Ivan Nova has been recommended Tommy John surgery to repair a partially torn ulnar collateral ligament, the New York Yankees have confirmed.
The Yankees sought a second opinion after Nova was initially diagnosed with the injury. A partial tear was confirmed and Tommy John surgery has been recommended by an expert.
As with all Tommy John surgeries, if Nova went under the knife it would be the end of his season and would probably see him miss a large section of 2015 as well. Usually Tommy John surgery requires a rehab of 12-18 months.
The 27-year-old was originally placed on the 15-day disabled list after leaving Saturday's start with soreness in his elbow.
Nova has started four times so far this season and went 2-2 with a forgettable 8.27 ERA and 1.84 WHIP in 20 2/3 innings.
Over five seasons he is 40-22 with a 4.19 ERA.
Nova would not be alone of the operating table if he chooses to go under the knife. Kris Medlen, Brandon Beachy, Jarrod Parker, Patrick Corbin and Matt Moore have all been forced to take the Tommy John plunge in 2014 alone.