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.
if they dont win at least 130 games this season they can pack it all up, turn wrigley into a concert venue, and move the damn team to san jose.
I see where catcher Cael Brockmeyer was promoted to Tennessee a couple of days ago, to fill a roster spot vacated by David Freitas, recently promoted to Iowa. Caratini is the other catcher at Tennessee.
They've already clinched a minimum winning percentage of .607 for the month, and that's only if they lose the last 2 games. If they win both, they can push that up to .679. So much for "stumbling" in May. When you're winning over 60% of your games, you're doing baseball well.
If the best walk-off hit possible is a solo home run in a zero-zero game--Eloy did it tonight!
(But maybe it's a grand slam when your team is down three? He didn't do that.)
Number eight for Jimenez. His team is 31-17. Yesterday they scored 17 runs against Lansing. Two weeks ago it was 15 runs against the same team. This is a nice team, South Bend. The Cubs must have had a good draft last year.
Tonight the pitchers were Sands, Brooks and Effross.
He'll be fine. He's not some wimpy young pup.
In all seriousness the Cubs have the fewest amount of games played in the NL which means they're gonna be facing quite the grind later on including 24 games in a row at the end of June and beginning of July so I hope he does get a few days off.
Meh. He only got one hit today. Maybe give him a rest?
Good thing the Cubs have five left-handed batters in the lineup. Velasquez is just tearing thru the righties [edit - doesn't seem to faze Bryant!]
ben zobrist gets to ride up front tonight cause he's a good guy at sports.
cubs with a 5 run lead and a lackey shutout through 3ip \m/
HAGSAG: I have not seen Joe Nathan out on the field, but he is supposedly at the UAPC.
ERIC S: Best outing I've ever seen from Manny Rondon, and I've seen most of his outings since the Cubs got him from the Angels.
M. Rondon is competing with six others (Dylan Cease, Bryan Hudson, Jose Paulino, Pedro Silverio, Jesus Castillo, and Erling Moreno) for a starting slot at Eugene, and (as you can probably tell from the EXST box scores) the competition has gotten fierce over the last couple of weeks, With the exception of Moreno, the Eugene SP candidates have upped their game lately, and M. Rondon's outing yesterday was especially impressive/dominating.
E-MAN: Pierce Johnsion was mixing a 92-94 MPH fastball with a plus-change-up AND curve, and he threw strike-after-strike-after-strike with all three of his pitches. I believe that was the best command and pitch-efficiency I've ever seen from Johnson, who often pitches from behind in the count and issues too many walks.
Of course now he has to avoid a recurrence of the lat strain (whch he has had previously in his career) as well as all of the other miscellaneous physical problems he's had over the last three years (hamstring, quad, back, etc).
PHIL: Any movement on P. Johnsons pitches? What was his "out" pitch? I know he was working on a 4th pitch, so wondering what he is looking like these days. Thanks.
AZ Phil, has Nathan showed up in Mesa yet? Thanks.