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.
anyone else ready for the all-star break? =p
it's been a tough past couple weeks...except that reds series. i miss playing the reds. that was cool.
To take my mind of this latest disaster...wow, I thought baseball money was crazy, but NBA money is now super-wacko crazy. Joakim Noah is 31 with bad knees and absolutely no offensive game. He can't make a layup. The Knicks just agreed to pay him $72M over 4 years. Holy crap.
Thank you, Jason, for allowing me to get to bed at a decent hour. Very thoughtful.
It will be very interesting to see what Theo does at the deadline. Of course, if Jake doesn't get straightened out, it really doesn't matter. A lot of Jake's comments this year, and his posing for nudie pics in the ESPN magazine, rang some alarm bells -- after one great year (and it was amazingly great), his head has swelled tremendously. Jake, look up the word "hubris", then look in the mirror.
...and we're back from the 3rd rain delay.
at least the cubs have a decent backup of...ummmm....well the minor league system has...uhhh...hmmm.
maybe adam warren can manage to throw less than 100 pitches in 5 innings? no?
Not to worry -- I'm sure Hammel will finish strong in the 2nd half of the season (~sad chuckle, reaches for Scotch bottle~).
Hammel has had a rather challenging last month. I am hoping post-break that Hendrix gets pushed ahead of him. They'll be lucky to win a game in NY
hey, alright...cubs losing by 9 and a 3rd rain delay. awesome.
If baseball does not work out for Patton, I think he's got a future in Civil War re-enactments. He's got a solid Johnny-Reb look to him.
David Ross - the mound awaits you.
RIP jason hammel's awesome ERA.
10 ER in 4ip...almost a full point tacked on tonight, alone. 5HR given up tonight. oogly.
Nimmo certainly does not want to see the Cubs leave town. His first MLB rbi last night and now his first HR.
At least Hammel is eating some innings ... this is the kind of game Peralta should be used if at all.
OK, the hell with it.
It's July 1 -- Hammel starting to suck right on schedule.
Other than sweeping the Reds -- a bad team actively trying to lose -- this will make 8 losses in 9 games to good teams (Cards, Marlins, Mets). Not good at all.
Belicheat a consultant for the Red Sox?
And, so, Jason Hammel decides to test my new resolution right away. Sheesh.
No Wright, no Duda, no Granderson -- no problem for NY. Ugh.