Wheeler has torn UCL; Tommy John surgery probable

Update, 12:39 p.m.

FORT MYERS, Fla. — For the second straight season, the Mets’ rotation will be incomplete.

Starting pitcher Zack Wheeler has been diagnosed with a completely torn ulnar collateral ligament in his right elbow, the team announced Monday, making Tommy John surgery inevitable. Though the Mets have not committed to the operation, general manager Sandy Alderson described Wheeler’s situation as “pretty clear-cut,” calling the diagnosis preliminary only because Wheeler has yet to meet with team orthopedist Dr. David Altchek.

Tommy John ligament-replacement surgery is the standard treatment for a torn UCL, requiring an approximate 12-month recovery.

“The diagnosis is not surprising,” Alderson said. “We had been forewarned by the doctors that his elbow was a concern, and that it was going to have to be managed over the course of this season. It wasn’t clear that the ligament was involved at that time, but we understood that we were going to have to manage his medical condition over the course of the season. So when he complained of the elbow pain, it wasn’t a surprise to us.

“When the elbow is involved, anything can happen.”

The news broke as Matt Harvey, who spent the entire 2014 season recovering from Tommy John surgery, prepared to make his third spring start.

“Thanks for everybody’s support and kind words,” Wheeler wrote on Twitter. “It’s greatly appreciated. Long road ahead.”

Wheeler, 24, was 11-11 with a 3.54 ERA in 32 starts last season, putting him in contention for the Mets’ Opening Day start. But his elbow was an issue as far back as last summer, Alderson said, when he first complained of discomfort. The Mets ordered an MRI last September, as Wheeler was putting the finishing touches on a 16-start run that saw him go 8-3 with a 2.71 ERA. Though that test came back clean, Wheeler complained of elbow discomfort again over the winter. A second MRI in January also showed no UCL tear.

Reporting to Spring Training in February as usual, Wheeler complained of elbow discomfort a third time last week, prompting the Mets to scratch him from his Saturday start. At the time, they said it was more due to a blister underneath his right middle fingernail than to anything related to the elbow, with Alderson going as far as to say that Wheeler would not need another MRI. That changed a day later, when the team sent him for one and forwarded the results to Dr. Altchek in New York.

Shortly thereafter, it became clear that Wheeler was destined to become the fifth Mets pitcher to undergo Tommy John surgery in the past 20 months, joining Harvey, Bobby Parnell, Jeremy Hefner (twice) and Josh Edgin. Several pitchers with partially torn UCLs have attempted to rehab their injuries instead of undergo surgery, most notably Yankees starter Masahiro Tanaka. But rehab is only possible if the UCL is not completely torn, as Wheeler’s is.

“It’s a blow, but at the same time we knew there would be a lot of uncertainty surrounding Zack and his elbow over the course of the season,” Alderson said. “We’re obviously not happy he won’t be with us, but I think if there’s a silver lining, it’s that we now have some certainty. We know that we have a solution for this, that he won’t have to manage the kind of pain that I think he had to manage over the course of last season. Doing that over a career is simply unsustainable.”

To replace Wheeler in the rotation, the Mets will almost certainly turn to Dillon Gee, a longtime starter who had been demoted to bullpen work. But the Mets also have several top prospects ready or close to ready for the Majors, including Noah Syndergaard, Steven Matz and Rafael Montero. They will be considerations early in the season, if not immediately.

Said Alderson: “We’re still digesting the injury to Zack and really have not started to address that issue.”

Follow me on Twitter @AnthonyDiComo.

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