of the torn labrum is done by affixing the fibrocartilage down to the glenoid bone where it has been detached.

 

Three metallic or bioabsorbable anchors are implanted into the glenoid bone where the labrum is torn away. The doctor first clears away any frayed or torn edges. Holes for the sutures are drilled into the glenoid bone. These anchors have suture attached to them which is passed through the biceps tendon and the torn labrum and fix down to the bone. The sutures are then tied outside the joint and passed down into the joint.

 

Rehab involves protecting range of motion for least 3 weeks. The patient should be nearing full range of motion after 6 weeks. Return to sports should occur around 4 months after surgery. Light throwing can begin after 6 months.

 

http://www.animatedmedical.com/SLAP/shoulder.gif

 

Above is a color code of how the upper (superior) part of the labrum anchors one of the two tendons of the biceps muscle. When the arm is forcefully bent inward at the shoulder, the humerus acts as a lever and tears the biceps tendon and labrum cartilage from the glenoid cavity in a front-to-back (anterior-posterior) direction.

 

 

Rogers also had chronic bursitis which, Stephanie Rogers (Mark's mother) said in the Portland Sunday Telegram on Sunday, January 14, 2007, was surgically ?cleaned up.? Bursitis is an infection of the Bursa. The most common treatment is antibiotics and rest. If the infection continues the Bursa is either surgically drained via a shunt or removed.

 

The leading cause for SLAP leasion and Bursitis are;

1.) Bad Mechanics

2.) Improper training techniques

3.) OVERUSE, OVERUSE, OVERUSE

[Thunnis]

Couldn't seem to find the article that stated "chronic bursitis" but then I'm not a medical student and was not there. I am going to go out on a limb though and stick with my earlier comments. I do not believe the labrum was the issue and still have heard nothing from here Down East that would allude to a complication or surprise.

It would be nice though to here Mark's position on this adventure from start to finish. Perhaps we will.

[Katuluu]

Couldn't seem to find the article that stated "chronic bursitis" but then I'm not a medical student and was not there.

 

You couldn't find it because she never said it. At least not in the article he references. Of course, that's not the first bit of disinformation he's disseminated.

[colbyjack]

Pretty much the same story as before, and by the same writer (Haudricourt), now on Baseball America's homepage:

 

www.baseballamerica.com/t...63243.html

 

Gord Ash is quoted as saying he's hopeful Rogers is ready for the team's instructional camp in the fall.

[Thunnis]

The pictures were cool though!