Doctors recommend Tommy John surgery for Ivan Nova

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Ivan Nova went for a second opinion after being diagnosed with a partially torn ulnar collateral ligament and another doctor agreed with the initial verdict, recommending that the Yankees right-hander undergo season-ending Tommy John elbow surgery.

Tommy John surgery would knock Nova out for the remainder of this season and put his status for the beginning of 2015 in question as well. And given his arbitration eligibility next offseason and current $3.3 million salary there’s a decent chance the Yankees could end up releasing him into the open market.

Nova bounced back from a rough 2012 season to have a very nice 2013 campaign, throwing 139 innings with a 3.10 ERA, but he got knocked around for an 8.27 ERA and league-high six homers allowed in four starts this year before being shut down.

Michael Wacha leaves game with a left oblique strain

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Cardinals starter Michael Wacha suffered a strained left oblique muscle during his start this afternoon against the Phillies, causing him to leave in the fourth inning.

Wacha is 8-2 with a 3.20 ERA and a 71/36 K/BB ratio in 84.1 innings across 15 starts this season with St. Louis. To the extent he has to miss some time — and obliques invariably send starters to the disabled list — potential fill-in candidates include John Gant, Daniel Poncedeleon and Dakota Hudson.