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.
ESPN game tonight, btw.
Cardinal way #48
"negligent transmission of STDs"
Heyward getting the night off.
Grand Slammin' Sczcur in RF - La Stella batting 2nd
Twitterverse reporting that Heyward is dealing with a sore right wrist
Cardinal way #47
See ya on parrot chat
In what was probably the last start for RHSP Jeremy Null at EXST...
Intrasquad game this morning on Field #5 at Riverview Baseball Complex:
4.1 IP, 7 H, 3 R (3 ER), 0 BB, 2 K, 1 HR, 2 WP, 1 GIDP, 5/4 GO/AO, 75 pitches (50 strikes)
Next stop is likely either South Bend or Myrtle Beach (TBD)
There does seem to be something funky about closers pitching in non-save situations -- they never seem to be as effective. But, to your point, there could not have been a save situation in that game, so why not use your best reliever?
Your thought: don't pitch Rondon at all, since a save can't happen in extra innings at home.
Maddon's thought: might as well pitch him now, because there's no later.
It looked like the baserunner might have screened Russell some though it's still a play he should have made.
I wasn't thrilled with the use of Rondon in that situation. In save situations opponents have a 77 OPS. In non-save situations it's a 116 OPS. We had other relievers for that spot we could have used.
I'm not sure if it's his normal swing but it's obvious he can hit and he's always hit for power just not HRs so if it is his normal swing there's something else going on.
This article from spring training said he was trying to pull the ball a lot more:
Oh, thanks. I guess I should actually look at the schedule. Yay, 3-game road trip!
Good call, indeed. This ought to be a good series.
Sorry to nit-pick -- but the games against the Nats this week are at home.
Can't remember a worse weather-start to a season. Yuck.
Basically Russell booted a slam dunk DP grounder letting a run score. But he drove in the tying run in 9th. Just not their day, Rondon notwithstanding.
Didn't see the game, but it sounded like the Cubs gave away 2 runs with poor fielding. Bummer.
Well, it's been a fun diet of Reds, Brewers and Braves, but now the Cubs have to play real teams in May (Pirates, Nationals, SF, Cards and Dodgers) -- hope we are all still smiling when we wake up on Memorial Day.
He does seem out of synch. His body seems to start forward, then his arms sort of try to catch up -- if that's his normal swing, he will never hit for power. It's an all-arms slasher swing, but the timing seems off.
He is currently slugging .256 -- I realize the weather has been bad, but that's epically bad. Currently 92nd out of 94 qualified NL batters. Yikes.