Rafael Betancourt will have Tommy John surgery

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Rafael Betancourt initially indicated that he planned to try rest and rehab after being diagnosed with a torn ulnar collateral ligament in his elbow, but now the 39-year-old Rockies reliever has changed his mind.

Betancourt explained to a Venezuelan newspaper that he’ll undergo Tommy John surgery because “they told me there was little chance of recovery with current treatment” and “it would be sad to come to the end of my career this way, after all I’ve been through.”

Even if his recovery from surgery goes well Betancourt will likely miss all of next season and at his age he may never come back to pitch in the big leagues. And the injury means the Rockies will decline his $4.25 million option for 2014, so it’s doubly bad timing for the late-blooming reliever who turned into a very good closer after not making his big-league debut until age 28.

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.