Bartolo Colón active players as of June 11, 2008. Colón did not pitch in 2010 due to ongoing right shoulder and elbow pain and damage to the rotator cuff, ligaments and tendons. In March 2010, he received a transplant of stem cells to repair the damaged tissues in his right shoulder. The orthopedic surgeon who performed the surgery said he had used human growth hormone in previous surgeries of the same type but not with Colón. The surgery was scrutinized by MLB but no wrongdoing was found. Colón then played in the Pre-World Championship in Puerto Rico, winter ball with the Aguilas
Rotator cuff tear single physical examination test distinguishes reliably between bursitis, partial-thickness, and full-thickness tears. On the contrary, a combination of tests seems to provide the most accurate diagnosis. For impingement, these tests include the Hawkins-Kennedy impingement sign in which the examiner medially rotates the patient's flexed arm, forcing the supraspinatus tendon against the coracoacromial ligament and so producing pain if the test is positive a positive painful arc sign, and weakness in external rotation with the arm at the side. For the diagnosis of full-thickness rotator cuff tear, the best combination appears to include once more the painful arc and weakness in