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In his season-ending presser on Friday, Derek Falvey revealed that first baseman Alex Kirilloff will undergo labrum surgery on his right shoulder later this month.
The procedure is scheduled for October 24th, with the team indicating that they won't know the extent of the labrum tear until then. There's a wide range of outcomes at play, but we can safely say this is very unfortunate news.
It's not necessarily surprising news, after the developments we saw play out this week. Kirilloff was removed from the ALDS roster following Game 3, replaced on Wednesday by a barely-mobile Byron Buxton.
According to Rocco Baldelli, Kirilloff was still bothered by a shoulder injury suffered midseason, which caused him to miss all of August. Though he battled through it and looked solid in September, Kirilloff came up empty offensively and made a crucial error in the playoffs.
According to Baldelli, the shoulder had "just progressively been getting worse to the point where he really can't swing at this point.”
Now, Kirilloff is billed for labrum surgery, which is a serious procedure almost under any condition. There are many examples of players who have undergone labrum surgery and ultimately missed considerable lengths of time.
That list includes Game 4 home run hitter Michael Brantley, who played only 15 regular-season games for Houston this year after undergoing surgery for a torn right shoulder labrum in August of 2022.
A recently published study on MLB players following arthroscopic shoulder labral repair concluded that:
"Following arthroscopic shoulder labral surgery, most MLB pitchers and positional players were able to [return to play] successfully but experienced shorter careers thereafter. These players also experienced declines in game utilization and performance one season after surgery but were able to return to baseline at 3 seasons after surgery."
This isn't meant to cast conclusions, but simply to provide context. For what it's worth, the Twins expressed optimism he'll be ready for next spring, although there's really no way to know at this point.
One way or another, Kirilloff has a(nother) long road ahead of him, and it's impossible not to feel for the guy. In the long-running saga of Twins top prospects plagued by astoundingly endless injuries, he might be the banner example.
In 2016, his very first professional season, Kirilloff suffered a partial UCL tear in his elbow. He tried to avoid surgery through a PRP-and-rehab plan, but it didn't work out. He underwent Tommy John surgery the next spring and missed all of the 2017 season.
Kirilloff came back and re-emerged as a top prospect. Even the lost COVID season could hardly slow him down, as Kirilloff was called up for an elimination game in the playoffs against Houston.
His star was shining bright heading into 2021, but sadly Kirilloff's physical battles were only about to begin. He suffered a torn ligament in his right wrist that required season-ending surgery. Kirilloff returned in 2022 but the surgery proved insufficient as the wrist pain persisted. He underwent a more invasive ulnar shortening surgery and commenced in a lengthy rehab. This was considered essentially a last-ditch effort to fix his wrist.
And this season, it seemed to be working. Kirilloff took it fairly slow but made it back, and looked at times like the elite-level left-handed masher that we know is within him. But now, a new very serious injury has popped up and once again completely derailed his career. To watch this same thing play out with him and Royce Lewis in such close succession (while Buxton's career is also threatened by physical breakdowns at age 29) is surreal and gut-wrenching.
Alas, there's nothing to do but soldier on. Lewis at least presents an aspirational prototype for what it can look like to bounce back from unthinkable injury adversity and thrive. Kirilloff, despite all he's gone through, is still only 25. There's a path forward and AK's resilience up to this point gives cause for optimism.
The Twins front office, however, has a tough task ahead in setting a vision for first base. We're all hoping for the best for Kirilloff, but by now, the club has no choice but to plan for the worst.
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