The Impact of the Pitch Clock on UCL Surgery Rates and Performance in Major League Baseball Pitchers

Overall, this preliminary study suggests that the newly implemented Pitch Clock may not increase the overall rate of UCL surgeries in MLB pitchers. However, there has been a significant increase in the percentage of starting versus relief pitchers undergoing UCL surgery since the inception of the Pitch Clock. Reassuringly, the Pitch Clock also did not have a concerning impact on pitching performance in MLB pitchers. Further monitoring of injury trends after the implementation of the Pitch Clock in MLB is warranted.

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Publication Details

Journal
Orthopaedic Journal of Sports Medicine
Published
2025-10-01
DOI
https://doi.org/10.1177/23259671251374312
Primary Topic
Shoulder Injury and Treatment
Type
article
Field-Weighted Citation Impact
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article

The Impact of the Pitch Clock on UCL Surgery Rates and Performance in Major League Baseball Pitchers

Michael A. Mastroianni, Andrew J. Luzzi, Christopher S. Ahmad, Michael L. Knudsen et al.
Orthopaedic Journal of Sports Medicine
Shoulder Injury and Treatment
article

The Impact of the Pitch Clock on UCL Surgery Rates and Performance in Major League Baseball Pitchers

Michael A. Mastroianni, Andrew J. Luzzi, Christopher S. Ahmad, Michael L. Knudsen, Prashanth Kumar, Abed Abdelaziz, Matthew R. LeVasseur, Frank J. Alexander, Brian F. Timoney
article en

Abstract

Overall, this preliminary study suggests that the newly implemented Pitch Clock may not increase the overall rate of UCL surgeries in MLB pitchers. However, there has been a significant increase in the percentage of starting versus relief pitchers undergoing UCL surgery since the inception of the Pitch Clock. Reassuringly, the Pitch Clock also did not have a concerning impact on pitching performance in MLB pitchers. Further monitoring of injury trends after the implementation of the Pitch Clock in MLB is warranted.

Orthopaedic Journal of Sports MedicineVol. 13(10)
NewYork–Presbyterian Hospital (US), New York Hospital Queens (US), Columbia University (US)
Openalex Percentile: Top 50%
Shoulder Injury and Treatment
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