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.
Of course it's noteworthy. I was going to make a post about it is you hadn't. But per Robs point the headline should be "Lester pitches 7 innings with only 1 ER and and 10ks with "he got himself into a jam by not throwing on a fielded bunt which he was able to pitch out of." As a paragraph in the article and not the headline.
Or as I write this the headline should be Szczur hits a grand slam but Lester kept them in it the whole game which can be a sub headline.
between him and lastella there's a R/L combo that seems to be comfortable + productive off the bench.
handy stuff for a playoff contending team.
Well, he's consistent at that then.
The kid is looking like a ballplayer.
GRAND SLAM SCZURURUWSRAURRUZUZRUZURZ
Ryan Pace has a reputation as a good judge of talent. Head coach is known for the D side of the ball. D coordinator Fangio known for fitting guys in to spots that best utilize their skills. I'm for seeing how it plays out. I assume their had to be some consensus among those 3 about who to take.
Also I'm for letting the Cubs catch up to the Hawks in victory parades before Theo takes on outside projects.
RIZZ! unf...8th inning lead.
we might have seen another inning of lester out there if he didn't throw 30 pitches last inning because of a base throwing issue...on a day where he's very tuned in.
i've accepted what's happening with lester, but turning a double play into 0 outs is noteworthy even if some people don't want to be reminded of it.
A lot of batters simply can't bunt is one problem.
I'm pretty sure there is not a single person ignoring it at this point In all of baseball and it's a thing everyone is talking about.
That said he also managed to get out of a bases loaded, zero outs situation with no runs given up and that is something very few pitchers could do and it wasn't just because of a few balls called strikes. So....Let's not just talk about Lester when there are throwing issues because there has been a lot more good than bad just this game let alone this year.
there's nothing anyone can do about anything going on out there. i don't even post every one he fumbles into. i also post about HRs and other crap. it's happening, good or bad things are happening.
this is an interesting thing to me. just because it's a negative thing doesn't make it "woah."
we had 1000000000 posts about leadoff men and 2nd batters during the dusty years when everyone knew speed leads and contact-with-low-Ks hits 2nd. we all knew what's up. some people talked about it.
Have I mentioned how much I love TLS?
Guess I should have waited to post that.
Ignore it? You talk about it all the time. I'm sure the rest of the board notices, but just doesn't feel the need to harp on it. It is not like we can do anything about it anyway.
that's an interesting leap.
so, we ignore the thing that keeps happening and if one chooses to not ignore it then one obviously wants to replace him with dan harren.
it's fair game. the guy, on multiple occasions, puts the team in 4+ out innings because a guy who throws a ball for a living can't throw to a base. it's not like this happened once or twice or three times or four times or...