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Record W4416024134 · doi:10.1016/j.xrrt.2025.100599

Timing of surgery in professional baseball—an analysis of Major League Baseball pitchers who underwent ulnar collateral ligament reconstruction

2025· article· en· W4416024134 on OpenAlexaff
Keigo Honoki, Lawrence Wengle, Timothy A. Burkhart, Scott J. Peters, John Theodoropoulos

Bibliographic record

VenueJSES Reviews Reports and Techniques · 2025
Typearticle
Languageen
FieldMedicine
TopicShoulder Injury and Treatment
Canadian institutionsMount Sinai HospitalUniversity of Toronto
Fundersnot available
KeywordsLeagueLigamentCollateralStatistical analysisSports medicine

Abstract

fetched live from OpenAlex

Background The rates of return to the same level of play (RTSP), time to RTSP in Major League Baseball (MLB) pitchers, and missed days of the season after ulnar collateral ligament reconstruction (UCLR) have been reported previously. However, previous studies have shown a large disparity between time to RTSP and missed playing time during the season after UCLR. Additionally, the literature has not investigated the relation between the timing of UCLR during a season and the time to RTSP. The purpose of this study was to investigate how the timing of UCLR during the season affects the time it takes to RTSP. Methods The data of MLB pitchers who underwent UCLR between January 2012 and December 2022 were obtained from publicly available online records. The rate of RTSP, the rate of RTSP in the next season, and the time to RTSP at the MLB level were collected. The timing of surgery performed during the season was grouped into 3 categories: early season (January to April), middle season (May to August), and late season (September to December). The rate of RTSP and time to RTSP were compared across each category. Results Two hundred seventy-two MLB pitchers who underwent UCLR were included. Two hundred twelve pitchers successfully returned to MLB. Overall, the rate of RTSP after UCLR in MLB pitchers was 77.9% without any statistical difference among the 3 timing categories ( P = .45). The rate of RTSP in the next MLB season after UCLR was 56.7% in the early season, 37.0% in the middle season, and 4.2% in the late season. Time to RTSP was 19.0 ± 7.2 months in the early season group, 20.7 ± 10.0 months in the middle season group, and 23.0 ± 8.6 months in the late season group. Time to RTSP in the early season group was significantly faster than in the late season group ( P < .001). Conclusion The timing of UCLR during the season has a significant effect on the absolute time to RTSP in MLB pitchers. Those who undergo surgery later in the season have significantly longer absolute time to RTSP than those earlier in the season.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.421
Threshold uncertainty score0.512

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.052
GPT teacher head0.374
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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