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.
Molina in the Cards lineup.
Fowler (CF), Schwarber (RF!), Bryant (3B), Rizzo (1B), Castro (2B), Coughlan (LF), Russell (SS), Ross (C), Lester (P)
If the baseball gods would guarantee that result, I'd take it :-).
I wonder if it is about numbers specifically against the Mets. But, it could also be because Kershaw can go 9 innings everytime, while Grienke very rarely makes it through the game. They don't want to expose their weak bullpen.
I have trouble getting past the extraordinary 1.66 ERA, but I don't know what the heck will happen with the Cy Young vote this year.
So Kershaw is opening the series for the Dodgers. How, then, does Greinke get the Cy Young? Not even the best pitcher on his team!
You have angered the baseball gods. Now Lester will lose and Hendricks will win.
Cubs go home 1-1, with Arrieta starting game 3, I like our chances in this series. Tomorrow's pitching matchup is lousy on paper, so today is obviously crucial.
Will be fun to watch. My two keys are scoring early, and keeping Lester's pitch count below 15 per inning.
Hopefully Der Kaiser won't be doing this until December
So, yes, I have been quoting your, "mediocre pitcher" label all year in jest - good or bad.
He has been pretty filthy against the Cards, and this is the game they need to "steal".
I am hoping against hope that Pedro Strop only sees the mound if the Cubs are up 8 in a game.
I've been pretty harsh with Lester here at various times but that's how it is when you pull in that kind of money, and besides, it's not like he reads my posts or would care what I have to say if he did read them for some reason. If I was him, the first thing out of my mouth would be, what level have you played this game at, pal?
Anyway, he's really looked good lately, and overall his body of work turned out pretty good, too. I'm glad his worst struggles were in April. This is such an easy team to like that I even like the overpaid free agent.
Gordo's lede today:
ST. LOUIS – Whether it’s a year early or right on time, Jon Lester’s $155 million moment arrives just after 5:45 p.m. Friday.
*checks pulse again*
Who are you? Andy Rooney?
Colbert has our backs
K-DUB: I get a chance to see the other MLB clubs Player Development operations out here and I have talked to scouts and other baseball people about it, and I can tell you that the Cubs Player Development program has gone from being almost a joke to one of THE best.
how did ej martinez go from asking for $10m, to supposedly mulling over $7m offers, to eventually signing for $3m?
...and what happened with him and the giants a few days ago?