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.
Oh what do you know, Cubster? Go back to your day job.
--- Ducks, puts on Cardinals cap, runs.
Russell had a severe hamstring last year while with the A's system, forcing him to miss the first half of 2014. I've even wondered if his injury last year was a component of Billy Beane putting him on the trade market. He was quoted saying that last year's injury was a 10 out of 10 when it happened. Last night he said his hamstring soreness was a 1/1.5 out of 10. Hamstring injuries are tricky though, so I'd expect the medical team to be overly cautious here.
...I want to reinforce the observation that there was no sea of red in the crowd. The usual Cardinal fans roaming the stadium were few and far between.
Also, almost every 2 strike pitch brought the fans to their feet. Good for those in knee rehab.
"1st team hit hit 6HR in a game in the postseason." rises above obvious...i checked it with the official fact-finding commission of Douche, Douche, and Douchestein. they agreed with you, but they're a bunch of f'n douches so who cares?
btw, the cubs are 2-1 in the post-season series.
I should be able to watch the game on the NFL replay app, whatever that thing is called. I've got it on my iPad. This is the first year I haven't forced myself to somehow watch every game - no I take that back, last year was - in quite some time. Last year was so unbearable, no pun intended.
You make some good points about Cutler, and I was a holdout defender of Cutler for a long time. I gave up on him a bit after one too many dumb interceptions, but last year doesn't count. Trestman was the worst coach in Bears history.
Nice little reportage there!. I think you're older than me. Considerably older. Maybe several generations. Working out is so essential, especially as age kicks in, isn't it? I still lift weights, and so I'm confident that when I get to be at the hip breaking age, mine won't be a statistic. But I have a ways to go for that to be a concern.
What was impressive to me is that the Cubs won despite poor base running, several defensive miscues, Russell leaving due to injury, Arrieta having an off game and getting knocked out early, and Rondon giving up 2 runs in the 9th. If they can win a game like that...
I was there too. The crowd was absolutely electric. People were standing for every big and semi-big moment, from the first inning on. It felt incredibly strange and exhilarating to see the Cubs (the Chicago bleepin' Cubs!) score playoff insurance runs on the Cardinals. What a game. One to remember.
14 in attendance. What's the record for attendance in the fall? I guess I should ask what the record attendance listed is in one of your recaps.
I was there too, with my grown son. This is my miracle year-- I rose to the top of the season ticket list after eight years, completely unexpectedly, and my wonderful wife agreed to put the ticket fee on the emergency credit card. The whole point of course was that the Cubs were going to be good this year, and then for a while, so to get season tickets with the guaranteed shot at the postseason was incredible timing. We got to the remote lot at 4:10 after stopping at Nhu Lan for our usual banh mi sandwiches, only to find the lot full, way earlier than normal.
Wrigley was electric tonite
Not many card fans
Video board was great, they played "there goes my hero" by foos over ryno highlights before he came out. Spectacular
Good times hopefully they win tomorrow but think Lester will beat poopy pants on Wednesday.
Happy 4th anniversary of Theo's signing
Go Cubs !
Yeah. "Goodbye!" is a lame HR call.
I miss Len and JD -- although, driving home from a friend's, WBBM played all 6 HR calls in a row -- and Len got to call the Bryant/Rizzo back-to-back. Very fun.
Lackey has been a beast against us. His stats on 3 days rest, however, not as nice. There is plenty of hope.
And, no dreadlocks grown yet.
Captain Obvious Strikes Again!!!