Right-hander JC Ramirez has been diagnosed with a torn ulnar collateral ligament in his right elbow, and it’s been recommended he undergo Tommy John surgery, the Angels announced Monday afternoon.

Ramirez was placed on the 10-day disabled list Sunday with a right elbow strain. The 29-year-old exited his Saturday start early after two innings due to tightness in his forearm. It’s been an ongoing issue for Ramirez, who missed six weeks at the end of last season after undergoing stem-cell therapy to treat a partially torn UCL in the same elbow.

Ramirez is the third Angels starter to miss time due to injury this season. Matt Shoemaker is out with a strained right forearm, and Andrew Heaney is sidelined with an inflamed left elbow but is nearing a return. Shoemaker, Heaney, Ramirez, Garrett Richards and Tyler Skaggs also spent substantial portions of the 2017 season on the disabled list.

Ramirez struggled in limited action this year, allowing eight runs (seven earned) in 6 2/3 innings across two starts. He struck out four batters and walked seven.

Report by Chad Thornburg for MLB.com based in Los Angeles.

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