Dr. Joseph Hecht's Archives

HERO

I never thought Ernie Banks passing would affect me like this. I'm not the type to be openly weeping but I am. Listening to the radio and hearing story after story of people that wanted to share their personal stories of meeting Ernie and the uplifting impact he had on everyone he touched. We are all little kids somewhere inside and Ernie was magic when it came to Cub fans. He was Chicago's treasure from the 1950's to the present.

Ankle Sprains, Lost in Translation

Per Carrie Muskat:

He limped off the field, and tried to convince manager Rick Renteria to let him keep playing. Instead, Castro had an MRI and X-rays, which showed no fracture or ligament damage.

Something is getting lost in the translation from what the Cubs doctors told the baseball staff. Although I don't have a direct quote from the Cubs medical staff, what gets lost in translation is simple to repair.

An ankle sprain is ligament damage. That's what ankle sprains are. Starlin Castro has a grade 2 high ankle sprain. I'll translate that in what follows.

Presenting the TCR, "ABC's" to ankle sprains, after the jump...

Roosevelt Rides Again!

CSN's Patrick Mooney broke the news that Theodore Roosevelt Lilly III is back with the Cubs. No, the 38 year old crafty one, who retired last November isn't being brought back from the netherworld to be another soft tossing lefty to flip at the trade deadline. He's there in a new capacity, per Rotoworld:

Ted Lilly has been hired as a special assistant for the Cubs front office. He will work with young players in Cubs camp during spring training and then help the organization with scouting for the draft.

Then there is this quote from TL upon making the decision to take the Cubs gig:

Ted Lilly: "I want to be around the game and I feel like I have something to offer. This is the organization I would prefer to be with.”

A little more from Gulliver and the Voyage to Lilliput after the jump...

Tags: 

Wrigley Field's Humongous Scoreboard

If I could only draw one tenth as well as Tim Souers. I'd draw a Gi-normous Scoreboard in centerfield that shrouded the entire 44th ward in a shadow darker than a solar eclipse.

Holy Cow! The Scoreboard that Overshadowed the 44th Ward. I'm talkin' Godzilla's shadow over Tokyo.

This little Aldermanic war of words was in today's Sun-Times:


Alderman Tom Tunney (44th) has made a bold suggestion to the Cubs: replace the iconic landmarked center field scoreboard with a video scoreboard that would generate millions without blocking anybody’s view.

“Put it in center field. Make it as big as you want,”

Holy Mackerel. Mess with the landmark status scoreboard? Alderman Tunney, how soon you forget. You legislated so that should never happen (unless the gi-normous scoreboard is compatible with the historic character of the field).

Mor-on the zany alderman and his puffy chest lingo, after the jump...

The Gasp Heard Round Kane County

Kane County with a collective D'oh...
Albert Almora tweets he sustained a broken hamate bone in the distal wrist today.

Not a good day! Broke my Hamate bone!


Sun-Times scribe Gordon Wittenmeyer writes that the injury occurred while swinging a bat and Almora will get surgery on this injury.

...he broke the hamate bone, pre­sumably in his left hand. It’s a fairly common injury in hitters’ bottom hand. Almora broke the bone swinging a bat and will require minor surgery. The Cubs said he will need three-to-four weeks before resuming baseball activity. Almora is projected to open the season at Class A Kane County, and he’ll begin on the disabled list. He should return to game action in late May.

The hamate is a small bone in the distal or 2nd row of wrist bones just below the 4th/5th metacarpal (ring and little finger side hand bones). The bone has an unusual shape with a hook configuration. The fracture occurs most commonly in the connection between the base of the bone and the hook. Conventional wrist X-Rays often do not show this fracture but a specific additional view that is tangential to the wrist (carpal canal view) will show the fracture. Thus, it can be easily missed if not seen by a physician who is familiar with this injury and requests this additional view. If it's still in question, Computerized (CT) Imaging or MRI Imaging will confirm this fracture. Often hook of the hamate fractures do not heal  with rest and immobilization and so it's now common for athletes to get iinitial surgical treatment with excision of the hook fragment. Giants 3B Pablo (Big Panda) Sandoval, Rockie SS Troy Tulowitzki, Oriole OF Nick Markakis, Red Sox 2B Dustin Pedroia and Phillie OF Domonic Brown are recent players with hamate fractures and their stories are attached to the links I included. This injury is not nearly as serious as the distal radius wrist fracture that Derrek Lee sustained (back in 2006) because it's more distal in the palm and not as likely to impact wrist movement. Hook of the hamate fractures create issues with grip tenderness such as holding a bat but usually does not diminish bat speed. So if all goes well, Albert Almora should be able to return to hitting activity in about 6 weeks.

There IS a lot written about hamate fractures in baseball players, so here are a few links to the anatomy, imaging and treatment..after the jump.

More Jed than You Can Shake a Bat At

ESPN Chicago radio's weekly Saturday Baseball gabfest, "Talking Baseball", found Jed Hoyer hitting the airwaves one more time. Questions covered Scott Baker's status, Scott Feldman's rotation status, Wrigley renovations, Hot Prospects (Soler and Baez), Cub interest in Michael Bourn, trading a certain reliever (Carlos Marmol) and what's life with Theo really like. Finally, Jed's comments as he faces off  vs. Theo in the bunting contest. All that, plus a few post interview caller questions that hosts Bruce Levine and Fred Hubner try to field. Official Scorer: Bruce Levine need a catcher's knuckleball mitt.

A really full transcript after the jump.

Jim Squared and Jed

Not trying to step on Rob's post so my apologies for the dueling TCR writeups.

I'm providing a hand made transcript of the XM Front Office Radio show, hosted by former GM's Jim Bowden, (Reds GM 1992-2003 and Expos/Nationals 2004-2009) and Jim Duquette (aka, "Duke", the Mets GM 2004). Their program airs every Sunday morning.  They interviewed Cubs GM Jed Hoyer (preceded by interviews of Mets Sandy Alderson and followed by Rangers Jon Daniels) and there was some post-interview Cubs chatter by the two hosts. Just some decent hot stove talk on a late January AM.

Enjoy.

Bowden: You had a very busy offseason here. Can you break down moves...Edwin Jackson, Scott Baker, Carlos Villaneuv-er, Scott Hairston, Kuji Fujikawa?

Meatballs, mashed potatoes and Lumpy Gravy after the jump...

When the Doctor says Oops

What happens when the Doctor Says "Oops?"

You become a Cub.

Lookie here. The Cubs get an early holiday present under their tree in 31 year old starting pitcher Scott Baker. In typical Cub fashion, the wrapping paper is a bit discheveled and the bow on the gift is a little off kilter. Scott Baker toiled on the mound for the Twins from 2005-2011 including his best year in 2009 with 33 starts, 200 IP, a 15-9 record and a WHIP of 1.190. He had Tommy John/Ulnar collateral ligament (UCL) reconstructive surgery on his elbow last April, missing the entire 2012 season. Fitting Jedstein's Modus Operandi, it's a one year deal at $5.5M with $1.5M in incentives. According to XM Radio's Jim Bowden, the Cubs have made an offer to lefty Francisco Liriano, so maybe they are just going after ex-Twins. Matt Garza should soon be tweeting: "Collect em all."

Baker was supposed to have the (quicker to recover) flexor-pronator muscle attachment repaired in his right pitching elbow (compared to Tommy John ligament reconstruction) , but there was a change of plans decided intraoperatively...

Shoulder Scope

Findings on Carlos Gutierrez's shoulder arthroscopic surgery by Dr Yokum. Looks like a loose body to me. Missing a "key" component?

No wonder he got moved.

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  • 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.

    crunch 15 min 51 sec ago view
  • 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.

    crunch 1 hour 6 min ago view
  • jacos 2 hours 26 min ago view
  • 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.

    VirginiaPhil 5 hours 55 min ago view
  • jacos 6 hours 14 min ago view
  • Co-sign

    Ryno 6 hours 15 min ago view
  • Transmission 6 hours 24 min ago view
  • O&B: I think D. J. Wilson is a legit MLB prospect.

    He is a hyperactive dynamo on the field, a protypical lead-off hitter who is looking to get on base any way he can, a triple machine (if there is such a thing) when he does make solid contact, a daring baserunner who goes berserk once he is on base, and a CF who plays a "no fear" crash & burn style of defense.

    Guys like that sometimes get injured more-often than the average player, but if he can stay healthy and continue to progress, I believe he will be an MLB CF, or at worst a 4th OF. 

    Arizona Phil 6 hours 36 min ago view
  • The hot start was nice, but it won't always come easy. It's nice to see them have to work for it every once in a while.

    Ryno 8 hours 43 min ago view
  • Hey, AZ, are you as high on DJ Wilson as your pal John Arguello is?

    Old and Blue 9 hours 49 sec ago view
  • Phil, I just wanted to say thank you for diligently tracking the Cubs prospects in extended spring training and sharing your knowledge with us. It's remarkable how you're able to keep box scores for multiple games at once. I, and I'm sure others here, appreciate the data and insight you provide for us.

    K Dub 11 hours 54 min ago view
  • Thanks PHIL.

    Boy, that is a nifty K:BB ratio Hudson has going at almost 4:1!

    I hope he continues improving.

    The E-Man 17 hours 51 min ago view
  • And of course the Bucs won again playing AZ (not PHIL). They dont seem to have a problem yet with the bottom feeders.

    They picked up 3 games this last week.

    I'm looking forward to them coming to the Chi.

    The E-Man 18 hours 19 min ago view
  • Don't mess with the SI jinx. Since the Javy/Cubs cover came out, he is 2-for-20 with no walks.

    billybucks 18 hours 30 min ago view
  • BRADSBEARD: If all three are assigned to Eugene, the Cubs can play Galindo, Paredes, and Paniagua at the same time by moving Paredes between SS-3B-DH, Galindo between 3B-1B-DH, and Paniagua between 1B-LF-DH. 

    The Cubs like to have their players (including their minor leaguers) learn to play more than one position even if they eventually are projected to settle at one spot, and I suspect that will be reflected at Eugene, with just about everybody who will be assigned there able to play at least two positions. 

    Arizona Phil 18 hours 50 min ago view
  • Thanks - at least the scorer was consistent

    Eric S 19 hours 4 min ago view