Orix Buffaloes Hiroya Miyagi pitcher (24) was removed from the roster on April 10 due to damage to the medial collateral ligament of his left elbow. He visited a hospital in Osaka that day. There is a possibility that he will have to undergo Tommy John surgery to reconstruct the ligament in his left elbow.

This is Miyagi's first injury to his left elbow. After the game on the 9th, he confessed, "I still don't know anything about it..." and the next day he faced a very painful reality.

In his seventh professional season, he participated in the WBC for the second consecutive time, and after returning to Japan, he pitched in one exhibition game. "If there's a chance, I want to aim to be pitcher," he said, and served as the opening day pitcher for the third time in three consecutive years in the game against Rakuten Eagles on March 27th (Kyocera Dome). So far, he has a record of 1 win and 1 loss with ERA of 4.05, but the coaching staff has been taking the left arm's condition into utmost consideration. The accident occurred while he was gradually reducing his pitch count from 56 to 87 to 94, so manager Kishida only said, "He will go to a hospital in Yokohama tomorrow, so it depends on that. Depending on the examination, various things will be decided."

While pitcher with similar diagnoses opt for conservative treatment, an increasing number are choosing surgery to eliminate all concerns. Tommy John surgery generally requires more than a year for recovery, but in recent years, hybrid methods using artificial ligaments have emerged. Furthermore, rehabilitation programs for recovery have been established, and many pitchers have achieved full recovery.

In the 2023 offseason, Yamamoto (Dodgers) went to the major leagues, and Miyagi inherited number "18" from 2025. The absolute ace had vowed to reclaim the championship after a three-year hiatus, saying, "I will surpass my career high and win the championship. As the pillar of the starting rotation, I will become pitcher who never loses." The magnitude of the shock that Miyagi and Orix Buffaloes have suffered is immeasurable.

Tommy John surgery is a reconstruction of the medial collateral ligament. The name Tommy John Surgery was coined by Dr. Frank Jobe in the 1970s after Tommy John, a former Dodger pitcher, underwent the procedure for the first time in 1974. pitcher In the case of the "C" tendon, it is said that it takes more than a year to return to work. In the past, Choji Murata (Lotte), Masumi Kuwata (The Giants), Darvish (Rangers), Shohei Otani (Angels), Atsuki Taneichi (Lotte), Haruto Takahashi (Hanshin Tigers), and Syoichiro Yamazaki (Orix Buffaloes) have had the surgery and recovered (affiliations are at the time).