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.
Pls DFA Peralta when Richard comes back. Richard 1 IP, O R, O ER, 0 BB, 2 Ks in first rehab appearance. We really need to trade for a LHRP.
"The Boston Red Sox were banned from signing any international players for the next year and had five of their teenage prospects declared free agents on Friday after a Major League Baseball investigation showed they circumvented signing-bonus rules last year, a source familiar with the situation told Yahoo Sports."
The thing with Heyward is its not just free agency. He is way under performing his career #s. He's making the same % of contact but his soft contact is much higher and hard contact much lower than all his previous years so there is something very specifically going on this year causing the issues. Chances are he will eventually get back to his previous #s and it's better to get the slump now and get that hot run later but I wish I knew what is different about this year. He's either just not seeing the ball as well or a swing change is causing it.
Only 3 pitches for Leathersich. Not much of a rehab outing.
Thanks for the reporting Phil.
He's the nastiest pitcher I've seen in awhile. I'm gonna give them all a mulligan on this one.
Coghlan's strike out was more disappointing. He was fighting off a lot of pitches and not swinging at crap, and on the last pitch, he swung at stuff he was laying off, and struck out.
And Heyward, too. I don't blame Heyward - I blame free agency. I hate it. You almost never get a valid return on the investment.
I look forward to the day when ball players own the teams. The current economics are not sustainable.
Oh, I'm sure you're right. He's not 27-27 in saves for nothing. But, man, I hope they learned last night that he didn't throw a single pitch in the zone to KB, Contreras or Baez, and they all just kept swinging.
Sounds like a much better game than last night's fiasco in Flushing.
I'm pretty sure it looks like a sweet pitch on the way in. How many sinkers like that are there at 98 mph? I agree that they should just do a Lackey and stand their with their bat on their shoulders until he throws a strike next time, but I can see how that's hard to do.
The bullpen, on the other hand, is a mess, and Heyward is starting to piss me off.
I noticed that too. He's getting to everything, but when he gets right under it on a high flyball he looks uncomfortable
Did you expect anything different?
Wow, did they blow this game. Stupid plays by the kids in the 7th -- Almora throwing to 3rd instead of 2nd to keep the DP in order (when a DP probably wins the game) and Baez throwing to 3rd (to a backpedalling KB) instead of getting the easy 2nd out at first - cost them the game. Also, Contreras almost throws the ball into RF on a nonexistent pick-off play. And Maddon, for using Peralta in the first place. Did they do a bunch of shots in the dugout before the 7th? Unbelievably bad baseball. I thought Almora had a high baseball IQ?
men on 2nd/3rd, 0 out...and nothing.
cubs lose :(
UH OH! RALLY TIME!
Getting tired of this Heywood weak sauce
Yep, can't say I disagree with that. His first batter and resulting walk was just brutal. Reminded me of a bit of Jacque Jones spiking his throws into the ground from RF.
The use of Peralta in any
semblance of a high leveragesituation is questionable at best.
fixed that for ya.