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Injured players can develop rust... they could very well develop a metric crapload of it... That said, your rusty superstar could still add more value to your big league roster than whatever call up you brought in from Triple A is currently accomplishing. So while rehab assignments could server a purpose, it doesn't mean it's always a necessary purpose.
Also, OOTP doesn't quite handle this properly anyways. In MLB, a player on the DL can be sent to the minors for rehab at any time during his DL stint. In OOTP, the player must be both healed and done with his 15 or 60 days. So if your player has a 12 day injury sitting on the 15 day DL, he should have those three days available at the end to play for triple A, but he doesn't and you are forced to lose him for a few more unnecessary days if you want a rehab...
But usually, the difference between returning player + rust versus regular triple A call-up is still not enough to bother with rehab assignments.
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