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.
probably saturday depending on what they do with hammel (assuming friday for ham).
Lester is going to get one more start, right? It sure would be nice to see him get a shot at 20 wins.
Nicely done! I think in my 10-14 games I went .500 or a little over. Strangely, I went to the Cards games they mostly lost (incl Saturday) and the one SF game they lost, plus a couple Brewers games they lost, too. I should have gone to just Reds games. But still - saw mostly very good baseball on the North Side this year. Regardless of what happens come October - the Cubs are positioned for some good times in the next 3-5 years.
First Cub victory at home this year for me!
Saw all four starters this year
RIP Arnie. We could use a lot more like you -- a man who succeeded and failed on his own terms, a true original, and, finally, a remarkable example of graciousness towards others.
Cubs finish 33 over at home. I was, personally, one game over at 3-2, which was one of my better years in a while.
I do hope that's the last time we see the Cardinals this year. A lot of power, which is dangerous, particularly in a short series, and they have really shut down KB all year.
Oh, and Jon Lester? Damn!
Yes. Boating accident at 3AM. Very sad, but stupid. Young men do stupid things.
lester puts 2 on and is taken out at 96 pitches. oh well.
2 out in the 7th, lester at 84 pitches, ross taken out for the standing O.
it's possible contreras will catch lester for another inning+.
What a weird day. Jose Fernandez and Arnold Palmer, but then Scully and, on a much more modest level, Ross....
d.ross gets his 2nd standing O on the night (last home game of the season)...hits HR #10...curtain call. baseball.
as a fan, he only "owes" us the game on the field and not getting in the way of others on his team being ready to play (imo).
it's exponentially worse to his family and friends, but this dude most likely had 15+ years of play left and even though he just turned 24 a couple months ago he had already established himself as a top guy in the game.
Carrie Muskat [email protected]
Updated #Cubs probs vs Pirates: Mon, Hendricks vs Kuhl; Tue, Lackey vs Vogelsong; Wed, Arrieta vs Taillon; Thu, Zastryzny vs Nova
I know what you're trying to say, Charlie, that none of us feels what his loved ones must be feeling.
On the other hand, what makes a death like this tragic is precisely the loss, based on Fernandez's youth and brilliance, to the baseball world.
So, for example, we can say that Princess Diana's death meant more, in aggregate, to millions of admirers who didn't know her personally than to her loved ones.
boston pitching snags a couple of mlb team records...
"Over nine innings of play, Boston's staff struck out 11 straight Tampa Bay Rays hitters Sunday, breaking the major-league record for most consecutive strikeouts in a game.
The previous record was held by former New York Mets right-hander Tom Seaver, who struck out 10 straight hitters in 1970.
Not only that, but with a strikeout to end the ninth, sending the game into extras, Boston's staff also struck out an MLB-record 21 batters over nine innings."