A modern advanced analytic approach to cost and performance loss analysis of ulnar collateral ligament surgery to Major League Baseball teams

  • 0Department of Orthopedics, Columbia University Medical Center, New York, NY, USA.

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Summary

This summary is machine-generated.

Ulnar collateral ligament (UCL) reconstruction surgery is rising in MLB pitchers, costing teams over $1.26 billion in salaries and billions more in lost performance value. Investing in prevention can save significant costs.

Area Of Science

  • Sports Medicine
  • Orthopedic Surgery
  • Baseball Analytics

Background

  • Ulnar collateral ligament (UCL) reconstruction surgery is increasingly common in Major League Baseball (MLB) pitchers.
  • While clinical outcomes are studied, the economic and performance impacts on MLB teams are less understood.

Purpose Of The Study

  • To analyze the economic and performance costs associated with UCL reconstruction in MLB pitchers.
  • To quantify salary losses and lost player contributions due to UCL injuries.

Main Methods

  • Cost analysis of MLB pitchers undergoing UCL reconstruction from 2014-2024.
  • Data collected from public MLB databases.
  • Economic losses calculated via salary cost of recovery (COR) and performance cost (using FanGraphs wins above replacement - fWAR).

Main Results

  • 276 UCL surgeries performed between 2014-2024, with a significant increase in recent years.
  • Total inflation-adjusted COR salary losses exceeded $1.26 billion.
  • Estimated $3.4 billion in performance value lost, with an average loss of 1.9 fWAR per pitcher.

Conclusions

  • UCL injuries impose a substantial financial burden on MLB teams, exceeding $1.26 billion in salaries and $3 billion in performance value over a decade.
  • Players experience a decline in performance value (fWAR) post-injury.
  • Investing in UCL prevention and recovery programs offers potential financial savings for teams and players.

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