Jake Arrieta likely to undergo season-ending elbow surgery

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Jake Arrieta will find out next week whether he needs season-ending surgery to remove a fibrous mass from his elbow, but even before his August 10 examination by Dr. Lewis Yocum the Orioles right-hander isn’t optimistic about avoiding going under the knife.

“I don’t know if it’s 100 percent, but there’s a good chance I have it done,” Arrieta told Dan Connolly of the Baltimore Sun, adding:

I kind of knew at some point this might come up. I’ve been really battling this for most of the year. Done as best job as I can to manage it with treatment, taken some anti-inflammatories, but it’s come to a point where it’s really affecting the way I pitch. And I feel like I’m potentially putting myself at risk for a more serious injury if I don’t have it looked at a little bit more seriously.

Arrieta was one of the reasons many people were optimistic about the Orioles’ young rotation taking a big step forward this season, but instead he has a 5.05 ERA and 93/59 K/BB ratio in 22 starts while serving up 21 homers in 119 innings. That includes a 6.61 ERA in six starts since June 1, during which time Arrieta posted a 22/17 K/BB ratio and allowed opponents to hit .302 with a .566 slugging percentage.

He’s apparently been dealing with the elbow problem since last year, but recently had to alter his mechanics in order to deal with the discomfort, resulting in poor control and a career-high six walks last time out because he “had no feel with where the ball was going.”

The good news is that the surgery is considered relatively minor and would leave Arrieta plenty of time to be ready for spring training.

Red Sox survive back-and-forth affair with Astros, win 8-6 to take 3-1 lead in ALCS

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Game 4 of the ALCS on Wednesday night between the Red Sox and Astros was a thrilling back-and-forth affair with seven lead changes. Ultimately, the Red Sox emerged victorious with a hard-fought 7-5 victory.

The Red Sox wasted no time getting on the board, plating two runs in the top of the first inning against Charlie Morton thanks to a walk, hit-by-pitch, wild pitch, and a Rafael Devers single. In the bottom half, José Altuve hit what appeared to be a game-tying two-run home run to right field off of Rick Porcello. Mookie Betts leaped and was interfered with by fans in the stands, so Altuve was called out instead. The ruling was upheld after review.

In the bottom of the second, the Astros officially scored their first run when Carlos Correa knocked home a run with a single. The Red Sox immediately got it back when Xander Bogaerts doubled in a run in the top of the third, running the score to 3-1. In what would become a trend, the Astros also responded as George Springer drilled a solo homer and Josh Reddick hit an RBI single of his own to tie the game at 3-3. Tony Kemp added a solo homer down the right field line in the fourth to put the Astros on top for the first time. Bogaerts hit another RBI single in the top of the fifth to re-tie the game at 4-4. Correa followed suit in the bottom half, hitting his second RBI single of the game to give the Astros back the lead.

Jackie Bradley, Jr., who hit a soul-crushing grand slam off of Roberto Osuna in Game 3, hit another homer in Game 4, a two-run shot in the sixth off of Josh James. In the seventh, the Red Sox loaded the bases with two outs and Lance McCullers, Jr. entered to try to put out the fire. He did not, briefly, walking Brock Holt to force in a run and make the score 7-5. McCullers did end up getting out of the inning without any further damage. Just for good measure, though, J.D. Martinez tacked on a run in the eighth with an RBI single to make it 8-5.

Ryan Brasier got five outs and Matt Barnes one in the sixth and seventh. Manager Alex Cora decided to call on Craig Kimbrel for a six-out save when the bottom of the eighth rolled around. The 2018 postseason hasn’t been kind to Kimbrel as he had given up runs in all three of his appearances. Kimbrel gave up hits to the first three batters he faced. Kemp led off with a single but he tried to stretch it into a double and was thrown out at second base by Betts. Kimbrel then hit Alex Bregman with a pitch and surrendered a double to George Springer, putting runners at second and third with one out. Altuve knocked in a run with a ground out to make it 8-6, but Kimbrel saw his way out of the inning by striking out Marwin González.

In the ninth, Cora decided to keep Kimbrel in the ballgame despite his continued struggles. Kimbrel got Yuli Gurriel to pop up to start the inning, but then issued back-to-back walks to Reddick and Correa. Kimbrel got out number two by getting Brian McCann to fly out to right field, then walked Tony Kemp to load the bases. Cora decided to stay with Kimbrel as Bregman came to the plate. Kimbrel threw a first-pitch, 97 MPH fastball that Bregman laced into shallow left field. Andrew Benintendi charged in and dived, catching the ball just in time to save the game, ending it for an 8-6 victory. Of the 18 half-innings, the two sides failed to score in only seven of them.

The Red Sox, now up three games to one in the ALCS, will try to close it out on Thursday night in Houston. If the Red Sox win, they will return to the World Series for the first time since 2013.