Kyle Lohse reportedly needs forearm surgery or a move to the bullpen

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Kyle Lohse met yesterday with a hand and wrist specialist in California and has been diagnosed with “extreme compartment syndrome,” which according to Joe Strauss of the St. Louis Post Dispatch “is a condition in which the sheath covering a muscle in the pitcher’s forearm fails to allow it to expand.”
Strauss notes that “the condition is more closely associated with distance runners and motocross riders” and “no known precedent exists for the condition” among pitchers.
Or as Lohse put it: “We’re kind of in uncharted territory here.”
There’s no official word yet on Lohse’s status, but Strauss reports that the 31-year-old right-hander will either need surgery or “a permanent role change” involving a move to the bullpen. If he does go under the knife, it would threaten his season with a recovery timetable of at least two months.
Lohse has been dealing with various forearm problems since early last season, going just 3-11 with a 5.61 ERA in 22 starts since returning from his initial stint on the disabled list. “We’re going to have to do something,” Lohse told Strauss. “I’ve tried to pitch with it. But the way it is now, there’s no way.”
Signed to a four-year, $41 million contract extension after going 15-6 with a 3.78 ERA in his first season with the Cardinals in 2008, he’s making $8.75 million this year and is owed another $11.875 million in both 2011 and 2012.

Orioles’ Mark Trumbo becomes the first to 40 home runs this season

NEW YORK, NY - AUGUST 28: Mark Trumbo #45 of the Baltimore Orioles hits a home run during the eighth inning of a game against the New York Yankees at Yankee Stadium on August 28, 2016 in the Bronx borough of New York City. (Photo by Rich Schultz/Getty Images)
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Orioles DH Mark Trumbo drilled a two-run home run to left-center field off of reliever Ben Heller in the eighth inning of Sunday afternoon’s game against the Yankees. In doing so, he became the first player to reach the 40-homer plateau this season.

Trumbo finished 1-for-4 on the afternoon. Along with the 40 dingers, he’s hitting .257/.317/.541 with 96 RBI. He has already set a career-high in homers and is four RBI away from tying his career high in that regard.

Trumbo is eligible for free agency after the season. Needless to say, his performance in 2016 bodes well for his ability to secure a hefty contract.

Gerrit Cole scratched from Monday’s start

PITTSBURGH, PA - AUGUST 07:  Gerrit Cole #45 of the Pittsburgh Pirates waits out a replay review in the first inning during the game against the Cincinnati Reds at PNC Park on August 7, 2016 in Pittsburgh, Pennsylvania. (Photo by Justin Berl/Getty Images)
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Rob Biertempfel of the Pittsburgh Tribune-Review reported on Sunday that Pirates starter Gerrit Cole was scratched from Monday’s start against the Cubs. Cole instead has flown to Los Angeles to have his sore right elbow examined by a specialist, Dr. Neal ElAttrache.

Cole struggled in Wednesday’s start against the Astros, yielding five runs in five innings. He did not throw his regular between-starts bullpen. An MRI didn’t reveal any ligament damage, but a bone spur remains a possibility.

Cole, 25, has a 3.55 ERA and a 95/32 K/BB ratio in 144 innings over 20 starts this season. The right-hander missed some time earlier this season with a triceps injury.