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Old 03-19-2013   #1
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Default Recovering Texans

We now know what Newton's surgery was.



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John McClain ‏@McClain_on_NFL

Kubiak said ILB Brian Cushing (ACL) and WR DeVier Posey (Achilles tendon) won't participate in OTAs. Cushing should be ready for camp.

2h John McClain John McClain ‏@McClain_on_NFL

Kubiak said there are questions about RT Derek Newton, recovering from patellar tendon surgery, being able to participate in OTAs.


2h John McClain John McClain ‏@McClain_on_NFL
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Old 03-19-2013   #2
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Default Re: Recovering Texans

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Texans | Believe DeVier Posey could be mid-season addition

Houston Texans head coach Gary Kubiak said believes WR DeVier Posey (Achilles') could return during the middle of the 2013 NFL season.
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Old 03-19-2013   #3
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Default Re: Recovering Texans

Quote:
Kubiak on the health of the offensive line:

“That’s a concern. If Newton’s going to miss a portion of the offseason. If we started OTAs today (Andrew) Gardner would line up opposite Duane. It’s something we’ve got to continue to look at. Ryan Harris (RT who’s a UFA) played well for us last season, so there’s a possibility we could have him back on our team. We believe in Newton. If he can progress off what he did last season, he’s on his way to being a good player.”
http://blog.chron.com/ultimatetexans...-and-injuries/
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Old 03-19-2013   #4
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Default Re: Recovering Texans

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Originally Posted by Vinny View Post
We believe in Newton. If he can progress off what he did last season, he’s on his way to being a good player.”

This is what I have been saying about Derek. Most of our problem came from RG not RT. If Newton had not been injured or was 100% by preseason, I think Gary would go with Gardner as the backup swing. I think Harris is a possible re-sign but he needs to step up if his back allows him. This should allow those mocking an OT in top 3 rounds to go different direction.
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Old 03-19-2013   #5
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Default Re: Recovering Texans

Still think it's been a mistake to go the low-budget route at right tackle. A seventh round pick and a UDFA...on a team that makes so much money running the ball...c'mon man. Sometimes even in the NFL you get what you pay for.
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Old 03-19-2013   #6
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Default Re: Recovering Texans

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Originally Posted by pec0sb0b View Post
Still think it's been a mistake to go the low-budget route at right tackle. A seventh round pick and a UDFA...on a team that makes so much money running the ball...c'mon man. Sometimes even in the NFL you get what you pay for.
You are aware that Newton statistically compared favorably with Duane Brown? Don't focus on where player was drafted or signed (udfa) but how they played. Harris has skills and should be much healthier by game one.
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Old 03-19-2013   #7
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Default Re: Recovering Texans

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Originally Posted by badboy View Post
We believe in Newton. If he can progress off what he did last season, he’s on his way to being a good player.”

This is what I have been saying about Derek. Most of our problem came from RG not RT. If Newton had not been injured or was 100% by preseason, I think Gary would go with Gardner as the backup swing. I think Harris is a possible re-sign but he needs to step up if his back allows him. This should allow those mocking an OT in top 3 rounds to go different direction.
Did you not read the first half of that paragraph?

“That’s a concern. If Newton’s going to miss a portion of the offseason. If we started OTAs today (Andrew) Gardner would line up opposite Duane. It’s something we’ve got to continue to look at. Ryan Harris (RT who’s a UFA) played well for us last season, so there’s a possibility we could have him back on our team.
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Old 03-19-2013   #8
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Default Re: Recovering Texans

Quote:
Originally Posted by CloakNNNdagger View Post
We now know what Newton's surgery was.
Quote:
RT Derek Newton, recovering from patellar tendon surgery
So Doc, quick rundown on how serious that is & what the recovery & longer term ramifications are? When you have the time.
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Old 03-19-2013   #9
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Default Re: Recovering Texans

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Originally Posted by Playoffs View Post
So Doc, quick rundown on how serious that is & what the recovery & longer term ramifications are? When you have the time.
Newton must have had a problem with the knee for sometime. He was out for game 13 and 14 with a “knee.” Looking at this with today’s information, Newton had an inflammation of the patellar tendon (chronic patellar tendonitis) with possible small tendon tears already at that time and evidently tried to play through it until he no longer could. He was treated conservatively with rest.......2 weeks is very short to expect this type of problem to resolve. When the knee pain became “manageable” again, since the Texans were down to almost nothing with the T position, he was evidently put out there again to try to finish out the year. He did. But evidently in doing so, developed major tears from the continued inflammation and weakening of the continually traumatized tendon. Such a case would no longer be appropriate for conservative management, and especially in an NFL player would require surgical repair in order to return and remain on the field with any semblance of production.

A study published in the American Journal of Sports Medicine in November. 2011 Patellar tendon ruptures in National Football League players reveal some potentially important trends.

*Twenty-four ruptures of the patellar tendon in 22 National Football League (NFL) players were identified from 1994 through 2004. Team physicians retrospectively reviewed training room and clinic records, operative notes, and imaging studies for each of these players. Player game statistics and draft status were analyzed to identify return to play predictors. A successful outcome was defined as participating in 1 regular-season NFL game.

*Eleven of the 24 injuries had antecedent symptoms.

*Three of the 24 cases had a concomitant anterior cruciate ligament (ACL) injury.

*In 19 of the 24 injuries, the player returned to participate in at least 1 game in the NFL.

*Players who returned were drafted, on average, in the fourth round, while those who failed to return to play were drafted, on average, in the sixth round.

*Of those players who returned to play, the average number of games played was 45.4, with a range of 1 to 142 games.

*Professional football players with isolated rupture of the patellar tendon treated with TIMELY surgical repair will return to their sport.

*It should be known that in general, patients who require this type of surgery do better if the repair is performed early after the injury. Early repair may prevent the tendon from scarring and tightening in a shortened position, leading to compromised return of knee flexion and/or quadriceps strength.
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Old 03-19-2013   #10
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Default Re: Recovering Texans

Any idea why surgery was delayed after season was over?
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Old 03-19-2013   #11
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Default Re: Recovering Texans

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Originally Posted by badboy View Post
Any idea why surgery was delayed after season was over?
Most likely to try to allow some of the inflammatory tissue changes from the continued trauma to decrease in the knee.
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Old 03-19-2013   #12
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Default Re: Recovering Texans

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Originally Posted by CloakNNNdagger View Post
Most likely to try to allow some of the inflammatory tissue changes from the continued trauma to decrease in the knee.
From a medical standpoint, is this type of thing a danger to player's career or is it something that if he plays on it, the new damage if any will be correctable by surgery in most cases (not looking at Newton only but all?
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Old 03-19-2013   #13
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Default Re: Recovering Texans

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Originally Posted by CloakNNNdagger View Post
Newton must have had a problem with the knee for sometime...
As always, MSR Doc. Thanks.
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Old 03-19-2013   #14
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Default Re: Recovering Texans

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Originally Posted by Playoffs View Post
So Doc, quick rundown on how serious that is & what the recovery & longer term ramifications are?
*not a doc*

I have had problems with my patellar tendon for years (jumper's knee). I can tell you from experience that it's very hard to get any real push. It's also very difficult to bend your knees properly, which leads to improper posture and off balance, which is obviously bad for a tackle. For his to be bad enough to warrant surgery, that's a helluva task to play with it.
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Old 03-19-2013   #15
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Default Re: Recovering Texans

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Originally Posted by eriaDOC View Post
*not a doc*

I have had problems with my patellar tendon for years (jumper's knee). I can tell you from experience that it's very hard to get any real push. It's also very difficult to bend your knees properly, which leads to improper posture and off balance, which is obviously bad for a tackle. For his to be bad enough to warrant surgery, that's a helluva task to play with it.
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Old 03-19-2013   #16
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Default Re: Recovering Texans

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Originally Posted by badboy View Post
Any idea why surgery was delayed after season was over?
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Originally Posted by CloakNNNdagger View Post
Most likely to try to allow some of the inflammatory tissue changes from the continued trauma to decrease in the knee.
Does anyone really know exactly when the surgery took place?

The first thing I saw regarding the surgery was a report dated 3/7 indicating it had happened "In February". That could be anywhere from 4 weeks to 8 weeks after the season was over. 8 weeks would definitely make you question it - 4 weeks not so much.
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Old 03-19-2013   #17
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Default Re: Recovering Texans

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Originally Posted by ChampionTexan View Post
Does anyone really know exactly when the surgery took place?

The first thing I saw regarding the surgery was a report dated 3/7 indicating it had happened "In February". That could be anywhere from 4 weeks to 8 weeks after the season was over. 8 weeks would definitely make you question it - 4 weeks not so much.
exactly where I was heading. Of course Newton could have delayed it also.
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Old 03-19-2013   #18
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Default Re: Recovering Texans

Disregard.
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Old 03-19-2013   #19
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Default Re: Recovering Texans

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Originally Posted by ChampionTexan View Post
Does anyone really know exactly when the surgery took place?

The first thing I saw regarding the surgery was a report dated 3/7 indicating it had happened "In February". That could be anywhere from 4 weeks to 8 weeks after the season was over. 8 weeks would definitely make you question it - 4 weeks not so much.
My best reconstruction of what might have been going on:

If it were closer to 3-4 weeks delay from his last playing time.............it was probably to try to decrease the local inflammation prior to surgery.

If it were closer to 5-8 weeks........you've got to be thinking that they were still trying to conservatively rehab to avoid surgery........found that it wasn't working out well........and rather than continuing to hope misguidedly for a successful outcome, thought we better cease trying that route before he still ends up needing to go to surgery........and it ends up too late to make him a usefull 2013 body.
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Old 03-19-2013   #20
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Default Re: Recovering Texans

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Originally Posted by CloakNNNdagger View Post
My best reconstruction of what might have been going on:

If it were closer to 3-4 weeks delay from his last playing time.............it was probably to try to decrease the local inflammation prior to surgery.

If it were closer to 5-8 weeks........you've got to be thinking that they were still trying to conservatively rehab to avoid surgery........found that it wasn't working out well........and rather than continuing to hope misguidedly for a successful outcome, thought we better cease trying that route before he still ends up needing to go to surgery........and it ends up too late to make him a usefull 2013 body.
With the Texans medical staffs history, this is entirely possible.
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