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Bruce Levine reports Ted Lilly goes to the DL, righty reliever Justin Berg (acquired in the 2005 Matt Lawton trade from the Yankees) gets called up from Iowa. Lilly's MRI-Arthrogram apparently didn't show "any significant abnormalities" (possibly showing tendonitis but no structural damage) but as we've all seen what the media gets to report and what the radiologist and orthopods see isn't always identical.

Levine also says Lilly has agreed to having his sore left knee undergo arthroscopic surgery (scheduled for Monday) to clean up Lilly's meniscus (link to anatomy pic), speculating that he can be back in 3 weeks if they do that now.

From a report on Levine's ESPN-1000 radio show, Lilly said the shoulder got his attention the day after the game in Philly. The shoulder felt "a little unusual". Yesterday he tried to throw and had sharp pain. He said he was familiar with it as it felt like his symptoms in Toronto. Lilly said he expects himself to come back in 3 weeks...

Based on my experience, how long it takes to recover from a knee arthroscopy varies greatly and 3 weeks is certainly possible but continuing to push the envelope on these injuries is like playing with fire. This implies the medical staff thinks Lilly's shoulder injury is a cascade problem, meaning that his knee soreness lead to altered pitching mechanics that secondarily lead to the shoulder problem. I found evidence that they connected his knee and shoulder woes when his shoulder took the brunt of the blame in 2005. 

From this mlb.com article on the Bluejays archive circa Spring 2006:

Last year, he said he had a tendency to have a "stiff" landing with his right leg, which put unnecessary strain on his throwing shoulder. Perhaps not coincidentally, Lilly sat out last spring with a shoulder injury.

I did some additional background research on Lilly's shoulder problems from 2005. Back then his diagnosis was biceps tendonitis (link to anatomy drawing). He missed most of spring training and started his season by coming off the DL 4/10/05 but had a rough April and worked through the problem until it flared up at the end of July 05. This lead to a 2nd DL stint lasting 5 weeks. 2005 wasn't kind to Lilly producing a 10-11 record but Lilly is a tough guy and naturally he didn't make his injury an excuse in this end of season interview from the Bluejays site.

"To put it very mildly, I'm disappointed in the way I've gone out there and competed," Lilly said Wednesday after his last start of the season. "I guess, coming into this year, I just expected us to be competitive in this league. And [I expected] myself to really make a push to help us do that."

To be fair, injuries played a large part in his inability to meet those goals. Lilly missed all of Spring Training with a case of shoulder tendinitis, and when he came back, he clearly wasn't ready to pitch in the big leagues.

Regarding the 2009 version of Ted Lilly, his shoulder tendonitis/torn knee meniscus might just take 3-5 weeks if they don't push things and add the knee arthroscopic surgery to his recovery list. Getting Lilly back in September is just like trading for an All-Star for the pennant stretch (slamming head in Rob G's door).

A chronology of the Ted Lilly 2005 biceps tendonitis after the fold...

"I'm gonna go out on a limb here. I'm gonna volunteer my leadership to this platoon. An army without leaders is like a foot without a big toe. And Sergeant Hulka isn't always gonna be here to be that big toe for us. I think that we owe a big round of applause to our newest, bestest buddy, and big toe... Sergeant Hulka."  (Cub fan, Bill Murray as John Winger, Stripes. 1981) 

This team needs a kick in the pants. Unfortunately, it won't be Ryan Dempster to administer the sorely needed swift one.  It's hard to do that when your foot hurts because you acted like a knucklehead tripping over a dugout fence and injuring your big toe. Accidents happen. Anyone with a broken toe knows how painful it is. Typically, they don't need an orthopod to treat this injury and the pain usually subsides in 1-3 weeks depending on how bad the toenail injury is. Of course, running and pitching may be a problem if swelling, which can persists for months, leads to problems wearing shoes. I just hope it doesn't lead to ruining his pitching mechanics and the ever dreaded career altering sore shoulder.

I can't recall an exact comparable injury but I did remember when Sammy Sosa had an infected right big toe nail and had the nail removed surgically back in 2003. He was on the DL from May 10th to May 30th (essentially 3 weeks). Unfortunately it's a little harder to assess how Sammy did upon his return because his corked bat episode happened 4 days later leading to an 8 game suspension.

On the day of the rule 4 draft, I'll keep this short. It's based on a Sun-Times article by Gordon Wittenmyer about why Kosuke Fukudome is surprising the Cubs management with his solid performance so far in 2009. I guess the surprise is they had virtually written him off when they went out and got another multi-year contract, free-agent,  left handed hitting right fielder (OK, Bradley is a switch hitter) for the second year in a row. The article implies that the reason Fukudome was bad the second half of 2008 was that he was having subconscious mechanical problems with his swing, related to his 2007 elbow arthroscopy for the removal of bone chips.

But perhaps the most important reason and least known publicly was the affect his surgically repaired right arm had on his swing.

Fukudome had elbow surgery late in the 2007 season, and the elbow started bothering him last season right about the time his decline began in May. By the end of the season, his hitting mechanics were a mess.

''I didn't feel the pain physically, but I must have been subconsciously feeling the pain of the elbow,'' said Fukudome, still reluctant to openly admit pain. But when asked if it was a factor last season, he said, ''Probably it was.'' 

Although there was a slight incident preceding Cub right fielder, Milton Bradley's calf MRI, it apparently showed he has a mild calf muscle strain.

The patient in the MRI tube before Cubs right fielder Milton Bradley's appointment Wednesday broke the machine in a claustrophobic fit, forcing Bradley's test into the late afternoon.

Fortunately it wasn't Mr. Bradley that had the claustrobic meltdown. It would be interesting if it was one of the mlb umpires that are targeting him for his history of histrionics.