Brian Wilson diagnosed with structural damage in elbow, will meet with Dr. James Andrews

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John Shea of the San Francisco Chronicle shares this bit of troubling news:

Wilson is expected to be placed on the disabled list Sunday when the Giants activate Ryan Vogelsong and could miss the rest of the 2012 campaign if it is indeed recommended that he goes under the knife.

Wilson told reporters that he “felt something” in his throwing elbow after making two consecutive appearances this week. He had an MRI late Friday that revealed the structural problem.

The 30-year-old right-hander had allowed four hits and two earned runs in two innings of work this season.

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UPDATE, 7:51 PM: The Associated Press is reporting that Wilson WILL visit with Andrews, who of course specializes in Tommy John surgery. Wilson had the Tommy John procedure in 2003 and could need it again.

UPDATE, 8:47 PM: Giants manager Bruce Bochy told Nate Stuhlbarg of CSNBayArea.com that Wilson is now “likely” to have surgery. If it’s the Tommy John variety, he’ll be done for the rest of 2012.

Max Scherzer, with broken nose, strikes out 10 Phillies over seven shutout innings

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Nationals starter Max Scherzer bunted a ball into his face during batting practice on Tuesday, breaking his nose in the process. He ended up with a gnarly looking shiner around his right eye, making him appear a bit like Terminator. Scherzer still took the ball to start the second game of Wednesday night’s doubleheader against the Phillies.

Despite the injury, Scherzer was incredibly effective, limiting the Phillies to four hits and two walks across seven shutout innings, striking out 10 batters in the process. He might even have had some extra adrenaline going, as he averaged 96.2 MPH on his fastball, his highest average fastball velocity in a game since September 2012, per MLB.com’s Jamal Collier. The Nationals provided Scherzer with just one run of support, coming on a Brian Dozier solo home run off of Jake Arrieta in the second inning, but it was enough.

Wander Suero worked a scoreless top of the eighth with a pair of strikeouts. Victor Robles added a solo homer off of Pat Neshek in the bottom half. Closer Sean Doolittle took over in the ninth, working a 1-2-3 frame to give the Nats their 2-0 victory.

Over his last six starts, Scherzer now has a 0.88 ERA with a 59/8 K/BB ratio across 41 innings. He has gone six innings, struck out at least nine batters, and held the opposition to two or fewer runs in each of those six starts.