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.
2nd in defensive WAR, NL.
6th in NL in RBI
Go complain about something else, like, "they never play good against the good teams", or some other shit.
Addy really has trouble breaking through .250 BA -- after his hot streak got him to .251, he has gone 1-for-17.
Thank goodness for Jansen's 2 WP on Friday -- otherwise this would have been a sweep.
There seems to be a direct correlation with overconfidence in the Cubs offense against mediocre/young pitchers and really poor offense against mediocre/young pitchers. So, let's fear the Pirate pitchers!
Rizzo due for a power surge -- one HR in August so far. He truly does hit them in bunches.
Sometimes I'm not as supportive of Cahill as maybe I should be. There, I said it.
Rough 8th inning all around -- HBP, Cahill error, Javy's poor decision.
Oh well - given that the Cubs didn't look like they were going to score, it's better to lose in 9 innings, save the bullpen and get changed for the PJ trip home.
Baez still learning
heyward with his 3rd multi-hit game since the all-star break (all in august)...2nd in the past 3 games during his 7 game hitting streak.
he's gone from flirting with a sub-.300 ob% to nearing .310 ob% in 3 games (1 game was just a 1 for 1 pinch hit appearance). all 5 hits in the past 3 games have come in a row...neat.
stewart with 7Ks through 3ip...of course.
that 10-13 mph difference in his fastball/change is working today...and they're swinging at his crappy slider.
brock stewart...steven brault...fun times for the cubs hitters vs allegedly competitive teams...maybe.
Maddon would have started three lefties against the Dodgers, Montgomery, Zastryzny and Lester, except that he doesn't have the juice to do that. No manager does. Maddon has a boss, Epstein (and probably Hoyer, too), who gave him a starting rotation of five guys including Hammel. Maddon was asked yesterday about the starting group for next year and basically said, Not my call, that's why I drive away in my RV in the summer and occasionally check in, etc.
video of Maddon.
always nice that he actually tries to honestly answer questions. Does mention that he wanted to give Zastr? a chance in a meaningful spot rather than a mop-up role.
#Cubs Maddon: "I'm not going to make up an excuse for why I did what I did. It has nothing to do with lack of confidence" ... "It was the right thing to do today based on what I saw, what their lineup looked like and Rob Z.'s availability." #Cubs
Hammel not particularly understanding of getting pulled out...as he should. Be curious what Maddon had to say. All I can think of is is keeping arms fresh and maybe wanting to see if Zastr? is worth considering for the playoffs and how he'd do against the Dodgers.
Heyward, Russell, Baez, Bryant, Ross in particular...although Bryant's a bit hard to judge with all the positions.
Fowler and Rizzo in the top half of the NL for their positions as well (per fangraphs)...Zobrist right at the halfway cutoff for 2b in the NL.
I'm sure some luck is involved too, but the Cubs and Maddon knew what they were doing.