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San Francisco Giants closer Brian Wilson likely…

Eight games into the 2012 season, the Giants have suffered a potentially devastating injury. Closer Brian Wilson is facing likely elbow surgery and might be lost for the season.

An MRI on Friday night revealed that Wilson has “structural issues” with the ligament in his right elbow, manager Bruce Bochy said Saturday before the Giants’ 4-3 victory over the Pittsburgh Pirates at AT&T Park. Wilson has been placed on the 15-day disabled list, but he’s probably going to be out a lot longer.

After a 32-pitch inning against Colorado on Thursday in which he struggled to get the save during a 4-2 Giants’ win, Wilson complained of elbow stiffness Friday. Subsequent tests revealed structural damage, to what degree the club was not yet prepared to say.

Bochy and trainer Dave Groeschner said Wilson would be examined by team orthopedist Dr. Ken Akizuki and that calls then would be made to set up second and third opinions, including from noted Pensacola, Fla., elbow surgeon Dr. James Andrews, before making a final determination about surgery.

The manager did not sound optimistic.

“After the tests (Friday), it doesn’t look very good right now,” Bochy said. “He’ll get a couple more opinions, but he’s likely facing surgery, to be honest.”

There have been questions about Wilson’s health since he blew a save in a 5-4 walk-off loss to Atlanta on Aug. 15. Wilson was examined by Andrews two days later and placed on the disabled list Aug.

21 with inflammation in the elbow. He was reinstated Sept. 18 but appeared in just two games before being shut down for the remainder of the season.

During spring training, Wilson said the late-season shutdown was done for precautionary reasons and that there were no issues with the elbow.

“I am healthy, and I’m doing everything I can to make sure everyone is aware of that,” he said March 26. “(The elbow) wasn’t a concern for me.”

Wilson, who turned 30 last month, made six appearances in spring training, throwing 51/3 innings with no earned runs allowed, two walks and eight strikeouts.

He made his regular-season debut Wednesday, pitching the eighth inning of a 17-8 loss in Denver. He gave up a run on one hit and one walk, throwing 24 pitches.

Wilson’s second outing of the season was even more difficult. He loaded the bases and walked in a run before preserving a 4-2 victory. At one point, Bochy and Groeschner, along with catcher Buster Posey, came out to check on Wilson. He took a warm-up pitch and finished the game, and afterward, Bochy said Wilson had tweaked his left ankle. His velocity declined noticeably during the inning.

Groeschner said the elbow issue became apparent Friday afternoon when Wilson went through his pregame routine.

“Even though he was off, he still had to throw and prepare,” the trainer said. “That’s when he came and talked to us.”

Said Bochy: “I feel for Willie. He’s worked hard with rehab, and he’d come a long way. We checked off every box with him, back-to-back days, everything. I think he was all set to go, and then this happens, so it’s a disappointing day for Willie personally, and then obviously the team.”

Wilson was not available for comment, but Bochy spoke with him.

“I’m sure he’s disappointed with what’s happened, and we all feel terrible,” the manager said. “But he said, ‘Hey, I’ll be back to help you guys.’ “

If Wilson requires Tommy John ligament replacement surgery, however, his season will almost surely be over. It would be his second such surgery — he had the procedure in 2003 while attending LSU. The Giants nonetheless drafted him in the 24th round that year.

Wilson has 171 career saves, including 36 last season. He led the majors with 48 saves in 2010 and had six more in the postseason, including closing out all three series-clinching wins en route to the Giants’ first World Series victory in San Francisco.

Bochy said Ryan Vogelsong, who was scheduled to come off the disabled list Sunday to make his first start of the season, would replace Wilson on the roster.

As for how Wilson would be replaced in the bullpen, Bochy said it would be a closer by committee for the time being.

“It’ll be similar to last year when Willie was out,” he said. “We’ll use everybody, go with the hot hand. (Santiago) Casilla may be saving some games. (Sergio) Romo and (Javier) Lopez, we think we’re in good hands there. That’s the game plan right now.”

Wilson could be joining a long list of pitchers throughout baseball who have suffered elbow injuries early in the season. Cincinnati closer Ryan Madson underwent Tommy John surgery earlier this week, as did the A’s Joey Devine and the Angels’ Michael Kohn.

Kansas City closer Joakim Soria had the surgery April 3, and Minnesota right-hander Scott Baker is scheduled for season-ending surgery to repair the flexor pronator tendon in his elbow. The Twins released right-hander Joel Zumaya after he injured his elbow in his first spring training bullpen session.

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Giants, Cain Raise Stakes for Phillies, Hamels…

The Philadelphia Phillies are worrying about everything but their pitching right now. Yet if contract negotiations for Cole Hamels stall for a few more months, Phillies fans like myself might get more worried about Hamels’ status beyond 2012. What’s more, the San Francisco Giants have set the bar even higher for Philadelphia’s ace by resigning one of theirs.

Matt Cain tormented the Phillies by outdueling Hamels in Game 3 of the 2010 NLCS. Like Hamels, he has a World Series ring and is part of a superstar rotation, but was approaching the last year of his old contract. As such, if the Giants could finally give Cain a five-year, $112.5 extension on April 2, how much more do the Phillies owe Hamels?

San Francisco gave Cain the biggest contract for a right-hander in baseball history, which ensures that he is secure for 2012 and well beyond. In addition, since he is already making $15 million for 2012, Cain is projected to make as much as $127.5 million from now until 2017, with a $21 million option for 2018.

And yet Philadelphia still hasn’t locked up Hamels, who has done even more for the Phillies over the years and also has a ring for his trouble. At the least, he has to figure he is worth more than $127.5 million at the bare minimum.

Hamels is also even more important to the Phillies than Cain is to the Giants. While Philadelphia still has Roy Halladay and Cliff Lee, they are approaching their mid 30′s – much like the Phillies as a whole. Meanwhile, Cain, Tim Lincecum and Madison Bumgarner are all in their mid to late 20′s, so the Giants’ pitching core has more longevity.

San Francisco wouldn’t have collapsed as much without Cain in the long term as Philadelphia might without Hamels, yet the Giants locked Cain down early anyway. But on the opposite end, the Phillies are still stalling with Hamels despite the greater long term importance of keeping him around. And now that a deal is unlikely before Opening Day, Philadelphia has to worry if this situation will affect Hamels on the mound.

The Giants don’t have that problem with Cain anymore, although his historic extension could put more pressure on him anyway. Yet that is nothing compared to the extra pressure he and the Giants put on Hamels and the Phillies. It is bad enough that San Francisco robbed Philadelphia of the 2010 pennant, but they have given us one more added concern before the quest for the 2012 pennant starts.

Now that Cain has set a high bar – whether it was too high or not – Hamels has every right to ask for even more. Will that set negotiations back even more, or be the kick in the pants that the Phillies need to wrap this up soon? They didn’t act as quick as the Giants did, but maybe it is time for them to act even smarter while they can.

Robert Dougherty is a life-long Philadelphia resident who has followed the Phillies since he was eight years old.

Other stories from this contributor

Marlins’ infield questions preferable to that of Phillies

Phillies injury bug even spreads to ex-Phillie Madson

New playoff format coming at right time for Phillies?

Nationals lock up Zimmerman before Phillies lock up Hamels

Oswalt goes from Phillies ace to likely midseason pickup

What do you guys think about this.

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