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re: Some objective information about UCL injuries/surgery
Posted on 9/15/19 at 9:49 pm to DBG
Posted on 9/15/19 at 9:49 pm to DBG
quote:
You seem to know your crap. What are we looking at here?
So one thing to note is that this article is looking at surgically treated UCL tears. Hence the longer recovery. But more recently, there has been a shift in how these are treated surgically and there are devices used now that actually speed up the recovery tremendously so most people dont need 4 months anymore.
But, not all UCL tears need to be treated surgically. In fact, most don't. If this is a partial tear, you can briefly immobilize and then rehab it, knowing he'll likely get shot up before games to help with pain control. Also, knowing this is a QB with not much time left, may push you towards nonop if its a close call. But, if theres a stener lesion, you need surgery and that could be a long recovery. Just have to wait and see.
2
Posted on 9/15/19 at 9:50 pm to kew48
quote:
The ability to hold a ball firmly is the lifeblood of a QB
Also a WR and a RB. This is common with skill players. They break the results down to position group and they say there is no difference even if you look at position groups seperately
Posted on 9/15/19 at 9:52 pm to onmymedicalgrind
Posted on 9/15/19 at 9:55 pm to onmymedicalgrind
Correct this is worst case scenario. Point was to show worst case is still unlikely to be career ending.
Posted on 9/15/19 at 9:55 pm to WaWaWeeWa
quote:
Also a WR and a RB. This is common with skill players. They break the results down to position group and they say there is no difference even if you look at position groups seperately
What I don't see mentioned is what type of UCL surgery was done. You can primarily repair the torn ligament and augment it in an acute state (usually for acute, non-mid substance tears) or you can do a reconstruction (like whats done for ACL tears). They would have different rehab protocols and return to play.
Posted on 9/15/19 at 9:57 pm to WaWaWeeWa
shite for all we know he’ll wake up tomorrow good as new.
Posted on 9/15/19 at 9:59 pm to BobBoucher
quote:
So, 4 months? That’s January at earliest.
Wish we had an Earl Morrall. He took over when Bob Griese broke his ankle. Griese came back for the Playoffs
Posted on 9/15/19 at 9:59 pm to Loungefly85
I’m all for being positive but no
Posted on 9/15/19 at 10:06 pm to onmymedicalgrind
LINK
quote:
Chhabra et al. reported quick return to play and excellent long-term results in their study of 18 college football players following UCL repair with a suture anchor.27 The average time to surgery was 12 days for skilled players and 43 days for nonskilled players.27 Skilled players returned to play 7 weeks postoperatively whereas nonskilled players returned at 4 weeks; all athletes returned to the same level of play and there was no difference in clinical outcomes between the skilled and nonskilled player groups over a two year follow-up period.27 64% of consultant hand surgeons surveyed by Carlson et al. recommended waiting 12 weeks prior to return to unprotected play for NFL players.7
Posted on 9/15/19 at 10:12 pm to DBG
quote:
LINKquote:
When Chris Paul tore a ligament in his thumb, he returned to play 5 weeks and 4 days after surgery by Dr. Steven Shin.
I imagine a thumb ligament injury would impact a football player much differently than a basketball player
Posted on 9/15/19 at 10:14 pm to rt3
It might be more painful to grip a football than handle a basketball, but if it holds up structurally, then just shoot up the pain area
Posted on 9/15/19 at 10:16 pm to DBG
quote:
When Chris Paul tore a ligament in his thumb, he returned to play 5 weeks and 4 days after surgery by Dr. Steven Shin.
quote:
Paul tore that ligament in January. His surgery was performed by the same doctor who will perform Trout’s on Wednesday: Steven Shin. To repair similar injuries, Shin has recently used an innovative treatment using a so-called internal brace that accelerates recoveries and allows athletes to resume training within one week of surgery.
Yea, thats what I was saying in a previous post. Alot of the old data/outcomes/return to sport after UCL surgery was with different constructs. Arthrex's internal brace has been a game changer as far as recovery from surgery. Essentially, you used to have to keep these people in a cast for 6 weeks after surgery before you could allow any active motion. Theoretically, you can move immediately after surgery with the internal brace, although in practicality you usually lock people down for at least 1-2 weeks just to let the skin/soft tissues heal up a little bit before rehabbing them.
Posted on 9/15/19 at 10:16 pm to rt3
quote:
I imagine a thumb ligament injury would impact a football player much differently than a basketball player
I don't see why. Thumbs are very important for QBs and PGs.
Posted on 9/15/19 at 10:31 pm to onmymedicalgrind
quote:
I don't see why. Thumbs are very important for QBs and PGs.
gripping and throwing a football is a lot different than shooting and dribbling a basketball
I'm just making assumptions so I could be way off base
However... if Mike Trout has that same surgery and comes back in a similar 5-week time frame... I'll be more enthused b/c handling a baseball I figure would be somewhat closer to handling a football... esp. if that's the surgery Drew has
This post was edited on 9/15/19 at 10:32 pm
Posted on 9/15/19 at 10:43 pm to rt3
quote:
gripping and throwing a football is a lot different than shooting and dribbling a basketball I'm just making assumptions so I could be way off base However... if Mike Trout has that same surgery and comes back in a similar 5-week time frame... I'll be more enthused b/c handling a baseball I figure would be somewhat closer to handling a football... esp. if that's the surgery Drew has
No, I don't think your assumptions are way off. You are right, its not an apples to apples comparison. That's why a lot of the orthopaedic sports research tries to categorize athletes to help control for some of theses differences between sports. For example, there are a lot of studies on overhead athletes and shoulder pathology. So you can generalize a lot of the outcomes found in volleyball players to pitchers, QBs, etc. But yes, for something like a thumb UCL, maybe CP3 isn't the best comparison for a 40yo QB.
Posted on 9/16/19 at 12:35 am to WaWaWeeWa
How many QBs with UCLs on their throwing hands were in your survey? Sure for a lineman or DB there is a comeback, but if you can never grip a NFL sized football the same again, THERE IS NO COMEBACK
Posted on 9/16/19 at 4:56 am to windshieldman
Teddy
Posted on 9/16/19 at 6:29 am to ELVIS U
quote:
How many QBs with UCLs on their throwing hands were in your survey? Sure for a lineman or DB there is a comeback, but if you can never grip a NFL sized football the same again, THERE IS NO COMEBACK
This happens all the time. It happened to Andy Dalton last year, he seems to be ok this year even though the Bengals suck.
Posted on 9/16/19 at 6:32 am to WaWaWeeWa
Can we at least let him have his MRI before we diagnose him and set his return date?
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