Tag: tommy john surgery

Red Sox two-way prospect Conrad Cason undergoes Tommy John surgery

Red Sox two-way prospect Conrad Cason underwent season-ending Tommy John surgery on Thursday to repair a torn ulnar collateral ligament in his throwing elbow, as he revealed on Instagram.

Cason, who turned 19 earlier this month, is currently ranked by Baseball America as Boston’s No. 28 prospect; MLB Pipeline has him at No. 26 and SoxProspects.com at No. 27. The Georgia native was selected by the Red Sox in the eighth round (237th overall) of the 2024 draft out of Greater Atlanta Christian School, where he both pitched and played shortstop. He forwent his commitment to Mississippi State by signing for an over-slot $1.25 million last July, but did not make his professional debut until this May.

Cason appeared in two games for the rookie-level Florida Complex League Red Sox (one as a pitcher, the other as a DH) on May 3 and May 5, respectively. On the mound, the right-hander struck out five and walked one over two scoreless innings in which he reached 97 mph with his fastball against the FCL Twins. Two days later, the right-handed hitter went 1-for-4 with an RBI single and two strikeouts out of the three-hole against the FCL Braves.

It was not long after that Cason began experiencing arm fatigue, which resulted in his being shut down from baseball activities for an extended period. The athletic 6-foot-1, 190-pounder resumed swinging and got into a hitting progression in June, but his arm fatigue evolved into an elbow soreness that ultimately required him to go under the knife.

With Thursday’s procedure now in the rearview mirror, Cason faces a unique recovery and rehabilitation timetable moving forward. As noted by The Boston Globe’s Alex Speier, Cason could return to action at least as a position player (or DH) as soon as next year. A potential timetable for his return to the mound, however, is less clear given the number of obstacles that are involved in that process.

Taking that into consideration, the Red Sox may decide that it would be in Cason’s best interest to choose one avenue and develop solely as just a pitcher or just a position player once he clears all of the hurdles that are coming his way.

(Picture of Conrad Cason: Kelly O’Connor/sittingstill.smugmug.com)

Red Sox pitching prospect Yordanny Monegro slated to undergo Tommy John surgery

Red Sox pitching prospect Yordanny Monegro will undergo Tommy John surgery after tearing the ulnar collateral ligament (UCL) in his throwing elbow, Double-A Portland manager Chad Epperson told Beyond the Monster’s Josh Ball on Wednesday.

Monegro has been on Portland’s 7-day injured list since June 14. In his start against Somerset the night prior, the 22-year-old right-hander left the mound with a trainer in the second inning after giving up a one-out RBI double to Cole Gabrielson. He appeared to be quite emotional as he made his way towards the visitors’ dugout.

As noted by Ball, Monegro was initially diagnosed with right elbow discomfort/inflammation (the same reason he was scratched from a start earlier this month) upon being placed on the injured list this past Saturday. Further imaging and testing (i.e., an MRI) revealed a torn UCL, leading to Wednesday’s announcement from Epperson that surgery was now necessary.

“This young man, and the work he was putting in, I think he finally figured that out,” Epperson said of Monegro. “The weight room, the nutrition, everything that he was going and buying into, he finally figured out that part of it, and to have this go and happen to him really sucks because you were starting to see results.”

In nine outings (eight starts) for Portland this season, Monegro posted a 2.67 ERA and 2.34 FIP with 49 strikeouts to eight walks over 33 2/3 innings in which opposing hitters batted .250 against him. Among 72 Eastern League pitchers who had thrown at least 30 innings in 2025 entering play Wednesday, Monegro ranked first in xFIP (1.73), second in groundball rate (57 percent), third in strikeouts per nine innings (13.10) and strikeout rate (35.8 percent), seventh in swinging-strike rate (15 percent), eighth in FIP, 16th in walks per nine innings (2.14) and walk rate (5.8 percent), 19th in ERA, and 33rd in WHIP (1.19), per FanGraphs.

Originally signed for $35,000 as an international free agent coming out of the Dominican Republic in February 2020, Monegro is currently regarded by Baseball America as Boston’s No. 17 prospect, ranking ninth among pitchers in the organization. The 6-foot-4, 180-pound hurler was getting his first taste of the upper-minors this year after spending most of last season at High-A Greenville. He was topping out at 96 mph with his mid-90s four-seam fastball while also mixing in a low-90s sinker, an upper-80s slider, an upper-70s curveball, and an upper-80s changeup.

If Monegr0 does indeed undergo Tommy John surgery in the coming days or weeks, he would be looking at a lengthy rehab process that would keep him sidelined for the remainder of the 2025 season and most, if not all, of 2026 as well. That depends on the extent of the damage to the UCL. However, in contrast to full-blown Tommy John surgery, an internal brace procedure typically offers a quicker recovery timeline but still comes with a sizable layoff.

That difference in downtime is relevant in the case of Monegro, who turns 23 in October and can once again become eligible for the Rule 5 Draft this winter if he is not added to Boston’s 40-man roster by the protection deadline in November. In a similar situation last year, the Red Sox elected to leave fellow righty Angel Bastardo (who was recovering from June 2024 Tommy John surgery) off their 40-man roster and subsequently lost him to the Blue Jays in December’s Rule 5 Draft. Bastardo has spent the entirety of the 2025 season to this point on Toronto’s 60-day injured list.

(Picture of Yordanny Monegro: Kelly O’Connor/sittingstill.smugmug.com)

Red Sox pitching prospects Matt Duffy, Cole Tolbert slated to undergo Tommy John surgery

It appears as though the 2025 season is already over for a pair of intriguing Red Sox pitching prospects.

As was first reported by Andrew Parker of Beyond the Monster, right-handers Matt Duffy and Cole Tolbert have been diagnosed with UCL (ulnar collateral ligament) tears in their pitching elbows. While Duffy’s was described as a full tear, both hurlers are scheduled to undergo Tommy John surgery in Arlington, Texas on March 5.

Duffy, 23, was Boston’s fourth-round selection in the 2023 draft out of Canisius University in Buffalo, N.Y. The Ontario native forwent his commitment to transfer to South Carolina for his senior year by signing with the club for an under-slot $350,000 that July. He then spent the entirety of his first full professional season at Low-A Salem in 2024, compiling a 2.83 ERA (3.58 FIP) with exactly 100 strikeouts to 27 walks over 22 appearances (21 starts) and a staff-leading 98 2/3 innings in which opposing hitters batted .223 against him. That includes a sparkling 1.05 ERA (2.25 ERA) in his final nine outings (43 innings) after the calendar flipped from June to July.

Tolbert, meanwhile, was selected by the Red Sox in the 18th round of last summer’s draft out of Ole Miss. In a similar fashion to Duffy, the 22-year-old had been committed to transfer to Troy University for his senior season but instead signed with Boston for an under-slot $50,000 in July. He made his professional debut shortly thereafter and closed the 2024 campaign by posting a 5.56 ERA (3.23 FIP) with 14 strikeouts to six walks in five appearances (three starts) spanning 11 1/3 innings for Salem. Opponents batted .268 against him.

Neither Duffy (who turns 24 in October) nor Tolbert (who turns 23 in December) are currently ranked among Boston’s top 60 prospects by SoxProspects.com. The former was projected by the site to make the jump to High-A Greenville for the start of the upcoming season while the latter was slated to return to Salem. They will now miss all of 2025 and likely part of 2026 depending on the nature of their respective procedures.

(Picture of Matt Duffy: Gary Streiffer/Flickr)

Top Red Sox pitching prospect resumes throwing after undergoing Tommy John surgery last summer

It appears as though top Red Sox pitching prospect Luis Perales has resumed throwing after undergoing Tommy John surgery last summer, based on a video posted to X by his trainer Luis Saborio on Wednesday.

Perales, the No. 5 prospect in Boston’s farm system according to Baseball America, was in the midst of a breakout 2024 season before injuring his pitching elbow last June. The 21-year-old right-hander started somewhat slow out of the gate in April but turned things around by posting a 3.42 ERA (1.92 FIP) with 46 strikeouts to 10 walks in seven starts (26 1/3 innings) for High-A Greenville. He was then rewarded with a promotion to Double-A Portland on May 26.

Just two starts into his first Double-A stint, however, Perales tore the ulnar collateral ligament (UCL) in his right elbow on June 8. He was placed on Portland’s injured list the following day and ultimately underwent season-ending Tommy John surgery — or a full UCL reconstruction — towards the end of the month.

Altogether, Perales forged a 2.94 ERA (1.91 FIP) with 56 strikeouts to 12 walks in nine total outings (33 2/3 innings) between Greenville and Portland last year. Opposing hitters batted .250 against him, though it is worth noting that that figure is tied to an abnormally high .431 batting average on balls in play.

Not including the Dominican Summer League, Perales was one of 67 Red Sox minor-leaguers to pitch at least 33 innings in 2024. Among those 67, the righty ranked first in FIP (1.91) and strikeouts per nine innings (14.97), second in xFIP (2.09), strikeout rate (38.9 percent), and swinging-strike rate (19.6 percent), 10th in ERA and groundball rate (48.6 percent), 19th in walk rate (8.3 percent), 23rd in walks per nine innings (3.21), and 29th in WHIP (1.31), per FanGraphs.

At the time of his injury, Perales had recently entered Baseball America’s Top 100 rankings for the first time and was regarded as the No. 57 prospect in the sport. While he has since dropped from that list, Perales “just missed” being included in BA’s updated Top 100 rankings (which were released on Wednesday) heading into the 2025 campaign.

As highlighted by Baseball America’s Josh Norris, Perales saw his stock rise last season thanks — in part — to an uptick in fastball velocity and a revamped arsenal. To complement his high-octane heater that sat between 95-98 mph and reached 99 mph, the 6-foot-1 hurler mixed in a low-90s cutter, a mid-80s splitter, and a developing mid-80s sweeper.

Perales, who turns 22 in April, originally signed with the Red Sox for $75,000 as an international free agent coming out of Venezuela in July 2019. The Guacara native had to wait nearly two years to make his professional debut due to the COVID-19 pandemic, but he showed enough from there to be added to Boston’s 40-man roster in November 2023 and receive protection from the Rule 5 Draft.

Given the expectation that the Red Sox will exercise caution and patience here, it seems likely that Perales will miss the entire 2025 season while focusing on his rehab. If all goes well, though, he could complete his recovery by the end of the year and put himself in a position to fully ramp up for a return to the mound at some point early on in 2026.

(Picture of Luis Perales: Billie Weiss/Boston Red Sox/Getty Images)

Red Sox’ Cade Feeney likely to miss all of 2025 after undergoing Tommy John surgery, internal brace procedure

While making a recent appearance on Beyond the Monster’s ‘To the Show We Go’ podcast, Red Sox pitching prospect Cade Feeney revealed that he underwent Tommy John surgery with an internal brace last month.

“They reconstructed it and then put a brace over the top of it,” Feeney said of his right ulnar collateral ligament (UCL) when speaking with hosts Andrew Parker and Chris Henrique. “So it’s kind of like the new hybrid they’ve been doing for the last couple of years.”

Asked about the recovery time involved with the procedure, Feeney said he would be sidelined for the next 12-15 months. In other words, the right-hander will all but certainly miss the entire 2025 season before being cleared to return to action.

“It works out perfectly where I’ll get a full year and then get a month off before offseason workouts,” said Feeney. “It’ll help my arm kind of just catch up and rest when everything’s ready to go and then start fresh that next season.”

Feeney, 23, was selected by the Red Sox in the 13th round (388th overall) of the 2023 draft out of North Dakota State. A full-time starter with the Bisons, the Bismarck native signed with Boston for an at-slot $150,000 and marked his professional debut by making one scoreless relief appearance for the club’s rookie-level Florida Complex League affiliate last August.

To open the 2024 campaign, Feeney broke camp with High-A Greenville this spring. In 20 appearances for the Drive, the righty posted a 3.66 ERA and 2.56 FIP with 32 strikeouts to just two walks over 32 innings of relief in which opposing hitters batted .220 against him. He notched his third save in what would prove to be his final outing of the season on June 22, as he did not pitch again after landing on the 7-day injured list with a right elbow strain on July 12 and being transferred to the 60-day injured list three days later.

Though it was a relatively small sample size, Feeney proved effective in his first full pro season given his solid command-and-control profile. Among the 179 pitchers who accrued at least 30 innings in the South Atlantic League this year, Feeney ranked first in walks per nine innings (0.56) and walk rate (1.6 percent), sixth in WHIP (0.91), ninth in xFIP (2.94), 10th in FIP, 22nd in swinging-strike rate (15.7 percent), and 67th in batting average against, per FanGraphs.

Standing at 6-feet and 195 pounds, Feeney throws from a low three-quarters arm slot and incorporates a high leg kick into his delivery. As noted in his SoxProspects.com scouting report, Feeney’s arsenal is headlined by a lower-90s fastball that topped out at 95 mph this season. He also mixes in a changeup and a slider.

Feeney, who does not turn 24 until next July, is not currently regarded by publications such as SoxProspects.com as one of the top pitching prospects in Boston’s farm system. Since he likely won’t be back on the mound until early 2026, he was asked by Parker and Henrique about what he is looking forward to on the other side of the lengthy rehab process.

“I’m probably looking forward most to competing, getting back to that level of someone other than your teammates in the batter’s box,” Feeney responded. “That’s ultimately why I play baseball. I just love one-on-one competing. So that’s definitely what I’m going to miss most this next year but I’ll be looking forward to that.”

(Picture of Cade Feeney: Gwinn Davis/Greenville Drive)

Red Sox pitching prospect Angel Bastardo likely requires Tommy John surgery

Red Sox pitching prospect Angel Bastardo is likely to require Tommy John surgery, according to The Boston Globe’s Alex Speier.

Like fellow right-hander Luis Perales, Bastardo has damage in the ulnar collateral ligament (UCL) of his throwing elbow. Surgery is viewed as the likely outcome, though the 22-year-old will meet with a doctor before making a final decision.

Bastardo, who just celebrated his 22nd birthday on Tuesday, has been on Double-A Portland’s injured list since June 6. The night prior, he left his start at Hadlock Field in the fourth after crumpling to the ground in pain following the delivery of a pitch. He was initially diagnosed with a sprained UCL, but it appears further imaging and testing revealed a more serious prognosis.

In 10 starts for Portland this season, Bastardo posted a 5.36 ERA and 4.32 FIP with 53 strikeouts to 21 walks over 45 1/3 innings. Opposing hitters batted .225 against him. His 26.6 percent punchout rate ranks 16th among 50 Eastern League pitchers who have thrown at least 40 innings coming into play on Tuesday, per FanGraphs.

Originally signed out of Venezuela for $35,000 in July 2018, Bastardo is currently regarded by Baseball America as the No. 26 prospect in Boston’s farm system, which ranks eighth among pitchers in the organization. As noted by Speier, the 6-foot-1, 175-pound righty has shown an intriguing fastball that has reached 97-98 mph this year. He also features a swing-and-miss changeup, a curveball, and a slider.

If he does indeed undergo Tommy John surgery, Bastardo would be looking at a lengthy rehab process that would keep him sidelined for the rest of 2024 and most — if not all — of 2025. An internal bracing procedure to repair the damaged UCL would have a faster recovery timeline but would still necessitate a lengthy absence.

Unlike Perales, who is slated to visit Dr. Jeffrey Dugas in Birmingham, Ala. next week, Bastardo is not on the Red Sox’ 40-man roster. He can, however, become a minor-league free agent at the end of the 2025 season, so the timing of all this is far from ideal.

(Picture of Angel Bastardo: Kelly O’Connor/sittingstill.smugmug.com)

Top Red Sox pitching prospect Luis Perales to undergo Tommy John surgery

Top Red Sox pitching prospect Luis Perales will undergo Tommy John surgery next week, as was first reported by MassLive.com’s Chris Cotillo. The procedure will be performed by Dr. Jeffrey Dugas at the Andrews Sports Medicine & Orthopedics Center in Birmingham, Alabama.

Perales has been on Double-A Portland’s 7-day injured list since June 9 after leaving his start with elbow inflammation the night prior. As noted by Cotillo, the Red Sox were initially optimistic that the right-hander — who was in Boston for imaging late last week — was not dealing with a serious injury but an MRI revealed “significant damage” in the ulnar collateral ligament (UCL) of his pitching elbow.

Perales, 21, was in the midst of a breakout season after being added to Boston’s 40-man roster over the winter and taking part in his first big-league camp this spring. He opened the 2024 campaign at High-A Greenville, where he posted a 3.42 ERA and 2.04 FIP with 46 strikeouts to 10 walks in seven starts (26 1/3 innings) for the Drive.

After receiving a promotion to Portland in late May, Perales made his Double-A debut on June 2 and allowed just one unearned run while striking out seven over five innings. He took the mound for the Sea Dogs again at Hadlock Field six days later and yielded two runs (one earned) before departing with one out in the top of the third inning.

Altogether, Perales forged a 2.94 ERA (2.01 FIP) with 56 strikeouts to 12 walks in nine starts (33 2/3 innings) between Greenville and Portland this season. His 38.9 percent strikeout rate ranks eighth among 894 minor-leaguers who have pitched at least 30 innings to this point in the year, per FanGraphs.

A native of Venezuela, Perales originally signed with the Red Sox for $75,000 as an international free agent coming out of Guacara in July 2019. The 6-foot-1, 160-pound hurler is currently regarded by SoxProspects.com as the No. 4 prospect in Boston’s farm system, which ranks first among pitchers in the organization. Before getting hurt, Perales was making strides toward possibly being in the Sox’ major-league plans by next season. He was recently tabbed by Baseball America as the No. 57 prospect in the sport, marking the first time he has been included in the outlet’s top-100 rankings.

Now, Perales will miss the rest of 2024 and most — if not all — of 2025 while recovering and rehabbing from Tommy John surgery, which can be a grueling process. Since he is on the club’s 40-man roster, the Red Sox could recall Perales and place him on the 60-day injured list to free up a roster spot for someone else. That would, however, start his big-league service time clock.

Regardless of that though, it is worth noting — as SoxProspects.com Chris Hatfield did — that Perales will likely have burned through two of his three minor-league option years by the time he is ready to fully contribute in 2026. He could become eligible for a fourth option down the line, but that is not a given.

(Picture of Luis Perales: Elsa/Getty Images)

Red Sox bring back Wyatt Mills on two-year minor-league deal

The Red Sox brought back injured reliever Wyatt Mills on a minor-league contract last week, per the club’s transactions log. It is a two-year deal that will cover the 2024 and 2025 seasons, according to MassLive.com’s Chris Cotillo.

Mills, who turns 29 in January, was non-tendered by Boston earlier this month after not pitching at all this past season. The right-hander was originally acquired from the Royals for relief prospect Jacob Wallace last December and was expected to compete for a spot in the Sox’ Opening Day bullpen out of spring training.

After allowing just one earned run and striking out 10 over six innings his first four appearances of the spring, Mills was shelled for four runs on four hits, one walk, and two hit batsman in the sixth inning of a 16-3 Grapefruit League loss to the Blue Jays in Dunedin on March 13. He was then shut down to to an elbow issue and opened the season on the injured list.

Despite trying to rehab the injury, Mills ultimately underwent Tommy John surgery in early July. As a result, he will miss most — if not all — of the 2024 season, but the structure of his new contract allows the Red Sox to oversee his rehab and the potential benefits that come with it once he is presumably healthy in 2025.

Mills, a former third-round draft pick of the Mariners out of Gonzaga in 2017, first broke in with Seattle in May 2021 and was then traded to Kansas City last June. Between the two stops, the Washington state native owns a 6.21 ERA (but much more encouraging 3.84 FIP) with 37 strikeouts to 20 walks in 38 relief appearances (42 innings) at the big-league level.

As MassLive.com’s Christopher Smith noted earlier this summer, the Red Sox were intrigued by Mills because of how his profile mirrors that of fellow side-winder John Schreiber. Like Schreiber, Mills throws from a lower arm angle and operates with a three-pitch mix that consists of a four-seam fastball, a slider, and a sinker. He had also been planning on adding a changeup to his arsenal before going under the knife.

While proceeding with his rehab moving forward, Mills will remain in the Red Sox organization without occupying a spot on the club’s 40-man roster.

(Picture of Wyatt Mills: Doug Murray/Icon Sportswire via Getty Images)

Red Sox reliever Wyatt Mills undergoes Tommy John surgery

Injured Red Sox reliever Wyatt Mills underwent successful Tommy John surgery on Wednesday, the club announced. The procedure was performed by Dr. Keith Meister at Texas Metroplex Institute for Sports Medicine & Orthopedic Surgery in Arlington, Texas.

Mills was shut down from throwing in mid-March due to a flexor issue and opened the season on the 15-day injured list with right elbow inflammation as a result. The 28-year-old sidearmer was then transferred to the 60-day injured list on April 16.

Prior to being shut down, though, Mills had shown signs of promise during spring training, striking out 10 of the 32 batters he faced in five Grapefruit League appearances.

Acquired by the Red Sox from the Royals for minor-league reliever Jacob Wallace in December, Mills was originally selected by the Mariners in the third round of the 2017 amateur draft out of Gonzaga. The Washington state native broke in with Seattle in May 2021 and was then dealt to Kansas City last March.

Between the two stops, Mills posted a 4.60 ERA and 3.62 FIP with 26 strikeouts to 13 walks in 27 relief appearances (29 1/3 innings) last season. For his career, the 6-foot-4, 220-pound righty owns a 6.21 ERA in 38 outings (42 innings) at the major-league level.

As noted by MassLive.com’s Christopher Smith, Boston brought in Mills hoping that he could replicate the same sort of success John Schreiber enjoyed out of the Red Sox bullpen last year. Like Schreiber, Mills throws from a similar arm angle and operates with a three-pitch mix that consists of a four-seam fastball, a slider, and a sinker. He had also been planning on adding a changeup to his arsenal, per Smith.

Now, Mills will be sidelined for all of 2023 and most — if not all — of 2024 as well since Tommy John surgery typically takes anywhere between 14 to 18 months to recover from.

Mills, who turns 29 in January, has one minor-league option remaining and is not eligible for salary arbitration until 2026.

Wallace, who turns 25 next month, has pitched to a 3.86 ERA and 4.47 FIP with 31 strikeouts to 20 walks in 28 relief appearances (25 2/3 innings) for the Royals’ Double-A affiliate in Northwest Arkansas so far this season.

(Picture of Wyatt Mills: Doug Murray/Icon Sportswire via Getty Images)

Red Sox to promote top pitching prospect Bryan Mata to Triple-A Worcester, per report

The Red Sox have promoted top pitching prospect Bryan Mata to Triple-A Worcester, according to MassLive.com’s Christopher Smith. The right-hander is expected to make his first start for the WooSox in Tuesday’s series opener against the Buffalo Bisons at Polar Park.

Mata, 23, is currently regarded by Baseball America as the No. 7 prospect in Boston’s farm system, which ranks second among pitchers in the organization behind only fellow righty Brayan Bello.

Originally signed out of Venezuela for just $25,000 as an international free-agent in January 2016, Mata was added to the Sox’ 40-man roster in November 2020. The Maracay native seemed destined to make his major-league debut at some point during the 2021 campaign, but he wound up undergoing Tommy John surgery last April after tearing the ulnar collateral ligament in his right elbow.

Thirteen months after going under the knife, Mata returned to the mound with a bang. The hard-throwing righty topped out at 100 mph with his four-seam fastball during an extended spring training start in May and was sent out on a rehab assignment shortly thereafter.

By early summer, Mata had gotten his feet between Low-A Salem and High-A Greenville, prompting a promotion to Double-A Portland on June 28. In 10 appearances (nine starts) for the Sea Dogs since then, the 6-foot-3, 230-pound hurler has posted a 1.85 ERA and 3.57 FIP with 58 strikeouts to 23 walks over 48 2/3 innings of work. That includes an ongoing stretch of 18 consecutive scoreless frames dating back to August 12.

Among Eastern League pitchers who — as of Sunday morning — have thrown at least 40 innings to this point in the year, Mata ranks 22nd in strikeout rate (29.4%), ninth in groundball rate (52.2%), 27th in batting average against (.202), second in ERA, 20th in FIP, and 13th in xFIP (3.57), per FanGraphs.

In addition to his high-octane four-seamer, Mata operates with a two-seam fastball, a slider, a curveball, and a changeup. The curveball and slider are considered to be his two best secondary pitches.

Mata, who does not turn 24 until next May, could soon join Bello in making his major-league debut for the Red Sox. In the meantime, he becomes just the latest Boston pitching prospect to make the jump from Portland to Worcester this season joining the likes of Bello, Chris Murphy, Brandon Walter, and Victor Santos, among others.

(Picture of Bryan Mata: Billie Weiss/Boston Red Sox/Getty Images)