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.
Hendricks after 50 MLB starts: 17-11, 3.45 ERA, 1.12 WHIP. Not bad for a #5 starter. He may be a 6-inning max guy, but, if he can keep those stats up, I will gladly take it.
Speaking of WHIP -- last year, he was tied for 11th in the NL. Tied with Hammel.
Last year's NL rank in WHIP: Arrietta 2nd, Lester 9th, Haren 10th, Hammel T11th, Hendricks T11th. Wow.
I went to a Nats game in DC two years ago while looking at colleges with my son -- it's a fun park, worth a visit if you are in the area.
I also saw the "slowness" thing -- particularly Werth, who would mosey out of RF about 5 seconds before the inning started.
It's Dusty's fault. It'll be the end of them.
Speaking of how teams "look", my take on the Nats- It's really weird, but the pace of the entire team seems slow. Slow walking to the plate, slow on the mound, even on some routine groundouts, it looked as if there wasn't a ton of hustle. Don't get me wrong, when the ball is hit to their outfielders, they get after the ball, I'm really referring to non-critical action- they mosey around. It's kind of odd. Maybe that "calm power" is part of the Nats ethos, idk.
My favorite moment of Hendricks' performance last night was the last strikeout he rung up- the cajones it took to throw a high, 86MPH fastball to Zimmerman on a 0-2 count. And he swung the bat like it was a 96MPH heater. I literally laughed out loud.
In listening to Maddon's post-game, he is interested in how these other teams "look" to him. He is assessing for today...and tomorrow. I love this guy.
One observation from last night: Joe Ross is incredibly slow. 20-30 seconds between pitches at times. Hendrix had a nice, peppy rhythm which is great to see.
I know there are plenty of purists here which I applaud, but the game just will not sustain itself unless change of pace rules come into play. Pitch clock, improve the shit-ass reviews, mound visits (there is a clock for this), batter time outs, etc.
Thanks, Phil. Albertos at 17, and having gotten a good signing bonus ($1.5, even though as Mexican prospect I think his team gets half of that?), throwing in the 90's and showing some command of a curveball sounds pretty interesting, even if that control is only for a dozen-pitch sample.
What kind of a frame does he have? Is he on the stocky and short-ish side (I'm recalling Fernando Valenzuela!), or somewhat taller? A lot of 17-year olds have projection, "when he fills out" projection. Would that apply at all for Albertos?
I definitely hang around here looking to reply to your comments as noticed by my nearly year long absence.
there's a fine line between posting something relevant, useful or at least humorous versus posting something irrelevant, useless or unfunny...actually it's rather quite a thick line and easy to see for most people not named crunch.
I certainly am digging the RISP machine Zobrist version.
Cubs are taking advantage of bad D by their opponents -- did it a few times in PIT and the Nats botched 2-out rundown leads to 3 Cub runs in the 8th. Which were nice to have.
I hope Kyle had fun at the dance party -- he was terrific.
i hope he's getting more consideration for the 2-slot vs lefties, too.
I hope we can dispense with the Zobrist RISP concerns.
Is this heaven?