Orioles lose Kyle Bradish to Tommy John surgery; fourth Baltimore pitcher with season-ending elbow injury

The Orioles lost another starter Wednesday after Kyle Bradish underwent season-ending Tommy John surgery, general manager Mike Elias told reporters before Baltimore’s game against the New York Yankees.

Bradish had an internal brace installed to support his ulnar collateral ligament during the operation, which was performed Wednesday by Dr. Keith Meister in Arlington, Tex.

Bradish exited his last start on June 14 against the Philadelphia Phillies after five innings due to elbow discomfort. The 27-year-old missed the first month of the season after spraining his UCL in January, and he made his season debut on May 2. He recorded a 2.75 ERA with 53 strikeouts and a 1.068 WHIP through 39 1/3 innings pitched this year.

Bradish’s surgery is the latest hit suffered by the injury-plagued Orioles rotation. The team is already without left-hander John Means (Tommy John surgery), right-hander Tyler Wells (UCL repair surgery with internal brace augmentation) and closer Félix Bautista (Tommy John surgery).

Reliever Danny Coulombe had surgery Tuesday to remove bone chips in his left elbow and could return in September, Elias also said Wednesday. Coulombe, the Orioles’ best reliever this season, felt elbow soreness while playing catch on June 10, prompting the team to place him on the injured list the following day. The lefty posted a 2.42 ERA with 28 strikeouts and a 0.62 WHIP in 26.0 innings pitched.

The Orioles (47-25) have the third-best record in the majors behind the Yankees (51-24) and the Phillies (49-25). Baltimore is in the middle of a three-game series with the American League East rival Yankees in the Bronx.