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.
Going from a first place team to a third place team is a painful process.
Cards already whining
Cardinals look a little road-weary on getaway day http://espn.go.com/blog/st-louis-cardinals//post/_...
-via ESPN http://es.pn/app
dee gordon (MIA) suspended 80 days for PEDs. wow.
"excessive testosterone and Clostebol"
hell of a late-night news flash.
Seems like a bizarre pick -- they moved up 2 spots to pick up a guy who was not dominant in college. According to the talking heads, supposedly a great athlete (but an unpolished football player). So was Alonzo Spellman. And the guy who could jump out of a pool. Bears have missed the playoffs 5 straight years and 8 of the last 9. And they made Marc Trestman an NFL head coach. Maybe they can hire Theo in his free time. Sheesh.
And then the Bears pick an undersized linebacker with very few sacks in his college career and very little ability to shed blocks and the draft becomes less of a joy.
Watching the NFL Draft on ESPN with the mute on is one of the greatest joys in my small life. Being able to not hear Roger Goodell, Chris Berman, Jon Gruden, and Mel Kiper in quick order is just somehow immensely satisfying. I hope by the time the Bears pick they have Steven AAAAAAAAAAAAA Smith and Skip Bayless on so I can not hear them too.
even if the cubs lose feder, he's easily replaceable with a cash/low-end-ptbnl trade...plus, taylor davis is wasting time down in AA and he could pop up to AAA to back up w.conteras.
Tim Federowicz is out of minor league options, so Outright Assignment Waivers would be needed before he can be sent back to Iowa. He also has the right to elect free-agency if outrighted, but he probably wouldn't elect to be a FA if outrighted unless the Cubs shit on him somehow while he's up with the big club (not likely).
But it is possible that another MLB club could claim Federowicz if the Cubs place him on waivers, which would leave Willson Contreras as pretty much the only other option if a catcher goes on the DL again later in the season.
CRAIG: D. J. Wilson is hitting 083/115/167 in six Cactus League EXST games (26 PA), but his K-rate is only 11.5% and he has somehow managed to drive-in five runs along the way (he's tied for second on the team in RBI), so it's not like he's swinging & missing a lot. He does seem to be feeling for the ball a bit, however, which has resulted in too much weak contact and not enough line drives.
Bryant sprained ankle MRI tomorrow
Cubs did a lot of that today: 2-for-17 with RISP.
Man, what an ugly baseball game - Cubs receive 11 walks and Bryant reached twice by HBP, the Brewers pitchers threw almost 200 pitches (199 pitches...in 8 innings!), they even walked Baez (first one of the year), Cubs scored twice when Brewers botched routine DP balls, Cahill walks three guys with a 6-run lead, forcing Maddon to waste Strop, the weather sucked again, etc. Happy with the win, but that was really tough to watch.
"Some of the most racist things I've ever heard have come out of people that are on the air at ESPN," Schilling said Wednesday on "Breitbart News Patriot Forum." He was fired by ESPN last week.
“In the end for me it felt like that rule applied to me and me alone because I was conservative … Bigots are calling me a bigot. A bigot is someone who refuses to accept a different opinion. I will accept anyone’s opinion.”
Rolled scoring on Rizzo double
Re ZOBRIST -
Today's game is what I was referring to re Zobrist and RISP struggles. He did come through with his patented single to drive in a run - but also left the bases loaded, and two men on, no outs (called 3rd).
So, I hope he can pick that part of his game up when they start playing the better teams...