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Daisuke Matsuzaka will undergo Tommy John elbow surgery

Red Sox starting pitcher Matsuzaka and manager Francona walk back to the dugout after Matsuzaka was removed from the game against the Orioles in Boston

Boston Red Sox starting pitcher Daisuke Matsuzaka (R) and manager Terry Francona walk back to the dugout after Matsuzaka was removed from the game against the Baltimore Orioles during the fifth inning of their MLB American League baseball game at Fenway Park in Boston, Massachusetts May 16, 2011. REUTERS/Adam Hunger (UNITED STATES - Tags: SPORT BASEBALL)

REUTERS

Tim Brown of Yahoo! Sports heard from a source late Wednesday evening that Red Sox right-hander Daisuke Matsuzaka is considering undergoing Tommy John reconstructive elbow surgery following his visit this week with Dr. Lewis Yocum.

According to Brown’s source, the Los Angeles-based Yocum found a “significant tear” in Matsuzaka’s throwing elbow and recommended the procedure. Dice-K will meet with the Red Sox front office and medical staff before any decisions are made.

The 30-year-old signed a six-year, $52 million contract with the Red Sox in December of 2006 after Boston paid the Seibu Lions over $51 million for exclusive negotiating rights. He’s making $10 million this season and is owed another $10 million in 2012.

If Matsuzaka undergoes Tommy John surgery, there’s a chance he won’t return before the end of that deal. Recovery times vary, but it can often take over 15 months for some starting pitchers to fully heal.

Matsuzaka has posted a 49-30 win-loss record, a 4.25 ERA and a 1.40 WHIP in his four-plus rocky years with Boston. He drew Cy Young Award votes in 2008, by far his best season to date. The Tokyo native had a 5.30 ERA, 1.47 WHIP and 26/23 K/BB ratio in 37 1/3 innings this year before he was shut down in mid-May.
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UPDATE: Gordon Edes of ESPN Boston is now reporting that Dice-K has elected to have Tommy John surgery and will inform the Red Sox Thursday morning. He’s likely to undergo the procedure early next week.