CLEVELAND: It's no longer news that Grady Sizemore needs arthroscopic surgery to clean out the inflammation beneath the lining of the left elbow.
But it came as a surprise Friday to learn that Sizemore also will undergo an operation for a condition known as athletic pubalgia.
""It's called a sports hernia, but it's not really a hernia,'' Indians head trainer Lonnie Soloff said. ""It's an instability of the abdominal wall, and has been causing Grady symptoms.''
The ailment is common among hockey, soccer and baseball players, and also is seen frequently in individuals who play recreational sports. [ep
Soloff said the surgery is not considered serious and takes only 30 minutes. It will be performed by Dr. Bill Meyers in Philadelphia, whom Sizemore visited last weekend when the Tribe played the Orioles in Baltimore. Meyers made the diagnosis. [ep
Sizemore's operations are not expected to affect his readiness for spring training. But inasmuch as both the elbow and groin injuries have bothered Sizemore since spring training, why wait until now? [ep
""His (elbow) symptoms haven't really changed since he was activated from the DL,'' Soloff said. ""This is more of a decision based on the time of the season. Having it now means his off-season program will be unrestricted. He usually starts it in early November.'' [ep
Another factor: Sizemore wanted to keep playing. [ep
""It was tough (to play), but I knew going into the season it might be,'' he said. ""I would like to be injury free, but sometimes you play with injuries. Before the season, I didn't know how it would affect me. And it never got to the point where I couldn't compete.'' [ep
However, Sizemore spent time on the disabled list and his numbers suffered. He carries a batting average of .248 with 18 home runs, 64 RBI, 73 runs and 13 steals, all below the norm for him. [ep
Sizemore's surgical schedule is busy, but the recovery time should be relatively brief. Dr. Mark Schickendantz will perform the operation on Sizemore's elbow next week at the Cleveland Clinic. About seven days later, Meyers will repair Sizemore's abdomen. [ep
Four to six weeks after the doctors have done their jobs, Sizemore is expected to begin his normal off-season conditioning routine in Goodyear, Ariz. (20 miles from his home), and long before spring training begins in February, he should be 100 percent. [ep
After the operations, Sizemore will remain in Cleveland for rehab until the end of the season. [ep
Even though he felt some effects of the ailments in spring training, he didn't reveal them to anyone. [ep
""It was a progressive thing starting in spring training,'' Soloff said. ""He didn't say anything about it until early May. It was just something he worked through himself.''
THE NEXT MOVE -- Now that Grady Sizemore is out for the season, who will play center field and bat in the leadoff spot? [ep
""We're activating Trevor Crowe (strained oblique) today,'' manager Eric Wedge said Friday. ""Crowe and Michael Brantley are the two guys that will be out there. Both have played center quite a bit.'' [ep
Brantley has played mostly left and center in the minors. Crowe has played all three outfield positions. [ep
""I haven't seen enough of them to know which is their best position,'' Wedge said. [ep
Brantley batted at the top of the order Friday night against the Twins. Apparently, he will be Wedge's choice to hit in that spot most of the time. [ep
""This is a good opportunity for him to bat leadoff,'' the manager said. ""But that doesn't mean it will be every night. If Crowe hadn't been on the DL, he might be up there. He still might be.'' [ep
Asdrubal Cabrera also could make appearances as the leadoff hitter. [ep
ANOTHER CHANCE -- Left-hander Mike Gosling was called up from Columbus Friday and will take his place as the 10th member of the Tribe bullpen. [ep
Gosling was signed to a minor-league contract June 5 and promoted to the big leagues June 19. In six weeks with the club, he made seven appearances, compiling a 6.75 earned-run average in 12 innings. [ep
After being outrighted to Triple-A, Gosling posted an 0-3 record and 6.66 ERA in 241/3 innings in five appearances, including four starts. [ep
Why is he here? [ep
""Just to make sure we have enough depth, as we work through September,'' Wedge said. ""He gives us some length.'' [ep
NOT FINISHED -- Gosling's call-up does not signal the end of the promotions from Triple-A to Cleveland. [ep
""We'll probably call up a couple other guys,'' Wedge said. [ep
That probably won't happen until Columbus ends its season on Monday. [ep
FARM FACTS -- Chuck Lofgren (6-10, 5.31 ERA) gave up three runs in six innings, but Columbus lost 4-2 to Toledo. *elip Russell Young yielded two runs and five hits in seven innings, but Kinston lost to Frederick 3-2 in 12 innings. *elip Third Lonnie Chisenhall, second baseman Cord Phelps and outfielder Tim Fedroff have been selected for the Carolina League end of year All-Star Team. All play for Kinston, except Chisenhall, who was promoted to Akron. [ep