Ted Lilly Complains of Knee Pain and Gets His Shoulder Scoped
Ah, another new adventure in Cubbery.
Sorry for missing the day's rampant speculation on Ted Lilly's left pitching shoulder arthroscopy. I was in the OR all day and connecting hip bones to...
So in one hour what can you see during a shoulder scope? Dr. Yokum puts the scope in from the posterior portal, low and behold he sees a caricature of Sean Marshall smiling face on the anterior capsule. He then puts in a Wissinger rod to create an anterior portal and whoa, is that a Tom Gorzellany autograph on his biceps tendon?
As we all remember from a report right here at TCR, the Ted Lilly Chronicles...
Lilly was on the DL as of July 25th after experiencing left shoulder pain that was diagnosed as tendonitis and treated with 3 weeks of rest. In one of the stranger events of the season, he goes on the DL because of his shoulder but because he was going to have to rest his shoulder, he opted to have his knee scoped since it had been acting up for awhile from a torn meniscus. The original plan was for him to tough it out and get the knee scoped after the season but the doctors felt his shoulder pain was a cascade problem stemming from his knee, so the shoulder symptoms changed the gameplan. Lilly did have a shoulder MRI-Arthrogram in July (leading to the DL stint), which was reported to show tendonitis but no structural damage. He returned from the DL on Aug 17 against San Diego and pitched a healthy and strong 6 shutout innings only for the outing to be wasted in one of the more painful losses of the season, courtesy of Kevin Gregg's 4 run ninth inning stint ending with Kyle Blanks walk off HR.
In 2005 with Toronto, Lilly had several DL stints because of left biceps tendonitis which didn't require surgery. His shoulder didn't act up again until around the All-Star break (he was the lone Cub representative last season and didn't get into the game because that is when his shoulder started to ache).
In the media reports of what Dr. Yokum's procedure found and what he did, we see the terms debridement, washout and cleanup. That doesn't say much really except that some tissue was a bit worn and smoothed off. In this context debridement doesn't refer to removal of dead tissue (just worn tissue, so no maggots were needed) but specific anatomic structures like the biceps attachment to the glenoid/socket or biceps tendon as it enters the shoulder joint, the labrum (fibrous rim of the glenoid/socket) or the rotator cuff aren't specifically mentioned. When they say no structural damage was seen, it means none of the aforementioned items had enough damage to require reattachment. If his problem was biceps tendonitis or minor wear of the rotator cuff tendon (supraspinatus) they might have "cleaned up" these problems without feeling the need to repair or reattach anything. If he did have some signs of inflammation from friction outside the joint, often referred to impingement or bursitis, it's common to reshape the bone that rubs on the cuff (the acromion, which is a part of the shoulder blade/scapula). This is referred to as an acromionplasty and by flattening the front of that bone (it's common to have a curved shape in that area), it opens up the area that rubs on the cuff or biceps tendon where it enters the shoulder joint. Unfortunately, we're not told much from the media reports so I don't know if this was done. Clearly, this minimalist news is better news than getting reports that he had a capsular shift or tightening (Mark Prior), a labral repair (Angel Guzman, Kerry Wood) or a rotator cuff repair or even a biceps tenodesis which is a reattaching of the biceps tendon to the upper arm/humerus) and is done when the biceps is severely worn (Curt Schilling's situation which lead to controversy with doctors arguing whether he should have that surgery or not).
In the 6 months from November until late April, there is more than enough time to rehab and recover from a shoulder arthroscopic cleanup without any major structures needing repair. Unless Cubbery intervenes.
Ted Roosevelt Lilly a tough guy so I suspect he'll just do the return to sender thang, when pitching coach Larry Rothschild sends him the towel drill video. Ultimately we'll know if this surgery worked if it keeps his KNEE from acting up.
so far ryan williams (AAA) is the only system prospect on the "could be ready soon" horizon doing well...that said, he's not very exciting and he's assumed to be an end-rotation talent at best.
paul blackburn is getting great early returns in AA, but he's getting surprisingly low K numbers doing it. he throws lot of low/sinking stuff with good control...also assumed to be an end-rotation guy, but he's got room to be better, especially given his control as base to build on.
Speaking of pitching -- another ugly outing for Underwood at AA. Through 6 starts: 5.19 ERA, WHIP 1.69. Yikes!
Man, do we need starting pitching depth. Our best hopes are still hanging with AZ Phil in Arizona. Very scary.
jeebus... that's terrible.
*clap* *clap* *clap*
Thanks AZ. If you like him, I like him.
Awesome report, and good to see Beeler on his way back.
I'm also very happy to hear about the bi-level bump for Daniel Lewis. In the Name of Theo, he was the Last of the Full-Season Cuts, and There Will Be Blood for those who unnecessarily slow his development. Sure, he might end up in independent ball pitching for Lincoln. But if everything breaks right, he may even have a shot at joining up with the Gangs of Chicago. I wouldn't bet My Left Foot on it, though.
CHARLIE: The Cubs did the same thing with LHSP Eric Jokisch last month, and it has nothing to do with needing the player's 40-man roster slot.
The hope is that another MLB club will claim the player, so that you aren't on the hook for any termination pay (which you would be if you release him) AND you pick up $20,000 from the claiming team, all for a guy you don't want going forward anyway.
Moosetacos, I like it. All I can think of is a bearded lumberjack dude operating a Mexican style taco truck with a Canadian accent.
How strange is this for May? Is it insignificant, or does it suggest some sort of trade might be in the works?
The Cubs have sent LHRP C. J. Riefenhauser outright to Iowa.
Cubs MLB 40-man roster now stands at 37 (three slots open).
yow...the a.gordon/m.moustakas collision now makes the schwarb collision look minor in scope.
gordon broke his wrist, expected to miss 4+ weeks...and today moosetacos has been diagnosed with a torn ACL. fun times in KC.
dodgers calling up julio urias for tommorow's game. neat.
fernando-mania might have a new heir...dude is 19 (turns 20 in august) and he's got a legit argument for being MLB-ready.
Tony LaRussa, still an idiot
Happ was the #9 pick last year, and he moved from OF to 2B in the same offseason that Castro was traded.
Gleyber also in the picture at second.
Losing the right way