The increase of Tommy John surgeries is a multi-causal problem with a multi-faceted solution.
In 2014, with the high-profile elbow injuries to Jose Fernandez, Patrick Corbin, Matt Moore and many others, much attention was paid to many of the contributing factors to Tommy John: overuse of young pitchers and year-round pitching, we highlighted the role that arm fitness might play in stemming the tide of injuries.
“What hasn’t been discussed much by media outlets are the possible contributions of the surrounding musculature to help dynamically stabilize and protect the ulnar collateral ligament. However, there are significant peer-reviewed research findings that strongly suggest that the pronator-flexor mass in the medial forearm play a large role in protecting the UCL and therefore the elbow”
With any multi-faceted solution, there is no “one answer”.
But, we believe the solution with the most leverage is the education of coaches and parents throughout our youth and high school communities.