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.
That's a hell of a first impression by Montgomery. Brian Cashman having a good laugh on that debut.
...and it's a 3 run homer.
hey, vogelbomb had a HR on his 1st game with SEA AAA, too!
montgomery comes on with men on 1st/2nd, 2 out, in the 8th.
"Tommy Stokke of FanRag Sports reports Chris Sale was sent home from U.S. Cellular Field on Saturday after cutting up throwback jerseys that he did not want to wear.
I thought the same. It'd be great luck to face these non-contenders after the trade deadline.
...why isn't j.lucroy playing for TEX yet?
2r HR on a 12-pitch AB.
nathan to join the cubs tomorrow.
Wow in deed.
FOX Sports @MLBONFOX
Chris Sale was scratched from tonight's scheduled start due to a clubhouse incident before the game
he was sent home by the team, too. the wsox released a press statement and everything. they stated it was non-physical in nature.
He was scratched from his start today. No reason given.
At the start of the season the book was that he was trying to pitch to more contact so he could stay in the game longer and it seems to be working so far. Contact against is 77.5% this year and it was 70.2% the year before. He averaged 6.7 IP/game last year and so far it's 7 IP/game. His actual pitches per game are only down to 106.1/game from 107.2/game last year but if he's able to go a bit farther into games without throwing more pitches and without giving up more runs that is a good thing.
sale's skills and insane value makes it almost too hard to have a market for the guy...he's got 3/38m owed to him over 3 seasons (2 team options). he could easily pull in 30m/yr if he was on the market as a FA.
he's throwing a bit differently this season, especially with more sliders and less changeups like earlier in his career, but all his stuff still looks great even if the HRs are a little elevated and the Ks are down.
Torres, Happ, McKinney, Jimenez, and Candelario for Sale. Deal or no deal?
"The White Sox are reportedly asking for “five top prospects” for Chris Sale, FanRag Sports’ Jon Heyman reports."
Unless he develops 30+ HR power and keeps his walk rate close to his K rate at the MLB level, he's not going to turn into Prince Fielder. And even if he does turn into Prince Fielder, he's gonna have a short prime. His very limited athleticism is likely to also detract some value from his ability to reach base--I don't buy making an out as being preferable to base clogging, but you'd certainly prefer just about any base runner other than Vogelbach, David Ortiz, etc.
seeing as arod has played a total of 27.1 innings of D at 1st/3rd and somehow managed a -0.5 dWAR with his 1 error at 1st and an overall positive total zone rating...he might end up even more in the shitter via the characteristics/flaws/whatever of how some sites determine various WAR values. dWAR doesn't directly lead to a WAR value, but the 2 main entities pushing the most popular variations of WAR sometimes lead to some interesting discrepancies in value.
I have a lot of faith in Baez that he's going to turn into a more consistent, solid player. It looks like it took him about a half season or so of futility at the plate to figure out he was not talented enough to get away with the crazy approach he had. I think his running game will eventually have a more measured aggression.