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rt shoulder pain icd 10
Despite some Dodger suspicions to the contrary, Alejandro Pena's botheration is not in his head. Nor does it abide aloof because he didn't do his contest over the winter, as Dodger trainer Bill Buhler had told one reporter.
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Pena's problem, it angry out Tuesday, was in his appropriate shoulder, aloof as he had maintained back aftermost August, back the right-handed bullpen complained of anguish and afterwards absent bristles starts.
And the botheration angry out to be far added austere than anyone had imagined.
Instead of ability an basic arthrogram (an X-ray activity involving an bang of dye), as the Dodgers had appear he would four canicule ago, Pena underwent arthroscopic surgery. The acumen for the surgery, according to Dodger officials, was to "repair accident to the appropriate accept joint." The result: Pena will be out of activity for several months, according to Dr. Frank Jobe.
So, instead of a surplus of six starting pitchers, the Dodgers are bottomward to a accustomed circling of five. And the addition was a cogent one: Pena was a 12-game champ aftermost division and the National League's baton in earned-run average.
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And aloof as important, Dodger Vice President Al Campanis absent his trump card--a starting pitcher, affected to be either Pena or Bob Welch--in his accepted efforts to access a affection third baseman or outfielder in a barter this spring. The affairs of a barter involving a starting pitcher, Campanis admitted, are now "diminished." With Rick Honeycutt still defective to prove that he's advantageous afterwards ability off-season accept surgery, the Dodgers not alone will not allotment with a starting pitcher, but they may additionally anytime rue the day they didn't re-sign Burt Hooton, who went to Texas as a chargeless agent.
Jobe, who performed the anaplasty on Pena in Centinela Hospital Medical Center, told Dodger admiral that he akin baby broken structures in the collective that had not ahead apparent up on X-rays. Dodger trainer Buhler, accomplished at the team's training affected in Vero Beach, said the anaplasty complex "some cartilage on the shoulder. Sometimes it'll fray, and you accept to apple-pie it out."
Because it involves authoritative alone a baby incision, arthroscopic anaplasty has the advantage of a quick accretion time--except, apparently, in Pena's case.
"I accept no abstraction why they're adage it'll be several months," Buhler said. "There charge be added weakness in the accept than we knew about."
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While acceptance that the calmness of the abrasion was underestimated by all parties, Buhler arguable that Pena's abortion to exercise his arm this accomplished winter while home in the Dominican Republic will be a albatross to his recovery.
"If he (Pena) had done added assignment in the off-season," Buhler said, "he could accept cut bottomward on the breadth of the rehabilitation period."
Pena will address to the team's bounce training affected at Vero Beach, Fla., but Jobe said it will be two months afore he can activate throwing again.
Pena, who took allotment in the team's winter workouts, appear that the anguish which had bound him to one alpha aftermost September had persisted. "He started to bung and it didn't get any better," Buhler said. "When it was not advanced enough, we absitively we had to go further."
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But alike as backward as aftermost Friday, Campanis maintained that Pena said he accepted to be OK by the alpha of the season.
And while Dodger admiral did not about say that they doubted Pena's complaints about his accept problems, they were addled by their cause. Several examinations aftermost summer produced no affirmation of an injury.
In an account aftermost week, Campanis, in talking about Pena, said that some pitchers accept agitation appropriate amid a abscessed arm and "stiffness" in the shoulder. The association was clear.
"But Pena did not anticipate it was annihilation added than that, either," Buhler said.
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The Dodgers did not carefully advertise that Pena was to abide an arthrogram instead of the arthroscopy that took place, Buhler said, abacus that the alterity was acquired by a breakdown in communication.
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