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.
Rick Renteria was a great idea! Seriously! I feel bad for the guy, although it happened the way it had to.
Hey, whatta bout me?
....and Theo thought EJax, Sveum and Ricky were good ideas. Win some, lose some.
I thought he was better than Archer?
/f u Hendry
The Padres signed RHP Trey McNutt to a minor league contract...
Yeah, she's a good egg. The whole superdelegate thing is shady as fuck though.
the perks of being a
big fundraisermodel representative citizen.
honestly, though...the dnc could do worse and she's involved in all kinds of dem party stuff.
I didn't realize Laura Ricketts is a superdelegate.
pretty much...also agree that it wouldn't surprise me to see him land with the cubs, too.
the trade to free up room for him would be interesting.
it would help if he didn't play such a mixed-bag CF. he's anything but sure out there with his wacky routes.
the O's are favored because of links for weeks and they're about to land y.gallardo (giving up that draft pick).
holy crap...j.mejia got busted AGAIN for PEDs.
3rd time...lifetime ban.
at one point he was the "closer of the future" (and the actual closer) for the mets. 26 years old. unreal.
I agree with what you said, but isn't it so weird that the White Sox are not linked to Fowler? They seem like an ideal fit.
oddly...or not...fowler's been strongly linked to the O's lately.
Olmos takes another 40 man roster Roulette bullet. The new lefty will be gone when Fowler comes back.
seen him in the minors...rather boring lefty. really slow secondary stuff (very slow slider) and a fastball that barely hits 90 on a good day.
The Cubs have claimed C.J. Riefenhauser LHP on waivers from the Orioles. Edgar Olmos was again DFA.
They should have someone standing behind him to take the ball out of his glove when he's looking for a sign from the catcher, and throw to first. I vote for Baez. That way he can cover the rest of the infield, too.