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.
Well said. On one hand, I thought the HBP was a bad baseball play -- down 4 runs, put a runner on for a red-hot Fowler. On the other hand, they needed to do something -- I hadn't thought about the warning/pitching inside point. Is Hurdle that smart? He does not strike me that way. By the way -- not clear which fan base you are referring to in your "first" 3rd point.
My unsolicited opinions on topics covered in this thread:
1. I hate the fact that after 162 games, a team could be out after 1 game. However, I think the system is pretty close to perfect right now. 2 of 3 isn't feasible unless they shorten the regular season, and it ices the division winners for way too long. This creates excitement, and rewards the division winners.
Personally, I think the game could have had a very different look had the Pirates held onto the ball and tagged Fowler out on the steal in the first. Cole was clearly frazzled, but if they took that runner off the base, it could have relaxed him a lot.
Football games are played once a week. There are 16 games a year. I'm not even remotely following at all how you can compare the two leagues and playoff systems. It is physically impossible to play a home and away series. The idea of not having any road games in baseball playoffs is certainly a head scratcher.
How is not having the first and last game at home a benefit for the division winners and team with the best record? How is it not an incentive to win the division when a WC team has to blow their top pitcher?
Call me lost.
Two 97+ win teams in a do-or-die, great bullpens, overpowering starters, plenty of pop--hard to believe that game wouldn't be tense. A 4-0 lead is not a blowout, especially in that situation and with the Cubs' young bullpen. Not only would a defensive play here or there make a difference, but you get the win there also on the home plate umps strike zone (generous strike calls for Arrieta, including a couple Ks), and on Schwarber sitting on the right pitch at the right time.
I just noticed the Dodger's payroll today. It is just absurd. $300,000,000+!!
Here is where just some of their money is for 2015:
Carl Crawford $20MM
Brandon McCarthy $17MM
Bronson Arroyo $3.5MM
Darwin B $2.2MM
Dan Haren $10MM
Matt Kemp $18MM
Brian Wilson $10MM
Ryan Webb $2.2MM
Dee Gordon $2.5MM
So I think tomorrow will be the most important test of how far we can go. We can win it all with two pitchers since Arietta has shown he can carry over his success to the post season. If Lester can be dominant also then I think we can go far no matter how Hendricks or Hammel do.
And in terms of pitching just went through to see how we could maximize Lester and Arietta and came up with this (Lester would be going on 4 days rest three times and Arietta twice):
i still can't believe that crawford contract (7/142). all that loot and years for a LF'r who's entire hitting game revolves around his legs and line-drive power. those triples that raised his value are deceptive as hell to his true power, but it helped him get paid.
there's also pause about a guy who's ob% is almost totally driven by hits rather than walks. BOS got lucky unloading that crap deal.
I think the Cubs take Berry and Soler off playoff roster and add Hammel & Ramirez. Believe Maddon will find Denorfia & Jackson defense too hard to lose.
O & B: I like the one-game Wild Card heart attack game, but I'd actually like to see a best two-out-of-three LDS played in the home parks of the two division winners with the best records, and then the LCS as a best two-out-of-three in the home park of the division winner left standing with the best record, and then let's get to the World Series already.
I...don't know. If chanting would help the Cubs beat the Cardinals in the next series or ultimately the World Series I think I'd be ok with it lol. I'm not supportive of saying insulting things to opposing fans or throwing things but loud noise and chanting seems appropriate to me.
I also grew up in France though and that kind of thing is par for the course at soccer and rugby matches and I love it. I find crowds too passive here.
Enjoyable read on David Ross.
Er, they won the first one. My bad. Carry on.
With last night's win in Pittsburgh, the Cubs have tied the Pirates with 98 wins, and are only 2-1/2 games behind the Cardinals. No reason why the Cubs can't finish the post-season with the best winning percentage in baseball (regular season & post-season combined).
BOB: I doubt very much that Matt Szczur will be on the Cubs LDS roster.
If he wasn't on the Wild Card roster (when the Cubs went with 15 position players), he won't be on the LDS roster (when the Cubs will go with 13 or 14 position players).
As it is, at least one of the three RH hitting outfielders who were on the Cubs WC roster (Denorfia, Jackson, and Soler) could get bumped off the LDS roster (probably Soler).