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.
AZ PHIL- Is Clayton Richard a free agent or not? One site I see he is, on another no. MLB has him listed as a free agent, Cot's contracts says he is a FA, baseball-reference says he's not, but Cubs have him on active roster. I know that he is just short of MLB 6 years service by just like 15 days, but that doesn't always matter.
Except that he gave up Russell and McKinney for a half-season of Hammel...
Beane cam at least point and laugh at Hammel.
The genius Angelo traded Olsen at Martzs request
Maybe Theo will sign Shark just so he can call Billy Beane and say: "Let's see...Russell? Check. McKinney? Check. Hammel? Check. Ninja? Check. Any other deals?"
To be fair to Emery and Trestman the foreshadowing of last year started happening well before them with the failure or mismanaging of multiple draft classes forcing the team to overspend in a free agency market that is even worse than baseball. Kyle Long seems like a good pick but they traded away another good one in Olson because of Martz's stupidity and inability to change his offense to fit the team talent.
HAGSAG: I think Domonic Brown does fit the criteria of a reclamation project, but unless he is willing to accept a minor league contract with an NRI to Spring Training, I don't think the Cubs would be interested given where the Cubs are right now. A couple of years ago? Yes. But probably not now.
Brown would be better-off going to a club that is rebuilding and re-establish his value there, like Chris Coghlan did with the Cubs. And if he can re-establish his value, he could get traded to a contender at the trade deadline and take it from there.
"they just fade away"
(Except in the cases of no-fade lefties like Moyer, Orosco and Rich Hill.)
Amazing to me how quickly it fell apart under Trestman. Year 1, they were a Chris Conte brain fart away from making the playoffs. Year 2 -- coach, staff and GM all fired.
I am sure Jonathon Mota will be signed next.
AZ Phil, what is your thoughts on Domonic Brown as a reclamation project?
He also played LF in deference to Curtis Granderson.
Meh... other moves to make...hope to see a move or two soon.
I haven't seen much Bears football this year - difficult to watch the games out here, but the game I saw the week before I was watching in shock as I saw them actually make tackles. And Cutler has looked really good, too.
I guess people can quibble about play calling, but the team I saw is way more than 50% better coached (my only very minor disagreement with your comment).
Under Trestman, the team didn't do anything right. This team played like a well coached team when I saw them play the Rams.
"What is sometimes overlooked about Vogelbach because of his "bad body" and because he has struggled so much defensively is that he is a hard worker, has a great attitude, loves to play the game, and is very well-liked by his teammates, and while that may not seem important, teams do actually value stuff like that. "
As well they should. Replace a word here and there and you are describing any worker someone would hire.
Hak-Ju Lee signs a minor league contract with SF Giants.
Some closure on the 6 degrees of Separation for Matt Garza/Chris Archer