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The Fantasy Injury Exam Room - Jose Altuve, Tyler Glasnow and More

Scott Engel and Inside Injuries look into recent MLB player injuries and analyze their fantasy baseball implications including Jose Altuve, Tyler Glasnow, Nelson Cruz and more.

In our weekly feature in collaboration with Inside Injuries, we take a comprehensive look into major injuries and their Fantasy implications.

The medical team at Inside Injuries breaks down each player’s outlook from physical perspectives. RotoBaller then provides in-depth fantasy recommendations based on the impact of every injury breakdown. It’s an unrivaled combination of medical and fantasy expertise, designed to help you gain a true advantage in your roster management.

Inside Injuries predicts the impact of injuries on player performance by using data analytics, medical expertise and statistical modeling.

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Jose Altuve (2B, HOU)

Altuve was pulled from Friday's game due to left hamstring discomfort. The Astros initially said it was precautionary, but it was clear this was more than some soreness when he landed on the I.L. Inside Injuries’ algorithm is showing a grade 1 (mild) hamstring strain, which comes with a two week Optimal Recovery Time. He doesn't have a history of hamstring problems, but was an Elevated Injury Risk entering the season due to left side soreness during Spring Training and October surgery to address an avulsion fracture in his right knee. Now he is a High Injury Risk (47%), and his HPF (Health Performance Factor) is Poor. This injury may come with a relatively short ORT, but it could be awhile before he is performing well again.

Engel’s Fantasy Spin

Before he was injured, Altuve was rediscovering his power stroke to the tune of nine home runs and a ,229 ISO, which was surely going to fall, but his rebound in the HR department was very impressive. He was also providing ample production in runs scored and RBI, with 21 in each category in 39 games played. His ,243 BA was due to rise when you consider his .234 BABIP. RotoBaller had Altuve ranked in the No. 1 tier by himself in the May ROS rankings. You will simply have to ride this absence out, because you will not get proper return in a trade right now. Once he is back, it is understandable if his recent injury history concerns you and then you deal him when you can get the proper package back. But keeping him could be a key to a championship, so I would not give him up unless I received a stellar offer in return.

 

Nelson Cruz (OF, MIN)

Cruz was sent for an MRI after he injured his left wrist on a swing during Sunday’s game. It came back negative, and he is expected to avoid a stint on the 10-day I.L. This decision makes sense, as we are showing a one week Optimal Recovery Time. He’s likely dealing with some soreness and swelling that should subside with rest after a few days. Cruz may need another week or two to get his power back to where it was before the injury, but this isn’t a long-term concern. Cruz now has a Below Average HPF (54%), although that should improve significantly within a week.

Engel’s Fantasy Spin

If you play in leagues with daily moves, you are simply going to have to check the lineup cards every day. Cruz was slumping before he was injured, hitting .125 with no homers and one RBI in 24 at-bats before he went down. The combination of the cold streak and the HPF makes him a risky play for the first few days when he returns. But you just cannot leave a power bat like that out of your lineup once he becomes available again.

 

Tyler Glasnow (SP, TB)

Glasnow was sent for an MRI last week after experiencing discomfort in his forearm. It showed a “mild” forearm strain, but he is expected to miss 4-6 weeks. Our algorithm has classified this as a grade 2 strain. A mild strain wouldn’t need up to six weeks to heal, so this is clearly more of a moderate strain. This injury comes with a five week Optimal Recovery Time. That’s just for the strain to heal - he could need another week or two to build up his arm strength and return to the Rays rotation. This is a pretty serious injury as a pitcher, so it’s no surprise that his Injury Risk is now High.

Engel’s Fantasy Spin

This was a real punch to the gut for Glasnow’s fantasy owners, as he was apparently on his way to a true breakthrough campaign. The one positive item is that at least he is not lost for the season. Don’t cut him if your league does not use an Injured List. He could certainly return and help your team in the second half of the year. In the meantime, try to acquire a John Means or Brad Peacock to fill the spot if you can.

 

Anthony Rizzo (1B, CHC)

If it seems like Anthony Rizzo deals with back problems every year. We have calculated four separate back injuries over the last three seasons. Back problems are highly recurrent, even when they are mild. Rizzo hasn’t played since Saturday due to “tightness.” Once again this doesn’t appear to be a more serious long-term injury, but it still comes with a 1-2 week Optimal Recovery Time according to our algorithm. His Injury Risk is now Elevated (20%), and his HPF is Below Average (59%). Give him a week and these numbers should improve, but for now he needs more time to rest and allow his back to calm down.

Engel’s Fantasy Spin

The Cubs are seemingly going to give Rizzo a few days to rest, and it is possible he could return for a weekend series against Washington. These back issues appear to be something you may have to live with as a Rizzo owner, so continue to have contingency plans in place at corner infield.

 

Eloy Jimenez (OF, CHW)

It’s been almost three weeks since Jimenez landed on the I.L. after suffering a high ankle sprain. Inside Injuries gave him a four week Optimal Recovery Time for a grade 2 injury, and he appears to be right on track based on this timeline. Jimenez ran the bases over the weekend and has been cleared to begin a rehab assignment on Tuesday. His Injury Risk is 13%, right on the border of Low and Elevated. His HPF is also back in the Peak category (82%), so expect Jimenez to return to top form pretty quickly after he is activated.

Engel’s Fantasy Spin

Jimenez was scheduled to begin a rehab assignment on Tuesday, so he is indeed close to returning. You may be able to get him back into your lineup for next week. Ultimately, Jimenez should continue to be a good source of power with a respectable batting average.

 

Andrew Heaney (SP, LAA)

Heaney has been battling elbow problems since mid-March and experienced a setback a few weeks later. He required a cortisone injection and was diagnosed with “chronic changes” in his elbow. That likely means there wasn’t a ligament tear, but there could be cartilage damage or spurs in his elbow that are causing pain. After taking a few weeks to rest, he resumed throwing last month and has progressed to throwing a simulated game. Now Heaney will be sent on a rehab assignment and could rejoin the Angels rotation within the next few weeks. While his HPF has improved significantly and is now Above Average (71%), his Injury Risk is very High (44%). As long as he can stay healthy he should pitch well, but expect another problem with his pitching arm at some point.

Engel’s Fantasy Spin

There is certainly optimism for Heaney when he returns after what we saw of him last year. Health is the obvious concern for him, but he can bolster your fantasy staff at least when he is available. You have waited patiently for Heaney to return, so take what you can from him while you can get it and keep availability expectations low.

 

Fernando Tatis Jr. (SS, SD)

Tatis injured his left hamstring two and a half weeks ago, and he is not yet running at full speed. This is clearly more than just a mild strain. Inside Injuries is showing a grade 2 injury, which comes with a 4 week Optimal Recovery Time. Hamstrings can be very slow to heal, and it can quickly become a frustrating rehab process. It’s important to be very patient, as it’s easily aggravated. Expect Tatis to miss at least another week of action, and likely more. He remains a High Injury Risk.

Engel’s Fantasy Spin

We needed to get you an update here, and there are no positive reassurances yet. This an obviously a more significant hamstring issue. By now you have already made plans to fill in for Tatis, you will have to continue with that for now and the near future. Hopefully he will be able to return to your fantasy lineup in June.

 

David Robertson (RP, PHI)

Robertson landed on the I.L. one month ago with a grade 1 flexor strain in his right arm, but our injury algorithm is showing this is was really a moderate (grade 2) strain. Because this was actually a more serious injury, it’s no surprise that Robertson experienced a setback when he resumed throwing last week. He went for a visit to Dr. James Andrews and will now be shut down from throwing for three more weeks. Flexor strains are very difficult injuries for a pitcher to overcome, which is why we are now showing a new 5 week Optimal Recovery Time. It’s possible we don’t see Robertson back in the bullpen until sometime around the All- Star break.

Engel’s Fantasy Spin

So you should continue to roster Hector Neris for awhile, but as we have seen in the past, his hold on the closer role is certainly not firm. Seranthony Dominguez and Pat Neshek may continue to earn some saves as well. You can also continue to chase some saves on the waiver wire, as the next Hansel Robles could be an injury or a blown save or two away.

More 2019 Fantasy Baseball Advice




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De'Von Achane

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Can Eric Singleton Jr. Fully Break Out at Third School?
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Katin Houser Steps into QB1 Role for Illinois
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Savion Hiter an Immediate Impact Freshman for Michigan
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Isaiah Horton Set to Take Over KC Concepcion's Role
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UCLA Transfer Karson Gordon Signs with Austin Peay
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Will Muschamp Bringing New Intensity to Texas Practices
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Brings Boom-or-Bust Potential to Memorial
Jordan Spieth

Still Searching for a Breakthrough
Ted Hurst

Can Ted Hurst Find Consistent Fantasy Success in a Crowded Receiver Room?
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Brings Elite Form to Memorial Tournament
Jayden Reed

Still an Unproven Dynasty Asset
Justin Rose

Looks to Recapture Memorial Tournament Success
Cameron Young

Looks to Get Back to His Contending Ways at Murifield Village
Chris Gotterup

Needs to Find Fairways at Muirfield Village
Si Woo Kim

Looks to Stay Hot at Memorial Tournament
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Positioned for Success at Muirfield Village
Jalen Chatfield

Records Two Assists in Tuesday's Loss
Keegan Bradley

Looking for Another Strong Finish at Muirfield
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Nets Two Goals in Game 1 Loss to Golden Knights
Shea Theodore

Notches Three Points in Game 1 Win
Brayden McNabb

Sets Up Three Goals in Game 1 Win Over Hurricanes
Justin Thomas

is an Exciting Play This Week in Ohio
Brett Howden

Starts Finals With Multi-Point Effort
Scottie Scheffler

Looks to Win Memorial Tournament for Third Consecutive Year
Tomas Hertl

Scores Game-Winner in Finals Opener
Rory McIlroy

Looking for Better Performance at Muirfield Village
Drake Baldwin

Could Return During Braves Next Homestand
Garrett Crochet

Diagnosed With Low-Grade Lat Strain
Russell Henley

Coming to Ohio on the Heels of Latest Victory
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Looking for Better Iron Play at Memorial Tournament
Patrick Cantlay

Looks to Continue Dominance at Muirfield Village
Ludvig Aberg

a Great Fit for Muirfield Village
Isaiah Hartenstein

Hopeful to Stay with Oklahoma City
Luguentz Dort

Wants to Remain with Thunder
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Moussa Diabaté

Moussa Diabate Has Contract Guaranteed for 2026-2027 Season
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Gets Guaranteed Contract for Next Season
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Canucks Name Manny Malhotra as New Head Coach
Brendan Gallagher

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Patrik Laine

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Tight End Nick Pollack Commits to Clemson
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Primed to take on the Memorial Tournament
J.J. Spaun

Rebounded at Charles Schwab Challenge
Xander Schauffele

One to Watch This Week in Ohio
Elly De La Cruz

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Chase Burns

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Deiveson Figueiredo

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Song Yadong

Gets Second-Round Submission Win
Zhang Mingyang

Suffers Back-To-Back Losses
Alonzo Menifield

Gets Back In The Win Column
Tallison Teixeira

Suffers First-Round Knockout Loss
Sergei Pavlovich

Scores First-Round Knockout Win
Cameron Smotherman

Suffers Third Loss In A Row
Edwin Arroyo

Reds Promote Top Infield Prospect Edwin Arroyo, Viewed as Priority Pick Up Ahead of MLB Debut
Kai Asakura

Earns His First UFC Win
Elly De La Cruz

Placed on IL with Right Hamstring Tightness
Denny Hamlin

Earns the first Nashville Cup Series Victory of his Career on Sunday
Christopher Bell

Finishes as the Runner-Up at Nashville
Chase Briscoe

Earns First Career Podium Finish at Nashville
Ryan Blaney

Scores A Solid Top-10 Finish at Nashville
Kyle Larson

Top-10 Streak at Nashville Ends after Late Flat Tire Spin
Elly De La Cruz

Exits with Hamstring Tightness
Tyler Reddick

Is One of the Top Favorites to Win at Nashville
Kyle Larson

May Continue his Top-10 Consistency at Nashville this week
Christopher Bell

Is One of the Top Competitors for the Win at Nashville
Chase Briscoe

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Chase Elliott

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Carson Hocevar

Is Likely to have Another Solid Result at Nashville
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Is A Decent All-Around DFS Option for Nashville Lineups
Daniel Suarez

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Garrett Crochet

Suffers Setback, Likely to Undergo MRI for Lat Tightness
Denny Hamlin

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Ryan Blaney

Is a DFS Tournament Option at Nashville
Ty Gibbs

Don't Overlook Ty Gibbs at Nashville
Joey Logano

Could Show Life at Nashville
Ross Chastain

Needs a Good Run at Nashville
Chet Holmgren

Fails to Step Up in the Season Finale
Cason Wallace

Ends Postseason with Strong Showing
Shai Gilgeous-Alexander

Caps MVP Season with Game 7 Exit
Stephon Castle

Continues Postseason Run with 16 Points
Julian Champagnie

Shines in Series-Clinching Win
De'Aaron Fox

Provides Secondary Punch in Game 7 Triumph
Victor Wembanyama

Earns Conference Finals MVP in Spurs' Game 7 Win
NBA

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Donovan Mitchell

Remains Cleveland's Top Priority
Adou Thiero

Remains a Lakers Development Project
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76ers Hire Mike Gansey as President of Basketball Operations
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Chicago Bulls Explore Kevin Young as Coaching Candidate
Kyrie Irving

Reports He's Nearing Full Strength in ACL Recovery
Lane Hutson

Posts a Power-Play Assist in Game 5 Loss
Cole Caufield

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Seth Jarvis

Closes Out East Finals With Multi-Point Game
Logan Stankoven

Notches Three Points in Big Game 5 Win
Taylor Hall

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Frederik Andersen

Remains Stellar as Hurricanes Clinch Finals Berth
Jacob Gonzalez

is Heading to the Big Leagues
Munetaka Murakami

Exits with Hamstring Tightness
Mitchell Robinson

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Ajay Mitchell

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A Favorite At UFC Macau
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Joey McGuire Attempts to Add Texas to Schedule
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Taron Dickens Decommits From North Carolina
RANKINGS
C
1B
2B
3B
SS
OF
SP
RP

RANKINGS

QB
RB
WR
TE
K
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