Under The Knife: Surgery to sideline Tulowitzki for most of season
When I wrote
Bill Petti has been doing some great work on velocity loss of late, using the modern tools to try to tease out information. Petti's
Tulowitzki was expected to need surgery to repair a sports hernia. (Yes, it says strained groin. There's really just a semantic difference.) Instead, Dr. William Meyers went in and cleaned out scar tissue that was irritating a nerve. There's no defined timetable for the return from this surgery, but with the demands of the SS position and the lateral motion, expect Tulowitzki to be on the long end of any range. The Injury Database says that range for a sports hernia is anywhere from 26 days in a non-surgical case (Ian Kinsler) to 95 days for Trot Nixon's surgical fix. The median is about 50 days for a sports hernia, but it's not the best guidance for this procedure. Part of his return will depend on what the Rockies do with him out. If they're way out of even the wild card, the Rockies are likely to shut down Tulowitzki to make sure he's ready for next season. Right now, I'm setting the ERD optimistically, just a bit above the median.
Gonzalez's issue was originally cited as a
Scans of Beachy's elbow did not come back how he expected. He told the press he didn't feel a pop, that he thought it was a bone spur acting up again. (Again? Yes, apparently this has been going on awhile.) An MRI showed a partial tear of the UCL, though the Braves and other sources didn't acknowledge how significant the tear is. Beachy is headed to Dr. James Andrews for his opinion, but
The worry with Pedroia's original strain was that he would re-injure it. The medical staff put together some sort of plastic brace that apparently reduced the issue while batting, but on a broken bat pop up, it might not have helped. Pedroia
Things were going so well for Longoria. He was a bit ahead of schedule. He had started a rehab assignment. He had even played in a game without incident. It was that second game, on Monday night, where he felt the hamstring "grab" again. The hope is that Longoria feeling it, pulling himself and telling the medical staff, will keep the damage on the low side, but we're also at that point in the season where the All-Star break becomes a factor. Unless this is the mildest of setbacks, Longoria's rehab is going to be pushed into early July and at that point, some teams start saying "Well, why don't we just give him the extra week and bring him back after the break?" The Rays tend to be conservative, but they're also one of few teams that understands the value of each game, especially for a player as productive as Longoria and in a race as tight as the AL East. I'm putting the ERD back just after the break to indicate I think Longoria will need some time off, but don't lock that date in; if Longoria can return early, the Rays will be smart enough to let him.
If you're one of those half-full glass people, then Mauer's strained quad is also giving his strained hamstring some time to heal up. If you're more half-empty, like most Twins fans these days, then Mauer's legs are shot and seeing this kind of serial (not cascade) injury is an indication that Mauer won't hold up. The truth is likely somewhere in between. Terry Ryan told the media that he doesn't believe Mauer will be out long. In fact, Mauer was
Strained latissimus dorsi injuries are piling up these days. It could be that there is more specificity in the description of injuries, rather than "shoulder" or "back" or "upper body." It could be that we're seeing a new weak link in the kinetic chain after a decade- long focus on the elbow and shoulder. Dempster has reportedly been dealing with this for the past couple weeks, but he's been very solid during that same period of time. Moving Dempster to the DL now makes sure that the strain heals up well and Dempster's value is maximized heading toward the deadline. A player can be moved while on the DL, but it's unusual. Dempster should be back just after the All-Star break.
It's not just North Siders having issues. Danks has found his way to the DL with a subscapularis strain. This is one of the muscles that makes up the rotator cuff, so don't let the unusual specificity confuse you. This is a mild, Grade I strain, one that Dr. Lew Yocum says will not require surgery. This diagnosis is actually good news, relatively. The worry had been that there was a significant rotator cuff tear, labrum damage or both. That the damage is confined, treatable and healing is certainly a positive. Danks is going to have to undergo a strengthening program before starting a throwing program, so even an early August return is a bit optimistic. When Danks is throwing again, we can revisit the ERD.
The Phillies were going to be without Galvis anyway, as he's done for the season with a spinal fracture. It turns out, they'd be without him anyway -- and one of few remaining loopholes in the drug policy is exposed. Galvis