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.
Do you start him Sunday or not?
@jonmorosi Pitchers w/ sub-2.00 ERA in year of 185+ IP this century: Pedro ’00, Clemens ’05, Kershaw ’13/’14, Arrieta ’15, Greinke ’15, Hendricks ’16.
Yeah -- that would be rough for him. But, Monty is getting people out, he's a lefty and he has experience working out of the bullpen. Hammel? None of the above.
even if he's not starting, abandoning hammel would be a bit of a 'screw you.' i think it might be -monty +hammel, but it's speculation.
either way, someone's gonna be disappointed.
Joe said he is leaning towards 11 pitchers and 14 position players.
- 4 starters, Chapman, Rondon, Strop, CJ, Wood, Grimm, Monty. No dice for Cahill or Smith.
- 3 catchers, Rizz, Zo, Addy, KB, Javy, Heyward, Fowler, Soler, Coghlan, TLS and then Sczcur over Almora?
Cubs 3B Jason Vosler made two really bad throws on consecutive AB in the 8th. Fortunately the game was no longer in doubt at the time
The first one was a one-hop lob that allowed the batter to reach base on an infield single, and the second was air-mailed so far over the first-baseman's head that it went over the fence and landed in Field #4.
E-MAN: Despite the HR, Donnie Dewees is really more of a slash hitter (the HR was an opposite-field line-drive) who can accumulate lots of doubles & triples. He's also a good bunter and can get on base that way, too. Although he was thrown out trying to steal in the game, he's actually a good base-stealer and baserunner.
Defensively he has plus-range and tracks fly balls OK, so he can play CF, but he has a rag arm that requires the middle infielders to go out further into CF to make relays.
I don't know how many of you remember Bobby Knoop, who played 2B for the Angels, White Sox, and Royals back in the day, but he is a coach-emeritus for the Angels, and works with the infielders at Minor League Camp, Extended Spring Training, and Instructs. He's pretty spry for a 77-year old, and he really knows his shit.
With a big lead, Chapman was throwing sliders and changeups, something he's reluctant to do in a save situation. (Len and Jim covered this.)
Maybe they have a bad owner, I don't know, but they still have players and fans and a franchise, all devastated by this loss of life. Plus, everybody who follows baseball is a fan of a guy like this. It's why I used the word tragedy, which other people throw around but I try to be careful with.
I'm at an age where I remember old incidents better than recent ones, but I have to go back to Herb Score for something as disturbing.
That was Dee Gordon's only HR this year. Wow.
Thank you PHIL.
Glad you avoided temps in the 100s.
I remember you mentioning Dewees needng plenty of work in th IF. How are his OF instincts?
Also, did see much of Satchel McElroy? Only Satchel I have heard about other than the "orignal" and one of Woody Allen's kids.
Hate to give the Mets credit, but they did everything right tonight in what had to be a very tough game for them to play. As Hollandsworth said on the Cubs post-game -- if you watched the game, you saw Mets players consoling Marlins players who were in tears during the game. Between that and the way Molina handled the Ross farewell -- maybe the Mets and Cardinal players aren't pure evil. Just the fans.
New York Mets @Mets
Dee Gordon lead-off home run. #AintEvenMad #BiggerThanBaseball 1-0 Miami.
7:25 PM - 26 Sep 2016
Amazing effort by Gordon -- truly remarkable.
Cubs get 100, KB gets 100, Hendricks gets below 2.00, Cards get absolutely destroyed by the Reds -- all good, other than some Rondon concern. Hopefully, he can get a few outings in this week and find his groove. Also, I guess Soler is still struggling with his right side. Hmmmm. Too bad Joe didn't let Addy bat with the bases loaded in the 7th -- great RBI opportunity.
I assume all the relievers are on a set schedule this week, but it seems strange Chapman pitched back-to-back.
Barry Rozner article interviewing Greg Maddux (with comments on Kyle Hendricks).
"I like watching him pitch," Maddux said of Hendricks. "I like guys that rely on movement and location. I can relate to him. That's what I had to do. "I'd rather watch him pitch than some lefty throwing 95 mph."