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.
Great report, Phil! This organization has so many hitters to be excited about.
Ben Zobrist is very enjoyable to watch!!!!!!
given that he seems to only be throwing low 90s these days rather than the 93-96mph he used to throw, along with his wildness issues this year, he may end up passing through.
i dunno if something is wrong with him physically or his past shoulder issues has rendered him what he currently is, but he's been throwing a lot of sliders he can't control well and his fastball isn't as sharp. even when his slider wasn't working in a game he was still throwing a lot of them.
Any scuttlebutt on where Neil Ramirez gets traded?
He seems better than some of the relievers on competitive teams. He ought to bring more than the waiver fee.
My guess? Toronto.
PHIL: It seems as if Paniagua has always played 1B with the Cubs. At 6'2 and 180#, what is his frame like? String bean? Have you seen him bulk up? Where do you project him? Thanks.
Phil, what's your thoughts on which position players are going to Eugene and who is staying in AZL?
Ahhh...way to bring me down BB.
Still - a win tomorrow will be an acheivement regardless.
Don't mean to spoil your mood, but with tonight's win the are 3-5 on the trip with one to play.
While I'm bringing the room down -- Richard comes in to pitch the 9th with a 12-1 lead...and can't finish the game. Woof.
For some reason
It is remarkable how my mood has become uplifted with one game against the Cards.
That is sick.
But, I have been an addict for a long time.
A W tomorrow and it will be a .500 road trip.
Also, to keep the losses in perspective, if the Cubs were to lose 10 games a month - a lot at this current pace - they still end up 102-60. Six months of the ride!
So, the Mesa Cubs should be solid this summer in the AZL Rookie League?
And, I like the, "But did you know" lead in there. Something a little different.
I can tell really like this group of hitters in AZ right now.
What pitchers out there, other than Cease, should we be excited about?
Thanks as always for the info.
back on the Run Differential hunt... (aka The Hunt for Blue October)
These are the 2016 Cubs I know and love. Also digging that Cardinals OF (lack of) defense.
Another day, another eight runs
I'm not sure there was another team in baseball that would flip a Dansby Swanson type of prospect (plus Inciarte, plus Toussaint) for Miller. That trade was just comically bad from the start, and getting worse...
Zobrist just keeps squaring up - and Soler goes yard!