Adam LaRoche could be headed for major shoulder surgery

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Adam LaRoche was diagnosed with a partially torn labrum back in spring training, but it turns out the damage is now much more extensive.

Bill Ladson of MLB.com reports that LaRoche has a large tear in his labrum and a small tear in his rotator cuff. The plan is for him to rest for 2-3 weeks before being reevaluated. He doesn’t want to waste much time if he’s not making progress, so a decision about surgery could be made rather quickly.

“I love playing and I want to be out there with the guys, but I’m not selfish enough to stick it out the whole year and potentially miss next year,” LaRoche said. “We are going to give [the rehab] a shot.

“Hopefully a miracle happens so we can get it playable. If not, I’m not going to milk it here and hope for the best. If this doesn’t work, I’m pretty sure I’ll make the decision to get it fixed.”

The Nationals signed LaRoche over the winter to a two-year, $16 million contract with a $10 million mutual option for 2013. The 31-year-old first baseman is batting .172/.288/.258 with three home runs and 15 RBI over his first 177 at-bats this season. Entering Tuesday’s action, only Jonny Gomes had a lower batting average (.171) among qualified batters.

Wilson Ramos suffers head injury on Ruben Tejada’s backswing

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Rays catcher Wilson Ramos had to exit Monday night’s game against the Orioles in the fifth inning after suffering a head injury. Ruben Tejada broke his bat on a ground out and the barrel hit Ramos in his helmet. Rich Dubroff reports that Ramos needed six staples to close a laceration on his head.

Ramos will continue to be evaluated under MLB’s concussion protocol. He may wind up on the seven-day concussion disabled list.

Ramos, 29, entered Monday’s action batting .222/.259/.426 with three home runs and 11 RBI in 59 plate appearances. He was 0-for-2 before being replaced by Jesus Sucre.

Video: Manny Machado and Jonathan Schoop turn a sweet 5-4-3 double play

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Orioles third baseman Manny Machado and second baseman Jonathan Schoop teamed up to turn an impressive 5-4-3 double play in the bottom of the first inning of Monday night’s game against the Rays.

Steven Souza, Jr. led off the frame with a single. Corey Dickerson struck out, bringing Evan Longoria to the dish. Longoria sharply grounded a 1-2 fastball from Kevin Gausman to Machado, who showcased his strong arm with a perfect feed to Schoop at the second base bag despite his momentum taking him towards into territory. Schoop made an off-balance throw to first to complete the twin-killing.

The Orioles took the lead in the top of the third when Adam Jones hit a solo home run off of Ian Snell.