The Aha Moment
I'm getting more mileage out of this story than Ian Stewart will get out of his dismal 2012 Chicago Cubs season. In historical terms for 2012, third baseman, Ian Stewart will be just a small foot(wrist)note at the bottom of the media guide.
Stewart came to the Cubs in a "damaged goods" type trade. He didn't have a diagnosis for his 2011 bad left wrist woes and multiple doctors could not find any "structural" damage. Theo and Jed figured that a "non-structural" problem would get better with an off-season of rest. We all know that this is not the way Cubbery works.
In a trade that made sense at the time because Aramis Ramirez was being converted into a supplementary round draft choice, Ian Stewart was acquired from Colorado as damaged goods and the Cubs took that risk. I've written on this topic BEFORE Stewart went to the Cleveland Clinic for a teritary opinion with the medical history of an undiagnosed painful left wrist problem. I won't rehash the pre-Cleveland Clinic information. You can recap it here in the TCR post, "Who Ya Gonna Call."
Sports medicine Doctor to the pros, Dr. Thomas Graham, finally diagnosed the problem. The reason for this sequal is that it seems that there was an "Aha moment" when the diagnosis was made. Both doctors and patients really like those moments. It's the medical equivalent to what both Mr. Burns and his long lost son (courtesy of Tim Souers) would say in a similar situation: "Excellent."
Carrie Muskat at mlb.com posted the first article on 7/2 that acknowledged that Dr. Graham had diagnosed Stewart's problem and then detailed the surgical plans here. She related that Stewart in a prior injury a few years ago may have injured or even fractured the navicular wrist bone leading to his problem.
A few years ago, Stewart had fractured a bone in his wrist, and Graham determined that another small bone was in contact with the larger one. Removing it should alleviate the pain.
MLB.com writer, Rowan Kavner quotes Stewart in a Sunday, 7/15 article:
"Over those two or three years, there's a lot of cortisone shots, a lot of MRIs, X-rays, with nothing ever showing up," Stewart said. "It had been weighing on me a lot, especially over here, being with a new team and wanting to prove myself."
Even Dr. Graham didn't figure out the problem until he examined Stewart's wrist under fluoroscopy. Fluoroscopic imaging is an X-Ray unit with live time imaging, including the ability to image the wrist bones while the wrist is put through movement. In fact, Dr. Graham needed to examine Stewart's other wrist under fluoro to make sure what he saw was specific to the injured side.
The Aha Moment:
"On the screen, he saw one of the bones on the outer part of my wrist was overlapping the bone next to it, which really means it's touching it and they're kind of rubbing together," Stewart said. "He kind of went from there and realized that's not what's supposed to happen."
That makes this a structural problem. It was just difficult to diagnose, without going the extra mile (just like Theo's scouts are supposed to do). Finally there was a diagnosis: DWI or dorsal wrist impingement. The anatomy here is the dorsal (or top, not palm side of the wrist) portion of one of the wrist bones, known as the scaphoid (aka navicular) impinges on the capsule (connective fibrous coating) of the joint and a nearby tendon (the extensor carpi radialis brevis) or an adjacent wrist bone (probaby the capitate). It's seen most commonly in gymnasts and obviously uncommon (or not something often considered) in baseball.
(Note: the blue mark on the wrist where Dorsal Wrist Impingement occurs)
The surgery included a wrist arthroscopic exam, which was mostly to make sure there was no additional abnormalities in the joint. Then there was an open/incisional part to the surgery which including taking out a segment of the wrist bone that was impinging on other structures.
Kavner's more recent article says this about his postop treatment:
Stewart, who had a bone taken out of his wrist, said there's no timetable for his return. He will get the sling removed in a couple of weeks, when he'll return to Cleveland to take off the wrapping and progress into more movement.
Though his status this year is still unknown, he thinks a return next season is definite.
The earlier Muskat article related:
When could he return? Doctors said it might not be until early or middle September.
“You don’t know if there’s enough time [to play],” he (Stewart) said.
As a patient, Ian Stewart has to be thrilled to have his mystery problem (hopefully) solved. As a professional baseball hitter, we all know that that the wrist is critical for bat speed and control of the swing. What the Cubs do regarding Ian Stewart's contract for 2013 is yet to be seen but with his 2012 season mostly being a non-event, at least Jedstein should get some credit for getting him diagnosed and treated under their watch. Because of this good deed, on their baseball deathbed, team-Theo should receive Total Consciousness (which is nice). I'm hoping, Stewart will come back for the same money in 2013 and everyone gets a mulligan. Unfortunately, the Laws of Cubbery would predict that Stewart will have his best seasons soon after leaving the Cub organization.
Wow -- Chapman gives up a hit and everything completely caves in. I think the Cubs went into collective shock.
Stolen base with the pitcher holding the ball, WP that should have been caught or blocked, then Russell with a 2-out error on a routine play. Cubs handed them 2 runs. Throw in a Fowler bobble and it was a mess.
Hopefully, that is all out of their system now -- let's get a W tomorrow.
First time I've ever seen a base running slump -- he's made some poor decisions recently, but I thought it was a great idea to try to score there -- it's not like Heyward was going to get a 2-out hit against a LHP. Sliding feet-first into home is probably the safe (ugh) way to go, but it's hard to get the foot on the plate.
Yup. He got squeezed (twice) on the first walk, but, when you have one-run lead and the other team is trying to make an out -- take the out.
Clearly the Cubs need to clear out the farm and trade for another closer
Where's Ed Lynch when you need him?
Those were more entertaining times.
I wonder if there's an actual cause to this because they were going up hacking at everything. Wonder if scoring a bunch of runs makes you feel like you.can swing at anything and hit it.
That second walk he gave Up was awful though with no pitches even close to being a strike. He was trying to pitch around bunt and that almost never works. That said Rondon should have been brought in after the first walk and should have been left in to finish the inning because he was looking like he had good stuff.
Remember when Bryant used to be able to run the bases with impunity?
And Miggy costs them another run
torres would easily be the system's #1 prospect. he's a middle IF'r that's showing he can stick there even as he's gaining bulk/muscle so far. that said, it's not like the distance between torres and jimenez is huge...it's torres's position value that would vault him in prospect status.
jimenez has the higher ceiling just isolating the bat aspect of his game.
it would suck to lose either, but torres is a very popular/valuable piece.
Arrieta in line to lose the game too
...and chapman fails us. gives up the lead. boo.
bringing in rondon to try to put out this fire is a nice luxury.
Complete craziness bottom seven. Bottom line Cubs were fortunate to score a run
And of course Arrieta walks the first two batters in the eighth (to be fair he was totally squeezed on Zunino's walk to start the inning)
...and the no hitter is over in the 7th...2 on, 0 out.