The Orioles are suddenly dealing with a flurry of injury concerns less than a week before Opening Day, as left-hander Keegan Akin, outfielder Heston Kjerstad, and utilityman Luis Vazquez will all undergo imaging on Monday. (MLB.com’s Jake Rill and Paige Leckie were among those to report the news.) Akin suffered an adductor issue while warming up in the bullpen on Saturday, Kjerstad has been sidelined with right hamstring tightness for a few days, and Vazquez was hit by a pitch on his right thumb in today’s game with the Nationals.
More will be known once the testing takes place, and of the trio, Akin was the only one assured of a place on the Opening Day roster. With the exception of an injury-marred 2023 season, Akin has become a valued member of the Orioles’ pen over the last four years, able to both eat innings and deliver in high-leverage situations.
The 2024 season was Akin’s most effective campaign, and while he still had a 3.41 ERA over 63 1/3 innings in 2025, Akin’s strikeout rate (22%) and walk rate (12.3%) both declined from his previous season. Akin’s 4.44 SIERA was over a run higher than his real-world ERA, and the lefty might’ve benefited quite a bit from a .267 BABIP.
These concerns notwithstanding, Akin was still projected to be the top left-handed option in Baltimore’s relief corps. Dietrich Enns and Grant Wolfram are the team’s other left-handers, though if Akin has to miss time on the injured list, the Orioles wouldn’t necessarily replace Akin with another southpaw.
The bullpen already took a significant hit this spring with the news that Andrew Kittredge would be starting the season on the 15-day IL due to some shoulder inflammation. Though it has been almost a month since the righty’s lone game of Spring Training, Kittredge told the Baltimore Banner’s Andy Kostka that he believes he’ll miss just the minimum 15 days, as a rehab stint with Triple-A Norfolk will hopefully be enough to get Kittredge fully ramped up.
Kjerstad was expected to start the season in Triple-A, though naturally a possible stint on the IL doesn’t do him any good in terms of cost development time, as Kjerstad is still struggling to establish himself as a big leaguer. The second overall pick of the 2020 draft had a promising .248/.336/.411 slash line over 147 plate appearances with the O’s in 2023-24, but he took a step back with a .192/.240/.327 slash in 167 PA last season.
Vazquez has only a .404 OPS over 67 career PA in the majors (with the 2024 Cubs and 2025 Orioles), but his ability to play all over the infield and at least hold his own as a corner outfielder was putting him in the running to win a backup job on Baltimore’s bench. With Jackson Holliday and Jordan Westburg starting the season on the injured list, the Orioles’ infield depth has already been stretched, opening the door for Vazquez to potentially break camp with the team.
A thumb injury, of course, would make Vazquez’s endeavors all for naught. Even if the x-rays are negative, Vazquez may need a few days or even a 10-day IL stint to fully heal up, so bench candidates like Jeremiah Jackson, Weston Wilson, or others may stand a better chance of making the 26-man roster.
The position-player mix could be shaken up further if Dylan Beavers‘ right knee discomfort becomes anything serious. Beavers was a late scratch from Friday’s lineup due to his sore knee, but both Beavers and manager Craig Albernaz told Rill the outfielder was feeling improvement yesterday, so there doesn’t seem to be any concern yet that Beavers will miss any time during the regular season.
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