When the Doctor says Oops
What happens when the Doctor Says "Oops?"
You become a Cub.
Lookie here. The Cubs get an early holiday present under their tree in 31 year old starting pitcher Scott Baker. In typical Cub fashion, the wrapping paper is a bit discheveled and the bow on the gift is a little off kilter. Scott Baker toiled on the mound for the Twins from 2005-2011 including his best year in 2009 with 33 starts, 200 IP, a 15-9 record and a WHIP of 1.190. He had Tommy John/Ulnar collateral ligament (UCL) reconstructive surgery on his elbow last April, missing the entire 2012 season. Fitting Jedstein's Modus Operandi, it's a one year deal at $5.5M with $1.5M in incentives. According to XM Radio's Jim Bowden, the Cubs have made an offer to lefty Francisco Liriano, so maybe they are just going after ex-Twins. Matt Garza should soon be tweeting: "Collect em all."
Baker was supposed to have the (quicker to recover) flexor-pronator muscle attachment repaired in his right pitching elbow (compared to Tommy John ligament reconstruction) , but there was a change of plans decided intraoperatively...
In looking up the history on Scott Baker, I saw some pre-surgery articles in April that said his elbow injury was diagnosed as a tear of the flexor-pronator muscle attachement but when his surgeon, reknown Dr. David Altchek from Hospital for Special Surgery in New York (who did former Twin, Joe Nathan's TJ surgery) opened the elbow up it was clear that Baker needed his UCL reconstructed. The flexor-pronator recovery is usually 6 months whereas the Tommy John surgery is typically felt to be longer at 12-18 months for recovery.
An MRI taken late in spring training showed that the ulnar collateral ligament - the one that is replaced during Tommy John surgery - was sound. But Twins spokesperson Dustin Morse said that when surgeon Dr. David Altchek opened up the elbow and took a look, he decided to repair the ligament.
...and going into the April surgery, the Twins GM Terry Ryan said in a press conference that Baker's flexor-pronator attachment surgery would just be a simple "cleanup"
Baker said this preoperatively:
"He (Dr. Altchek) said this is something that’s not going to repair itself. It’s not going to cure itself. It’s something that needs to be taken care of. Fortunately, he said the (UCL) ligament looked great, so I guess in a way, as bad as this is, the flexor pronator tendon is what needs to be repaired. Nobody hates this more than me. So it’s tough.”
When asked about his Ulnar Collateral/Tommy John ligament, Baker said:
“Yeah, he said there’s no need to mess with that. I haven’t had any discomfort there, which is a good thing. But at the same time, what’s going on right now, I just know two things: It’s painful and it’s affecting my ability to be effective in a major league baseball game. What do you do when that’s the case? You have to get it taken care of."
A Simple Twist of Fate
Of course, the anatomy of the flexor-pronator tendon attachment and the ulnar collateral ligament attachment are so close together it's not unusual for an MRI or physical exam to be misleading. It is common practice to include in the surgical consent permission to do both procedures "just in case" this scenerio plays out. According to the Star Tribune article, if Baker had the cleanup elbow surgery with a 6 month recovery estimate, they probably would have picked up his $9.25M option on his contract and he'd still be a Twin. Then again, that's a lot of $$ for any pitcher coming off of any elbow surgery unless you're under 30 or your initials are SS (or both).
The forearm flexors are really responsible for controlling wrist flexion but they originate just above the elbow which gives them maximal leverage. The forearm pronator muscles are responsible for forearm rotation, in the direction of going from palm up to palm down, clearly needed to put spin on the ball. The reverse direction of pronation is supination where you move the forearm to a "palm up" position. The Ulnar collateral ligament is a bit deeper but in the same general attachment area and is responsible for keeping the elbow joint on the medial or inside from opening up. The elbow joint is a complex hinge where the forearm bones (radius and ulna) and the radius bone rotates around the ulna to produce forearm rotation (pronation and supination). The hinge component involves the ulna (olecranon) and distal humerus (medial condyle) on the inside (medial) and the radius (radial head) and lateral condyle or capitellum of the humerus on the outside (lateral).
Ulnar Collateral Ligament Origin: Flexor-Pronator Muscle Origin:
Star-Tribune author, La Velle E. Neal III, so generously offered the link to a comparable case, former Giant pitcher Russ Ortiz. Ortiz at age 32, who in 2007, went in thinking flexor-pronator and wound up with Tommy John surgery. Ortiz came back to pitch in 2009-10 but lasted only 90 innings before retiring.
There is an in-house comp. We've seen Tommy John surgery work well in Ryan Dempster. Dempster was younger at age 26 when he had the surgery in August 2003. The Reds didn't pick up his contract in November 2003 and the Cubs signed him in January 2004. Demp missed most of the 2004 season with a brief 20 inning bullpen comeback in September. He remained a Cub closer/reliever for 3 seasons and finally went back to the starting rotation in 2008.
People as saying there is not much risk paying a starter at $5-6M. Upside: See Paul Maholm. Downside: See Russ Ortiz or Good ol' duct tape himself, Chad Fox. Nuff said.
I have a lot of faith in Baez that he's going to turn into a more consistent, solid player. It looks like it took him about a half season or so of futility at the plate to figure out he was not talented enough to get away with the crazy approach he had. I think his running game will eventually have a more measured aggression.
I hope the D and bullpen show up. Cubs haven't had much luck against Davies, and he's been going well lately. A little uncomfortable with the Cards only 6.5 back--feels like they're right on our tails compared to the 11 game lead I've grown accustomed to.
Cardinals, stop that. Right now.
In a year or two, a lot of fans are going to point at trading him as a mistake. He'll probably be slashing something like 280/400/480 for Seattle at the time. Of course, by WAR, he'll still be worth less than 3, since we're talking zero defensive value.
vogelbomb debut for tacoma (AAA SEA)... 3-3, 1bb, 1 HR, 1 double...DH'd.
while he mostly played 1st considerably more than DH for AAA CHC, DJ Peterson is probably going to see most of the time at 1st for AAA SEA.
Carl Jr.! Very nice!
Baez with another "WTF?" play trying a delayed steal with a runner on 3rd and one out.. Remarkable talent, needs to make better decisions.
m.montgomery up in the pen with a man on 2nd, 2 out, and rondon 20 pitches into the inning.
...and rondon ends it 22 pitches in with a popout to RF.
I gotta say with the crappy defense the Brewers have displayed outside of Fowler I'm pretty disappointed the offense hasn't shown more and Rizzo seems to be very swing happy lately. That said my god am I happy Madden has finally given Carl Edwards a chance after multiple times up with nothing. I don't think he could handle a starting role with his body frame but his stuff plays so well in a relief role and he seems to be able to handle high stress situations very well.
2nd at bat. Fowler is good for the Cubs run differential.
welcome back fowler.
More slow news...
Did Davey Martinez have to bring the shotgun?
glad to see almora going to AAA to get work.
.265/.291/.422 through 86PA...2hr, 7 doubles.
i don't expect too much of an improvement when he's taking over CF next year, but the team doesn't really need him right now as much as they need him to get regular work (imo).
CHITOWNMVP01: The Cubs MLB Reserve List (40-man roster) has had one slot open since 7/6 (when RHRP Joel Peralta was Designated for Assignment).
The problem with the September roster is all of the pitching changes. They should find a way to limit pitchers to twelve except for extra inning games. More pinch hitters or pinch runners do little to slow the game down and are more fun than endless calls to the bullpen. I also think the fans get cheated when they use position players to pitch because employed a half dozen pitchers with righty-lefty switches. Having as few as four positions players on the bench to start a game also leads to some pretty ugly defensive substitutions.
CHITOWNMVP01: Joe Nathan's 30-day Article XIX-C minor league rehab assignment expires tomorrow, but he doesn't have to be reinstated from the 60-day DL tomorrow.
Also, I think 40 man roster should be full, not at 39, unless I counted wrong. I'm in a hurry to leave the house.