Switch hitting AAA catcher Hector Giminez, who has been having shoulder pain, was diagnosed with a torn labrum, will need surgery, and will be out for the year. He’ll actually be put on the 60 day DL so he can’t be claimed off waivers. He’s gonna make his biggest paycheck ever – the ML minimum – by just sitting on the DL all year.
Brad Ausmus also had shoulder pain – I heard on the radio that he said he couldn’t lift his arm above his head back in January, but hadn’t hurt it. He was diagnosed with “fluid in the rotator cuff.” Supposedly, he’s better now, without any treatment.
Anyone here have the faintest idea what a labrum even IS? Or how a cuff has fluid?
Me neither. And yes, I HAVE noticed that newspapers never publish any pictures of either one so you can figure out what they are even talking about. Therefore, I am going to post links to pictures of the shoulder joint (sorry, can’t figure out how to get them to show up on the page here) so hopefully we can see what they are talking about.
the wrist bone connects to the
arm bone and the arm bone connects to the
um, shoulder bones/labrums/rotating cuffs (something like that)
According to Jonathan Cluett, M.D., “The shoulder joint is a ball and socket joint, similar to the hip; however, the socket of the shoulder joint is extremely shallow, and thus inherently unstable. To compensate for the shallow socket, the shoulder joint has a cuff of cartilage called a labrum that forms a cup for the end of the arm bone (humerus) to move within.” Baseball players get tears from throwing overhand – it is called a “SLAP tear” and “occurs at the point where the tendon of the biceps muscle inserts on the labrum.”
Here is a drawing of the labrum (called the “glenoid lig” in the picture – (Henry Gray – public domain) http://en.wikipedia.org/wiki/Image:Gray328.png – best I understand, the arm bone fits into the hole in the middle called the “glen fossa.” (I wonder if this is where Jeff Bagwell’s arthritis is located. I remember reading that he needs to have the shoulder joint replaced – and after reading, or trying to, some stuff on replacement surgery, it sounds nasty…)
Anyhow, back to the shoulder, the rotator cuff is made up of 4 muscles: (picture is from the government – public domain)
“The rotator cuff is a group of flat tendons which fuse together and surround the front, back and top of the shoulder joint like a cuff on a shirt sleeve. These tendons are connected individually to short, but very important muscles that originate from the scapula.” (check that pic again) “When the muscles contract, they pull on the rotator cuff tendon, causing the shoulder to rotate upward, inward or outward, hence the name ‘rotator cuff’. ” (from scoi.com)
Does this help? Where does the fluid go? How does fluid go into muscles? Can’t find a pic showing where the fluid is, but here is a pic (from www.orthopedics.about.com) of a “rotator cuff tear” – it actually looks to me like the top ligament is the one gets torn. I’m not sure why it is so hard to sew it back together, but it apparently is, because most guys don’t come back from rotator cuff tears.
Anyhow, I tried to save the worst for last – like Monk sez, here’s the thing – IF Brad really has something wrong with him besides “flu-like symptoms” of the shoulder and he can’t play, this means Quintero and (gaaack acccck) Munson. Maybe we SHOULD have signed Johnny Estrada, bad clubhouse rep and all – because let’s be real here, Lou Santangelo, who had a .765 OPS in A ball, (don’t ask and I won’t tell about the AA catchers) is NO Brian McCann or Joe Mauer…