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JJ has undergone successful surgery today. As I suspected it was indeed for a sports hernia.........joining JJo, Foster and Clowney in the "ring of honor."
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LINKPersonnel (Injury) Report Policy
It is NFL policy that information on all injured players be supplied by clubs to the league office, the opposing team and local media each game week of the regular season and postseason(including for the two Super Bowl teams the week between the Championship Games and the Super Bowl). The information must be credible, accurate, and specific within the guidelines of the policy.
All players with significant or noteworthy injuries must be listed on the report, even if the player takes all the reps in practice, and even if the team is certain that he will play in the upcoming game. This is especially true of key players and those players whose injuries have been
covered extensively by the media.
This policy is of paramount importance in maintaining the integrity of the game.
Yeah...that's followed and enforced.For those that are interested in the NFL INJURY REPORT POLICY, you can review the entire policy found in the link I supplied below.
LINK
You noticed..........Yeah...that's followed and enforced.
......joining JJo, Foster and Clowney in the "ring of honor."
Our first 3 picks have basically free of significant injury history. Unfortunately, I cannot say the same for Clett. During the 2013 season, he repeatedly dislocated his shoulder playing through it. December 2014, he underwent shoulder surgery. On October 2014, despite the surgical repair, he suffered a redislocation of his shoulder. Again, he continued to play through it and continued rehab thereafter in order to avoid further surgery.
My concern is that surgical failure (redislocation) for such shoulder surgery is 1-5 %, which he has already experienced may not be the end of the story. As with any shoulder dislocations, redislocations become more likely. Non operative treatment (conservative rehab alone) of a dislocated shoulder carries a high redislocation rate (especially in a young LB which would repeatedly exposed to shoulder trauma), some studies as high as 50% within 2 years. His next redislocation will likely meet the criteria for shoulder revision surgery.
Would not expect any until OTAs. Will likely end up continuing to courtesy work out with the team, attending meetings and training to return to the the field like last year.........and if so, it will still be an up hill battle to make it to or certainly through TC. His risks will also be determined by if his maintenance chemo will be discontinued as previously reported after 2 years, or extended to 3 years as followed by many centers. In the back of my mind, I am actually hoping that he chooses to purse another life's goal that avoids ongoing trauma to his body.Any update on Quessenberry?
What's interesting is that I went back into the past Injury Reports I keep record of and found that Watt could be found listed as far back as 2013 with "groin.Or the ring of recurrent groin injuries.
Going forward, I won't be expecting Watt to be the player who never misses a game.
Any news on Kevin Johnson? At the end of the season he was playing with a broken hand that was going to require surgery.
Doc, was Johnson's injury same/similar to Hopkins this past off season? He seemed to have recovered wellAlthough his injury was reported as a fractured hand, specifically it was a left wrist bone fracture. And the most common wrist bone fractured in football is the scaphoid (sometimes referred to as the navicular) bone............the same fractured bone that Cushing played with the end of 2014 and went on to undergo as one of his surgeries after the season was completed.
that I wrote re. Cushing's injury should act as a good review for you.
For those interested, this post and some posts following it that I wrote re. Cushing's injury should act as a good review for you.
As I stated before.........it was like Cushing's.Doc, was Johnson's injury same/similar to Hopkins this past off season? He seemed to have recovered well
The thumb spica is certainly consistent with a scaphoid fracture. If it were a tendon injury of the hand across the wrist, you would expect his entire thumb (including the distal joint) and/or MCP joints (fist knuckles) of the other digits to be immobilized. If anything, he might have a concommitant ligament injury at the scaphoid bone. The only unlikely tendon I can think of that would require a modified thumb spica cast would be the extensor pollicus (thumb) brevis.....and that wouldn't require a full hand cast pattern......just the thumb side of the wrist.
Hopkins, if anyone remembers was on the Injury Report of Dec 26, and limited in practice that week, with a wrist injury.
This link, if accurate, states that it is a "wrist ligament injury."
The above ligament I was referring to above (the SCAPHOLUNATE ligament) is the most commonly injured wrist ligament.
When the ligament is repaired surgically, stabilization is usually affected with multiple pins or a single screw. Depending upon circumstances, these pieces of hardware will be removed at varieable times.........the pins usually ~ 6-8 weeks (a cast will continue to immobilize the wrist until 12 weeks).......the single screw anywhere from 4-6 months, depending if there are any significant associated injuries. Theoretically, return could be a little earlier, if the player continues to be cast stabilized a longer period of time........however, in the case of WR, this would not be practical. Barring complication, most of these injuries require at least 4-5 months to gain optimal range of motion and strength, a significant number of patients may not ultimately be able to regain more than 75% of either.
This is the post I made re. Cushing's injury.........the one like Hopkin's:Doc, was Johnson's injury same/similar to Hopkins this past off season? He seemed to have recovered well
To preface my post, keep in mind that I am using the limited information we are given about Cushing's wrist surgery and applying logic to reconstruct a scenario that in my mind is likely.
Sounds like Cushing may have been dealing with an unrecognized scaphoid (also sometimes referred to as "navicular") bone fracture that never quite healed (arrow in figure below points to fracture of the scaphoid bone).
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Scaphoid fractures account for 2-7% of all orthopedic fractures, and they are the most common of all carpal (wrist)bone fractures. Symptoms of a "nonunion" of the scaphoid bone can be quite subtle. You may have pain when you use your wrist. However, the pain may be very minimal. It is isn't uncommon for "real world" doctors to see a nonunion of the scaphoid bone on X-rays, but the patient can't remember an injury. These patients usually suffered a wrist injury months or even years ago that they were told was a simple sprain. If x-rays are not taken at the time and then repeated 10-14 days later to account for resobtion of bone to identify a fracture, it can easily be missed. The MRI is the "gold standard" for picking up scaphoid fractures that are not defined on plain x-rays of the wrist. Still, the most common symptom of a nonunion is a gradual increase in pain. Over several years the nonunion can lead to degenerative arthritis in the wrist joint, accompanied by loss of grip strength. Scaphoid fractures are the most commonly undiagnosed fracture.......at least in the "real world." However, with MRI's so readily accessible to NFL teams and their players, overlooking this diagnosis may be considered less defensible.
As to why Cushing would have been initially told that his wrist would be in a cast for 4 weeks, then the time period extended to 8 weeks? Well, certainly not simply because they just wanted to keep him from pushing things too early. Keep in mind that the longer a joint is immobilized, the more difficult the rehab, the more atrophy of muscles, and the more possibility of loss of range of motion. No, this change of events could be more readily explained by the fact that going into the surgery, his surgeon believed that the fracture could be repaired with a simple screw......which would require only 3-4 weeks cast immobilization. Once being able to thoroughly assess the injury DURING surgery, a change of approach may have been indicated.
If there was no evidence that wrist arthritis was developing, a decision could likely have been made to get the scaphoid to best stabilize the fracture site and affect more reliable healing by using a bone graft in addition to a metal screw. Traditionally, the bone graft will be taken from the iliac crest (the rim of the hip bone) or the radius (one of the forearm bones, depicted in the figure below). Approximately 85% of scaphoid non union cases will heal with this treatment.
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After this type of surgery, a plaster cast is worn for............. ~8 weeks.
It's going to be a rough offseason for that young man.Kevin Johnson's wrist surgery will not occur for another 2-3 weeks. But that "foot" injury for which he was listed on the Injury Report for the last 3 weeks turns out to be a Jones fracture (5th metatarsal).......similar to the stress fracture that James played with until it completed the fracture. He's traveled to Charlotte, where he will undergo surgery to repair it today.
link
Texans rookie cornerback Kevin Johnson’s foot surgery was successful, according to a source not authorized to speak publicly.
The prognosis for offseason practices and a full recovery is positive, per the source.
Johnson underwent surgery to repair a stress fracture in his fifth metatarsal of his foot, which is known as a Jones fracture. Dr. Robert Anderson, the Carolina Panthers’ team doctor and a foot and ankle specialist, performed the procedure.
The injury was diagnosed with a month left in the season, and Johnson played through the pain.
Johnson isn’t done with surgical procedures. He’ll have wrist surgery in two to three weeks for a broken left wrist sustained late in the season that forced him out of the Texans’ 30-0 playoff loss to the Kansas City Chiefs.
Good grief! This guy is a walking "career threatening injury" machine. Or would that be a limping one? After Schaub, I cringe and run away any time I see or read Lisfranc injury.Concerning Clowney, I was asked what a midfoot ligament sprain really is. Well to keep it very simple, it is essentially a term used when a ligament anywhere across the Lisfranc joint complex (see the first figure below) is usually only partially torn, and with no associated adjacent fracture. The term Lisfranc complex ligament injury and midfoot sprain has sometimes been used interchangeably with the classic Lisfranc Injury, but this classic injury is more correctly specific to one ligament (see the second figure below).......an injury in a football player that usually requires surgery to assure stability (although there are more atypical cases that are partial tears without displacement and without instability that have been treated over long periods of months to see if the joint "holds"........and if it doesn't surgery and its additive long rehab is then embarked upon, Midfoot sprains, on the other hand, are commonly treated nonsurgically. However, if instability is present or subsequently ensues, surgery is indicated. A Grade I midfoot sprain can usually keep a player off the field a couple of weeks. A Grade II is less predictable and can typically take anywhere from 4 weeks to 12 weeks. Grade III nonsurgically treated may take even much longer.
With Clowney, we don't know exactly at what position in the complex a ligament was torn. It could be a partial tear of the classic Lisfranc Ligament...........and no one at the Texans would want to use that term, even if it were a grade I......it would scare the heck out of the fan base. But even it were one of the other ligaments in the complex, there was no way Clowney after less than 2 weeks from the injury should have been playing in the playoff game........he was certainly not dogging it.
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Not that it means anything, but I saw a selfie pic of him with a teammate and he definitely looked thicker around the neck & face area.Any update on Quessenberry?
reaction to chemo?Not that it means anything, but I saw a selfie pic of him with a teammate and he definitely looked thicker around the neck & face area.
Probably adding weight and muscle?reaction to chemo?
Both are possibilities.Probably adding weight and muscle?
I would say likely possibilities.Both are possibilities.
Vincristine and methotrexate is a common combination used for long term maintenance of his disease. It is more typically associated with weight loss and muscle loss/weakness.reaction to chemo?
MOBILE, Ala. — Texans star defensive end J.J. Watt is diligently rehabbing after undergoing successful sports hernia surgery in early January.
Texans coach Bill O’Brien was noncommittal on exactly when the Pro Bowl pass rusher will return this offseason after having surgery in Philadelphia with Dr. William Meyers operating on him, but the reigning NFL Defensive Player of the Year is expected to make a full recovery in time for next season. Watt led the NFL with 17 1/2 sacks, 29 tackles for losses and 50 quarterback hits last season despite playing with the groin injury and a broken left hand.
[A somewhat strange statement. Sports hernia repair is usually a 6-8 week recovery, although more like a 10-12 week back to form. There is no reason that he should not be able to participate right after the Draft.......or his injury/surgery has involved something more extensive than what has been reported.]
“We’ve spoken a few times,” O’Brien said Wednesday at the Senior Bowl all-star game. I don’t think it’s easy anytime you go through the injury he had and the operation he had. He’s recovering and it’s going to take a while.
“He’ll be back. Nothing’s going to hold J.J. Watt back. He’s a great player. So, he’s in rehab mode right now. I think we have to play it by ear. He’s working hard to get back.”
O’Brien said that Texans outside linebacker Jadeveon Clowney’s foot is feeling better after being sidelined for the final game of the regular season and a playoff loss to the Kansas City Chiefs.
[Only "feeling better" at this point in time confirms that Clowney did not suffer only a "minor" Grade I ligament tear. It had to be at least a Grade II or a Grade III tear. If he is not back right after the Draft, he has likely suffered a Grade III tear.......and surgery is an outside possibility if joint stability is not maintained once he tests the foot out in drills/practice.]
Meanwhile, Texans rookie cornerback Kevin Johnson is recovering from surgery to repair a Jones fracture in his foot. Dr. Robert Anderson, a foot and ankle specialist and the Carolina Panthers’ team doctor, performed the procedure in Charlotte, N.C. Johnson played through the pain of the injury for the final month of the regular season. Johnson is also going to undergo surgery to repair a broken left wrist.
[If both injuries heal without problems with non-union of the bones (or in the case of the Jones fracture, a breaking of the screw hardware), he should be able to begin practice ~ 3 months following his wrist surgery (which will not be performed until mid February).]
“He’s mature beyond his years,” O’Brien said of Johnson, the Texans’ first-round draft pick who recorded 54 tackles, one interception and nine passes defended. “He came in here didn’t hit the rookie wall, came in here and worked really hard to get better and better every week, practiced hard and played through the injury. I think he’s got a really good future in this league.”[/QUOTE]link
Gotta agree here. I'm not sure if he's "injury prone" or just plain snake-bit. Whatever the reason(s), the Texans ROI on that #1 pick is awfully low.Good grief! This guy is a walking "career threatening injury" machine. Or would that be a limping one? After Schaub, I cringe and run away any time I see or read Lisfranc injury.
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Bill O’Brien: Arian Foster “working hard to get back”
Added this to the Foster thread, but thought it should really go here.
Texans Arian Foster Cleared For Light Jogging
Patrick Starr
9:22 AM
Arian Foster has been cleared by his doctor to start jogging after tearing his Achilles against the Miami Dolphins in a blowout loss on October 25th.
Foster has been rehabbing his injury and came out of his boot almost a month ago, now with Foster set to start jogging, his track to be back on the field for training camp is on schedule.
There have been plenty of rumors concerning Foster's future with the Texans but the 7-year veteran is planning on playing in 2016.
Clowney is the most injury prone person who ever put on a jock strap. And now they're saying his name and Lisfranc in the same sentence? Shudder! We just wish he had some trade value.Good grief! This guy is a walking "career threatening injury" machine. Or would that be a limping one? After Schaub, I cringe and run away any time I see or read Lisfranc injury.
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Obviously you don't remember Bennie Joppru...Clowney is the most injury prone person who ever put on a jock strap. And now they're saying his name and Lisfranc in the same sentence? Shudder! We just wish he had some trade value.
Watt played in over 1,001 defensive snaps (96.2% of total defensive snaps) for the Texans, which was tops for the defense. Watt was 1 of 49 defensive players to play over 1,000 snaps in 2015 and of those 49, only two were defensive lineman. Watt’s injuries and his high snap count almost got the better of him this past year.
Caught JJ on the Dan Patrick show. Sounds as if it was more involved than what they originally thought it would be. Skip to 3:15.
If you've followed my posts re. sports hernia, you will remember that a sports hernia is not uncommonly found to occur bilaterally (as we now know is the case with JJ), or will develop a contralateral sports hernia later. With a single sports hernia, presence of a hip pathology is extremely common. There is a triad of abdominal tear, adductor tear and hip labrum tear that is referred to as the "sports triad."
You may be interested to review this previous post of mine the details the above relationships.......one that emphasizes the importance of addressing the underlying hip pathology.
With JJ having bilateral sports hernias, you can be sure that he also has underlying hip pathology. Because of the core and hip mechanics being affected, the appearance of back issues is not unexpected (Last October, you may remember that JJ was listed on the Injury Report as "back."
His groin injuries have been building up since at least week 4 of 2014............remember this pic?:
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full article here http://www.houstontexans.com/news/a...r-bruise/8c902b5f-f25d-467d-9496-1c4d1e2756c5finally opened up about that mystery bruise he posted on Instagram last week. Last season, he suffered a hit to his right thigh during the first half of the Texans Week 4 game against Buffalo. The result was a monster-sized purple splotch starting from his upper thigh to his knee.
“That was a beautiful block by Fred Jackson," Watt said Wednesday. "He did what anybody would have done which is exactly what I would have done. I had to make a decision between trying to block the pass or trying to protect myself. I decided to try to block the pass and Fred made me pay for it which is what he’s known to do, so he got me pretty good.”....
The bruise didn’t appear to affect him in the weeks that followed, but did linger for while before it eventually dissipated.
“It took about a month and a half, two months for it to completely go away," Watt said. "It hasn’t been any problem at all since. I was just looking through my phone the other day and saw the photo. Obviously, I didn’t post it during the season because I didn’t want people to know too much about it. Now there’s no problems and I haven’t had a problem with it since maybe a month and a half after it happened.”
linkA groin injury is a layman’s term for a muscle strain of the adductor muscles. A strain is a stretch or tear of a muscle or tendon. The muscles in your groin help bring your legs together. There are two muscles that may commonly get injured in a groin strain: the adductor magnus (the muscle running down the inner side of the thigh), and the sartorius (a thinner muscle that starts on the outside of your hip, crosses your thigh, and attaches near the inside of the knee).
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Sports Health. 2014 Mar; 6(2): 139–144.
doi: 10.1177/1941738114523557
PMCID: PMC3931344
Sports Hernia/Athletic Pubalgia
Evaluation and Management
In 37 hips of primarily Division I and professional athletes that presented with sports hernia/athletic pubalgia and intra-articular hip/FAI disorders with pubalgia surgery alone, 25% returned to sports.16 When only arthroscopic FAI correction was performed, 50% returned to sports. When both conditions were surgically managed in a staged manner or at the same setting, 89% returned to sports without limitations. The mean modified Harris hip score improved from 75 points preoperatively to 96 points at a mean follow-up of 29 months. In 38 professional athletes with both sports hernia/athletic pubalgia and intra-articular hip/FAI disorders, FAI surgery alone resulted in a resolution of athletic pubalgia symptoms in 39%.10 No patient returned to their prior level of activity after athletic pubalgia surgery alone. With combined FAI and athletic pubalgia surgery, they all returned to professional competition.10 The proposed concept is that motion-limiting FAI can increase compensatory stresses on the adjacent pubic symphysis, lower abdomen, and proximal adductors, which might contribute to the development of sports hernia/athletic pubalgia in a subset of athletes. Of interest, 39% to 50% of athletes had resolution of their pubalgia symptoms after arthroscopic FAI corrective surgery (Figure 5). Therefore, it may be reasonable to consider FAI corrective surgery with later pubalgia surgery if symptoms do not subsequently resolve. In higher level athletes, however, management of both disorders surgically, in a staged or concurrent manner, may allow for a more predictable return to sports with less time lost from athletics secondary to persistent symptoms and increased rehabilitation time.
Patrick Starr reports:
Keep it up and Watt is likely to quickly follow in the foot steps of Foster.
"whooee, look at the new remote control they gave me!"![]()
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Hmmmmm he is a white guy, if that's what you mean as far as pale goes......