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.
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.
Losing the right way
Be sure to read this fine article about Yosh and Nobe Kawano.
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.
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.
Hey, AZ, are you as high on DJ Wilson as your pal John Arguello is?
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.
Boy, that is a nifty K:BB ratio Hudson has going at almost 4:1!
I hope he continues improving.
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.
Don't mess with the SI jinx. Since the Javy/Cubs cover came out, he is 2-for-20 with no walks.
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.
Thanks - at least the scorer was consistent
I don't think the error call was completely out of the blue but the ball took a very bad hop and would have taken a very good play to get it. Same with one of the Stella throws where I think it could have easily been ruled a hit. Neither were cut and dry calls though imo.
chased a high fastball...
I think his BABIP during his run has been around .950
Great stuff CubbyBlue!!! I think it inspired today's six spot as well.