Oakland A's pitcher Joey Devine had barely made it back to full strength from Tommy John surgery before needing the same procedure again.
Devine, who had elbow-ligament replacement surgery in 2009, had the same surgery on Tuesday after Dr. James Andrews discovered a torn ulnar collateral ligament and other damage in the reliever's elbow during an arthroscopic surgery.
In the subsequent full surgery, Andrews replaced the UCL, moved the ulnar nerve (which was buried in scar tissue) and cleaned up the flexor tendon.
Devine will be out for 12-18 months, but his return from his first Tommy John surgery took slightly more than two seasons.
Devine had one of the best seasons ever by a set-up man in 2008, going 6-1 with an 0.59 ERA. He did return to action last season, throwing nearly 50 innings combined between Triple-A Sacramento and Oakland.
The A's, who were shut out by Kansas City 3-0, did have some positive Tommy-John related news on Tuesday. Lefty Brett Anderson, who had the procedure last July, threw his first full bullpen session, 45 pitches, using all of his stuff and with the catcher behind the plate. He told the San Francisco Chronicle he will begin to throw live batting practice next week at extended spring training in Arizona.