The Aha Moment
I'm getting more mileage out of this story than Ian Stewart will get out of his dismal 2012 Chicago Cubs season. In historical terms for 2012, third baseman, Ian Stewart will be just a small foot(wrist)note at the bottom of the media guide.
Stewart came to the Cubs in a "damaged goods" type trade. He didn't have a diagnosis for his 2011 bad left wrist woes and multiple doctors could not find any "structural" damage. Theo and Jed figured that a "non-structural" problem would get better with an off-season of rest. We all know that this is not the way Cubbery works.
In a trade that made sense at the time because Aramis Ramirez was being converted into a supplementary round draft choice, Ian Stewart was acquired from Colorado as damaged goods and the Cubs took that risk. I've written on this topic BEFORE Stewart went to the Cleveland Clinic for a teritary opinion with the medical history of an undiagnosed painful left wrist problem. I won't rehash the pre-Cleveland Clinic information. You can recap it here in the TCR post, "Who Ya Gonna Call."
Sports medicine Doctor to the pros, Dr. Thomas Graham, finally diagnosed the problem. The reason for this sequal is that it seems that there was an "Aha moment" when the diagnosis was made. Both doctors and patients really like those moments. It's the medical equivalent to what both Mr. Burns and his long lost son (courtesy of Tim Souers) would say in a similar situation: "Excellent."
Carrie Muskat at mlb.com posted the first article on 7/2 that acknowledged that Dr. Graham had diagnosed Stewart's problem and then detailed the surgical plans here. She related that Stewart in a prior injury a few years ago may have injured or even fractured the navicular wrist bone leading to his problem.
A few years ago, Stewart had fractured a bone in his wrist, and Graham determined that another small bone was in contact with the larger one. Removing it should alleviate the pain.
MLB.com writer, Rowan Kavner quotes Stewart in a Sunday, 7/15 article:
"Over those two or three years, there's a lot of cortisone shots, a lot of MRIs, X-rays, with nothing ever showing up," Stewart said. "It had been weighing on me a lot, especially over here, being with a new team and wanting to prove myself."
Even Dr. Graham didn't figure out the problem until he examined Stewart's wrist under fluoroscopy. Fluoroscopic imaging is an X-Ray unit with live time imaging, including the ability to image the wrist bones while the wrist is put through movement. In fact, Dr. Graham needed to examine Stewart's other wrist under fluoro to make sure what he saw was specific to the injured side.
The Aha Moment:
"On the screen, he saw one of the bones on the outer part of my wrist was overlapping the bone next to it, which really means it's touching it and they're kind of rubbing together," Stewart said. "He kind of went from there and realized that's not what's supposed to happen."
That makes this a structural problem. It was just difficult to diagnose, without going the extra mile (just like Theo's scouts are supposed to do). Finally there was a diagnosis: DWI or dorsal wrist impingement. The anatomy here is the dorsal (or top, not palm side of the wrist) portion of one of the wrist bones, known as the scaphoid (aka navicular) impinges on the capsule (connective fibrous coating) of the joint and a nearby tendon (the extensor carpi radialis brevis) or an adjacent wrist bone (probaby the capitate). It's seen most commonly in gymnasts and obviously uncommon (or not something often considered) in baseball.
(Note: the blue mark on the wrist where Dorsal Wrist Impingement occurs)
The surgery included a wrist arthroscopic exam, which was mostly to make sure there was no additional abnormalities in the joint. Then there was an open/incisional part to the surgery which including taking out a segment of the wrist bone that was impinging on other structures.
Kavner's more recent article says this about his postop treatment:
Stewart, who had a bone taken out of his wrist, said there's no timetable for his return. He will get the sling removed in a couple of weeks, when he'll return to Cleveland to take off the wrapping and progress into more movement.
Though his status this year is still unknown, he thinks a return next season is definite.
The earlier Muskat article related:
When could he return? Doctors said it might not be until early or middle September.
“You don’t know if there’s enough time [to play],” he (Stewart) said.
As a patient, Ian Stewart has to be thrilled to have his mystery problem (hopefully) solved. As a professional baseball hitter, we all know that that the wrist is critical for bat speed and control of the swing. What the Cubs do regarding Ian Stewart's contract for 2013 is yet to be seen but with his 2012 season mostly being a non-event, at least Jedstein should get some credit for getting him diagnosed and treated under their watch. Because of this good deed, on their baseball deathbed, team-Theo should receive Total Consciousness (which is nice). I'm hoping, Stewart will come back for the same money in 2013 and everyone gets a mulligan. Unfortunately, the Laws of Cubbery would predict that Stewart will have his best seasons soon after leaving the Cub organization.
dee gordon (MIA) suspended 80 days for PEDs. wow.
"excessive testosterone and Clostebol"
hell of a late-night news flash.
Seems like a bizarre pick -- they moved up 2 spots to pick up a guy who was not dominant in college. According to the talking heads, supposedly a great athlete (but an unpolished football player). So was Alonzo Spellman. And the guy who could jump out of a pool. Bears have missed the playoffs 5 straight years and 8 of the last 9. And they made Marc Trestman an NFL head coach. Maybe they can hire Theo in his free time. Sheesh.
And then the Bears pick an undersized linebacker with very few sacks in his college career and very little ability to shed blocks and the draft becomes less of a joy.
Watching the NFL Draft on ESPN with the mute on is one of the greatest joys in my small life. Being able to not hear Roger Goodell, Chris Berman, Jon Gruden, and Mel Kiper in quick order is just somehow immensely satisfying. I hope by the time the Bears pick they have Steven AAAAAAAAAAAAA Smith and Skip Bayless on so I can not hear them too.
even if the cubs lose feder, he's easily replaceable with a cash/low-end-ptbnl trade...plus, taylor davis is wasting time down in AA and he could pop up to AAA to back up w.conteras.
Tim Federowicz is out of minor league options, so Outright Assignment Waivers would be needed before he can be sent back to Iowa. He also has the right to elect free-agency if outrighted, but he probably wouldn't elect to be a FA if outrighted unless the Cubs shit on him somehow while he's up with the big club (not likely).
But it is possible that another MLB club could claim Federowicz if the Cubs place him on waivers, which would leave Willson Contreras as pretty much the only other option if a catcher goes on the DL again later in the season.
CRAIG: D. J. Wilson is hitting 083/115/167 in six Cactus League EXST games (26 PA), but his K-rate is only 11.5% and he has somehow managed to drive-in five runs along the way (he's tied for second on the team in RBI), so it's not like he's swinging & missing a lot. He does seem to be feeling for the ball a bit, however, which has resulted in too much weak contact and not enough line drives.
Bryant sprained ankle MRI tomorrow
Cubs did a lot of that today: 2-for-17 with RISP.
Man, what an ugly baseball game - Cubs receive 11 walks and Bryant reached twice by HBP, the Brewers pitchers threw almost 200 pitches (199 pitches...in 8 innings!), they even walked Baez (first one of the year), Cubs scored twice when Brewers botched routine DP balls, Cahill walks three guys with a 6-run lead, forcing Maddon to waste Strop, the weather sucked again, etc. Happy with the win, but that was really tough to watch.
"Some of the most racist things I've ever heard have come out of people that are on the air at ESPN," Schilling said Wednesday on "Breitbart News Patriot Forum." He was fired by ESPN last week.
“In the end for me it felt like that rule applied to me and me alone because I was conservative … Bigots are calling me a bigot. A bigot is someone who refuses to accept a different opinion. I will accept anyone’s opinion.”
Rolled scoring on Rizzo double
Re ZOBRIST -
Today's game is what I was referring to re Zobrist and RISP struggles. He did come through with his patented single to drive in a run - but also left the bases loaded, and two men on, no outs (called 3rd).
So, I hope he can pick that part of his game up when they start playing the better teams...
Don't see anything on the replay showing where he rolled it and he played for 2 more innings after so at first glance it so doesn't seem major. Very cold today so any discomfort is probably amplified.
How bad was Bryant's ankle sprain?
I'm gonna vote for Castillo so Molina doesn't get it but Ross has caught something in his last year and I'm loving it. He seems like an incredible guy who everyone on this team loves and if he can just be average with his bat that'd be huge this year.