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.
Eloy Jimenez grand slam tonight. Hoping Soler power returns and gets hot but future looks bright in the outfield regardless.
Have fun - It may be good for Arrieta to be facing a team that doesn't know him as well as the NL teams. A nice shutout would do wonders for his confidence. He is confident in public but baseball is hard and he could use a boost, I'm sure.
Me too. I'll be at the game tomorrow and would love to see Good Arrieta.
Last few games have been the April version of the Cubs that disappeared completely the past two months.
Hope they can sustain it.
Don't sell yourself short, Judge.
I love this team.
Looks like Mother Nature is trying to call this fight.
Hey! I remember this team!
The key for Heyward's offense: get early leads. Heard a stat on Mike & Mike on the way to work that his avg/power much better this year when the Cubs have the lead. And true to form he gets the two run dinger with Cubs winning 3-0 ...
I'm sorry - I was probably not looking at the correct line, or spot, or...who knows!
I could blame it on the weed, but I stopped smoking many years ago.
Fortunately, I can rely on the rest of you sober and astute folks to bring the correct info forth.
Oh yeah! It just felt like one for some reason.
Agreed. I was not including Fowler or Heyward.
I'm just not a fan of 2016 Coghlan.....
@Dusty Contreras if it's a Lester or Arrieta start. TLS is good PH too. You also forgot about Heyward, assume Fowler is CF.
I expect Soler to get optioned as well when activated and Cahill to replace Grimm. It wouldn't surprise me if Coghlan and/or Soler is included in a trade.
Maybe Coghlan is up to see if he can get on track before someone acquires him.
This move could also be to assure that we have as much OF depth as possible to maximize Joe's ability to rest players in September once we've clinched.
Maddon basically said as much...Fowler still kind of sore, they're being proactive, etc.
La Stella at 2B...Baez at 3B, or vice versa. Zobrist in RF, Bryant in LF No one gets bumped.
If Coghlan is leading off, I assume Fowler is getting the day off. Who is supposed to lead off, then? Someone has to get on base for Bryant and Rizzo. Coghlan's OBP is .346 with the Cubs. Jackson's was .304. LaStella can lead off, but then he has to play second or third, and bump Zobrist or Baez.
Unless he gets hot, Coghlan will likely change places with Soler soon.