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Shelby Miller has a tear in his UCL, considering Tommy John surgery

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Nick Piecoro of the Arizona Republic reports that Diamondbacks pitcher Shelby Miller has a tear in his ulnar collateral ligament and is considering undergoing Tommy John surgery. Surgery would end Miller’s 2017 season and would cut into a significant portion — if not all — of his 2018 season as well.

Miller sent his MRI results to Dr. Neal ElAttrache and Dr. James Andrews for second and third opinions, respectively. He could choose to rehab his elbow rather than undergo surgery, but that comes with its own set of positives and negatives.

Miller lasted only four-plus innings in his most recent start on Sunday and carries a 4.09 ERA on the season, his second with the Diamondbacks. His time in Arizona has not gone well.

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.