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.
The Cubs have released RHRP Scott Frazier (2013 7th round dfraft pick - Pepperdine).
A Cubs pitching coach told me in Spring Training 2014 that he thought Frazier had the best pure stuff in the organization. Absolutely electric fastball & breaking ball combo. Other pitchers would gather behind the screen just to watch him throw "live" BP. That's how amazing he was.
Got a chance to see Diamondbacks RHSP Zack Greinke (15-day DL - strained oblique) throw a rehab start at Sloan Park Friday night. Four of the first seven AZL Cubs hitters singled and the Cubs did score an unearned run in the bottom of the 1st inning, but then Greinke got serious and struck out five in a row.
ZACK GREINKE: 3.0 IP, 4 H, 1 R (0 ER), 0 BB, 5 K, 4/0 GO/AO, 49 pitches (34 strikes)
Eloy Jimenez grand slam tonight. Hoping Soler power returns and gets hot but future looks bright in the outfield regardless.
Have fun - It may be good for Arrieta to be facing a team that doesn't know him as well as the NL teams. A nice shutout would do wonders for his confidence. He is confident in public but baseball is hard and he could use a boost, I'm sure.
Me too. I'll be at the game tomorrow and would love to see Good Arrieta.
Last few games have been the April version of the Cubs that disappeared completely the past two months.
Hope they can sustain it.
Don't sell yourself short, Judge.
I love this team.
Looks like Mother Nature is trying to call this fight.
Hey! I remember this team!
The key for Heyward's offense: get early leads. Heard a stat on Mike & Mike on the way to work that his avg/power much better this year when the Cubs have the lead. And true to form he gets the two run dinger with Cubs winning 3-0 ...
I'm sorry - I was probably not looking at the correct line, or spot, or...who knows!
I could blame it on the weed, but I stopped smoking many years ago.
Fortunately, I can rely on the rest of you sober and astute folks to bring the correct info forth.
Oh yeah! It just felt like one for some reason.
Agreed. I was not including Fowler or Heyward.
I'm just not a fan of 2016 Coghlan.....
@Dusty Contreras if it's a Lester or Arrieta start. TLS is good PH too. You also forgot about Heyward, assume Fowler is CF.
I expect Soler to get optioned as well when activated and Cahill to replace Grimm. It wouldn't surprise me if Coghlan and/or Soler is included in a trade.
Maybe Coghlan is up to see if he can get on track before someone acquires him.
This move could also be to assure that we have as much OF depth as possible to maximize Joe's ability to rest players in September once we've clinched.
Maddon basically said as much...Fowler still kind of sore, they're being proactive, etc.