What has seemed so inevitable for some time now has finally come to pass: Jonathan Broxton is hurt.

At the same time comes just about the last thing anyone wanted to think possible: Andre Ethier is also ailing.

Ethier, whose hot start in 2010 ended abruptly almost exactly one year ago with a pinky injury, has been nursing left elbow inflammation for two weeks, reports Tony Jackson of ESPNLosAngeles.com. He was pulled from today’s starting lineup about an hour before gametime.

… Dodgers manager Don Mattingly said an hour or so before removing Ethier from the lineup that Ethier believes the issue might have started during a series more than two weeks ago against the St. Louis Cardinals.

“We’re keeping an eye on it,” Mattingly said. …

Mattingly said before the game that even with the hitting streak on the line, he would have no hesitation to use Ethier as a pinch hitter in a key situation on a day when he wasn’t in the starting lineup.

“No, because we’re trying to win a ballgame,” Mattingly said.

Broxton has been shut down with right elbow pain and will have an MRI exam, reports Jackson:

… Mattingly said no determination will be made on whether to place Broxton on the 15-day disabled list until the results of that exam are known.

Broxton, who apparently already had left Dodger Stadium to undergo the exam, wasn’t available for comment.

“He came in today complaining about some stuff,” said Mattingly, who wasn’t sure how long Broxton had been experiencing discomfort. “I told him it was honorable that he wanted to pitch through that, but that in the end, it doesn’t do him any good. It’s not fair to him, and it’s really not fair to anybody else either.”

Broxton won’t pitch until after the MRI, and Vicente Padilla will be the team’s first-choice closer for now. …

“[Pitching coach Rick Honeycutt] and I were looking at tape,” Mattingly said. “The way the ball was coming out, we felt like something was wrong. We were going to bring him in this morning, but [trainer] Stan [Conte] came in and said Brox came in talking about pain. Brox actually came in with him and told us what was going on.” …

Mattingly said that if Broxton goes on the DL, the team likely will recall reliever Kenley Jansen, who was optioned to Double-A Chattanooga on Sunday.

For all the talk about Broxton’s mental makeup, his biggest brain cramp will have been if he has been keeping his soreness a secret.

Since June 27, Broxton has pitched 42 1/3 innings and allowed 53 hits and 32 walks (6.5 walks per nine innings) while striking out 35 (7.4 per nine innings), for a 7.02 ERA.

From the start of the 2006 season through June 26, 2010, Broxton pitched 336 innings, allowing 254 hits and 119 walks (3.2 walks per nine innings) while striking out 446 (11.9 per nine innings), for a 2.60 ERA.

Ken Gurnick of MLB.com added the following:

Mattingly said one of the immediate issues was to find an MRI tube large enough for Broxton to get his 300-pound frame into.

“I’m serious,” said Mattingly.

Jay Gibbons’ 10-pitch at-bat Tuesday was enough to convince Mattingly he was ready for a start in today’s day game. He was originally slated for left field, then moved to right after Ethier was scratched, with Tony Gwynn, Jr. taking left.

Russ Mitchell also gets his first start, as Jamey Carroll, who has played in 30 of 31 games this season and hasn’t missed an inning since April 18, gets a rest and Juan Uribe moves to shortstop.

That leaves Matt Kemp as the lineup’s main anchor. It’s no 29-game hitting streak, but Kemp has hit in 27 of 31 games this season. His walks have declined, however, to only two in his past 10 games.