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Brett Anderson: Post-Surgery Scenarios

Hello! If you haven’t seen me commenting on various posts around here before, I’m cuppingmaster, a die hard A’s fan living in Los Angeles. For at least the next 6 weeks, I’ll be the regular Tuesday morning front page writer. My baseball interests lie more towards pitching than hitting, but that said, I’ll try and make my contributions interesting to as wide an audience as possible. Indeed, if you have an idea for something you’d like me to explore, please shoot me an email and I’ll see what I can do. I’m always looking for good ideas and feedback on my posts.


Brett Anderson: Post-Surgery

When he wasn’t tweeting, Brett Anderson was the one of the most exciting young pitchers in the American League before his unfortunate Tommy John Surgery (TJS) in July of last year. Received as a high-upside piece in the Dan Haren trade of 2007, Anderson had excellent minor league DIPS component statistics in 2008: K% of 25.7 and 30.4, BB% of 5.8 and 7.2, and allowing only 8 HR in 19 starts split between high-A and AA, respectively. In his MLB career, his DIPS stats have also been very good: K% of 18.3, BB% of 5.9%, and a 9.9% HR/FB rate. In addition, his groundball/flyball ratio (GB/FB) skyrocketed from 1.49 to 2.32 during his career. While an excellent development, this may have belied a larger problem: a glance at PITCHf/x data shows a decrease in the use of his fastball and an increased use of breaking balls over time. That said, from these component statistics, his FIP remained consistent over time: 3.56 in 2009, 3.62 in 2010, and 3.66 in 2011.


Star-divide

As many A’s fans know, Anderson also had two stints on the DL before finally having his surgery last year. Given his success in essentially transitioning away from being a power pitcher, I asked the question: "What kind of pitcher might Anderson be upon his return from surgery?" With this, it became prudent to find comparables. In this case, I set some general parameters on pitchers I wanted to compare Anderson to:

  • TJS as a major league pitcher post-2000
  • At least 30 starts (or so) recorded pre-TJS, over 2 separate seasons (GS Before)
  • At least 30 starts (or so) recorded post-TJS, over 2 separate seasons (GS After)
  • No significant work in relief, i.e., got injured as a starter, returned as a starter (sorry, John Smoltz)

Results:

Bacomps_pubtable_medium

*Chris Capuano has had two TJS'. For these purposes, I only used data from his 2nd surgery

I took the difference of the weighted average of the K% pre- and post-surgery (wBeforeK and wAfterBB, respectively). I did the same for BB% pre- and post-surgery (wBeforeBB and wAfterBB, respectively). This yielded deltaK and deltaBB, from which I found the average and SD.

The one thing that stands out is the extreme variability of the data. Chris Carpenter improved his K% by almost 6%. Poor Kris Benson struck about 4% fewer batters. Josh Johnson walked about 6.5% fewer batters. Poor Randy Wolf increased his walk rate by 3.3%.

In general, however, it appears that of the pitchers who do make it, control may improve post-TJS. This result is unlikely to be statistically significant, but may represent a trend.

What does this mean for Anderson? Well, if walk rates DO improve post-surgery, this may regress his 2011 walk rate back towards his career average of 5.9% (from 7%). Of course, the bigger problem is making it back: these 12 pitchers are the ones who meet my parameters set above. Many other pitchers have failed in their recoveries. That said, the largest subset of pitchers I did not include in this analysis are pitchers who had TJS in the minor leagues or in college. Many have gone on to have successful careers.

Limitations of study:

While Tommy John surgery has had a chance to be perfected since its first use in 1972, and many pitchers have had it since then and become MLB pitchers, it's still a risk. In not comparing him to all pitchers, I'm ignoring the non-zero chance that his recovery stalls and he simply does not return. Indeed, according to a 2010 article published in part by the maven of TJS himself, Dr. James Andrews, out of 45 MLB pitchers who have had TJS from 1988 to 2006, 34 have returned to the same level, 4 did not return and 7 returned to a lower level (MiLB) after 2 years of follow-up.

In addition, in not using relief pitchers, I am cutting out a significant chunk of data that could be useful, considering that I am only comparing DIPS statistics. However, there is at least some debate on whether that is the most appropriate way to study relievers. So, I decided to stick to direct comps and have a smaller amount of cleaner data.

Velocity measurements, which directly influence DIPS statistics, are not used. As I mentioned above, while Anderson's pitch types changed over time, it is impossible to determine at which point his ligament injury might have caused this. This is also one reason why there is an illusion that pitchers who have TJS return with greater velocity: no one knows when the degradation of the ligament in question started.

Finally, with the temporary demise of Driveline Baseball's InjuryDB, there may be pitchers I have inadvertently left out of this study

Conclusions:

There aren't a lot of comparable pitchers, are there? While it's a commonly held belief in the baseball community that TJS is a "sure thing", that really doesn't provide a lot of nuance.

Some sort-of-good pitchers have had TJS

Anderson may, or may not return to his prior level.

If he does, he'll join a relatively exclusive club of pitchers who have

Finally, good luck to Joba Chamberlain, Jorge De la Rosa, Rubby de la Rosa, Daisuke Matsuzaka, Adam Wainwright, Carlos Carrasco, and even John Lackey (ugh) on their respectively TJS recoveries.

Thanks to Nico for giving me the opportunity to write here and to David (dwishinsky) for putting in a good word for me. If you want to contact me, you can email, or I can be found on Twitter, laying out my baseball-related and random thoughts throughout the day, or also on the TarpTalk podcast I record weekly with three other NRAFs, including David. See you next Tuesday!

3 recs  |  35 comments

Comments

in addition, some pitchers take several years to return to competitive performance
In A's-verse yes

In rest of the world TJS rehabs have been quicker and smoother than ever.

they are certainly becoming more routine and successful over time

but there are still variations among pitchers as far as how long it takes them to return to competitive major league pitching. Also, many of them find that their stuff changes, and they need to work on changing their style.

I would be surprised if

Brett Anderson pitched this season. He’s projected to return in late Aug and any set backs or delays in his recovery will likely make him miss the season.

All those Jon Lieber and Runelvys Hernandez tweets are all clearer now...

Great work cup! Welcome to the FP!

Nice analysis!

Interesting study. I really like your academic style, and the content is solid. It’s interesting that there’s such heterogeneity in the sample. Here’s to hoping Anderson comes out on the plus side.

Skewed?

Seems like Carpenter and Johnson skew the averages quite a bit. Which isn’t to say they should be ignored. Just that it should be noted.

Apparently TJS made Josh Johnson see the strike zone more clearly as well.

Indeed... there are just so few guys who compare directly

I would have liked to include Litsch and Liriano, but they don’t have enough starts and the time since surgery for Litsch makes including him difficult

It might depend on the degree of injury, and the number of injured IP, before surgery

“Before” could mean “healthy, then suddenly his arm fell off”, or it could mean “his arm fell off and he kept pitching, somehow, for 15 starts.”

Specifically with Anderson,

many, many of us noted, with concern, how Anderson kept pitching as his velocity decreased and he appeared to be using more changeups and slow curves instead of his signature slider. One hopes he doesn’t suffer from having not been shut down sooner.

It could definitely affect recovery as you suggest

but it also clearly affected his “before” stats. So if he comes back strong and pitches effectively, it’ll look like the surgery made him a much better pitcher. When, in fact, it was simply a case of him having pitched (injured) when he shouldn’t have.

Here's something in Brett's favor

Other than his injuries, Brett has been a very good if not quite elite pitcher. So it’s not like we’re hoping that Graham Godfrey has a surgery and suddenly becomes great – we’re just hoping that our pitcher who has had some health problems but very good results comes back with the same results and better health.

Seems to me that looking at his age and where he was when he first started experiencing pain,

Anderson was at the point of emerging as an elite pitcher, when first the elbow issues themselves, and then TJS, derailed him. If he just bounces back exactly to pre-pain form, I’d say he’s “an elite pitcher,” period.

Great stuff Alan

As I knew it would be.

An alternative title might be

Brett Anderson: Please don’t be Hong-Chih Kuo (who has had 4 elbow surgeries)

Interestingly, perhaps the best comp for Anderson

is Liriano, also special due to his electric slider — which is a hard pitch on the elbow. Of course, Liriano’s long-term success rate is unknown, so it’s an unhelpful comp!

Another dimension to consider might be age...

… in theory, the younger you are when you have the surgery, the better the odds are that you can physically recover. That should bode well for Brett.

Cup!

Nice to see you writing on here.

It seems like the pitchers who were good, and got healthy following TJS, stayed good. I do like that Anderson has been working out and keeping his body in good shape, bodes well. If he can get his core and lower body strengthened that will take some of the torque off his arm when he returns. He made a crack about it at FanFest, he said if he comes back and pitches poorly he’s going back to the burgers and fries diet.

Also, I keep forgetting and re-remembering that you guys do a podcast. Do you mind posting a fanshot whenever you and D Wish post a new podcast so that we all get a heads up?

Hey thank you for listening

We can do that no problem. We also have a website for it, that updates as it goes up.

At FanFest I felt of all the “best shape of their life” guys, aside from Tyson Ross, Anderson looked to be the “most improved” contender.

"cup and wish": Feel free to put that link up when you post (or in your sig).

I’m sure folks would like to know where to find your dulcid tones.

There's also an

RSS feed and iTunes link you can subscribe to

Nice first FP post, cup!
Ditto to the above

Good stuff Cup!!!!!!

I liked the article, cup

I hope to read more of your work soon.

I wonder how slider usage changes for pitchers post TJS

The slider seems to be the leading cause of TJS and it is far and away Anderson’s best pitch. I wonder if he will be forced to use it less and, if so, if he will still be effective.

I am at the point now that I don’t want starters who throw sliders. It seems like TJS is inevitable for them. I’d rather everyone go the McCarthy route and learn a 2 seamer, cutter and change or curveball. Seems safer.

Love the first front page post

Great first stuff. I so hope Brett Anderson comes back healthy. He showed so much promise to me. I know dwishinsky doesn’t necessarily agree but I think he could be outstanding.

I love Anderson and wish him the best.

I want to see this ceiling everyone talks about. How he is a bona fide number one. We have seen mere flashes of it.

Nice first post Cup! Way to take the ball. You're a horse with a rubber arm, but

don’t let them overuse you. We don’t want you out for a year.

Tommy John RSI Surgery?
They'll call it Cuppingmaster surgery in the future. Bloggers everywhere will fear the dreaded "C" word
Wow, we could have an entire C-section
Die Hard A's fan in OC

If the A’s play the Dodgers in interleague play please hit me up!

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