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8/11/2014 7:30 P.M. ET

Hefner may need another surgery on right elbow

While on rehab start, reinjures ulnar collateral ligament, has stress fracture in arm

Mets right-hander Jeremy Hefner, who had been recovering from August 2013 Tommy John surgery on his right elbow, reinjured the ulnar collateral ligament and developed a stress fracture in the ulna bone of the same arm.

Hefner may require another surgical procedure, though assistant general manager John Ricco said it may be reconstructive surgery rather than another Tommy John procedure.

Hefner took himself out of his third rehab start with the Port St. Lucie Mets last Wednesday after feeling discomfort in the arm.

"I'm not sure what my course of action is," Hefner wrote in a Facebook post. "Should have a clearer picture in the coming days. I'm disappointed, but not shaken. I have a lot of things to be thankful for, and I'll rest in that."

In 50 career appearances (36 starts) over two seasons, Hefner is 8-15 with a 4.65 ERA.

Manny Randhawa is an associate reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.