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.
if he put ajax 1st/2nd in the f'n playoffs he deserves to lose his nearly sure-thing MOY award to terry collins.
I believe Castro batting fifth, Ajax (LF) sixth
Maddon did not listen to me yesterday re Strop, or EricS on Schwarbs today.
Wtf is up w/that?!
Crunch got his wish - Ajax not hitting 1-2 in the lineup ...
Lineup: Fowler, Soler, KB, Rizzo, AJackson, Castro, Montero, Hendricks, Russell
I know he's struggles against lefties but Schwarber seems zoned in - hope he starts tonight.
Awesome stuff, Phil.
listening on ESPN 1000, caller says Bill Welke will be the home plate ump today. Supposedly his reputation is for having an even bigger strike zone than last night's Phil Cuzzi. Some of the issues with bad umpiring come from an inconsistent strike zone. Hoping at least for consistency. Last night's called strike on David Ross was outright embarrassing for Cuzzi.
That might work out in favor of Kyle Hendricks, who benefits much from a large strike zone.
it's kind of mesmerizing to watch
should Theo add some Ted Abernathy videos for minor league pitching coordinator's use?
sadly, Ted passed away in 2004 from complications of Alzheimers. I always loved the Cub bullpen trio of Phil Regan, Ted Abernathy and Hank Aguirre. As a kid, I even worked on both Phil Regan (very quirky delivery) and Ted Abernathy (extreme submarine) imitations when throwing a rubber ball against a wall. It wasn't a good imitation unless I could scrape my knuckles off the ground. I'll always have a soft spot in my heart for submariners.
HAGSAG: Chris Pieters was sent to instructs to develop his hitting, bunting, and outfield play (he is already a decent first-baseman).
Pieters is tall and rangy , a "long-strider" in the same mold as Trey Martin and Rashad Crawford. He is a very patient hitter (unusual for a hitter with his lack of experience) and has an outstanding (almost uncanny) eye at the plate, and he is a fast runner with unusually good baserunning instincts, and he is a good basestealer, too.
I doubt we will see Pedro in any more "high leverage" situations this series. With Hendricks and the pen today, we need Bryant-Rizzo-Castro to get going ASAP.
One funny thing to see before the game was the two submariner pitchers (David Berg and Corbin Hoffner) playing catch with each other. Both pitchers throw "submarine" even when they play catch, and it's kind of mesmerizing to watch, even for the other players.
CUBSTER: One of the points of emphasis at "basic" Instructs this year was teaching the position players the art of baserunning and base-stealing, like getting a good primary and seconday lead, reading the pitcher, cutting bases sharply, and different ways to slide to maximize the baserunner's chance to arrive safely.
Brooksbaseball.net has some interesting stats/graphs on pitch and strike zones and you can dial up individual games/pitchers. I'd love to see some comments from readers who can interpret this better than I can. I thought the Ump was really inconsistent with a very wide zone. Does this info seem to match up with my eyeball perception? Also, looking at the graphs, Lackey was not throwing as many pitches below the K-zone (certainly more above) while Lester was clearly getting his pitches down and not many above.
As I was fearing in my post yesterday, Maddon keeps trotting Strop out against the Redbirds and he constantly fails. I understand the psychology behind this, but in a series where there is a finite lock on who moves on, why does he keep riding the wrong horse?
AZ Phil: Agree, this must have been a really fun game to watch. There was a lot of base stealing going on. Are the pitchers not holding runners or is the catching still a work in progress?