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Marcelo accidently breaks guy's leg

Posted on 8/1/23 at 7:08 pm
Posted by HeLeakin
Member since May 2014
3312 posts
Posted on 8/1/23 at 7:08 pm
Warning. Very nasty injury.

Marcelo accidently steps on the guy's leg while dribbling. Given a red card.


LINK
Posted by LSUMJ
BR
Member since Sep 2004
19886 posts
Posted on 8/1/23 at 8:10 pm to
well that was horrific
Posted by RemouladeSawce
Uranus
Member since Sep 2008
13944 posts
Posted on 8/2/23 at 4:03 am to
The red was as egregious as the injury though I can't exactly blame the ref for getting caught up in the moment
Posted by cwil177
Baton Rouge
Member since Jun 2011
28431 posts
Posted on 8/2/23 at 8:58 am to
That’s a really bad injury. Tough red but Marcelo didn’t exactly avoid the obvious collision. That guy will be lucky to play soccer again. Likely tibia/fibula fracture in addition to multi ligamentous knee injury.
Posted by RemouladeSawce
Uranus
Member since Sep 2008
13944 posts
Posted on 8/2/23 at 9:14 am to
quote:

Tough red but Marcelo didn’t exactly avoid the obvious collision
He’s mid turn, that foot is coming only where it came down. At game speed it’s all one fluid motion. Absolutely nothing he could have done

Defender wasn’t close on the tackle and he can only really blame himself
Posted by cwil177
Baton Rouge
Member since Jun 2011
28431 posts
Posted on 8/5/23 at 11:58 am to


Injury was worse than I thought. Complete knee dislocation. One of the worst injuries in all of sport (obviously). The location of the neurovascular bundle behind the knee means 25% have a popliteal artery injury and 25% have a peroneal nerve injury (and potentially permanent foot drop).

Also the fact that it looks so bad in the X-ray is horrific because it means the team’s medical crew didn’t reduce the dislocation, which is needed ASAP to reduce the risk of neurovascular compromise.
Posted by kengel2
Team Gun
Member since Mar 2004
30782 posts
Posted on 8/5/23 at 12:06 pm to
quote:

it means the team’s medical crew didn’t reduce the dislocation, which is needed ASAP to reduce the risk of neurovascular compromise.


What are they supposed to do in that situation?
Posted by cwil177
Baton Rouge
Member since Jun 2011
28431 posts
Posted on 8/5/23 at 4:20 pm to
Tug on the leg until it straightens out, basically. This will decrease tension on the blood vessels and nerves and decrease the risk of permanent damage. Bring him to the hospital for emergent vascular studies to make sure the blood supply to the leg is intact.
Posted by kengel2
Team Gun
Member since Mar 2004
30782 posts
Posted on 8/5/23 at 5:53 pm to
quote:

Tug on the leg until it straightens out, basically.


Damn. I don't know if I'd make that call on the field.
Posted by GeorgeTheGreek
Sparta, Greece
Member since Mar 2008
66439 posts
Posted on 8/5/23 at 6:19 pm to
I don’t think you can relocate a knee like you can a shoulder. I could be wrong but I would think it would require anesthesia and surgery.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28431 posts
Posted on 8/5/23 at 10:02 pm to
You can, but it’s temporary. You’ll put them in a splint until they go to surgery. It’s a multiligamentous repair from the orthopod, plus vascular if there’s a popliteal injury.
Posted by cwil177
Baton Rouge
Member since Jun 2011
28431 posts
Posted on 8/5/23 at 10:03 pm to
quote:

Damn. I don't know if I'd make that call on the field.

It’s shitty for all parties involved, but the quicker you do it the more likely that person is to keep their leg.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 8/6/23 at 4:36 am to
Is that actually his XR or just a stock google image knee dislocation? Without question one of the few true orthopaedic emergencies. There are a lot of people who think they’ve had a “knee dislocation” when really it’s just a patellar dislocation. Aside from the fact that you have to shred every ligament holding the knee to dislocate it like this, the real concern is vascular. Amputation is not an infrequent sequelae after this injury. And if you avoid that, you are stuck with a severe multiligamentous knee injury with a low chance of ever being close to the same.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 8/6/23 at 4:39 am to
quote:

I don’t think you can relocate a knee like you can a shoulder. I could be wrong but I would think it would require anesthesia and surgery.

You absolutely can. It’s a pretty easy reduction because the knee is floppy as every ligament is torn. As long as there isn’t interposed soft tissue blocking reduction, traction should get it in. And has been noted, next step is straight to the hospital to assess blood flow.
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