Surgery recommended for Jaime Garcia’s left shoulder

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It wasn’t all good news for the Cardinals yesterday.

According to Joe Strauss of the St. Louis Post-Dispatch, three different surgeons have independently offered a “unanimous recommendation” that Jaime Garcia undergo a debridement of his left shoulder.

After leaving his start in Game 2 of the NLDS against the Nationals on Monday, Garcia sought advice from Dr. Robert Altchek, Dr. Lewis Yocum and Cardinals medical supervisor Dr. George Paletta. The southpaw may get a fourth opinion from Dr. James Andrews, but he is expected to make a decision soon because of the extended rehab time involved.

If Garcia goes ahead with the procedure, he will likely be shutdown for three months before beginning rehab, which puts him at risk for missing the early part of the 2013 season. If he ends up needing more extensive repair of his labrum or shoulder joint, it’s possible he could miss most or all of the 2013 season.

Garcia posted a 3.92 ERA over 20 starts this season and missed two months with a shoulder strain. The 26-year-old signed a long-term extension with the Cardinals last year and is owed $5.75 million next season, $7.75 million in 2014 and $9.25 million in 2015. His contract also includes club options for 2016 and 2017.

Report: Adam Eaton to miss rest of the season with a torn ACL

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It’s been a miserable weekend for Nationals’ outfielder Adam Eaton, who stumbled over first base and injured his leg while running out an infield single in Friday’s 4-3 win over the Mets. While the team officially placed the outfielder on the 10-day disabled list with a left knee strain on Saturday, FOX Sports’ Ken Rosenthal reports that Eaton has been diagnosed with a torn ACL in his left knee and is expected to miss the remainder of the 2017 season. The team has yet to confirm the diagnosis or announce a definite timetable for the 28-year-old’s return, perhaps due to extended evaluations by Eaton’s orthopedic doctor:

The Nationals appear to have several outfield options with Eaton on the disabled list, though they have not pinned down a long-term solution. Center fielder Michael Taylor replaced Eaton on the field during the tail end of Friday’s game, and returned on Saturday to man center and bat second in the lineup. The club also promoted top outfield prospect Rafael Bautista, who slashed .291/.325/.354 with five doubles and a .680 OPS through 19 games in Triple-A Syracuse this season. He’ll assume Eaton’s roster spot and looks to be available for a backup role in the outfield going forward.

Shelby Miller will undergo Tommy John surgery

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Last we heard from Shelby Miller, the Diamondbacks’ right-hander was contemplating Tommy John surgery for a partial UCL tear in his right elbow. Now, he appears to have decided to go through with the procedure.

Miller decided to skip Tommy John alternatives like plasma-rich platelet injections or stem cell treatment, which have been used to varying degrees of success by other major league pitchers with similar injuries. The surgery will set him back an estimated 12-18 months, FanRag Sports’ Tommy Stokke reports, which puts Miller’s estimated return date somewhere in 2018 if all goes well.

The 26-year-old starter was off to a rocky start this season, posting a 2-2 record and 4.09 ERA through 22 innings and striking out just 20 of 99 batters faced. This was his sophomore campaign in Arizona after muddling through the 2016 season with a 3-12 record, 6.15 ERA and 0.5 fWAR over 101 innings with the club.