Edgy MD wrote: Frayed Knot wrote: A bit ironically, strength training of shoulders has led not only to fewer rotator cuff injuries but also to increased velocity which has in turn led to more UCL tears. One injury traded for another. Excellent point. I don't know that the cause-and-effect has been widely understood to be as official as all that, but it sure seems to be pointing that way. Yeah, I mean it's hardly a one-to-one correspondence. But once pitchers stopped being discouraged, if not flat out prohibited, from strength training the ability to forego rotator cuff surgery (I remember Todd Stottelmyre turning himself into the Incredible Bulk in an attempt not to go under the knife) or even pre-prevent it (by not being built like Gary Gentry while trying to throw 90+) that surgery fell off dramatically thus allowing hurlers to continue pitching before eventually reaching the point where the cumulative mileage would tax the UCL to its limit. In a way the tradeoff isn't so bad. Even though the downtime from TJS is so extensive, the elbow, being merely a hinge and more accessible to work on, is more likely to get the patient back on the mound essentially as good as he was prior to the injury. Shoulders, OTOH, are much tougher to get at and feature a much broader range of movement making them more complicated to fix with the odds of success more like a coin flip.