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.
Mine has been really slow to load -- on different computers from different locations.
Anybody else have issues accessing the site this afternoon/evening?
Boras is 63, maybe he'll be retired or dead by the time Bryant, Russell, Almora, Albertos all hit free agency. Doubt he will be before Jake hits there though.
Interesting choices when guys get healthy.
LaStella, Fowler & Soler replace Coghlan, Almora and Sczcur? I assume they don't want Almora to sit.
Despite MIggy's demise, I assume they keep him around to mentor Contreras?
I believe Willson now has more CS than MIggy. The kid has an arm. Also, Russell is amazingly good on those plays at 2nd.
oh yeah...thanks joe/billy.
poor outing, still got the win, go cubs.
Although it felt like it, Jake didn't lose to them -- he got the W. (Assuming you are referring to Monday's game)
Arrieta didn't lose to the Reds. He got the win -- he just didn't pitch like we expect him to.
almora's 1st HR!
it's not like this CIN team is lost-cause horrible, but aside from defense and power this is a truly horrible team.
kinda crazy arrieta lost to them and yesterday's game had to go 15 innings for the cubs win.
It looked like Hamilton got screened by Duvall and that Duvall just barely deflected the ball off of his glove--redirecting it slightly without taking away much of its momentum.
At least it didn't turn into a Schwarber/Fowler situation. Hamilton and Duvall are both pretty important youngish players for the Reds.
he walked off the field on his own. aside from a concussion watch and some attention to his leg/knee that buckled a bit under him, the biggest thing hurt was probably his pride after the ball knocked off his skull.
After last night, an inside-the-park HR seems kind of run-of-the-mill somehow.
Sounds bad for Hamilton. Hope he's okay--listening on the radio.
SHOW ME THE MONEY: Jose Albertos has signed with Mega-Agent Scott Boras.
Albertos has already received his signing bonus and won't see any additional significant money until he reaches the big leagues, so this is a long-term investment for the Boras Corporation.
Other Cubs represented by Boras include Jake Arrieta, Kris Bryant, Addison Russell, and Albert Almora Jr.
I am glad Joe is managing this team and not Old and Blue!
Baez had Maddon's ass last night. I didn't hear the reason for taking Contreras out last night but whatever game management thingy it was, you don't take out your second hottest hitter. Or is he third? Anyway, you don't take him out. The guy can probably play anywhere in the field, anyway. Did anybody see that nice catch in left he made? I don't think he got a late start on that, just tracked it damn well for a catcher.