Clay Buchholz has the Red Sox in a bind

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Clay Buchholz is throwing in the low-90s consistently. His curveball looked plenty good today. He’s been inconsistent with his changeup, but that hardly explains the 9.09 ERA.

Buchholz gave up five more runs in 3 2/3 innings Sunday in a no-decision in what ended up being a 17-inning loss to the Orioles. He’s allowed at least five runs in all six of his outings this season. The three homers he surrendered today brought his season total to 10 in 32 2/3 innings. That’s one more than he allowed in 173 2/3 innings while winning 17 games for the Red Sox in 2010.

Obviously, Buchholz’s command has been an issue. Four more walks today brought his season total to 19. Still, even more than that, it seems like a lack of confidence is his biggest problem.

Questions about his mental toughness dogged Buchholz as he initially struggled to establish himself in Boston. He made such oddly timed pickoff throws to first and sometimes just seemed to shrink on the mound during his first three years before his breakthrough campaign two seasons ago. He hasn’t gotten himself back into some of those odd habits, but there’s certainly been some indecisiveness on the mound during his six starts this year.

For all of his struggles, Buchholz hasn’t really hurt the Red Sox yet. The team is 3-3 with him on the mound (compared to 8-13 the rest of the time) and two of the losses came in extra innings. Still, the club can’t run him out there with a 9.00 ERA for too much longer. If he’s not better next time out, the Red Sox may have to option him to Triple-A and give Andrew Miller or someone else a crack at his rotation spot. They might actually need to do it now after exhausting their bullpen Sunday.

Cardinals place Carlos Martinez on 10-day disabled list with oblique strain

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The Cardinals have placed right-hander Carlos Martinez on the 10-day disabled list with a right oblique strain, per a team announcement on Saturday. The move is retroactive to July 20. No definite timetable has been set for his return to the rotation yet, but interim manager Mike Shildt told reporters he feels confident that Martinez will only need to skip one start before taking the mound again.

Martinez, 26, sustained the injury while trying to snare a line drive during Thursday’s 9-6 loss to the Cubs. It hasn’t exactly been smooth sailing for the righty this season, as he lost nearly four weeks to a right lat strain and pitched to a 5.32 ERA after returning to the Cardinals’ roster in early June. Overall, however, his numbers look a little stronger: He’s 6-6 in 17 starts with a 3.39 ERA, 4.5 BB/9 and 8.4 SO/9 through 95 2/3 innings.

In a corresponding move, right-handed reliever John Brebbia has been recalled from Triple-A Memphis. The 28-year-old Brebbia has already enjoyed three short-lived stints in the majors this season; he currently holds a cumulative 4.13 ERA, 2.2 BB/9, 9.9 SO/9 and two saves in 32 2/3 innings with the club.