Daisuke Matsuzaka will undergo Tommy John elbow surgery

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Tim Brown of Yahoo! Sports heard from a source late Wednesday evening that Red Sox right-hander Daisuke Matsuzaka is considering undergoing Tommy John reconstructive elbow surgery following his visit this week with Dr. Lewis Yocum.

According to Brown’s source, the Los Angeles-based Yocum found a “significant tear” in Matsuzaka’s throwing elbow and recommended the procedure. Dice-K will meet with the Red Sox front office and medical staff before any decisions are made.

The 30-year-old signed a six-year, $52 million contract with the Red Sox in December of 2006 after Boston paid the Seibu Lions over $51 million for exclusive negotiating rights. He’s making $10 million this season and is owed another $10 million in 2012.

If Matsuzaka undergoes Tommy John surgery, there’s a chance he won’t return before the end of that deal. Recovery times vary, but it can often take over 15 months for some starting pitchers to fully heal.

Matsuzaka has posted a 49-30 win-loss record, a 4.25 ERA and a 1.40 WHIP in his four-plus rocky years with Boston. He drew Cy Young Award votes in 2008, by far his best season to date. The Tokyo native had a 5.30 ERA, 1.47 WHIP and 26/23 K/BB ratio in 37 1/3 innings this year before he was shut down in mid-May.

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UPDATE: Gordon Edes of ESPN Boston is now reporting that Dice-K has elected to have Tommy John surgery and will inform the Red Sox Thursday morning. He’s likely to undergo the procedure early next week.

Andrew Miller left Monday’s game due to reaggravation of patella tendinitis

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Indians reliever Andrew Miller lasted only six pitches in Monday night’s appearance against the Red Sox. He walked Mookie Betts on six pitches before being relieved by Dan Otero. Per MLB.com’s Jordan Bastian, Miller reaggravated the patella tendinitis in his right knee.

Miller, 32, missed a couple of weeks earlier this month with patella tendinitis. He was activated last Friday and got two outs in a scoreless appearance against the Royals that night.

Bastian pointed out that Miller’s velocity has been lower than usual. He averaged 92.1 MPH on his fastball on Friday and 90.1 MPH on Monday, well below his normal average around 94 MPH.

The Indians should have more on Miller’s status after Monday’s game or on Tuesday. The lefty is carrying a 1.65 ERA with a 79/16 K/BB ratio in 54 2/3 innings on the season.

Joey Gallo and Matt Bush both experiencing concussion symptoms after colliding on Sunday

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Rangers third baseman Joey Gallo and reliever Matt Bush collided attempting to catch an infield pop-up during Sunday afternoon’s game against the White Sox. Bush was placed on the 10-day disabled list on Monday with an MCL sprain in his right knee. Both he and Gallo are experiencing concussion symptoms, Evan Grant of the Dallas Morning News reports, and Gallo also suffered a nasal fracture. Gallo has not yet been put on the disabled list.

Losing both players is a big loss for the Rangers, who entered Monday’s action just 2.5 games out of the second Wild Card slot.

Gallo, 23, has had a breakout season, batting .205/.329/.561 with 35 home runs, 65 RBI, and 68 runs scored in 410 plate appearances.

Bush, 31, has been solid out of the bullpen, putting up a 3.04 ERA with a 53/18 K/BB ratio in 47 1/3 innings.