Shelby Miller leaves game after taking liner off elbow

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Cardinals star rookie Shelby Miller was removed in the first inning of his start Wednesday night against the Dodgers after taking a line drive off his throwing elbow from Dodgers leadoff man Carl Crawford.

It was just the second pitch of the evening.

Miller grabbed his right elbow and hunched over on the front of the mound as trainers rushed to his side. He threw his glove in disgust before walking to the first-base dugout and down into the clubhouse.

Michael Blazek entered to finish out the first inning and Jake Westbrook took over in the second. Westbrook was scheduled to start Thursday’s series finale against Los Angeles; that assignment could now go to 21-year-old right-hander Carlos Martinez.

The Cardinals are loaded with good young pitching talent, but their lack of established frontline starters behind Adam Wainwright could be a major issue going forward if Miller is out for an extended period of time.

Miller entered Wednesday with a 2.89 ERA, 1.13 WHIP and 132/35 K/BB ratio in 121 innings this year.

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UPDATE, 9:19 p.m. ET: According to MLB.com’s Jenifer Langosch, Miller has been diagnosed with a right elbow contusion. That’s a promising first update, but Miller is sure to undergo more tests.

UPDATE, 9:45 p.m. ET: X-rays on Miller’s elbow turned up negative, tweets Langosch.

Nick Pivetta to rejoin Phillies’ rotation

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Matt Breen of the Philadelphia Inquirer reports that Nick Pivetta will rejoin the Phillies’ rotation, starting Tuesday’s series opener at home against the Cardinals. Vince Velasquez will remain in the bullpen.

Pivetta, 26, allowed 17 earned runs on 31 hits and eight walks with 16 strikeouts in 18 1/3 innings across his first four starts of the season. The performance resulted in a demotion to Triple-A Lehigh Valley. In six starts there, Pivetta had a much better 3.41 ERA with a 50/20 K/BB ratio in 37 innings of work.

Velasquez, 26, was solid as a starter, posting a 3.99 ERA across six starts. However, he averaged under five innings and 92 pitches per start. The right-hander tossed two scoreless innings out of the bullpen on Friday against the Brewers but was torched for four runs in two-thirds of an inning on Sunday. Mixed results, to say the least. The Phillies are trying to do what they can with their bullpen, currently missing David Robertson, Tommy Hunter, Pat Neshek, and Vìctor Arano.