
It looks like the Kansas City Royals won't be getting their ace back anytime soon.
Manager Matt Quatraro announced before Tuesday's game that starter Cole Ragans is expected to undergo an elbow procedure.
Ragans left his start against the Cleveland Guardians on May 6 after experiencing tightness in his elbow and triceps. He was quickly placed on the 15-day injured list with a left elbow impingement while also dealing with valgus extension overload, better known as pitcher's elbow.
At first, the rest appeared to be helping. Ragans began a rehab assignment just a couple of weeks later. But during his rehab start with Triple-A Omaha on May 23, he experienced elbow stiffness and was shut down again.
He resumed throwing a little over a week ago but suffered another setback. The Royals then transferred their left-handed ace to the 60-day injured list.
Now, after seeking multiple opinions, Ragans is expected to undergo surgery on his pitching elbow, extending his timeline even further. How long he will be sidelined, and whether he will return this season, remains unknown.
“We anticipate it being a surgical procedure," Quatraro said. "We don’t know, as of right now, what it means. He’s got to see another doctor as well, but we anticipate it being surgical.”
#Royals Matt Quatraro said LHP Cole Ragans is likely to undergo a surgical procedure for his elbow injury.
— Jaylon T. Thompson (@jaylonthompson) June 23, 2026
“We anticipate it being a surgical procedure. We don’t know, as of right now, what it means. He’s got to see another doctor as well, but we anticipate it being surgical.”
The Royals have been hit by the injury bug as hard as almost any team in baseball. Earlier today, the club also placed star third basemanMaikel Garcia on the injured list with a hand injury. He joins Vinnie Pasquantino, who broke his hamate bone a couple of weeks ago.
Bobby Witt Jr. also remains out of the lineup after suffering a knee injury on a diving play at shortstop on June 18.
With injuries piling up and little hope of climbing out of last place in the AL Central at 33-46, the Royals could very well shut Ragans down for the rest of the season and focus on getting him healthy for 2027.
Either way, Kansas City can't seem to catch a break this year.
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