The Yankees' starting rotation took another hit on Monday when they placed Jonathan Loaisiga on the 10-day IL with a right rotator cuff strain.
Loaisiga will but shut down for four weeks with no throwing and joins left-hander James Paxton, whom he was replacing in the rotation, as well as ace Luis Severino among the Yankees starters on the IL.
Paxton is making progress and will throw a bullpen session on Tuesday and the Yankees have suggested he would not spend more than three weeks on the IL.
Until Paxton comes back, though, the Yankees are left with a hole to fill in their rotation.
Luis Cessa will make the start in Loaisiga's place on Monday but he is only built up for about two to three innings and will be used more as an opener, at least in this start.
The Yankees recalled Chance Adams, who has pitched at least six innings in his last three minor-league starts and may be more suited to spot start over Cessa until Paxton returns.
Nestor Cortes Jr. is another minor-league option on the 40-man roster behind Adams.
Even when the Yankees do get Paxton back, there are still depth questions in the rotation without Severino until at least the All-Star break and Loaisiga out for an extended amount of time.
J.A. Happ, 36, and CC Sabathia, 38, could present durability concerns at their age while 26-year-old Domingo German, who has filled in nicely with Severino out, may not be stretched out enough to last the entire season.
The Yankees have been linked to free agent Dallas Keuchel, but the left-hander is not likely to sign a deal with any team after the completion of MLB Amateur Draft on June 5.
If the Yankees are unable to sign Keuchel it is likely they will turn to the trade market and look to add another starter for the final stretch of the season.
Regardless, another pitcher will likely be added between now and the trade deadline.