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Schaub injured (update)

Lienart is a bust plain and simple. I pray to god he can atleast not throw interceptions. This sucks so bad. I wish I shared the same optimism as you guys and trust lienart but this season is gone. Even if we make the playoffs, there's no way we are beating a team with lienart as qb

If Tebow can with that crap in Denver, surely Houston can avoid having the whels fly off of this season.
 
This report looks a lot worse. Says they are usually surgically repaired???

Most often the treatment of a Lisfranc injury is surgical, although some minor injuries can be treated conservatively. If there is minimal displacement of the bones, a stiff walking cast applied for approximately eight weeks is an appropriate alternative. However, the more common treatment is to secure the fractured and dislocated bones with either internal (screws) or external (pins) fixation.
 
My best buddy has a broken foot and part of it is a Lisfranc fracture. I think he told me the other day that he can't resume basketball activity for another few months, and will be on crutches/wheelchair for 10 more weeks.

If so....Jesus.
 
I wasn't that impressed with Leinart in pre season. All he need to do is to manage the game and keep the downs manageable. If he can do that we still can make the play-offs. That said I need a drink now.
 
If....

What is a Lisfranc Injury?
Scott Kaar, MD Jul 29, 2011ShareThis



A Lisfranc injury refers to a rare injury to a joint in the center region (commonly known as the midfoot) of the foot. Although a lesser known injury, an injury in this region of the foot can be highly debilitating for an athlete who depends on their lower extremities for so much of their athletic performance. These easily overlooked injuries have recently threatened or adversely affected the careers of such well known athletes as Dwight Freeney of the Indianapolis Colts, Kevin Jones of the Detroit Lions and also Larry Johnson of the Kansas City Chiefs.

Where is the Lisfranc joint?

Lisfranc’s joint is located at the junction of the forefoot and the midfoot. Specifically, Lisfranc’s ligament refers to a specific ligament that originated from the medial cuneiform (one of the small bones in the midfoot region) and attaches to the base of the 2nd metatarsal (second long bone of the forefoot). This small, but important ligament helps stabilize the midfoot and it’s relationship with the forefoot. It also helps to preserve the arch of the foot, along with the curved shape of the bones themselves. There are also other ligaments of lesser importance in this region that contribute to the stability of the foot. Over time, the term Lisfranc injury has expanded to include any injury between the various joints between the forefoot and midfoot regions. This does not only include specifically Lisfranc’s ligament and has come to be known as the “tarsometatarsal complex”.

How is the joint typically injured?

Typically a Lisfranc injury occurs when there is a severe twisting force on the joints connecting the forefoot and midfoot. The forefoot is stuck in place and the force occurs through the athlete’s entire body when all their weight twists around the fixed forefoot. This classically occurs when a horseman falls off a horse and their foot stays locked in the stirrups. This same mechanism of injury can occur during a windsurfing accident. The windsurfer’s foot remains in the board’s stirrup while the surfer falls off the board. These injuries more commonly occurs when someone’s forefoot is stuck in the turf or ground and they unexpectedly rotate when making a cut, changing directions or are being tackled. This last type of injury is influenced by the friction between the playing surface and the athlete’s shoewear.

What about a Lisfranc injury and football?

Another mechanism by which a Lisfranc injury occurs is when an athlete, typically an offensive lineman in football, sustains a direct blow compression injury through their foot. The lineman is blocking an opposing defender while moving forward such that only their forefoot is on the ground while their heel is raised in the air. If another player falls on the blocker’s heel, a significantly large axial force occurs through the lineman’s Lisfranc joint. Furthermore, if any twisting motion also occurs, the injury can be more severe.

What are different types of Lisfranc injuries?

A Lisfranc injury can be described in various ways. One way is to differentiate them based on whether the injury is purely due to ligament rupture, or whether a small fleck of bone is pulled off (avulsed) from the ligament’s attachment to the bones of the foot. Also in the most severe high energy injuries, there may be a dislocation of the joints of the midfoot and/or multiple fractures present. A Lisfranc injury can also be classified based on which direction the involved bones move (displace) during the injury once the involved ligaments are torn.

How is a Lisfranc injury diagnosed?

A Lisfranc injury is initially diagnosed based on the history and description of the athlete’s acute injury. Often an athletic trainer at the practice or competition may see the injury occur in real time and have an immediate suspicion for the injury. The athlete will describe the immediate onset of pain in the midfoot region. There may be difficulty or even an inability to put weight on the injured foot. Over the course of the ensuing day, swelling and bruising often occurs that when serious may even become evident on the bottom of the foot. On a physical exam, the injured athlete will be tender over Lisfranc’s joint and any others involved in the injury. In the most severe of injuries, those that involve a large direct crushing force to the foot, the swelling may be so severe that an emergent evaluation in an emergency room is necessary and possibly even immediate surgery. This is however extremely rare in the setting of athletic injuries.

What imaging studies are important for a Lisfranc injury?

If a Lisfranc injury is suspected based on the description of the injury and the physical evaluation, further work-up is warranted with imaging studies. Any suspected injury should be evaluated studied with plain radiographs of the foot. It is important to take these x-rays with the patient standing on the injured foot if possible. The weight placed on the foot may cause spreading to be seen between the bones on the radiograph that might be missed on non-weightbearing x-rays. This helps to identify the injured ligaments. Another option is to take the x-rays while applying a force to the forefoot in an attempt to recreate the mechanism of injury. This may also demonstrate widening between the involved bones of the foot. An ultrasound evaluation is another simple, non-invasive way to image the injured structures in a similar dynamic fashion.

When an injury occurs that involves a fracture in this region a CT scan is best for evaluating the complex bony detail of the region. Another useful advanced imaging modality is a MRI scan. MRI is helpful in detailed evaluation of ligamentous structures, and it can see bruising in the small bones of the foot (edema) which indicate an acute injury. This can be extremely helpful when a purely ligamentous injury, without a fracture, has occurred as both of these findings are not seen on the other imaging studies.

What is the prognosis of a Lisfranc injury for an athlete?

A Lisfranc injury is a very serious, often season and sometimes career threatening injury. Untreated, a Lisfranc injury can lead to chronic, debilitating pain in the midfoot. The injury also is a cause of secondary arthritis of the involved joints which is possible even with the appropriate care (surgical or not), but is considerably higher if not treated in a timely fashion.

How is a Lisfranc injury treated in an athlete?

Treatment necessitates evaluation by an orthopaedic surgeon who routinely takes care of these injuries. This may include a sports medicine trained surgeon or an orthopaedist who specifically treats foot and ankle injuries. If after appropriate testing determines that the injury is considered a stable injury, then it may be treated with a period of non-weightbearing followed by gradual return to normal activites as detailed below. If the injury is unstable, or even if the suspicion is there for it to be unstable, then acute surgical treatment is warranted.

What is a typical course of non-operative treatment?

For a stable Lisfranc injury, treatment begins with a period of immobilization either in a removable boot or frequently a cast that includes the foot and the leg below the knee (a short leg cast). This typically lasts 6 to 8 weeks with the patient using crutches and not allowed to put weight on the injured extremity. At the same time, it is important to elevate the injured leg to decrease the swelling and therefore the pain from the injury. Icing the foot can be done also for pain and swelling if a boot is used and direct access to the foot is possible. Pain medications, usually in the form of anti-inflammatories, are also taken. In the case of a more minor injury, the duration of limited weight-bearing and immobilization may be shortened at the treating physician’s discretion.

What does surgery for a Lisfranc injury consist of?

If the injury is found to be unstable, then surgery is warranted. The timing of surgery depends on the amount of swelling and the status of the skin overlying the injured foot. If there is too much swelling or the skin is in poor condition from the injury, a short period of elevation and swelling control is warranted prior to surgery. This will decrease the chance of complications from surgery such as infection or wound breakdown, both of which have serious consequences.

Surgery typically involves rigidly stabilizing the injured joints. The specific midfoot joints that are stabilized depend on the specific ligaments that are injured and may vary somewhat on a case by case basis. The majority of the time, stabilizing the injured region requires one or a few relatively small incisions, the placement of screws and in some cases wires. By holding the involved joints rigid, the torn ligaments are allowed to heal.
There is some evidence that permanently fusing the joints of the foot that are injured may be preferential in some cases. The rationale is that the initial Lisfranc injury damages the cartilage of the joint which predisposes an athlete to the development of arthritis. By fusing the injured joints, the cartilage is removed and there is no chance of arthritis developing. One concern in an athlete however is that there may be less motion in the midfoot region after a fusion than a repair. Also following a fusion, the motion normally present at the fused midfoot joints is transferred to the uninvolved joints. This added stress can lead to the development of arthritis elsewhere.

What happens after surgery on the Lisfranc joint?

Postoperatively following a typical Lisfranc joint repair, the patient must be non-weightbearing on the operative foot. This period of restricted weight-bearing and relative immobilization is typically 6-8 weeks. Subsequently, the amount of weight-bearing allowed is gradually increased over the next few weeks. Physical therapy is initiated and sports-specific training is begun. At some point, once the torn ligaments have been given sufficient time to heal, the screws used to fix the Lisfranc injury are removed as a minor operative procedure. This again allows normal motion and function to take place in the athlete’s midfoot region. It also avoids breaking of the screws by a repetitive fatigue mechanism with impact loading that occurs during weight-bearing on the repaired foot. Although the actual timing is somewhat controversial, this usually occurs somewhere between 3 and 6 months after the first operation takes place.

When can someone typically return to playing sports after being treated for a Lisfranc injury?

Stable Lisfranc injuries that do not require surgery may cause an athlete to miss 2 months or more of their season. However, most athletes are able to successfully return at some point. Those injuries that are unstable, and require surgical repair, are serious injuries that almost always cause the injured athlete to miss the remainder of their season. It is also not uncommon for a high level athlete to not be able to return to the same level of athletic performance even in following seasons. Two well-known examples are Eric Rhett and Duce Staley both of whom had surgery for a serious Lisfranc injury and never successfully returned to their pre-injury form.
 
Schaub will see SEVERAL specialists the next couple of weeks.
That doesn't sound too good.

Kubiak will be on 610 at 5:00 PM
 
I think A.J will help out Leinart a lot. Seriously last season we had 0 significant injuries, and we sucked this season when we finally get it all together every important player we need is getting hurt, maybe this team is just never meant to win anything :roast:
 
All season they have had guys stepping up. See Reed, Jones, Tate, Demps, Nolan.

This is a big reason why this season has been a success through 10 weeks. Depth and guys taking anvantage of opportunities.

Lets go Leinart....show everyone why you think you should be a starter in the NFL.
 
SadCat5.jpg


EDIT: Didn't mean to post that twice but my computer hung up.
 
Lienart is a bust plain and simple. I pray to god he can atleast not throw interceptions. This sucks so bad. I wish I shared the same optimism as you guys and trust lienart but this season is gone. Even if we make the playoffs, there's no way we are beating a team with lienart as qb

Why is Lienart a bust?

From what I remember, he just wasn't into investing into his career.

According to Kubiak, he's much better now, with a desire to prove he belongs in this league.

The kid is talented, & we've got a lot of talent on this team. Last time Matt Lienart was surrounded by this much talent, he was playing in a Championship game.

:koolaid:

:koolaid:

Dammit.... where is my F@$%! rum..

:koolaid:
 
Why is Lienart a bust?

From what I remember, he just wasn't into investing into his career.

According to Kubiak, he's much better now, with a desire to prove he belongs in this league.

The kid is talented, & we've got a lot of talent on this team. Last time Matt Lienart was surrounded by this much talent, he was playing in a Championship game.

:koolaid:

:koolaid:

Dammit.... where is my F@$%! rum..

:koolaid:

Man, I'm getting so wasted on this Koolaid. That Leinart knows how to party.
 
Time to bring VY home!

Eww just threw up a little in my mouth. Maybe we should draft a better backup next year. Maybe a local kid like the one from UH or Baylor. has anyone seen the QB #4 zack dysert from Miami oh? I like what I've seen from him so far.
 
How would anyone know what it is if they haven't seen the MRI, or even heard Kubiak say anything other than "a significant foot injury?"
 
could schaub playing for the most of 2 quarters mean the injury isnt a severe lisfranc injury? #hopingforthebest
 
C'mon people, Lienart gets to start for the first time against Jacksonville. That's one of the easiest teams left on our schedule, so he should be alright as long as he doesn't throw too much. Foster and Tate will run all over them, and our defense will come up big against Gabbert. Hold MJD under 100 yards rushing, and maybe Matt can get a couple of good throws in to keep the defense honest. He won't be the focus of the offense, that's for sure.
 
Just when everthing is rolling. Aj coming back abs schaub going out

7+ weeks puts schaub out passed the playoffs
 
Guess we'll see if Kubiak truly is "a guru with QBs".

This city's cursed, man!

Bottom line, he's going to have to coach his ass off.

This year hasn't been a walk in the park, but...... he's got to go to another level. He's got to step it up.
 
Damn...This is shocking...

Hopefully Leinart shines and we can trade him to some QB hungry team in the off-season or just keep him as a great ins policy...
 
C'mon people, Lienart gets to start for the first time against Jacksonville. That's one of the easiest teams left on our schedule, so he should be alright as long as he doesn't throw too much. Foster and Tate will run all over them, and our defense will come up big against Gabbert. Hold MJD under 100 yards rushing, and maybe Matt can get a couple of good throws in to keep the defense honest. He won't be the focus of the offense, that's for sure.

Maybe you don't get the idea that Schaub could be out for the season and not just one game. I'm sure nobody is scared of jacksonville
 
McClain_on_NFL John McClain
Kubiak loves leinart. We'll see if he's right bout leinart like he was schaub.


McClain_on_NFL John McClain
Kubiak said they hope schaub can play again but won't know till he's finished with evaluations.

McClain_on_NFL John McClain
Kubiak said schaub will see foot specialists in Indy and Charlotte next week, bye week this wk.

McClain_on_NFL John McClain
Matt leinart will start against Jax with Schaub out.
 
Wow, unbelievable. I figured it was just a precaution that he left in a walking boot from the game. Hopefully we can have him back a few weeks before the season ends.

This is a huge loss but it also gives Leinart a chance to step up and show why he was a top 10 pick in this league. He's got a supporting cast around him, especially if AJ comes back, to excel in the offense that we run.
 
:kubepalm: :wadepalm:

How to ruin my day. Geez, I would have liked a little more basking time before having my bubble burst.

Time to make my :glasshalffull: and keep it that way. I see a lot of action in the drunk thread tonight.
 
Hardee har har. I knew I threw a softball out there but I was hopin y'all would think it was too easy and just answer the question instead.

Fine. I'll elaborate. Leinart's weaknesses include a lack of interest in football and possessing the tainted spirit of a loser. His arm strength is Chad Pennington laughable (not that we will be losing much in that dept. either way) and his pocket presence is generally atrocious. In a lot of ways, he reminds me of another pretty boy from California who the Texans pinned their hopes and dreams too, only to find out that his head was too far up his own ass to actually show any signs of improvement. That is what is currently on the books for Leinart until he gives us something else to work with.
 
Best case scenario from today.

-Matt is only out for 6-7 weeks. Coming back right in time for playoffs.
-The other Matt plays great during that period. His trade value would be pretty high.
-Texans have a tough decision to make...

I still have a lot of faith in this team.

As long as Foster stays healthy along with Cushing, D.Brown, Myers, Winston, J.Joseph...

This team is loaded with talent guys. They are not going to fall off the cliff, if they can survive Andre going out they can survive Matt going out.

EDIT: Also Titan fans celebrating the news. I can't wait to curb stomp them again with or without Schaub.
 
the Texans have one thing to do.. (helps to have a buy this week).. Take care of business the next 6 weeks after that and earn a bye in the Playoffs..

that will put us at 8 weeks divisional game.. Schaub hopefully would return for that.
 
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