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The Effect of the 2021 MLB Foreign Substance Policy on Pitcher Injury Rates and Statistics.

S Andrew Samborski1, Neal ElAttrache1, Steven Karnyski1

  • 1Kerlan-Jobe Orthopaedic Clinic, Los Angeles, California, USA.

Orthopaedic Journal of Sports Medicine
|June 30, 2025
PubMed
Summary
This summary is machine-generated.

Major League Baseball's foreign substance policy did not change pitcher injury rates or strikeouts. However, the policy led to significant decreases in wild pitches, earned run average, and base on balls.

Keywords:
Major League Baseball (MLB)foreign substanceinjury ratepitching

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Area of Science:

  • Sports Medicine
  • Baseball Analytics
  • Epidemiology

Background:

  • Major League Baseball (MLB) introduced a foreign substance policy in June 2021 to regulate pitcher grip enhancements.
  • The impact of this policy on pitcher injuries and performance metrics remained unquantified.

Purpose of the Study:

  • To evaluate the effect of the MLB's foreign substance policy on pitcher injury rates, wild pitches, hit batters, walks, strikeouts, and home runs.
  • To compare pitching statistics and injury data before and after the policy's implementation.

Main Methods:

  • A descriptive epidemiological study comparing MLB pitchers from the 2019 and 2022 seasons.
  • Retrospective data collection on injuries and pitching statistics from publicly available sources.
  • Statistical analysis using nonparametric Wilcoxon rank-sum tests and regression models to compare outcomes adjusted for batters faced.

Main Results:

  • No significant difference was found in pitcher injury rates, hit batters, or strikeouts between the 2019 and 2022 seasons.
  • A statistically significant decrease was observed in wild pitches (P=.04), earned run average (P<.01), base on balls (P=.04), and home runs (P<.01) in 2022 compared to 2019.

Conclusions:

  • The MLB foreign substance policy did not adversely affect pitcher injury rates or strikeouts.
  • The policy was associated with significant improvements in pitching control, evidenced by reductions in wild pitches, walks, and home runs.