Phil Hughes might have Thoracic Outlet Syndrome

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The Yankees put right-hander Phil Hughes through four hours of testing on Tuesday, including two MRIs and a vascular exam. On Wednesday they ran him through five more hours of testing and did dye-contrast blood work.

Yet here we stand with no real answers.

According to MLB.com’s Bryan Hoch, the Yankees are now sending Hughes to a specialist in St. Louis to have him tested for Thoracic Outlet Syndrome, a nerve and circulatory condition.

If Hughes has TOS, he could require a 12-hour surgery that involves the removal of a rib. Marc Carig of the Newark Star Ledger has been recalling some ballplayers who have undergone the procedure this evening on Twitter. The list includes Red Sox catcher Jarrod Saltalamacchia, Rockies right-hander Aaron Cook and Rangers left-hander Matt Harrison. The recovery times varied in all three cases.

Corey Kluber removed from his rehab game

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Part of the reason the Cleveland Indians could trade away a pitcher like Trevor Bauer in the middle of a playoff race is because they have reinforcements on the way. The primary reinforcement is Corey Kluber, who has been out since May 1 with a broken arm. Based on what happened yesterday it’s possible that the Tribe will have to wait a bit longer for that particular reinforcement to arrive.

Kluber was the starter in yesterday’s game between Triple-A Columbus and Charlotte. He managed only one inning, however, walking two and not allowing a run before being lifted due to abdominal tightness. It was said that he was removed for precautionary reasons, so it may not be an injury as opposed to everyone simply being spooked. He’ll be reevaluated today.

It’s unclear whether this will delay his return to the Indians, though it obviously isn’t a good development. As it stood before yesterday, Cleveland had hoped Kluber could make big league starts in September and be ready for the postseason.