Kyle Bradish Diagnosed With UCL Sprain, Will Begin Season On Injured List

Pitchers and catchers reported to camp for the Orioles today, but report date has brought unwelcome news for O’s fans. General manager Mike Elias announced to the team’s beat writers this morning that right-hander Kyle Bradish has been diagnosed with a sprained ulnar collateral ligament in his right elbow (X link via Danielle Allentuck of the Baltimore Banner). He’s already received a platelet-rich plasma injection and will begin a throwing progression tomorrow, but he’ll open the season on the injured list.

Elias also revealed that Gunnar Henderson is behind schedule due to an oblique injury that’ll still need another two to three weeks of downtime, though the team isn’t concerned that he’ll miss much, if any time. Top catching prospect Samuel Basallo, meanwhile, has a stress fracture in his throwing elbow and will be limited to DH work in camp. He could begun throwing again by late April (X link via the Banner’s Andy Kostka). In even more injury news, lefty John Means is about a month behind the rest of the O’s starters, as the team had him delay the start of his offseason program after an elbow flare-up prior to last year’s ALDS (via Jacob Calvin Meyer of the Baltimore Sun).

The Bradish injury is a brutal blow for the defending AL East champions, who saw the right-hander emerge as their clear No. 1 starter in a breakout performance last season. The 27-year-old Bradish made 30 starts and pitched 168 2/3 innings with a 2.83 ERA, 25% strikeout rate, 6.6% walk rate and 49.2% ground-ball rate. He’d been expected to open the season as Baltimore’s No. 2 starter behind newly acquired ace Corbin Burnes, but that clearly won’t happen now.

The injury occurred when Bradish began throwing in January, Elias added (X link via Meyer). The GM struck an optimistic tone, noting that “everything is pointing in the right direction” for the talented right-hander.

Still, any UCL injury for a pitcher is going to be met with immense levels of both trepidation and caution, given the potential for Tommy John surgery. The O’s, to be clear, have made no mention that a Tommy John procedure is a consideration at the moment — but a sprain, by definition, involves some degree of tearing in the ligament. We’ve seen plenty of pitchers diagnosed with a UCL sprain avoid surgery in recent years (Aaron Nola, Ervin Santana, Anthony DeSclafani to name a few), but the majority of UCL injuries eventually result in surgery of some kind. Again, that outcome hasn’t yet been broadcast by the team, and Bradish will clearly hope to add his name to the list of pitchers who’ve managed to rest/rehab a ligament injury without going under the knife.

With Bradish and Means both likely to begin the year on the injured list, Baltimore’s rotation outlook is radically altered. Burnes is surely still penciled in to take the ball on Opening Day, and he’ll presumably be followed by righties Grayson Rodriguez and Dean Kremer. The final two spots on the staff are far less certain. Options on the 40-man roster include righties Tyler Wells and Jonathan Heasley as well as lefties Cole Irvin and Bruce Zimmermann. Wells’ success as a starter early in the ’23 season and Irvin’s track record in Oakland could give them a leg up in what will presumably be a spring competition.

That said, it was already arguable that the O’s could benefit from an aggressive push to further bolster the starting staff, and uncertainty regarding their No. 2 starter and Means, their former top starter (prior to Tommy John surgery) will only rekindle speculation. Top free agents like Blake Snell and Jordan Montgomery remain unsigned, and the free-agent market also has several solid back-of-the-rotation veterans, including Michael Lorenzen and Hyun Jin Ryu. Trade candidates like Dylan Cease, Shane Bieber, Jesus Luzardo, Edward Cabrera and Braxton Garrett have not changed hands this winter. If the club is more pessimistic about Bradish’s injury than has been let on thus far, there’s an uncommonly large supply of potential reinforcements to consider.

Obviously, any additions will require further spending, whether financial or in terms of prospect capital (or both). But the Orioles are generally well positioned to make some kind of addition, should they find a deal to their liking. The team’s long-term payroll outlook is pristine, with only $1MM in guarantees on the books beyond the current season. Their projected 2024 payroll (per Roster Resource) is just $96MM — nearly $70MM shy of the franchise-record mark for Opening Day payroll. And even after trading Joey Ortiz and DL Hall to acquire Burnes, the O’s are still ranked by both Kiley McDaniel of ESPN and Keith Law of The Athletic as the game’s No. 1 farm system.