Discussion in 'The National Football League' started by CloakNNNdagger, Jan 8, 2013.
Here are the "supposed" details that have led to this "controversy." Leaves me with a double Hmmm.
Dr. Andrews backs Mike Shanahan, says coach didn't lie about RG3
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I guess we'll see when they go in for the LCL and have a peek at the ACL?
If he has had sufficient knee joint abnormal stress\movement to have incurred an LCL tear with his ACL, partial or not, it is unlikely that as an elite athlete he will be guided to non-surgical treatment, if he expects to return to elite status.......especially if he intends to continue to be a running back-type QB.
So Doc, if Andrews has to reconstruct both the LCL and ACL at this late stage, he's most likely done for the next season, correct?
ESPN is saying he's getting his ACL and LCL repaired and should be ready for the 2013 season. CND, is the timeframe correct for that type of surgery or are the Redskins being generous?
For RGIII, THEORETICALLY, if everything goes well and without complications, he could be back by 8 months (the beginning of the 2013 season) under perfectly optimal circumstances. But there are some potentially complicating factors. This is not his first ACL repair. It is his 3rd, and the 2nd on this knee. Besides that, his patella graft used for previous repair are not available and he will likely require a quadriceps or hamstring tendon graft ( structures of the knee). Then, another point. He played on a partially torn LCL for the past 3 games. When you do so, the knee is already "destabilized" to some extent, with a setup for further damage......including ACL tear. But with a previous right ACL repair (which he underwent in 2009), it was a perfect setup for a re-tear of that ACL. When you have a 2nd ACL repair, the reality rather the exception (please don't throw out isolated examples) is......that knee will never be the same, despite what some surgeons today may claim. RGIII can make it back for the 2013 season opener, but that early, we don't know what RGIII we will see. RGIII the effective runner by that time is not likely in my opinion......and if we do see him trying to continue his pre-injury style......expect him to become more familiar with the knife.
I, personally, am skeptical that he will be ready for the opener simply based on the fact that it is a secondary ACL repair..........and the way I saw the abnormal direction of bend and the extent that knee buckled, I suspect that not only was the ACL and LCL torn, but also the MCL.
The initial assessment was an LCL, and now the prior ACL graft is torn as well. So putting him back on the field was not a good idea?
It seems odd to go into an athlete's other knee to get the new graft, given both sides are expected to see further stressors. Is there another option?
LCL tear can actually be considered a complication of ACL repair. It was not a good idea to put him back in. If the LCL were indeed mild Grade I to begin with, I would have expected to see him a normal knee brace, not a massive brace that you would have expected to see on RoboCop. I believe they knew that the tear was already Grade II. It should well illustrate that knee braces have unpredictable "protection" in cases of existing significant injury.
It is more typical that grafts are harvested on the same side of injury, so that rehab can be limited to one limb. They will probably stay with a graft on the same leg (quadriceps or hamstring tendon). Most surgeons will avoid synthetic grafts.
1. Its pretty crappy (which doesn't begin to describe the situation) if Shanahan did overrule doctors. These players are human beings, not animals.
2. Seems pretty smart in hindsight to draft to rookie QBs. I remember Shanny taking heat for that.
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So ACL was partial now...
Refer to my initial post above.
I might add that I am not aware of any arthroscopic repair technique for the LCL. This means that despite the ACL being able to technically be able to be repaired arthroscopically, the LCL will dictate that the procedure be performed through a formal open technique. Arthroscopic techniques are the major factor behind the improved/shortened rehab involving knee surgeries. In addition, open approaches to the knee carry a higher complication rate. This "open" factor in itself may see his full rehab closer to a year or more.
"Partial" vs "complete" ACL tear is more important as an imaging finding. Both need to be repaired in an elite athlete.....and both share the same rehab and essentially the same prognosis.....especially as it is in either case a secondary repair.
Not to be all selfish & self-centered about RGIII's misfortune but,
this injury kills any chance of the Texans acquiring Kirk Cousins for the 2013 season.
It has killed that which was already dead.
This is getting more ridiculous as it goes along. Dr. Andrews is already saying RB is "ahead of schedule." Give it a rest for a while.
Just like Cushing reportedly is "ahead of schedule." Cushing may be doing well, and I hope he is. But he isn't ahead of schedule. Light running is usually allowed after an ACL repair at month 3 or month 4. Cushing is starting his running at month 5. Just saying, he may indeed be doing very well.....but he is not ahead of schedule.
Shanny is hoping he'll be back but if I'm Snyder I'm taking charge .
Dr. Andrews: RG3's recovery has been 'superhuman'
What makes this even funnier to me, is remembering how Shanarat handled Brian Griese in Denver, making him go back in with an injured shoulder. It seems to me and others, that Shanny puts his career above the careers and health of his players.
It is little wonder why the Redskins drafted RGIII and Kirk Cousins with Shanarat as their HC.
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