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...