AJ out a few weeks, has procedure

[False Start]

Originally Posted by HOU-TEX

Kubiak said they were getting a second opinion and won't know for a day or two. He doesn't know if it's 3-4 days or a couple weeks.

I guess they don't understand that most fans are still holding their collective breaths since AJ went down like he was shot in the leg. Tell us something, damn. Reassure us he's not out for the season....something

No doubt, I was keeping an eye on the clock at work today to listen to the presser.

I expect maybe three weeks. The way Kubiak was talking it didn't seem like its catastrophic. But then again, nobody knows nothin right now.

[gtexan02]

Originally Posted by Gary

You don't replace Andre Johnson," Kubiak said. "Others have to pick it up the way they did Sunday. If he's going to miss some time, the other players will really have to stick up."

You mean 0 catches for 0 yards?

[welsh texan]

Lots of hamstring issues on the squad this year. Just wondering, with hammy's a lot of it is about how well you warm up and training, a lot is linked to the back and such from the hamstring so its extremely important to be warmed up really well to stop this kind of injury.

With that in mind;

Is it bad luck? Or are our S&C trainers failing in their job?

Second point is; Who takes over the #1 spot at this point. Kevin Walter is #2, does he step up? Or do we slide Jacoby into the #1 as his size/speed creates better matchups even if his hands aren't as good.

No matter what, Jacoby hasn't done much so far this season, especially if you remove his PR duty from the equation, its time for him to step up big or we're sunk, lucky we're on the easiest schedule I can remember.

[CloakNNNdagger]

Originally Posted by gtexan02

Given the way he was moving around on the sideline after the game I'd say ACL or complete tear of hamstring have got to be almost no probability

A person can surprisingly walk with little noticeable limp with a complete tendon avulsion (without the typical significant flexion of the knee), especially if it involves a distal avulsion and even more likely if it involves only one of the distal hamstring muscle tendon groups (medial or lateral) attached to the tibia and fibula. The only time you may see a noticeable problem is when a person with this type of injury tries to walk downhill.

[ziggy29]

Originally Posted by HOU-TEX

Kubiak said they were getting a second opinion and won't know for a day or two. He doesn't know if it's 3-4 days or a couple weeks.

I'd be thrilled if "worst case" was a couple weeks. A garden variety hamstring pull usually needs 2-3 weeks minimum. And sometimes it takes longer, especially if you wait until you know the guy is 100%, because anything less than that just makes re-aggravating the injury very likely and leave him at less than 100% for the rest of the season.

[False Start]

AJ is a tough dude. I wouldn't be surprised if he just rubs dirt on it and says, F it...lets roll.

[HOU-TEX]

Originally Posted by False Start

AJ is a tough dude. I wouldn't be surprised if he just rubs dirt on it and says, F it...lets roll.

Duct tape, bailing wire and bubble gum should do the trick

[Hervoyel]

Originally Posted by HOU-TEX

Duct tape, bailing wire and bubble gum should do the trick

Didn't you hear? AJ's "all outta bubblegum"

[kiwitexansfan]

I'll take 3-4 weeks.

As long as we aren't talking season ending I'm happy.

One thing Kubiak can do is generate some offense and as long as the majority of Foster, Tate, Casey, Walter, Jones, Daniels and Dreesen are near 100% I think we'll manage for those 3-4 weeks.

[disaacks3]

I expect him out till after the Ravens game (at least).

[Rey]

Andre was the only WR to catch a ball on Sunday.

I think we can still be productive without him, but it will be a struggle. Matt's not good enough to greatly raise the level of of play of his receivers and we don't have anyone close to Andre's talent level.

That is going to put a lot of pressure oneveryone else, OD and Arian in particular. It will also put a lot of pressure on the playcalling.

[The Cush]

The Chron is saying they are looking for a second opinion and won't know the severity of the injury for a couple of days. That doesn't sound good, as in they didn't like what they heard the first time around hoping someone else can give a more positive diagnosis.

http://www.chron.com/sports/texans/a...re-2200616.php

[Naiirb]

If his injury is really serious i don't expect him back till after the bye week. That should give him 7 weeks to heal up and get ready to make a some serious noise in the playoffs. *fingers crossed he'll only miss a few games

[TexansForTheW]

Kubiak on 610 just said Andre tried to give it a go after he went in the lockeroom. Is it that bad?

[The Cush]

Originally Posted by TexansForTheW

Kubiak on 610 just said Andre tried to give it a go after he went in the lockeroom. Is it that bad?

That's actually a good sign for me. If it was serious, they wouldn't have even let him attempt to go back out there.

[gtexan02]

Originally Posted by CloakNNNdagger

A person can surprisingly walk with little noticeable limp with a complete tendon avulsion (without the typical significant flexion of the knee), especially if it involves a distal avulsion and even more likely if it involves only one of the distal hamstring muscle tendon groups (medial or lateral) attached to the tibia and fibula. The only time you may see a noticeable problem is when a person with this type of injury tries to walk downhill.

I wasn't so much discussing the possibility/probability that he could do it, only that it would seem like there would be no chance that a professional sports training staff would allow a player to go back to the sidelines without any sort of brace/support/etc if there was an injury that severe.

[CloakNNNdagger]

Originally Posted by False Start

No doubt, I was keeping an eye on the clock at work today to listen to the presser.

I expect maybe three weeks. The way Kubiak was talking it didn't seem like its catastrophic. But then again, nobody knows nothing right now.

He said that he could be back in a few days or a few weeks..........will get some additional 2nd opinions.

This makes me think that the 2nd opinions are to determine whether to take a non-surgical vs surgical approach. In other words, I believe that the MRI may have already identified a subtotal tear or complete tear/avulsion of the distal hamstring tendon (or the PCL). With a distal hamstring avulsion, there has been controversy whether to surgically repair or not.

Most hamstring tears/avulsions occur more proximal as in this illustration.




(See my previous post showing the distal hamstring tendon attachments.)

One study published in the past few years reported on elite athletes with this type of injury. They found that in the nonoperative treatment group (12), 7 players recovered at an average of 10.4 weeks (range, 3-35). Five of these players (42%) failed initial nonoperative treatment (mean, 16.8 weeks) and subsequently had surgery to resect the torn tendon and surrounding scar tissue. These 5 players recovered at an average of 12.8 weeks postoperatively. In the acute [immediate] surgery group, 5 players had surgery to resect the torn tendon and scar tissue within 4 weeks of injury. The acute-phase group had an average recovery of 6.8 weeks after surgery.

I believe that this is possibly the dilemma facing AJ and the organization. Making a decision that at least gets him back before the end of the season or playoffs.

There is no mention of the PCL, but let's say that if the PCL has theoretically been shown to be completely torn, a little different situation exists but with similar decision quandary. Surgical reconstruction of the PCL is controversial, and usually only recommended for grade III PCL tears. Because of the technical difficulty of the surgery, some orthopedic surgeons do not see the benefit of PCL reconstruction. Others, however, believe PCL reconstruction can lead to improved knee stability and lower the likelihood of problems down the road. Non-surgical rehab can take 6-8 weeks........Surgical rehab 6 months.

Again, let me emphasize that I have no access to the findings, physical or radiological. But if this were just a straight forward "minor" hamstring problems, I don't believe that there would be need for several 2nd opinions.

Let me leave you with this article that appeared after an MRI was obtained in 2007 following AJ's PCL/MCL injury. You might want to compare some of the wording.

Sprained knee may keep Johnson out vs. Colts

By Megan Manfull - Houston Chronicle

Andre Johnson, who hurt his left knee Sunday against the Carolina Panthers, is doubtful to play for the Texans when the team plays the Indianapolis Colts this Sunday at Reliant Stadium. The Texans had an MRI done on Johnson's knee Monday morning and it revealed a sprain.

"I would say that he is doubtful for that football game," Kubiak said. "We'll know more in the next couple of days. There was no swelling, but there's definitely a sprain there. It's a concern right now."

The initial diagnosis was that Johnson had strained his posterior cruciate ligament. He hurt it during a big hit that followed his last catch a 10-yard grab with 11:58 to go in the game.

"He has a knee sprain," Kubiak said. "That's the good news and the bad news. We feel fortunate. Andre is going to be fine. Is he going to be fine in one week? Or is he going to be fine in four weeks? We're still in the evaluation stage. We don't know."

Johnson currently ranks fourth in the league with 262 receiving yards on 14 catches. The next most productive receiver on the team is rookie Jacoby Jones with 33 receiving yards on two catches. Kevin Walter has two catches for 17 yards.

If Johnson can't go on Sunday, Andre' Davis will be activated.

AJ ending up missing 7 games..........

[steelbtexan]

Why would you let someone as obviously hurt as AJ was try to give it a go. (You can only do more damage to the hamstring.) The Texans medical staff is at it again.

[drunkcookie]

Originally Posted by The Cush

The Chron is saying they are looking for a second opinion and won't know the severity of the injury for a couple of days. That doesn't sound good, as in they didn't like what they heard the first time around hoping someone else can give a more positive diagnosis.

http://www.chron.com/sports/texans/a...re-2200616.php

It could mean that, or that they're trying to be more careful...

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[dream_team]

Anything less than season ending and I'm a happy camper!