Injury Notes: Fernandez, Cisnero, Garcia, Belt, Buxton, Beltran

Injuries continue to dominate the headlines around the league, led of course by the most impactful UCL tear in a year already full of them. The news that star Marlins hurler Jose Fernandez is likely to undergo Tommy John surgery has capped off a difficult stretch of pitching injuries, leading to reactions from around the game. Jeff Passan of Yahoo Sports says that understanding and addressing the rash of elbow injuries is in its infancy, and could be decades away from any kind of satisfying resolution. Buster Olney of ESPN.com (Insider link) writes that the club did not mishandle Fernandez, and that the lesson teams have drawn from the rash of TJ procedures is to maximize the innings of young arms before they hit the open market. And Tom Verducci of SI.com argues that the issue is not use at the major league level so much as years of added stress before players become professionals, and explores various possible solutions.

Let’s run through the latest injury news that carries potential hot stove implications:

• A beleaguered Astros bullpen (collective 5.91 ERA) will be without young righty Jose Cisnero for the rest of the year as he recovers from Tommy John surgery, tweets MLB.com’s Brian McTaggart. The 25-year-old threw just 4 2/3 ineffective innings in 2014, but tossed 43 2/3 frames of 4.12 ERA ball in his debut season last year. Entering 2013, Cisnero was rated Houston’s 15th-best prospect by Baseball America, which noted that he could become an innings-eating starter.
• Cardinals starter Jaime Garcia has seemingly defied the odds and worked himself back to the point that he is now a candidate to receive a big league start this weekend, tweets Jenifer Langosch of MLB.com. Garcia’s most recent problems have been in the shoulder, though he has previously undergone TJ surgery. Garcia, still just 27, has logged just 177 innings under his four-year, $27MM contract, which runs through 2015 and includes club options for the two following seasons ($11.5MM and $12MM, respectively, each with a $500K buyout).
• The Giants will be without first baseman Brandon Belt for at least six weeks after successful thumb surgery, reports Andrew Baggarly of CSNBayArea.com (on Twitter). It appears that the team will utilize a mix of Michael Morse and Hector Sanchez at first while Belt recovers.
• Twins minor leaguer Byron Buxton — the game’s consensus top overall prospect — learned today that he has re-aggravated the wrist injury that cost him most of the early portion of the season, reports MLB.com’s Rhett Bollinger (Twitter links). Though the team does not believe the wrist is any worse than when it was first injured, but another extended absence would obviously further delay the 20-year-old’s final development push.
• Outfielder Carlos Beltran, one of the major offseason signings by the Yankees, has been diagnosed with a bone spur in his right elbow. As MLB.com’s Bryan Hoch reports, the club will see if a cortisone show can allow Beltran to avoid surgery. “They believe it’s an old bone spur,” said manager Joe Girardi. “It’s aggravating his elbow now. If in a couple of days he doesn’t feel better, then my level of concern would be pretty high.”