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.
LHP Clayton Richard (released by the Cubs earlier this month) is pitching very well as a starting pitcher for the San Diego Padres and could be a good candidate to get traded to a contender looking for a veteran SP before tomorrow night's post-season roster eligibility deadline.
Because they released him, the Cubs are paying most of Richard's 2016 salary (the Cubs are on the hooks for $2M, minus the pro-rated portion of the MLB minimum salary that is paid by the Padres).
it is honestly awesome (for real) that anyone would even have a strong opinion on AZL playoffs. i guess if you invest enough time watching it, you want to see a fair/just playoff structure.
plus, the kids deserve it.
The AZL team with the best record over the course of the full 2016 AZL season and the only AZL team to play .600 ball (the AZL Dodgers) did not qualify for the AZL playoffs, and the AZL East Division team with the best record over the course of the full season (the AZL Athletics) did not qualify for the AZL playoffs, either.
That's because of the ridiculous "split season" schedule most of the minor leagues now play, a stupid system that rewards mediocrity at the expense of the worthy.
Despite good movement on his fastball, I think location kept him from getting Ks. Left some pitches up and away that got hammered up and away. Then of course Travis Wood gave up the 2-run double in the 7th, but both runs counted against Arrieta.
"i'm gonna make you my main squeeze one day, bro. save the date."
This level of discourse is #charming.
I would be having this discussion with anyone who (a) blathered on ad nauseum about the topic. (See, "Olt, Mike, not given an opportunity") or (b) responded directly to what I posted (which you did).
Have a nice day.
what would you do without me? aside from having your posting content here cut by 75%+?
i'm gonna make you my main squeeze one day, bro. save the date.
In this instance, yes, I care more about the result of this big thing that isn't really a big thing.
Fangraphs WAR #s include baserunning and Hamilton is elite at that. He leads in SBs with the 54 and and has an 87% rate which is really good. I'm sure once he gets on base he's able to take the extra base quite often too. Both those things will up his overall WAR value.
The differences between BR and FG WAR is pretty well documented online and thus If there are discrepancies it's fairly easy to figure out why. It's fairly well accepted that BR WAR is fine as a snapshot but FG is better at predicting future value.
i have no doubt at all you quit reading at that point. you're very enamored with outcomes without caring what it takes to get there.
the fact it's exploitable, especially without someone to cover the running game for him, as well it's evolution in how people are testing possible exploits is interesting to some people...to me...i'm some people...hurrah.
some people want to check the boxscore to see who won, some want to know how it went down.
I read it as him saying it's not really that much of a concern and that the one time it really cost Lester, vs. K.C., was an anomaly.
if jeff says it, it's cool...when i say it, it's straight from the mouth of hitler.
aside from the lack of jeff touching on the insane leads runners take and lester's inability to throw if he's fielding, this is a lot of what i've said about the issue.
exploitable, needs his own personal catcher to control his shortcomings, relies on his ability to get outs along with his personal catcher keeping runners in check before things become further exploited...
That would be Rice Krispy Treat
Butterfinger or Baby Ruth?
I saw the first three innings and the last three, so I didn't see Arrieta get hit. His stuff looked nasty at first...what happened? Any insight from anyone who watched?
That question came from CRUNCH's cousin.