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.
I love winning! It's, like, better than losing?
You lollygag the ball around the infield. You lollygag your way down to first. You lollygag in and out of the dugout. You know what that makes you? Larry!
Its too bad Warren didnt get to pitch. He would have saved us.
Whoa -- that Contreras play in the 8th looked too much like a "Schwarber" -- nearly crashed into the wall going full speed, with Heyward doing the same.
New rule: if you are a catcher playing LF, and find yourself sprinting after a fly ball in the gap -- stop, let the CF go after it and get ready to play it off the wall.
Cubs have no spark and no life. Pretty boring to watch these days.
I thought trips to Miami were supposed to be fun. This one sucked.
The bottom half of the bullpen now turns close games into blowout losses. Not good.
Once Fowler went to the DL, the team went into the tank. Wonder if he'll get any love this offseason? Probably not.
6IP, 2ER. The last one scored because of another botched Zobrist DP turn.
And now, a bad throw by KB. Sloppy.
What is it with Hammel always starting well and sucking after a couple months?
Ahhh...sad. Lke a few of you here, I saw him play during the '69-'71 seasons. He was the "hot Zobrist" for the club in August/September of '69 while everyone else was fizzling out...
I predict: "They will play hard and if they give the same effort every day, they'll win a lot of games."
OK, boys -- find a way to win today.
There's some BA is missing too, here's all signing bonus BA doesn't have some:
-6 Hockin $241,000 (slot price), 7 Cruz $75,000 (saved $110,00), 8 Ridlings $120,000 (saved $53,800), 9 Robinson $30,000 (saved $132,300), so far the Cubs have saved an extra $297,100
Zobrist (2B), Hayward (CF), Bryant (3B), Rizzo, Contreras (LF), Montero, Russell, Coghlan (RF), Hammel
Also -- despite losing 6 of their last 10, the Cubs picked up a game on both STL and PIT during that period. Weird, given that they swept PIT and were swept by STL.
Also, I'd like to know if there are numbers to back up my suspicion that there are a lot more fast starts than late June romps. This seems like a time where everybody not named Willson Contreras is looking a little tired and/or banged up a bit.
For once, the Cubs got off to a fast start. Seems like I've been waiting for that for 50 years.Everybody is really gunning for this team, too. It's their playoffs.