Like clockwork. Just like almost every other hard-throwing pitcher who comes over from Japan, now the biggest name of them all has UCL damage in his elbow and it has gotten so bad now for Los Angeles Angels pitcher/DH Shohei Ohtani that Tommy John surgery could be inevitable. Joining Daisuke Matsuzaka, Yu Darvish, Mashairo Tanaka, and other Japanese imports to come down with UCL damage soon after arriving in the States, Ohtani has gone from having a Grade 1 sprain in the area to a Grade 2. That puts him perilously close to Tommy John territory as the tear gets more pronounced. The current plan is for Ohtani to rest for a few weeks and try to come back but any one pitch can now send him under the knife. It is likely Ohtani is going to have to alter his approach a bit like we have seen with Tanaka and so that calls into question how effective he could be as well when he returns. All in all, this is looking like a very bad situation which is only getting worse.