Sugano took the mound to warm up for the bottom of the fifth before manager Brandon Hyde, Orioles trainers and an interpreter gathered around him for a conference. Sugano was seen flexing his right hand before walking off.
Making his first start in North America after 276 appearances with Japan’s Yomiuri Giants, Sugano allowed two runs and four hits against the Blue Jays.
Toronto’s George Springer drove in both runs with a two-out single in the first inning.
Sugano walked two and struck out one. He threw 73 pitches, 45 for strikes, and retired five of the final six batters he faced.