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Sympathy for your Shoulder. Sounds like a song by Elton John but about 2am each night I want to scream. I just got back from a coaching conference in Denver. It was interesting that pro scouts are watching carefully now for kids from southern states. The last few years have seen the beginning of kids getting into high levels that grew up with one sport/one position rather than multi-sport, etc. The injury factors will be curious to watch in years ahead as suddenly northern climates might actually be an advantage in today's overdone world. As you said, history, genetics, training (flexibilty with strength), form, pitches. One report, hard to figure with instant publicity, from a top baseball state, had one of the top prospects for HS ball throw over 160 pitches one day and repeat that two days later.
A few years ago a lot of kids were almost boastful that they had already received their TJ surgery, like they had lost their virginity. Like a loose life, ultimately catches up with most.
Excellent thoughts on Pineda. Tendons can be frayed a bit at a time like Uncle Jed whittling wood. Form is an important part but even more factors to go into the equation today. Even if you are the Big Red Machine, in the end, you still need several capable arms to take the mound.