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Hill, 31, plans to get a second opinion on his injury next week. He had become a key contributor for Boston after starting the season in Pawtucket.
He pitched eight scoreless innings over nine games since being recalled. But in his last outing, on Monday night, he faced just one batter, walking Adam Dunn on seven pitches. After the last pitch, Hill grabbed the area near his left arm and left the game.
"It was really (hurt) on that pitch," he said. "You could feel the ball coming off my fingers and it was just numb. At first, I was just optimistic, thinking that it was just scar tissue that had broken up."
But, he said, an MRI showed the ligament "was like 3/4 torn."
Asked if Gill had recommended surgery, Hill said, "With the ligament torn 3/4 of the way and to be able to pitch again at this level it's going to have to be something that's highly recommended.' "
Francona said surgery is "probably inevitable."
Hottovy, 29, is in the majors for the first time after being drafted by Boston in the fourth round in 2004.
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