Surgery for Sano?

[Taildragger8791]

Darren Wolfon suggested that Sano may be dealing with a more serious injury than was let on, and could require surgery to correct it. Not sure what kind of surgery you could even do for a stress fracture on a shin, but either way that doesn't bode well for his offseason and preparation for 2018. Yet another one for the Minnesota Mystery Injuries medical textbooks.

 

@DWolfsonKSTP

"Don't be surprised to hear that #MNTwins 3B Miguel Sano will need some sort of surgery. He's in a lot more pain than many of us realized."

 

[mazeville]

Man, what a bummer. Hope he gets healthy this offseason. Would have been nice having that bat in the middle of the lineup against the Yankees.

[Vanimal46]

Take care of it now, before it lingers into the 2018 season. Good luck to him and his recovery. 

[Shaitan]

This seems obvious, given the recovery time. As much as those without knowledge like to speculate about other causes.

[yarnivek1972]

Then why was he allowed to play on it?

 

Seems likely that doing so would cause more damage.

 

Kinda curious to hear what those who were defending the Twins medical staff has to say now. IMO, they have a lousy track record compared to other teams.

[drjim]

Then why was he allowed to play on it?

 

Seems likely that doing so would cause more damage.

 

Kinda curious to hear what those who were defending the Twins medical staff has to say now. IMO, they have a lousy track record compared to other teams.

It's probably wise to let it all play out before taking a strong position for or against.

 

I'll just say it is not that hard to imagine a scenario where he might need surgery but still playing wouldn't cause more damage and it would be about pain tolerance.

[Deduno Abides]

Not good news for Robbie Grossman if Sano becomes projected to DH a lot.

[yarnivek1972]

Not good news for Robbie Grossman if Sano becomes projected to DH a lot.

I think the greater concern is third base. Eduardo Escobar had a great second half. Expecting anything anywhere close to that again would be shortsighted and foolish. There’s a reason why he’s a career utility man.

[drjim]

I think the greater concern is third base. Eduardo Escobar had a great second half. Expecting anything anywhere close to that again would be shortsighted and foolish. There’s a reason why he’s a career utility man.

Extend Dozier and roll with him, Polanco and Gordon.

[Deduno Abides]

I think the greater concern is third base. Eduardo Escobar had a great second half. Expecting anything anywhere close to that again would be shortsighted and foolish. There’s a reason why he’s a career utility man.

It would be good to get a great defensive third baseman who is at least OK at the plate, if Sano doesn't project to be much more than a DH.

[Heezy1323]

 

Then why was he allowed to play on it?

Seems likely that doing so would cause more damage.

Kinda curious to hear what those who were defending the Twins medical staff has to say now. IMO, they have a lousy track record compared to other teams.

He was likely allowed to play to see if he would be able to contribute in the wild card game.

With the type of injury that has been reported, playing may or may not cause worsening of the problem- the crystal ball is a bit murky. And hindsight is 20/20, right?

This doesn't change my opinion of the Twins medical staff. Certainly your right to have a differing opinion. He probably felt he was close to being able to contribute and all parties wanted to see if he could make it back in time for the playoff game. No real harm in letting him try- he either can play or he can't. It is extremely unlikely that playing a couple games at the end of this season has any effect on his ability to be ready for next year.

 FWIW, I would be really surprised if he needed surgery for something like this- I would postulate that Wolfson is just making an observation and not commenting on any specific information he was given.

 

 

[h2oface]

I really don't understand why, if he needed surgery, why it wasn't done right away. Seems like a massive waste of time.

[PseudoSABR]

 

I really don't understand why, if he needed surgery, why it wasn't done right away. Seems like a massive waste of time.

Because obviously there was some hope he could play, that he tried, and failed to play well, doesn't make it the wrong decision.  Having surgery at the time would have wasted the rest of the season.   

 

There's nothing that chides me more than casual fans second-guessing medical evaluations.  It happens with every injury that puts a player out for any extended time.  Ugh.

[spinowner]

I want to hear concrete medical information, not some media guy saying "Don't be surprised if..." Sounds like unsubstantiated speculation.

[Shaitan]

 

I really don't understand why, if he needed surgery, why it wasn't done right away. Seems like a massive waste of time.

 

It's not always obvious. It could have to do with the healing process.

[Squirrel]

He was likely allowed to play to see if he would be able to contribute in the wild card game.

With the type of injury that has been reported, playing may or may not cause worsening of the problem- the crystal ball is a bit murky. And hindsight is 20/20, right?

This doesn't change my opinion of the Twins medical staff. Certainly your right to have a differing opinion. He probably felt he was close to being able to contribute and all parties wanted to see if he could make it back in time for the playoff game. No real harm in letting him try- he either can play or he can't. It is extremely unlikely that playing a couple games at the end of this season has any effect on his ability to be ready for next year.

 FWIW, I would be really surprised if he needed surgery for something like this- I would postulate that Wolfson is just making an observation and not commenting on any specific information he was given.

Okay, I'm asking you to speculate, but what kind of surgery would be done for this?

[Squirrel]

I really don't understand why, if he needed surgery, why it wasn't done right away. Seems like a massive waste of time.

If there are other avenues to try first you do them first. Period.

 

And we don't even know yet if this is what is going to happen.

[Heezy1323]

 

Okay, I'm asking you to speculate, but what kind of surgery would be done for this?

Obviously I have no inside knowledge, so I'm going off purely what has been in the media. 

About the only thing that I can think of that would make any sense, would be if this is a stress reaction/fracture that is just not healing and it continues to not respond to conservative treatment (rest, medication, bone stimulator, etc.). Uncommonly, this can require an operation to 'fix' the fracture using either a metal rod or a plate/screw construct. 

 This seems pretty unlikely to me for various reasons, but it's hard for me to understand what other type of surgery might be in play. Of course, what has been reported could be inaccurate or incomplete, in which case more options are possible. Hopefully tincture of time is the successful prescription...

 

Or more cowbell.

[Mr. Brooks]

If there are other avenues to try first you do them first. Period.

 

And we don't even know yet if this is what is going to happen.

Well that's not always true either.

Sometimes there are multiple options, and the player and doctor immediately choose surgery.

I think its a case by case basis. It's never "always do surgery right away", or "only do surgery as a last resort".

[Thrylos]

Bit old school here as far as Medicine goes, but there are one 2 reasons that surgery might be needed: a. if there are a whole bunch of bone fragments around, which need to be cleaned or b. stabilize the leg after a pretty nasty tibia fraction.

 

Both of those 2 cases would not been diagnosed as a "stress reaction" with an old school X-ray, much more with an MRI.

 

And the 'stress' part (which denotes injury due to repetition vs. due to event as in 'acute') was totally BS because his leg was hurt with that foul ball, and that is a distinct event, as in an accident.

 

Either the lying has to go, or the Twins' med stuff have to go...

[Seth Stohs]

 

I want to hear concrete medical information, not some media guy saying "Don't be surprised if..." Sounds like unsubstantiated speculation.

 

Knowing and talking with Doogie, he isn't going to put something out there without knowledge from someone who knows. He doesn't need to give up his sources, but he's one of the most reliable people in the market for this stuff... someone told him that there is a concern that he may need surgery. 

[Doomtints]

 

It would be good to get a great defensive third baseman who is at least OK at the plate, if Sano doesn't project to be much more than a DH.

 

Dozier could move over to 3rd.

[Doomtints]

 

I really don't understand why, if he needed surgery, why it wasn't done right away. Seems like a massive waste of time.

 

This isn't how it's done generally in baseball or other sports. Barring something catastrophic, the first course is always going to be to let the body try to heal itself.

[big dog]

 

Bit old school here as far as Medicine goes, but there are one 2 reasons that surgery might be needed: a. if there are a whole bunch of bone fragments around, which need to be cleaned or b. stabilize the leg after a pretty nasty tibia fraction.

 

Both of those 2 cases would not been diagnosed as a "stress reaction" with an old school X-ray, much more with an MRI.

 

And the 'stress' part (which denotes injury due to repetition vs. due to event as in 'acute') was totally BS because his leg was hurt with that foul ball, and that is a distinct event, as in an accident.

 

Either the lying has to go, or the Twins' med stuff have to go...

Or it's at least remotely possible there is a third interpretation of events.

[Doomtints]

 

I want to hear concrete medical information, not some media guy saying "Don't be surprised if..." Sounds like unsubstantiated speculation.

 

As if any of us were qualified to read a medical report.....

[Taildragger8791]

 

Dozier could move over to 3rd.

 

I didn't think Dozier had the arm for 3rd? And a lot of his troubles at shortstop were related to attacking or charging in on balls, which is something a 3rd basemen has to do regularly (and Sano is great at). Dozier is best when he can hang back and let the ball come to him, which is why he's excelled more at 2B.

[Doomtints]

 

I didn't think Dozier had the arm for 3rd? And a lot of his troubles at shortstop were related to attacking or charging in on balls, which is something a 3rd basemen has to do regularly (and Sano is great at). Dozier is best when he can hang back and let the ball come to him, which is why he's excelled more at 2B.

 

Balls are usually hit to third very hard, though yes he would have to hustle a bit too. I think he could do it.

[Taildragger8791]

 

Balls are usually hit to third very hard, though yes he would have to hustle a bit too. I think he could do it.

 

Usually, but you also get plenty of dribblers and rollers that need to be attacked downhill and then thrown with some mustard on them. You're often playing 90-100 feet from home instead of 130-140 feet. There's a reason he went from being unsatisfactory at SS to pretty good at 2B. I just don't think he's comfortable making the plays that need to be made on the left side of the infield.

[T_J]

Wait... Lets not rip the team doctors... I'm about to see a former one next Friday about a shoulder issue and I liked my confidence in him until I read over this! 

 

Really though, from the amazingly little I know about medicine, there best treatment option for something like this is time. 

[h2oface]

 

Because obviously there was some hope he could play, that he tried, and failed to play well, doesn't make it the wrong decision.  Having surgery at the time would have wasted the rest of the season.   

 

There's nothing that chides me more than casual fans second-guessing medical evaluations.  It happens with every injury that puts a player out for any extended time.  Ugh.

 

Duh. There's nothing that chides me more than casual fans fansplaining the obvious that every casual fan knows. Of course it would have put him out (not wasted in my opinion) the rest of the season, but it would have been the safest and best long term for Sano and the team. Him being healed, and having the best opportunity to be ready and healthy for 2018 is why I don't understand it. After all, Falvey/Levine were sellers, and have done nothing to try to compete farther than the wild card game. At all. So the decision to drag this along is fair game for speculating...... as   a casual  an obsessive fan. Ugh.