Who Ya Gonna Call?
"If it's somthin' weird an' it don't look good..."
Letting Aramis Ramirez walk for the 2012 season was the easy part. The new Cubs braintrust loves supplemental round draft choices. Picking up the one year, $16 million option on ARam, with the expectation that he would decline and lead to a supplemental 1st rounder (which turned into pick #43, college pitcher, Pierce Johnson from Missouri State U.) was highly predictable.
The more problematic other side of the coin was to replace ARam for the near term. If the cliche' buy low, sell high... doesn't do it for you, at least Jedstein believes in buy low. Here's the checklist: 2003 1st round draft choice (10th pick), 2005 overall #4 prospect from Baseball America (after Mauer, King Felix, and Delmon Young), hitting setbacks because of injuries (knee contusion then left wrist) but with recovery possible based on medical reports, still young and relatively inexpensive, left handed bat, decent defender. OK, that all checks for Ian Stewart (no not that Ian Stewart, just checking to see if you use the links).
Here's where things jump the tracks. He's had a bad wrist for over a year and nobody in Colorado or Chicago has a diagnosis.
Ian Stewart's 2009 season was pretty interesting for a young-un (age 24). As in 25 HR's and 70 RBI's. His 2010 season was better in terms of batting average (.256) and OBP (.338) and about the same in OPS (.781 vs. .785). I found a series of articles on Ian Stewart from the 2010-11 offseason from Purple Row Blog by Andrew Fisher (part 1, part 2, part 3) and a followup article on his 2011 disaster season where his wrist problem started. Yet, even in that article the Rockies fans considered unloading Stewart an act of selling low:
The problem with Stewart, not only in 2011 but in his career, however, is what is found off of the paper. Without directly pointing his finger at the Rockies 2003 1st round pick, Dan O'Dowd has essentially made Stewart the face of this offseason's roster purge of nefarious characters. Preaching the need for accountability and proper focus, O'Dowd sold "low" on Stewart by sending him with Casey Weathers to the Cubs for outfielder Tyler Colvin and infielder DJ LeMahieu, neither of whom are guaranteed a roster spot in 2012.
So I understand why Ian Stewart is here. The picture is now clearer. He's broken. The more important question is, can he be fixed?
Having a sore wrist for a professional hitter is a bad thing. I remind you of Derrek Lee's broken right wrist from a collision with then Dodger, Rafael Furcal, in 2006. Lingering effects on Lee seemed to result in the loss of much of his power for the remainder of 2006 and it didn't rebound until 2009.
Now to the medical side. Supposedly all diagnostic imaging (MRI, X-Rays and EMG which is a nerve conduction test) are all negative. Stewart said in a CSN interview with Patrick Mooney:
“It was just always there in the back of my mind that there’s something not right, even though nothing showed up on the MRI or the X-rays. That was the frustrating part, because I still feel it there bothering me.”
Stewart described a tingling sensation, and having trouble with his swing on inside pitches. He said nerve tests came back negative last season when he played for the Colorado Rockies.
Previous medial opinions from Colorado and Chicago say nothing is structurally wrong. That doesn't mean it is a psychosomatic , somatoform or a malingering problem. Monday, Stewart will be visiting a doc at the Cleveland Clinic for another opinion. Although names have not yet been mentioned in the media, the biggest name that makes sense to me for a tertiary opinion is Dr. Thomas Graham, aka "hand surgeon to the Professional Athlete."
Dr Graham did a hand fellowship at the Indiana Hand center then did special training at the Mayo clinic in elbow surgery before started his careeer at the Cleveland Clinic in 1994. In Cleveland, he blossomed into the superstar hand specialist to the stars.
Graham was hand surgery consultant for professional sports teams in
Cleveland — still is for the Cleveland Indians and the Cleveland
Cavaliers. He also consulted for the Cleveland Symphony and the Rock and
Roll Hall of Fame and Museum.
In 2000 he went to Baltimore's renown Curtis Hand Center (the world's largest hand center). More recently he returned to Cleveland in 2010 as the head of the Cleveland Clinic's corporate venture called "The Cleveland Clinic Innovations." Graham is more than just a surgeon, he's well known as an entrepreneur and holds patents on several products for elbow joint replacements and upper extremity fractures.
Rock & Roll Hall of fame credits include David Crosby's hand. Make's one wonder if CSN&Y reference is to both Dr. Graham and Graham Nash.
"although Dr. Graham eschews the mantle, "physician to the stars, " usually two to five pro athletes are coming in per week to see him."
What could be wrong with Ian Stewart's wrist? Supposedly he's had pain and swelling of the left wrist and some tingling in his hand only upon certain activities but not all the time. From a Cleveland.com article on Stewart (and quoting Stewart):
"He said his wrist feels fine much of the time, but certain movements cause the pain to pop up again. It's more when it gets into certain positions," he said. "I dive for a ball and have to put the weight on my hands to push myself up. Certain swing path. Balls in, not so much balls away. But nothing where it's just hurting as we're talking right here."
So that might explain what has been a complaint by posters here at TCR about Stewart's "one-plane swing"
What possible diagnoses are under consideration? Remember this is just my speculation list of diagnoses. It will be Dr. Graham's job to sort out what where nobody so far has been able to do.
The most common cause of tingling at the wrist level is Carpal Tunnel Syndrome. Sometimes the symptoms can be quite subtle. CTS is a compression of the median nerve on the palmar side of the wrist underneath a thick transverse carpal ligament. The median nerve provides sensation to the thumb, index, long and half of the ring finger. It also provides motor function to the thumb. Symptoms usually develop gradually over time. Diagnostic studies such as EMG are often negative so it's often a clinical diagnosis but certain provocative maneuvers on exam can be helpful to make the diagnosis. More recent use of ultrasound imaging of the wrist can show if the median nerve is compressed or has unusual anatomic patterns. The treatment is on a conservative basis (for an athlete) probably a cortisone injection into the carpal canal but more reliably a surgery that decompresses the pinched nerve. Recovery for a hitter would depend on the surgical technique but could be as little as a month. The prognosis here is very good if that is the diagnosis.
Other pinched nerve syndromes exist as well. The ulnar nerve can be compressed causing tingling into the little/pinky finger at an anatomic site called Guyon's canal. Surgical release of this nerve is the treatment when the problem is chronic.
The wrist joint proper is complex with eight carpal bones. Medical students trying to learn their anatomy have used several clever Mnemonic tricks to help recall all eight (please check out this link). The wrist bones are arranged in two rows of 4. Proximal row: Scaphoid (or Navicular), Lunate, Triquetrium and Pisiform. Distal row: Trapezium, Trapezoid (thumb side), Capitate and Hamate. Not to be forgotten are the two bones that end the forearm, the radius and ulna. There are multiple significant ligaments that connect the carpal bones permitting stable transmission of forces and permitting the foundation for hand function ranging from precision fine motor control to power grip activity.
Carpal bone injuries often show up on MRI imaging, so this is less likely unless it's really subtle. Baseball players have sustained scaphoid fractures and hamate fracturess, pisiform and triquetrium fractures are rare but not unheard of. Phillies OF Domonic Brown had a hamate fracture in 2011. So something more subtle might turn up yet in diagnosis with more expert evaluation.
One diagnostic test not mentioned is the wrist arthrogram, which is either an X-Ray with contrast material injected or an MRI with contrast material injected. Much had been written on shoulder injuries that get worked up with MRI imaging that can be more useful when dye is injected to add contrast to structures in the joint. The same is true for the wrist. Tears of a specific cartilage known as the Triangular fibrocartilage/TFCC can be seen better with this imaging. Also more subtle wrist ligament tears can be assessed since the wrist can be moved after the dye injection and the pattern of where the dye tracks can be useful.
Wrist arthroscopy is used to sort out and treat several conditions that might not show up on diagnostic imaging. When Stewart refers to needing surgery on his wrist. This is a very probable possibility. From the American Academy of Orthopedic Surgeons (AAOS) website on Wrist Arthroscopy:
Chronic wrist pain: Arthroscopic exploratory surgery may be used to diagnose the cause of chronic wrist pain when the results of other tests do not provide a clear diagnosis. Often, there may be areas of inflammation, cartilage damage, or other findings after a wrist injury. In some cases, after the diagnosis is made, the condition can be treated arthroscopically as well.
Monday in Cleveland, I'm betting that Ian Stewart gets a recommendation that will lead to a diagnosis and treatment...and maybe more than one plane to his swing.
I am right there with you closing in on 60.
I don't care that much about "mortgaging" one player who is not only blocked by two guys, but is not ready to hit the majors for at least a couple years.
There is no reason why this team, this year, can't have a real shot at something NONE of us have experienced.
Further, I don't feel that even if they fall short that they have ruined their farm system.
I have made my opinion clear here, with others, Warren was shit on the Cubs save one spot start.
Trading for Warren, Warren sucking, getting Warren back for Chapman plus 3 prospects, sounds like Revenge of The Yankees on the former Boston executive. Old rivalries never die.
I pray to the heavens above Chapman doesn't suck for some reason, or he'll be booed out of town faster than a Todd Hundley revival meeting.
I'm kind of nostalgic for the Schwarber-for-Miller rumors.
This offseason, after some ridiculous playoff run and Chapman saving every game from here until the end of the postseason striking out 27/9innings, I welcome anyone to quote this thread and call me a dummy: I hate this trade, and my hate is 2 parts Chapman makes this team less likeable and 1 part that's a ridiculous overpay for 30 regular season innings and, at tops, 10 postseason innings. Already hoping they don't extend him.
btw...Thanks AZ Phil. I'm really enjoying your take on this trade.
I'm a bit disappointed on the Warren experience. Essentially they gave Castro away for crickets (OK, well they signed Zobrist with the Castro salary dump). Otherwise one might look at it as Chapman for Castro and our #1 minors prospect (Torres) + McKinney/Crawford. Seems pricey for a 2 month rental. We will see if this price tag is that steep in a relative way based on the remaining deadline deals for relievers.
Yep. One of the great things about this team (in addition to being really good at baseball) was the "likable" factor. Feels a bit different now. Who knows...maybe Chapman will be the king of the dance parties.
Here are some possible corresponding minor league moves we might see in the aftermath of the Chapman trade:
SOUTH BEND to MYRTLE BEACH: OF Donnie Dewees and INF Bryant Flete
EUGENE to SOUTH BEND: OF Robert Garcia and INF Vimael Machin
There is really no reason to replace Billy McKinney at Tennessee because both Chris Coghlan and Jorge Soler are doing their rehab at Tennessee.
And there are plenty of pitchers at Iowa. No need to replace Warren at AAA. .
I am 70 years old. The Cubs last played in the World Series in 1945. I was born in 1946. I hate to lose a prospect like Torres, but when the opportunity is there to get that World Series ring, you go for it. This was the idea in stock piling all this young talent. I would like to see Reddick added now and the Cubbies should be done.
I would expect Richard to accept an optional assignment because based on how he's played this season, there is a decent chance that he won't find work elsewhere. Rather stay and potentially get a ring. Same goes for Coghlan since he's struggled mightily this year.
Edwards should not go down. He's pitched very well and Maddon is very impressed with him. I would expect Grimm to go down for Cahill so he can get back on track (he's pitched better in July, but he's not getting enough appearances).
chitownmvp01: Indeed Clayton Richard would seem to be odd man out once Chapman reports, but Richard might accept a minor league assignment if he is promised a return to Chicago on 9/1 when MLB Active List rosters expand (Richard has minor league ioptions left).
The only player in the deal that would cause me a second thought is Gleyber Torres.
McKinney and Crawford are decent prospects but both are redundant/replaceable in the system and Warren was really only a middle-reliever or #6 starter, so to me it's really just Torres for Chapman.
There is no Comp pick for players traded mid-season. 2+ months of Chapman is it.
to get one of the best you have to give up one/some of your best...but it's a bit painful to watch the system's best prospect walk for any 2-3 month rental, especially one that's not an everyday player.
I assume Chapman will replace Richard on the roster, but who goes down when Cahill gets activated? Maybe Grimm?
And when Soler and Coghlan get healthy, how do they fit them on the roster when they're ready to be activated?
We are giving up a lot, but it's not like we're trading Addison Russell for 2+ months of Jason Hammel. When impact players become available, they are going to cost you. The other bids could also have been high.
Having Chapman as a rental is potentially less disruptive than having him come in with an extension in place.