Los Angeles Times

Angels calm about Ohtani

Club isn’t fretting his elbow injury because it has not derailed other pitchers.

- By Pedro Moura

LAKE BUENA VISTA, Fla. — Pitching causes tears within pitchers’ elbows. It always has. Evidence shows that the harder pitchers throw, the more likely significan­t tears are to develop, and the more likely they are to eventually require surgery to fix those tears. New Angels two-way player Shohei Ohtani throws exceptiona­lly hard when pitching, and Yahoo Sports reported Tuesday that he was diagnosed in October with a first-degree sprain, or a small tear, within the ulnar collateral ligament of his prized right elbow.

News of the tear spurred panic, but the Angels examined his elbow with multiple MRI exams last week and have known about the diagnosis since last month. So have all of the the other clubs who pursued him, in the range of two dozen. That knowledge did not hamper the market for his services, because plenty of pitchers maintain successful careers with similar-sized tears and because even surgery

wouldn’t negate his status as a tremendous bargain. The Angels’ $22.3-million commitment to sign him represents a small fraction of his overall value.

An American Journal of Sports Medicine study published in 2016 showed that 100% of pitchers with first-degree sprains and 94% of pitchers with first- or second-degree sprains were able to return to their same level of play without undergoing surgery.

Those pitchers did not receive platelet-rich plasma, or PRP, injections, which Ohtani did after his diagnosis. Angels general manager Billy Eppler indicated it was preventati­ve in nature and no cause for concern.

“It is not out of the ordinary for a player to get PRP at the end of the season,” Eppler said Wednesday, on the third day of the baseball winter meetings.

It has become increasing­ly common for pitchers to receive the treatment since the turn of the century. Because teams typically do not disclose the treatments for pitchers who are not on the disabled list and because players can choose to undergo it on their own, what percentage do is unclear.

It’s likely much more than is reported. Stem-cell injections are in the same family as PRP shots, and few stem-cell injections on profession­al players have been publicized. But one physician who performs them, Dr. Steven Yoon, told The Times in April he had performed an estimated 15 to 20.

One example of a preventati­ve PRP injection is Garrett Richards’ October 2016 treatment. Richards was diagnosed with a partially torn ulnar collateral ligament that May and opted to treat it with a stem-cell injection. Once that healed the tear and he returned to pitching, he received a PRP shot to start his offseason.

Of course, he missed much of 2017 because of nerve irritation in his biceps. But his ulnar collateral ligament is intact, and the Angels expect him to pitch in 2018.

They expect Ohtani to, too. He has been throwing for at least a few days, and the Angels are developing a springtrai­ning plan to build up his stamina. A condensed schedule could force them to limit some of their starting pitchers to five spring starts, instead of the traditiona­l six.

Excepting his offensive commitment­s, Angels manager Mike Scioscia said, he’ll treat Ohtani the same way he does the rest of his starting staff.

“The only understand­ing we have is it’s really just something that’s behind him,” Scioscia said. “There’s no concern, and there’s no restrictio­ns. He’ll be full go in spring training.”

What the size of the staff will be, Scioscia wouldn’t say. The Angels are contemplat­ing a six-man rotation, and sources said members of the front office began to broach the topic with the team’s starting pitchers Tuesday night. This week, Eppler said he planned to engage the club’s pitchers once he felt his staff had sufficient­ly examined the “merits” of such a route. He made a moral argument for exploring it, saying the evidence showed it could keep pitchers healthier and thus enable them to elongate their careers.

Eppler has considered those grounds in the past, but Ohtani’s addition accelerate­d the talk. Though more moves will be made, the focus remains on Ohtani. Eppler exchanged texts with Ohtani on Tuesday night, using a translatin­g service to send simple sentences in Japanese.

New inf ielder

The Angels acquired second baseman Ian Kinsler from the Detroit Tigers, the team announced.

In exchange, the Angels will send to Detroit 18-yearold right-hander Wilkel Hernandez and 23-year-old outfielder Troy Montgomery. Neither man ranked among the team’s top prospects. Hernandez was signed for $125,000 out of Venezuela and has not reached Class-A ball. Montgomery, an eighthroun­d pick in last year’s draft, performed well in the low minors and reached double A for 20 games in 2017.

Kinsler, 35, has a history of offensive success, though his 2017 season was the worst of his career. He hit .236 with a .313 on-base percentage and .412 slugging mark. He turns 36 in June, but major league talent evaluators say his defense has held up.

“He’s a pretty complete baseball player,” said Angels general manager Billy Eppler. “He hits for average, has selectivit­y, can impact the baseball, plays outstandin­g defense, runs the bases well, phenomenal in the clubhouse.”

The Tigers had motivation to deal away Kinsler with most of their veterans long gone and a long-awaited rebuild in motion.

On Aug. 31, the Angels played a role in that rebuild by acquiring slugging left fielder Justin Upton from the Tigers. And, in November, the Angels re-signed Upton to a five-year, $106-million contract. Over two years in Michigan, Kinsler and Upton built a favorable relationsh­ip.

Kinsler possesses a notrade clause, and he reportedly listed the Angels on his list of teams to which he could not be dealt without his permission. But he waived the clause to allow the trade.

He is due $11 million in 2018 in the final season of an extension he signed in 2012. The Angels are assuming his entire salary.

 ?? Gail Burton Associated Press ?? IAN KINSLER joins the Angels in a trade with the Detroit Tigers.
Gail Burton Associated Press IAN KINSLER joins the Angels in a trade with the Detroit Tigers.
 ?? Scott Cunningham Getty Images ?? DESPITE SUBPAR statistics in 2017, second baseman Ian Kinsler, 35, has a history of offensive success.
Scott Cunningham Getty Images DESPITE SUBPAR statistics in 2017, second baseman Ian Kinsler, 35, has a history of offensive success.

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