April 21, 2024 • 58 mins
Debating if Bronny James should go to the Draft or stay in college to grow, AI in MLB, we playing a game for fans to win prizes, and have Sports medicine 101 Discussion.
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(00:00):
It's tip off time for Doctor tO. Sorrel and Inside Sports Medicine on
ninety seven to one The Freak.Doctor Sorriel, one of the nation's leading
orthopedic surgeons and former head team physicianfor the Dallas Mavericks, bringing his unique
sports insights and stories from inside thegame. With special guests from the world
of professional, college and high schoolsports and sports medicine, The Doctor breaks
(00:21):
it all down. Buckle up yourchin strap and tighten your laces for the
most informative ninety minutes in sports medicine. It's kickoff time for Inside Sports Medicine
with Doctor t. O. Sorrialon ninety seven to one The Freak.
(01:06):
Good Saturday morning. Everyone, GoodSaturday morning, and welcome the Inside Sports
Medicine. I'm your host, Doctort O. Sorry, I live in
the studio. Incredible. She wasan offensive player and she was, oh
yeah, she was trying to setup for an open Yeah. Yeah.
She's Yukon's best player by far,and they want to get her the ball
(01:26):
in crunch time with you know,four seconds left on the clock and get
her the opportunity to win the gamefor him, which I think is completely
reasonable. And I think she justdid a poor job in one play of
coming off the screen. You know, I think that they teach you early
on in high school, you know, come off tight, let your big
(01:48):
set up, and then come offtight on the screen. And I think
she got a little fast and cameoff too high, made her big sit
in a difficult position, try toslide over and get in front, and
it didn't happen, and the refscalled, you know, offensive foul and
I think you live with that.So, by the way, I'm back,
(02:12):
okay, hey, it's the issue. By the way, is the
uh I just got a text fromsomeone saying the live stream is not live.
I'm assuming that's related. Yes,sorry, we were technically down for
like a quick second. I couldn'thear anything from the studio. I had
to call some engineers and stuff.But we are live now. So if
you're listening, if you're listening fromLondon, England, uh, try again,
(02:36):
because I think we are on.We are, we are now.
It was just mixed up with theboard. Okay, Well was that you
or was that somebody else? Isthat operator error? No comment? Okay?
Uh, So back to what wewere talking about. So I've covered
a thousand NBA games, and I'vealways felt that the weakest part of the
(02:59):
game was the shating because they arerequired to see something, process that something,
and react, and as you know, we don't all process what we
see the same way. And thesame goes for NBA referees or heck,
(03:21):
any referee. The NFL has gota problem with with the same type of
thing in that you know, isit is it a person is it pass
interference? Is it offensive? Defensive? It is very difficult to no matter
how much training you have. Itis very difficult, no matter how much
(03:43):
training you have, to be ableto make that call and process what you
just saw. We all saw theball go out of bounds off of this
guy's fingers, but the referee,because of where he or she was standing,
didn't see it that way. Sothat's anytime there's a yeah, human
factor, there's always going to bethe controversy. But where I'm going with
(04:06):
this, if it's a call inthe first quarter, it should be a
call in the fourth quarter. I'vealways felt that if it's a foul in
the first quarter, it's a foulin the fourth quarter. And the big
discussion with Yukon's coach was, Oh, that should have never been called in
this moment. I hate it whenthe referees swallow their whistles. I hate
(04:30):
it because I want to see afair outcome. And again, if if
he was if Dirk was hacked byJennobili when he was going up for the
layup in overtime in the Western ConferenceFinals, it was a foul. You
gotta call it. It's unfair ifyou don't call it. You have to
play fair and say that play happenedin the first quarter and they didn't call
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it. Okay, it's I understandthe reps just want to let them play,
which I'll a lot of the times, just want to let them play
and see will it escalate further downto where I do need it I should
have made that call, or willit be oh, this is just a
one off and never happened again.Look, I may be in a minority,
but that's how I viewed it becausewe're all trying our best to be
(05:20):
fair. We're all trying Look,why is the Sports Medicine show talking about
this? Well, because these athleteswork their butt off to get in that
position, page especially coming back froman ACL She came back from an acl
exactly. They work their butt offto put themselves in that position, and
(05:42):
they are expecting the game to becalled a certain way, which is the
way that they've played it their entirelife. And especially in women's college basketball,
they're mandatory to stay there for fouryears. I didn't know that.
Yeah, it's pretty bad. Ifeel bad for them because for men's NCAA
basketball, like Brownie James, youcan leave after your freshman year and declare
(06:06):
for the draft. For women,you have to stay all four years and
then you can declare. Because Ijust don't think there's enough space out there
in the NBA to just let playergirls to come out of freshman year,
sophomore year and go out there,because if you did, I think you've
had too many draft picks draft players, and a lot of players get cut
(06:29):
year round. There's the rosters onthe WNBA teams are not that big.
There's smaller than the regular NBA rosterbecause of death, they don't play as
much games, their season isn't aslong. So there's just they don't want
to have these girls coming out ofsophomore year and stuff, and just oh,
we got to get rid of theveterans and stuff. So look,
(06:53):
I think the fact that we're talkingabout women's Final four is remarkable. You
know, ten years ago that wouldhave never happened. And Caitlin Clark gets
a lot of the credit. Imean, she's putting a game on the
map. But why are we talkingabout it. We're talking about it because,
(07:13):
in my opinion, they work hardto come back from injury. They
work hard all year round just tobe able to showcase their talents, and
I don't want a call to takethat away from him. What you expect
from the referees pee weee baseball,high school basketball, college pro consistent,
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be consistent. If it's a foulin the first quarter, it should be
a foul in the fourth quarter.You know, Swallowing your whistle is unfair
to that athlete who is trying todrive the lane for a layup. You
brought up Bronnie, which is alsoon my list of things to talk about,
(08:03):
not from a basketball standpoint, butfrom a purely sports medicine standpoint.
Way back in the day, asa player named Hank Gathers who suffered a
cardiac arrest right there on national TV, and those of us of a certain
(08:30):
age witnessed it, and there havebeen many unfortunate cases like that, and
some, in fact, most maynot be witnessed. Pete Maravich, who
Caitlin Clark just broke his record,by the way, had a cardiac arrest
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in the gym and didn't make it. And it got me to thinking,
as a sports medicine doc covering allof these events, I need to be
ready if something like this were tohappen under my watch. And as is
usually the case with me overthinking it, well, wait a second, how
(09:13):
do we identify these in the firstplace and so not only be ready for
it when it happens. Defibrillators andCPR and that sort of thing. But
what is it that we do toscreen some of these youngsters earlier? Was
it last year that Brownie had thecardiac event? I believe it was.
Was it last year summer? Ibelieve it. It was his first practice
(09:37):
at USC is his first one goinginto the summer, and it came in
early all that it was like lateJuly, early August is when it's happened.
This is yeah, he had acardiac event and it was witnessed,
and he was saved and Lebron andhis people were really hush hush about it.
(09:58):
I I just don't think he wantedthe news of his son like that
out in public. Lebron James triesto keep his kids behind the media because
Lebron's like, focus on me,not my family, not my kids,
they don't matter. It's me youwant, I get it. I get
it. And he's one of theguys in the NBA that are really never
crossed path with. I met him, but never had any conversation, so
(10:22):
I don't feel like I really knowhim. But I understand the privacy in
protecting your kids thing. But hehad cardiac event happened, he was out
for a while. Supposedly he hada procedure of some sort, and he
came back and he played. Ijust heard on ESPN this morning that you
(10:45):
know, he hasn't been the samesince he's been back. You know,
he's average five points a game,that sort of thing. But he's declared
for the NBA Draft and at thesame time entered the transfer portal and I'm
not sure what the rules are,but apparently he keeps his his NBA.
(11:05):
I'm sorry his collegiate status. Isthat how it works? Yeah, I
think you have like a window.So I think he's trying to garner see
how much interest there is in theNBA for him. Hedges bets, Yeah,
Hedges bets a little bit where youcan go back. But the reason
I want to talk about Browny thismorning is because the cardiac screenings aspect of
it. I was surprised that hewas not screened because I know all the
(11:33):
NBA players are screened. I knowa vast majority of NFL players are screened
for cardiac abnormalities. Look, itis a catastrophic thing. And I can't
imagine the families that have to gothrough something like this. It is a
(11:54):
catastrophic thing. My involvement, I'man orthopedist. I mean I do sports
medicine. What am I supposed toknow about, you know, cardiac events?
But it was kind of thrust uponus. If you are covering a
high school football game or an NBAgame, you have to know what to
do in that situation. Well,you know, yeah, we all are
(12:15):
trained in CPR. We all knowhow to work a defibrillator, which by
the way, is very simple.Any of anybody out there, the defibrillator
will do it for you. Ittells you where to put the patches.
It actually has its voice. Ittells you stand back, I mean it.
The defibrillator does everything. So ifyou don't know CPR, do it,
learn it. It's very simple.If you don't know how to use
(12:37):
a defibrillator, don't be scared ofit. It will It will do it
for you, and there's no wayto accidentally shock somebody, no way anyway.
So the involvement is that these thingsare are rare. But nonetheless,
if if you do certain screening testsand a stress echo cardiogram in an EKG,
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you can pick up a vast majorityof these congenital problems and like in
Lebron's son's case, address them sothat he can continue on with his career.
But the costs have come down substantially. A lot of the high schools
in the Dallasport Worth area or inthe state of Texas are already doing these
(13:24):
screenings. We are in the processof getting them done for our school.
Previously, all of our other schoolswe screened our kids, And if you
want information on that, just emailme and I'll pass it along to you.
But the Brownie James situation, asfar as inside sports Medicine is concerned.
(13:46):
To me, it's more important tocreate awareness about these screenings. So
maybe when we come back from thisupcoming break, we'll do that song contest
again. Yes, apologies, wewill do it again, and we can
play the first song again and we'llplay the second one. Oh, do
it back to back? Oh?Alright? Uh? Two one four seven
(14:09):
eight seven, nineteen seventy one.If you're not just now tuning in too
soreel live on Inside Sports Medicine episodeeight hundred and seventy five eight one seven
seven eight seven nineteen seventy one ortwo one four seven eight seven nineteen seventy
one. First person to text inand I or call in for that matter,
(14:30):
and identify the song or the artist, we'll send you a T shirt.
(15:00):
One to be able to identify thissong or the band via text,
we'll win. He won four seveneight seven nineteen seventy one. You got
it. No fair to cheat,all right? So now that was not
our opening song. You want tosave that to the next one. Let's
(15:22):
just say that, all right.So we still have one more song to
do, we do, I know, so potentially you can hear two songs
coming up. Yeah, and lotsof I don't know, free gift stuff.
(15:43):
So during the break, Daniel andI were talking about the human element
in making the blowing the whistles orat home plate calling balls and strikes.
I suspect act. I suspect thatwith AI and replay, we could probably
(16:18):
make a split second call. ButI don't know that that will ever be
a substitute. I mean, Idon't know, what do you think?
No, I mean, I thinkfor balls and strikes it probably works right
because it's either in the zone orout of the zone, or like tennis,
you know where they can challenge acall and they've got the AI and
they can see the ball and stufflike that. So I think for stuff
(16:41):
like that that's objective in out kindof more binary. Yes, But for
a screen, how do you haveAI? You know you can't. I
just don't think you can. So, but I agree with you. I
think balls and strikes can be doneright now. I think balls and strikes
can absolutely be done right now.Yeah. So, uh, it's like
(17:03):
we got a winner. We dohave a winner. Uh seven eight eight
nine. Just send us your text, I'm sorry, send us your address
and we will mail you something nextweek. So congrats and by the way,
only one winner. Lots of guesses, but only one winner. Good.
Uh So was that a call inor was that a text in?
(17:26):
Answer, Garrett, that was atext in? Okay, Well, we
do have your friend on the line. Oh, okay, him to come
Gernobyl. Yes, oh, tellhim hang on for a second. I
want oh doctor, oh Blaylock,Blaylock, yeah, yeah, yeah,
yeah, yeah, oh yeah.Well that's that's gonna be something that that's
(17:48):
gonna be a question. Tell himto hold okay, hold yeah. Oh
you know what, put him onthe air. Put him on the air.
Well, what a discombinate everyone.Hey, Ryan, good morning,
doctor, Blaylock, Morning, dartessOrio, Morning, Daniel. Y'all shows
sounding great on iHeartRadio app Thank you, thank you. You are biased,
of course, but thank you.So. One of the things that was
(18:15):
on our list to talk about today. You know, we were talking about
baseball and the balls and strikes andthat sort of thing, but we could
not complete this episode without talking aboutthe Rangers, Josh Young and his wrist
injury. And since you are oneof the foremost, one of the foremost
hand specialists in Dallas for worth,I wanted your opinion on it, Yes,
(18:40):
sir, So he caught a hecaught a ball on his ulner aspect
of his wrist, that's the littlefinger side. Obviously he was injured right
off the bat. It was veryobvious. He got X ray that was
broken, he ended up having surgery, and your thoughts, your thoughts on
(19:00):
the whole thing. Absolutely so,you know, I went back and I
watched the replay of it's I mean, it's just a highly unfortunate injury.
You know, I don't think thepitcher was in the wrong. I don't
think Jung was crowding the plate,you know, just highly unfortunate placement of
the ball. And it caught him, interestingly, not on his leading wrist
because he's batting right, you know, leading left with his left hand.
(19:22):
It caught him as he like brokehis wrist and brought the ball around and
just a direct blow on his rightulnum. So there's two bones in the
right forearm, the radius which goesdown and goes into the thumb side of
the wrist, and then the ulna'son the opposite side at the level of
the wrist. The ulna is athinner diameter bone than the distal radius.
(19:44):
And it sits almost directly under theskin. There's very little padding between the
skin and the ulnam, and Ithink the combination of you know, the
position, the obviously the velocity ofthe pitch, the smaller bone in the
wrist, and the you know,lack of padding over it, he just
caught it right there. And wedescribed this type of injury in medicine is
(20:07):
a night stick injury. So thatgoes back to the times when you know,
if you were protecting yourself from anassailant who had a baton or a
night stick, so to speak,it's a direct blow injury. Right,
So the ulna and he obviously sustaineda fracture based on you know, what
has been released officially from the Rangersand kind of you know, the scuttle
butt from the social media. SoI went and read some of the social
(20:27):
media and stuff like that, andit sounds like he had a plate and
screw's placed. In orthopedics, wecall that an open reduction internal fixation.
So open we opened the skin reduction, we move the bones back together,
fixation plates and screws to hold it. And I saw on one post where
you know, somebody commented they actuallyhave him in a splint or they said
(20:48):
cast, and I would assume probablya splint above his elbow. And one
of my friends actually last night atdinner was asking me this question, why
does it have to go so high? And I was like, well,
the only way to control the ropeof the forearm, it's just split him
above his elbow. Wait, wait, wait, so would you've done that?
Yes, I think that's absolutely appropriate. Well I'm going to say this,
(21:10):
okay, so hang on, We'regonna have a little controversy right now.
This is this is really nerdy controversy. No, I wouldn't have.
In fact, I probably would havejust put him in a velcros wrist splint
after surgery. And let me tellyou my thoughts, and I'll hear your
thoughts. I am not a handsurgeon, but I actually contemplated going into
(21:36):
hand when I was a resident,But neither here nor there. We did
train when I was at ut Southwesternand Parkland. We did train with We
had Swiss professors that came and dida rotation with us for a year,
so we learned what's called the AOtechnique, and they were the authorities in
the world at using plates and screwsto stabilize fractures. And so we actually
(22:03):
learned it from the people who inventedplates and screws. And the interesting thing
was their philosophy was the plate andscrew are doing all the work, and
you might put him in a splintto allow for the skin to heal,
But after the skin healed, theplate and the screws are doing all the
work if you've done your job right. So I'm gonna say this, in
(22:26):
my opinion, if I was takingcare of Josh and I put the plate
and screws on his ownA, Iprobably would have put him in a forearm
splint, but that would have beenthe extent of it. I don't know
that it would have been necessary togo full arm cast. It just makes
no sense to me. Now that'smy two cents worth. What are your
two cents worth? So my takingon it is with okay, so it's
(22:52):
not wrong. I'm going to saythat it's not wrong, but it's also
not necessary. So I think thething to think about is how much purchase
did they have in the fragment ofbone closer to the wrist. Right,
he's a young guy. His bonequality is way better than a ninety year
old grandma. I don't want tosound really controversial, but I know I
(23:15):
am so if it was me,I would have just been in a cast
to begin with, forget the plateand screws. But because he's an athlete,
you're defeating the entire purpose of tryingto put a plate and screw so
you can start early rehab by puttinghim in a cast. I think probably
with I guess you know they havethe Rangers. The Rangers have not released
(23:37):
his X rays. I'd be veryinterested to see it. Do you know
who fixed it? By the way, I'm guessing, I'm guessing Keith Meister,
but I don't know. You know, I don't know who fixed.
My guess is the fragment of bonethat was closest to his wrist was very
small, and in that area sometimesyou can only get two screws in in
that fragment in the traditional AO technique. By the way, AO is fans
(24:02):
for Abergamers, Abergambish Schmidt, OsteoSenson, Fraggon. It's like you mentioned,
it's a Swiss organization that developed thetechniques we use to to fix bones.
Anyway, I'm impressed you know thatI am so impressed, you know
that. I'm sure a native,a native speaker will you know, destroy
(24:23):
me on my pronunciation. But that'sit's an Aberghamish schmidt osteosenson fragm. So
if that's I can do it anyway. My guess is they had a really
small fragment distally, and maybe youcan only get two screws. Traditional AO
teaching says you need three screws oneach side of the fractor for six courtices
(24:44):
of fixation. Yeah, Now wehave other techniques where, you know,
you can sometimes get around that,and sometimes you just simply don't have the
purchase. So if they had lessthan they wanted and it's a small fragment,
and then the second thing to thinkabout is in that area, you
can't get a very big plate.Number one, you just don't have the
real estate. Number two, it'sright under the bone. So if you
put say, yeah, if youput a larger plate, which would be
(25:07):
you know, something along a threepoint five millimeter plate, which is not
three point five milimeters wide. Itactually describes the width of the screws that
go through it. I bet theyhad to use a smaller plate, which
would you know, typically be atwo point seven millimeter plate, and as
it gets narrower, you lose rotationalstability. So my guess is at that
(25:29):
level he probably had minimal fixation distantlya smaller plate. And those plates,
like you said, they do alot of work internally, but they're not
great in rotation, particularly at thesize of a two seven. So the
limiting his rotation by locking his forearm, that's why it makes sense. Because
the plate is great in compression,great in bending, you know, even
(25:52):
intention but rotation you can get morewiggle than you would anticipate. So the
short answer, the short answer isthat we were not there, and we
don't know what the X ray lookslike, and we don't know what kind
of fixation they had. So let'sfast forward to something that is relevant to
everybody listening to this. Because theirson and daughter may have a risk fracture,
their their mom may have a riskfracture that requires surgery. What kind
(26:18):
of recovery are we talking about?Again, given the fact that we don't
know what the X ray looks like, the paper said that he's out for
eight to ten weeks. Is isthat sound about right or is that conservative?
I think that you know, Ithink that probably sounds right. And
it's interesting that some of the originalthings were like, oh, he'll be
(26:40):
back in six weeks, and thenI said that. I said he's gonna
be back in six weeks. Youdid, and then I think also I
thought, like you know, poston social media and stuff when I was
kind of prepping for this. Ithink, you know, they were hopeful.
My guess is they got in there, it was more unstable than they
thought, and then they bumped itup to eight to ten weeks. So,
(27:00):
you know, most people's bone,assuming you're not a smoker, you're
young, healthy like Jung is I, you know, eight weeks of healing
with a plague and screws on theinside, it's probably stable enough. Sorry,
I apologize right. My wife isout of town and my little daughter
is giving some of her thoughtsful morning. She agrees with us. She does,
(27:25):
so the you know, probably thebone will be stable enough at eight
weeks. I think they're saying tenjust to you know, camper expectations.
It'll probably be stable enough at thatpoint that he can play. But you
know, non athletes, if Ihad this injury before I went back to
something that you know, involves lotsof force, like you know, swinging
a bat or whatever. I wouldhave probably honestly say twelve. So in
(27:48):
a professional athlete efforts fix, Ithink eight to ten is spot on,
and I wish him the best newsrecovery, and I hope he comes back
sooner. Well, we appreciate yourinsight and good luck with the Allison and
uh, we'll see you later,see you later, all right, sorry,
that was the rest of the show. That was doctor Blaylock, one
of the foremost hand and risk specialistsin Dallas Fort Worth. We're very fortunate
(28:12):
to have him at Texas Sports Medicine. All Right, quick, little break.
We have a winner on the driver'sseat. Make sure that we get
his address so that he or sheso that we can send them their gift.
We'll do this again after this upcomingbreak, so so be quick.
Two one four seven eight seven nineteenseventy one, coming right back, Welcome
(29:00):
back, Welcome back to Inside SportsMedicine. T O sorry else, this
is an easy one. Two onefour seven eight seven nineteen seventy one.
Text in or call in name ofthe song and the name of the band
and you'll win first. Want todo it? Wins. Welcome back to
(29:25):
Inside sports Medicine. So in thisupcoming segment, we're gonna go back to
We're gonna go back old school.We're gonna go back to section that we
used to call sports Medicine one ohone and yeah, sports Medicine one oh
one was basically discussing some of thefundamentals of our our area, our specialty,
(29:51):
our world. You know, episodeone twenty three years ago, we
talked about the difference between a sprainand and a strain. We talked about
the difference between a you know,break and a fracture, that sort of
thing. Well, now we're goingto talk about some of the basics braces,
(30:11):
sleeves, crutches, some of thehokey stuff that you see out in
the real world. There are thereare millions of muscular skeletal appliances, and
the reasons that they exist are relativelysimple, pretty straightforward. If you sprain
(30:38):
an ankle and the ligaments are damaged, you might want to wear an ankle
brace. If your knee is soreand your luca and you're sitting out,
you might want to wear a compressionsleeve or leggings. And people don't understand
(30:59):
when to you what I have seenin our practice people coming in for second
and third opinions with a you know, thousand dollars brace because they've got tendonitis,
and I'm scratching my head. Youknow, a twenty five dollars sleeve
would have done the exact same thingas this thousand dollars brace. In fact,
(31:22):
it probably was not even appropriate.So this is an opportunity for me
to kind of maybe educate just ahair about what the differences are. Sleeves
and leggings are all about compression,and that's really what you get out of
(31:45):
those types of appliances. There isa huge marketing I'm searching for the word
a marketing. Whatever. The coppersleeve, it's not the copper, it's
not the copper in the sleeve,it's the sleeve in the sleeve. That's
(32:07):
how that works. And so we'velearned a long time ago that joints and
muscles for that matter, respond alittle bit more efficiently when there's a little
bit of compression on them. Bikeshorts that's a classic. Leggings that's another
classic. If if you put somethingaround a muscle, it reacts just a
(32:32):
hair faster, a hair better.You've seen the athletes where with tape around
their knees and shoulders. It's physiotape. It comes in various different colors.
Well, that works, and itworks on this principle that I was just
discussing, and it's called appropriate reception. If there is a sensory feedback,
(32:54):
then the muscle responds just a hairbetter. So compression sleeves, leggings,
tights, compression shorts, physiotape,all of those things work using that appropriateception
angle of things, and they areeffective. Now you can put menthol in
(33:15):
it, you can put copper init. You can put it red or
green or blue or whatever. Itstill all works the same way. It's
not the copper, it's the sleeve. It's not the menthol, it's the
compression. But those things offer noprotective support. That's where braces come in.
A brace must have some type ofa buttress. Whether that buttress is
(33:40):
a felt pad that holds a kneecap in place, or whether that buttress
is metal on the side of theknee like a hinge to hold it from
going out of socket, or whetherthat is a fiberglass something around your ankle
to give you a give your sprainedankle support. So we use braces to
(34:05):
help with a stability problem. Andthe braces get a bit more expensive because
they are more structural. So wherea sleeve might be twenty five to fifty
dollars, a brace will kind ofbe in the three figure range, you
know. And I don't know,ankle brace maybe seventy five bucks or a
(34:28):
knee brace maybe two hundred bucks.But braces are there to help restore stability.
It is difficult to get I guessthey sell braces on Amazon. It's
difficult to get braces that fit appropriatelywithout having the opportunity to try them on.
(34:52):
And I think this is why fora lot of braces you have to
have a prescription. And the prescriptis not just to get insurance to pay
for it. The prescription is tomake sure it fits correctly. You know.
We have acl braces that are wow, they're in a thousand dollars range,
but they are worthless if they don'tfit. I saw a patient the
(35:16):
other day, by the way,a little sidebar story. She had a
left knee brace on her right knee, so it was thousand dollars but it
was made for the left knee.But she's wearing it on the right knee,
so it didn't fit. It wasjust a complete waste of money.
(35:37):
Again, so difference between compression sleevesbraces. One thing I do want to
touch on is crutches. Often wewill use crutches primarily for comfort. And
so if you sprain your ankle andyou really can't put any way on it,
(36:00):
yeah, you need a pair ofcrutches. You need a pair of
crutches. The crutches allow the armsto do the work and the extremity,
the lower extremity to be spared.So it's again it's for comfort, but
it also can be for protection.Doctor Blaylock on the last segment was talking
(36:24):
about a procedure where in Josh Young'swrist he had plates and screws put in.
Well, sometimes you want to protectthat repair, so you put them
in either a cast or a brace. Well, the same thing happens in
the lower extremity. So if wedo ankle surgery because you broke your ankle
(36:45):
and we want to protect that repair, we'll put your own crutches. Yeah,
don't walk on it, little Johnny, because it's not healed enough and
the screws might pull out, andso the crachure is not The crutches are
not only for comfort, but they'reall also for protection. Most of the
time. In a situation like that, we're also going to double up and
(37:07):
we'll put you in a boot ofsome sort. So there's a boot to
protect you and there are crutches totake the weight off. It is so
important to understand, even at themost fundamental level. If you're a mom
or dad, why did you putlittle Johnny on crutches? Why did we
put Grandma in a boot? Askthe question, Ask the question is this
(37:31):
really necessary? Now, we're notgoing to talk about the business of medicine,
but I can't leave this segment withouttalking about the business of medicine.
You know, a boot, anankle boot, and you've all seen people
wearing them. It's very common.You know, might cost the clinic ninety
(37:54):
dollars. Well, guess how muchinsurance pays for that. Reimburses for that
eighty two dollars, So the clinicwill will we'll lose money on using the
boot, but it's important because itis a protective device and you really want
to use it. On a businessof medicine side, that can also be
(38:15):
misused. I told you about thethousand dollars brace for tendonitis. Yeah,
that's that's that's a classic abuse ofsuch a situation. But anyway, crutches
are for protection and for also forcomfort. Uh. There are people that
(38:36):
you see walk in the mall essentiallycarrying their crutches, and I smile because
I'm wondering, Gosh, they can'tbe really following orders. You know,
you're you're you're walking, but butyou're full weight bearing, You're you're not
(38:58):
limping. I suspect that somebody toldthem, hey, little Johnny, you
need to be using the crutches,but little Johnny's not being very compliant.
Uh. There are situations where crutchescan actually get in the way. You
know, I've seen people who arenot very comfortable using crutches, especially the
older population, and they can beunsteady and they can fall and break their
wrist or whatever whatever. So ifyou're going to use an appliance like that,
(39:22):
make sure someone shows you how todo it and someone does it correctly
for you. In this world ofAmazon, that bothers me a little bit
because people order stuff but they neverreally know how to apply it correctly,
and they're not taught Daniel. You'veused crutches before, right, I have,
yes, sir, yeah, fortysurgers with you. Yes, several
(39:43):
surgeries, I know, so I'veused them several times. But tell our
audience, is it that it's supposedto shadow your bad leg your good leg?
What is the application of crutches?That's a really good question. So
after I do acl surgery, patientswill get a pair of crutches for the
first four or five days until they'resteady. Now they're going to be full
(40:07):
weight bearing immediately. So we dosurgery on a Tuesday morning and by Tuesday
afternoon they're walking the halls. Butall those patients are going to get crutches,
and they're going to get crutches primarilybecause I want them to use them
for stability. If you're post anesthesiaor if you've had something for discomfort and
(40:31):
your wobbly, I want you touse the crutches in your hands purely for
balance. Now, once you arefully awaken, you're out of the anesthesia,
et cetera, et cetera, thenwe get rid of the crutches and
you're full weight bearing. So oneuse of crutches is just for stability.
(40:52):
Because I'm unsteady. If it isan extremity like I hurt my ankle,
I hurt my knee, and Iwant to take the weight off of that,
then you use the crutch on thesame side. And the purpose there
(41:12):
is the crutch and the arm arenow carrying the weight rather than your knee
and ankle are carrying the weight,So it's replacing, it's allowing some of
the weight to be off. Allright, quick little break two one four
seven eight seven, nineteen seventy one. If you have any questions, We've
got some winners, We've got someaddresses. We will come back after this
quick break. She's in Welcome back, another easy one. All right,
(42:01):
First one to dial or text twoone four seven eight seven, nineteen seventy
one with the name or the nameof the song or the band coming right
back after this finished break. Thatcoming back after the break we just finished.
(42:24):
Yeah, you get the first oneto text in with the answer.
Obviously, if you already won something, you may not be eligible for the
second one too. Sorry. Ilive in the studio with Daniel and Garrett
wrapping up episode eight seventy five.We have a few things to get to
(42:45):
before this is all over. Thisis a sports medicine thing as well.
Daniel was telling me about Julius Randall. You want to tell everybody what's going
on with him. Yeah, theKnicks just shut him down for the year.
He's getting surgery. He's been dealingwith a shoulder injury for the last
(43:06):
couple of months. It sounds likehe's been doing rehab all this stuff and
they're pulling the plug on him.Yeah. That surprises me. So Julius
Randall is a Dallas product, bigname in the in the NBA, has
done extremely well for himself. Idon't know what what kind of shoulder problem
(43:28):
he would have that requires urgent surgery, especially when their playoff bound. I
mean, I think I think theKnicks are doing really well in in the
East. They're they're trying to tradethem. So did you say that on
the air? Yes, I did. Well. The only reason they would
take him out to go having inyour career or in the season surgery is
(43:52):
they have a different plan for him, and the only way to get selling
draft conversations for him or something inthe long run for him is to make
sure he's going to be healthy tostart. Yeah, but you've ruined your
chance. Yeah, you're trading you'reyou know, you're tied fourth fifth right
now, you know. Yeah,I mean the Knicks have never gone that
(44:14):
far in the playoffs. If you'retrying to trade a guy, shutting him
down and having surgery is the worstthing you can do because the trade value
just plummets. I mean it literallyjust plummets. No one, no,
no other team is want to giveyou, going to give you because they're
negotiating. Stance just just just wentup. So yeah, I again,
(44:37):
So they're only handful of things thatcan happen to his shoulder at a basketball
player. Rotator cuff, Yeah,you can have a rotator cuff tear or
whatever not not doesn't happen very commonin basketball, but it does happen.
You know, we had a coupleof players on the MAVs that ended up
having rotator cuff surgery, but oftenit was it was off season surgery.
(44:59):
The which is the layer of cartilagelaborum stands for lip, and sometimes you
can have a labral tear, butthat usually responds to some kind of a
arthroscopic procedure, but it also canwait till the end of the season.
Instability which means my shoulder slips inand out of socket. Again very common.
(45:20):
There are braces for that, andagain that can wait. I'm really
scratching my head. You've got you'vegot the season that's maybe another week or
two left, You've got the playoffsthat are coming up. You've got the
nixt team which is fourth or fifthin the East with a pretty decent season
going, and you shut down yournumber two player. I'm scratching my head
(45:43):
about that again. And why dowe talk about it on sports medicine because
these are all common problems for littleJohnny and little little Mary. You know,
we all have these shoulder problems.They play sports, and what happens
to Julius Randall happens to ten thousandother athletes. And so I'm I'm again,
I'm trying to figure out what's goingon now. The Knicks do have
(46:08):
a relatively new medical staff because theirprevious team doc was a really good friend
of mine, and I know thatshe just retired last year. So I
don't I don't know if maybe thisisn't inexperienced move by their medical staff.
(46:29):
One of the easiest answers in theworld of sports medicine, is Yeah,
you better sit out. That's theeasiest answer, and may not necessarily be
the right answer at the time forthe player or for the team, but
that's the easiest answer. Oh,you know, we had to let that
(46:49):
heal. Again, I'm not I'mnot downplaying it. But if if all
of us in the sports medicine worlddid that, you'd hardly have a be
able to feel the team, especiallyin the NFL. You know, all
the guys in the NFL have injuries. They all have injuries, and part
(47:13):
of the judgment, part of thejudgment of your medical staff, whether it's
the trainer or the doctor or thetherapist or whatever, part of the judgment
is understanding number one and the injury, number two, the player and the
player's mentality number three, the situationin the year. Understanding all of these
things and being able to make theright recommendation, the easiest recommendations. Yeah,
(47:37):
you better sit out. Nothing wrongwith that. But you're not going
to go very far into playoffs ifthat's what you say, not without your
number two scorer, and he's Ithink he's a leading rebounder, et cetera,
et cetera. I'm scratching my headabout that one. I really don't
know. I don't know. Iguess we'll find out. So we got
final four weekend in the ladies.We are down to South Carolina, which
(48:05):
really looks unbeatable and Iowa, whichI think is a fan favorite because of
Caitlin. Do you have any thoughts? I think you get a great story
either way, either you get America'shero Caitlyn Clark or you get a thirty
seven and no season. And Iplayed last year except it was in the
final four in the semis and Ithink Iowa won. What Iowa lost to
(48:30):
l Seve in the final four lastyear? Oh no, I don't know.
But when they played South Carolina lastyear, didn't th same two teams
played last year? I I don'tknow. Yeah, I no, No,
you're right, it was it wasLSU and Iowa for the final.
My god, I was I'm wrong. No, that's all right, We're
wrong a lot on this show.Not when it comes to medical though.
(48:52):
Yeah. And on the men's side. So it starts tonight. So I
had North Carolin. I know,my my my bracket was busted. Its
busted. I'm out. But Ithink Yukon's unbeatable. I don't know how
you can go against uh, thetwo time player of the year Eadie.
(49:14):
Is it Eadie or Eddie? Edie? And Purdue Yeah, DJ DJ Burns
n C State. Yeah, they'reon an immaculate run. They went,
he beat it in the ACC Championshipsgames. We've never had a fourteen lost
team in the final four. Theywon like five games in five days to
(49:36):
get in. That's unbelievable, unbelievable. And they beat North Carolina to win
the AAC Chamionship, right and tobasically cement themselves a lock into the play.
But they if they lost the firstor second round of the a SEC,
they wouldn't even be in a tournament. Story storybook, storybook. But
but now now you're playing with thebig boys, I mean produced solid.
(49:59):
You on a solid is it?Alabama? Alabama? Alabama solid? I
mean yeah, it'd be cool storyif they won. It'd be a real
cool story if they won. Ijust don't know how he matches up against
Edie. I mean he's giving upseven inches in height. I mean he's
on the floor player, you know, like you could slip a piece of
paper under your shoes. So whoplays? Who plays? So what are
(50:22):
the pairings tonight, and so it'sn C State and Purdue, and then
it's Alabama and Yukon. And Purdueis a nine and a half point favorite,
and I think Yukon's eleven and ahalf? Is that right? I
can check it, but I wouldn'tbe wrong because Alabama will probably lose bad.
Look, I think I think ifwe go with the odds, Purdue
and Yukon is gonna make for agreat championship game. Absolutely, maybe the
(50:44):
first time Purdue actually makes it thechampionship game and not lose to a fifteen
seed or sixteenth seed in the firstor second round. Well, assuming they
get past the eleventh seed tonight,and we'll get to see, yeah,
two great bigs going up against eachother. Right, we'll see Zachieti and
then we'll see who's Yukon's big.Remind me, oh yeah, yeah,
I got picture. You can pickme a second. I can figure this
(51:05):
out for you. I have togo look at the roster. So someone
on the text is asking about aquestion about braces and how you get him
fitted. Yeah, so that thatthat's a really good question. Sorry,
we were talking about that in thelast segment. Clickin yeah, yeah,
yeah. Yeah. He's also seventoo, so it's a seven two verse
(51:29):
seven six matchup, which would bekind of interesting. He's seven four?
Is he seven four? I thankyou? Seven four? Uh? The
only seven to six ever in theNBA. I think Bowl Manu Bowl And
oh gosh, he's played for theMAVs. Hang On just had a terrible,
unfortunate bike accident. Oh it's it'llcome to me. I'm so sorry.
(51:54):
Anyway, So the question about howto get the bracest fitted so normally
and by the way, the instructionsare often just not very clear. So
at our facility at Texas sportsman SeanBradley, yeah yeah, yeah, yeah,
(52:15):
yeah, yeah yeah yeah. Sowell, sidebar story about Sean Bradley.
I did surgery on him. Hehad a knee issue and he was
so tall he wouldn't fit in thehospital bed, so we had to get
a special bed with extensions. Andwe didn't think of this, nor if
(52:37):
it mattered. Even if we didthink of it, it wouldn't have mattered.
We didn't have an operating table longenough. Oh we we did not.
They do not make an O Rtable that is long enough to accommodate
someone who is seven foot six,and I was doing ourthrooscopy on his knee.
(52:57):
And so normally when we do ago we stand on the end of
the bed oh our table and reachacross to do surgery on a knee.
I couldn't reach it. I literallycould not reach his knee. It was
everything turned out great. He endedup coming back to play in a few
weeks. But the sidebar story waswe did not have an our table for
(53:21):
seven foot six and anyway, Idon't know how we got on that.
I think I took us there.Back to the question on the text as
to how you get appropriate braces andcrutches fitted. If you were in the
(53:42):
er, then typically it's going tofall to the nursing staff in the er,
and they will they don't like doingit, but somebody has to do
it. They have to fit youfor the crutches, and they'll typically make
sure that you know how to withcrutches, and they'll have to fit you
with the boot and have to makesure that you know how to do that.
(54:05):
But assuming you're not in the emergencyroom, it can be done at
the rehab facility and on rare occasion, if someone comes to our facility and
says, hey, listen, Ijust got this brace. Can you help
me learn how to put it on? We'll help you do that. But
usually those are prescribed because fit isimportant, size is important, and especially
(54:28):
how tight to make the straps.I find that when people use knee braces
or ankle braces, they often putthe straps on way too tight, and
that can obstruct blood flow and lymphaticflow, and then you get swelling,
and sometimes you get compression of nerves, especially if the nerves are under the
skin, and it is very problematic. I think. I think one of
(54:52):
the most dangerous appliances out there isan ace wrap. Oh my goodness.
I have seen people come in withthe ace wraps so tight that the nerves
are damaged. The the that footan ankle, or the size of a
of a grape, They somehow seemto think that the tighter I put this
(55:14):
ACE wrap on, the better.Well, no, that is that is
not correct. Uh yeah. Acewraps can be so dangerous When people put
them on way too tight. You'reyou're trying to get support out of something
that is not meant to be forsupport, right, They're meant to hold
the the gauze on right, yeah, exactly. I use ace wraps and
(55:35):
and in my clinic just just tokeep the incisions clean. You know what.
We're just going to put a coveringon it, just to keep the
wounds cleaner, or just to tohelp with a little bit with the swelling.
We're not going to drive the swellingout with the ace wrap. It's
not made for that anyway, norwill it nor will it. Yeah,
(55:55):
right after surgery, you'reposed, you'resupposed to swell, exactly, so you
Yeah, ace wraps can be verydangerous. You guys be careful, all
right, Episode eight seventy five.We're done. We've had several winners for
all of our music trivia. Hopefullyeverybody's responded with the correct size and the
(56:19):
correct address, and we will sometimeduring this week. I'm gonna leave it
up to Daniel to mail them out. You will get Texas Sports Medicine shirts.
Wear them proudly. We have.We have the privilege of being to
see many of you in our officeat Texas Sports Medicine, and I do
(56:43):
think that it is a privilege.I love it when someone comes in and
says, yeah, I heard youon the radio, and you know what
you said makes sense to me,So I need you to, you know,
give me an opinion on little Johnny'sankle or knee or whatever. That's
very, very flattering. We lovedoing the Red Show. We're not radio
people. It is a departure fromwhat we do on a daily basis.
(57:06):
But hopefully in the previous ninety minutesyou learned something and you had some fun
doing it at the same time,until next week on behalf of all of
our sponsors Jaguar, Landrover of Dallas, Backendorf Jewelers, and the Center for
Disc Replacement, as well as TexasSports Medicine, Performance and Recovery Center on
behalf of all of us here onninety seven to one and Inside Sports Medicine
(57:30):
until next week. Tell your friendsname
It's tip off time for Doctor tO. Sorrel and Inside Sports Medicine on
ninety seven to one The Freak.Doctor Sorriel, one of the nation's leading
orthopedic surgeons and former head team physicianfor the Dallas Mavericks, bringing his unique
sports insights and stories from inside thegame. With special guests from the world
of professional, college and high schoolsports and sports medicine, The Doctor breaks
(00:21):
it all down. Buckle up yourchin strap and tighten your laces for the
most informative ninety minutes in sports medicine. It's kickoff time for Inside Sports Medicine
with Doctor t. O. Sorrialon ninety seven to one The Freak.
(01:06):
Good Saturday morning. Everyone, GoodSaturday morning, and welcome the Inside Sports
Medicine. I'm your host, Doctort O. Sorry, I live in
the studio. Incredible. She wasan offensive player and she was, oh
yeah, she was trying to setup for an open Yeah. Yeah.
She's Yukon's best player by far,and they want to get her the ball
(01:26):
in crunch time with you know,four seconds left on the clock and get
her the opportunity to win the gamefor him, which I think is completely
reasonable. And I think she justdid a poor job in one play of
coming off the screen. You know, I think that they teach you early
on in high school, you know, come off tight, let your big
(01:48):
set up, and then come offtight on the screen. And I think
she got a little fast and cameoff too high, made her big sit
in a difficult position, try toslide over and get in front, and
it didn't happen, and the refscalled, you know, offensive foul and
I think you live with that.So, by the way, I'm back,
(02:12):
okay, hey, it's the issue. By the way, is the
uh I just got a text fromsomeone saying the live stream is not live.
I'm assuming that's related. Yes,sorry, we were technically down for
like a quick second. I couldn'thear anything from the studio. I had
to call some engineers and stuff.But we are live now. So if
you're listening, if you're listening fromLondon, England, uh, try again,
(02:36):
because I think we are on.We are, we are now.
It was just mixed up with theboard. Okay, Well was that you
or was that somebody else? Isthat operator error? No comment? Okay?
Uh, So back to what wewere talking about. So I've covered
a thousand NBA games, and I'vealways felt that the weakest part of the
(02:59):
game was the shating because they arerequired to see something, process that something,
and react, and as you know, we don't all process what we
see the same way. And thesame goes for NBA referees or heck,
(03:21):
any referee. The NFL has gota problem with with the same type of
thing in that you know, isit is it a person is it pass
interference? Is it offensive? Defensive? It is very difficult to no matter
how much training you have. Itis very difficult, no matter how much
(03:43):
training you have, to be ableto make that call and process what you
just saw. We all saw theball go out of bounds off of this
guy's fingers, but the referee,because of where he or she was standing,
didn't see it that way. Sothat's anytime there's a yeah, human
factor, there's always going to bethe controversy. But where I'm going with
(04:06):
this, if it's a call inthe first quarter, it should be a
call in the fourth quarter. I'vealways felt that if it's a foul in
the first quarter, it's a foulin the fourth quarter. And the big
discussion with Yukon's coach was, Oh, that should have never been called in
this moment. I hate it whenthe referees swallow their whistles. I hate
(04:30):
it because I want to see afair outcome. And again, if if
he was if Dirk was hacked byJennobili when he was going up for the
layup in overtime in the Western ConferenceFinals, it was a foul. You
gotta call it. It's unfair ifyou don't call it. You have to
play fair and say that play happenedin the first quarter and they didn't call
(04:55):
it. Okay, it's I understandthe reps just want to let them play,
which I'll a lot of the times, just want to let them play
and see will it escalate further downto where I do need it I should
have made that call, or willit be oh, this is just a
one off and never happened again.Look, I may be in a minority,
but that's how I viewed it becausewe're all trying our best to be
(05:20):
fair. We're all trying Look,why is the Sports Medicine show talking about
this? Well, because these athleteswork their butt off to get in that
position, page especially coming back froman ACL She came back from an acl
exactly. They work their butt offto put themselves in that position, and
(05:42):
they are expecting the game to becalled a certain way, which is the
way that they've played it their entirelife. And especially in women's college basketball,
they're mandatory to stay there for fouryears. I didn't know that.
Yeah, it's pretty bad. Ifeel bad for them because for men's NCAA
basketball, like Brownie James, youcan leave after your freshman year and declare
(06:06):
for the draft. For women,you have to stay all four years and
then you can declare. Because Ijust don't think there's enough space out there
in the NBA to just let playergirls to come out of freshman year,
sophomore year and go out there,because if you did, I think you've
had too many draft picks draft players, and a lot of players get cut
(06:29):
year round. There's the rosters onthe WNBA teams are not that big.
There's smaller than the regular NBA rosterbecause of death, they don't play as
much games, their season isn't aslong. So there's just they don't want
to have these girls coming out ofsophomore year and stuff, and just oh,
we got to get rid of theveterans and stuff. So look,
(06:53):
I think the fact that we're talkingabout women's Final four is remarkable. You
know, ten years ago that wouldhave never happened. And Caitlin Clark gets
a lot of the credit. Imean, she's putting a game on the
map. But why are we talkingabout it. We're talking about it because,
(07:13):
in my opinion, they work hardto come back from injury. They
work hard all year round just tobe able to showcase their talents, and
I don't want a call to takethat away from him. What you expect
from the referees pee weee baseball,high school basketball, college pro consistent,
(07:39):
be consistent. If it's a foulin the first quarter, it should be
a foul in the fourth quarter.You know, Swallowing your whistle is unfair
to that athlete who is trying todrive the lane for a layup. You
brought up Bronnie, which is alsoon my list of things to talk about,
(08:03):
not from a basketball standpoint, butfrom a purely sports medicine standpoint.
Way back in the day, asa player named Hank Gathers who suffered a
cardiac arrest right there on national TV, and those of us of a certain
(08:30):
age witnessed it, and there havebeen many unfortunate cases like that, and
some, in fact, most maynot be witnessed. Pete Maravich, who
Caitlin Clark just broke his record,by the way, had a cardiac arrest
(08:50):
in the gym and didn't make it. And it got me to thinking,
as a sports medicine doc covering allof these events, I need to be
ready if something like this were tohappen under my watch. And as is
usually the case with me overthinking it, well, wait a second, how
(09:13):
do we identify these in the firstplace and so not only be ready for
it when it happens. Defibrillators andCPR and that sort of thing. But
what is it that we do toscreen some of these youngsters earlier? Was
it last year that Brownie had thecardiac event? I believe it was.
Was it last year summer? Ibelieve it. It was his first practice
(09:37):
at USC is his first one goinginto the summer, and it came in
early all that it was like lateJuly, early August is when it's happened.
This is yeah, he had acardiac event and it was witnessed,
and he was saved and Lebron andhis people were really hush hush about it.
(09:58):
I I just don't think he wantedthe news of his son like that
out in public. Lebron James triesto keep his kids behind the media because
Lebron's like, focus on me,not my family, not my kids,
they don't matter. It's me youwant, I get it. I get
it. And he's one of theguys in the NBA that are really never
crossed path with. I met him, but never had any conversation, so
(10:22):
I don't feel like I really knowhim. But I understand the privacy in
protecting your kids thing. But hehad cardiac event happened, he was out
for a while. Supposedly he hada procedure of some sort, and he
came back and he played. Ijust heard on ESPN this morning that you
(10:45):
know, he hasn't been the samesince he's been back. You know,
he's average five points a game,that sort of thing. But he's declared
for the NBA Draft and at thesame time entered the transfer portal and I'm
not sure what the rules are,but apparently he keeps his his NBA.
(11:05):
I'm sorry his collegiate status. Isthat how it works? Yeah, I
think you have like a window.So I think he's trying to garner see
how much interest there is in theNBA for him. Hedges bets, Yeah,
Hedges bets a little bit where youcan go back. But the reason
I want to talk about Browny thismorning is because the cardiac screenings aspect of
it. I was surprised that hewas not screened because I know all the
(11:33):
NBA players are screened. I knowa vast majority of NFL players are screened
for cardiac abnormalities. Look, itis a catastrophic thing. And I can't
imagine the families that have to gothrough something like this. It is a
(11:54):
catastrophic thing. My involvement, I'man orthopedist. I mean I do sports
medicine. What am I supposed toknow about, you know, cardiac events?
But it was kind of thrust uponus. If you are covering a
high school football game or an NBAgame, you have to know what to
do in that situation. Well,you know, yeah, we all are
(12:15):
trained in CPR. We all knowhow to work a defibrillator, which by
the way, is very simple.Any of anybody out there, the defibrillator
will do it for you. Ittells you where to put the patches.
It actually has its voice. Ittells you stand back, I mean it.
The defibrillator does everything. So ifyou don't know CPR, do it,
learn it. It's very simple.If you don't know how to use
(12:37):
a defibrillator, don't be scared ofit. It will It will do it
for you, and there's no wayto accidentally shock somebody, no way anyway.
So the involvement is that these thingsare are rare. But nonetheless,
if if you do certain screening testsand a stress echo cardiogram in an EKG,
(13:00):
you can pick up a vast majorityof these congenital problems and like in
Lebron's son's case, address them sothat he can continue on with his career.
But the costs have come down substantially. A lot of the high schools
in the Dallasport Worth area or inthe state of Texas are already doing these
(13:24):
screenings. We are in the processof getting them done for our school.
Previously, all of our other schoolswe screened our kids, And if you
want information on that, just emailme and I'll pass it along to you.
But the Brownie James situation, asfar as inside sports Medicine is concerned.
(13:46):
To me, it's more important tocreate awareness about these screenings. So
maybe when we come back from thisupcoming break, we'll do that song contest
again. Yes, apologies, wewill do it again, and we can
play the first song again and we'llplay the second one. Oh, do
it back to back? Oh?Alright? Uh? Two one four seven
(14:09):
eight seven, nineteen seventy one.If you're not just now tuning in too
soreel live on Inside Sports Medicine episodeeight hundred and seventy five eight one seven
seven eight seven nineteen seventy one ortwo one four seven eight seven nineteen seventy
one. First person to text inand I or call in for that matter,
(14:30):
and identify the song or the artist, we'll send you a T shirt.
(15:00):
One to be able to identify thissong or the band via text,
we'll win. He won four seveneight seven nineteen seventy one. You got
it. No fair to cheat,all right? So now that was not
our opening song. You want tosave that to the next one. Let's
(15:22):
just say that, all right.So we still have one more song to
do, we do, I know, so potentially you can hear two songs
coming up. Yeah, and lotsof I don't know, free gift stuff.
(15:43):
So during the break, Daniel andI were talking about the human element
in making the blowing the whistles orat home plate calling balls and strikes.
I suspect act. I suspect thatwith AI and replay, we could probably
(16:18):
make a split second call. ButI don't know that that will ever be
a substitute. I mean, Idon't know, what do you think?
No, I mean, I thinkfor balls and strikes it probably works right
because it's either in the zone orout of the zone, or like tennis,
you know where they can challenge acall and they've got the AI and
they can see the ball and stufflike that. So I think for stuff
(16:41):
like that that's objective in out kindof more binary. Yes, But for
a screen, how do you haveAI? You know you can't. I
just don't think you can. So, but I agree with you. I
think balls and strikes can be doneright now. I think balls and strikes
can absolutely be done right now.Yeah. So, uh, it's like
(17:03):
we got a winner. We dohave a winner. Uh seven eight eight
nine. Just send us your text, I'm sorry, send us your address
and we will mail you something nextweek. So congrats and by the way,
only one winner. Lots of guesses, but only one winner. Good.
Uh So was that a call inor was that a text in?
(17:26):
Answer, Garrett, that was atext in? Okay, Well, we
do have your friend on the line. Oh, okay, him to come
Gernobyl. Yes, oh, tellhim hang on for a second. I
want oh doctor, oh Blaylock,Blaylock, yeah, yeah, yeah,
yeah, yeah, oh yeah.Well that's that's gonna be something that that's
(17:48):
gonna be a question. Tell himto hold okay, hold yeah. Oh
you know what, put him onthe air. Put him on the air.
Well, what a discombinate everyone.Hey, Ryan, good morning,
doctor, Blaylock, Morning, dartessOrio, Morning, Daniel. Y'all shows
sounding great on iHeartRadio app Thank you, thank you. You are biased,
of course, but thank you.So. One of the things that was
(18:15):
on our list to talk about today. You know, we were talking about
baseball and the balls and strikes andthat sort of thing, but we could
not complete this episode without talking aboutthe Rangers, Josh Young and his wrist
injury. And since you are oneof the foremost, one of the foremost
hand specialists in Dallas for worth,I wanted your opinion on it, Yes,
(18:40):
sir, So he caught a hecaught a ball on his ulner aspect
of his wrist, that's the littlefinger side. Obviously he was injured right
off the bat. It was veryobvious. He got X ray that was
broken, he ended up having surgery, and your thoughts, your thoughts on
(19:00):
the whole thing. Absolutely so,you know, I went back and I
watched the replay of it's I mean, it's just a highly unfortunate injury.
You know, I don't think thepitcher was in the wrong. I don't
think Jung was crowding the plate,you know, just highly unfortunate placement of
the ball. And it caught him, interestingly, not on his leading wrist
because he's batting right, you know, leading left with his left hand.
(19:22):
It caught him as he like brokehis wrist and brought the ball around and
just a direct blow on his rightulnum. So there's two bones in the
right forearm, the radius which goesdown and goes into the thumb side of
the wrist, and then the ulna'son the opposite side at the level of
the wrist. The ulna is athinner diameter bone than the distal radius.
(19:44):
And it sits almost directly under theskin. There's very little padding between the
skin and the ulnam, and Ithink the combination of you know, the
position, the obviously the velocity ofthe pitch, the smaller bone in the
wrist, and the you know,lack of padding over it, he just
caught it right there. And wedescribed this type of injury in medicine is
(20:07):
a night stick injury. So thatgoes back to the times when you know,
if you were protecting yourself from anassailant who had a baton or a
night stick, so to speak,it's a direct blow injury. Right,
So the ulna and he obviously sustaineda fracture based on you know, what
has been released officially from the Rangersand kind of you know, the scuttle
butt from the social media. SoI went and read some of the social
(20:27):
media and stuff like that, andit sounds like he had a plate and
screw's placed. In orthopedics, wecall that an open reduction internal fixation.
So open we opened the skin reduction, we move the bones back together,
fixation plates and screws to hold it. And I saw on one post where
you know, somebody commented they actuallyhave him in a splint or they said
(20:48):
cast, and I would assume probablya splint above his elbow. And one
of my friends actually last night atdinner was asking me this question, why
does it have to go so high? And I was like, well,
the only way to control the ropeof the forearm, it's just split him
above his elbow. Wait, wait, wait, so would you've done that?
Yes, I think that's absolutely appropriate. Well I'm going to say this,
(21:10):
okay, so hang on, We'regonna have a little controversy right now.
This is this is really nerdy controversy. No, I wouldn't have.
In fact, I probably would havejust put him in a velcros wrist splint
after surgery. And let me tellyou my thoughts, and I'll hear your
thoughts. I am not a handsurgeon, but I actually contemplated going into
(21:36):
hand when I was a resident,But neither here nor there. We did
train when I was at ut Southwesternand Parkland. We did train with We
had Swiss professors that came and dida rotation with us for a year,
so we learned what's called the AOtechnique, and they were the authorities in
the world at using plates and screwsto stabilize fractures. And so we actually
(22:03):
learned it from the people who inventedplates and screws. And the interesting thing
was their philosophy was the plate andscrew are doing all the work, and
you might put him in a splintto allow for the skin to heal,
But after the skin healed, theplate and the screws are doing all the
work if you've done your job right. So I'm gonna say this, in
(22:26):
my opinion, if I was takingcare of Josh and I put the plate
and screws on his ownA, Iprobably would have put him in a forearm
splint, but that would have beenthe extent of it. I don't know
that it would have been necessary togo full arm cast. It just makes
no sense to me. Now that'smy two cents worth. What are your
two cents worth? So my takingon it is with okay, so it's
(22:52):
not wrong. I'm going to saythat it's not wrong, but it's also
not necessary. So I think thething to think about is how much purchase
did they have in the fragment ofbone closer to the wrist. Right,
he's a young guy. His bonequality is way better than a ninety year
old grandma. I don't want tosound really controversial, but I know I
(23:15):
am so if it was me,I would have just been in a cast
to begin with, forget the plateand screws. But because he's an athlete,
you're defeating the entire purpose of tryingto put a plate and screw so
you can start early rehab by puttinghim in a cast. I think probably
with I guess you know they havethe Rangers. The Rangers have not released
(23:37):
his X rays. I'd be veryinterested to see it. Do you know
who fixed it? By the way, I'm guessing, I'm guessing Keith Meister,
but I don't know. You know, I don't know who fixed.
My guess is the fragment of bonethat was closest to his wrist was very
small, and in that area sometimesyou can only get two screws in in
that fragment in the traditional AO technique. By the way, AO is fans
(24:02):
for Abergamers, Abergambish Schmidt, OsteoSenson, Fraggon. It's like you mentioned,
it's a Swiss organization that developed thetechniques we use to to fix bones.
Anyway, I'm impressed you know thatI am so impressed, you know
that. I'm sure a native,a native speaker will you know, destroy
(24:23):
me on my pronunciation. But that'sit's an Aberghamish schmidt osteosenson fragm. So
if that's I can do it anyway. My guess is they had a really
small fragment distally, and maybe youcan only get two screws. Traditional AO
teaching says you need three screws oneach side of the fractor for six courtices
(24:44):
of fixation. Yeah, Now wehave other techniques where, you know,
you can sometimes get around that,and sometimes you just simply don't have the
purchase. So if they had lessthan they wanted and it's a small fragment,
and then the second thing to thinkabout is in that area, you
can't get a very big plate.Number one, you just don't have the
real estate. Number two, it'sright under the bone. So if you
put say, yeah, if youput a larger plate, which would be
(25:07):
you know, something along a threepoint five millimeter plate, which is not
three point five milimeters wide. Itactually describes the width of the screws that
go through it. I bet theyhad to use a smaller plate, which
would you know, typically be atwo point seven millimeter plate, and as
it gets narrower, you lose rotationalstability. So my guess is at that
(25:29):
level he probably had minimal fixation distantlya smaller plate. And those plates,
like you said, they do alot of work internally, but they're not
great in rotation, particularly at thesize of a two seven. So the
limiting his rotation by locking his forearm, that's why it makes sense. Because
the plate is great in compression,great in bending, you know, even
(25:52):
intention but rotation you can get morewiggle than you would anticipate. So the
short answer, the short answer isthat we were not there, and we
don't know what the X ray lookslike, and we don't know what kind
of fixation they had. So let'sfast forward to something that is relevant to
everybody listening to this. Because theirson and daughter may have a risk fracture,
their their mom may have a riskfracture that requires surgery. What kind
(26:18):
of recovery are we talking about?Again, given the fact that we don't
know what the X ray looks like, the paper said that he's out for
eight to ten weeks. Is isthat sound about right or is that conservative?
I think that you know, Ithink that probably sounds right. And
it's interesting that some of the originalthings were like, oh, he'll be
(26:40):
back in six weeks, and thenI said that. I said he's gonna
be back in six weeks. Youdid, and then I think also I
thought, like you know, poston social media and stuff when I was
kind of prepping for this. Ithink, you know, they were hopeful.
My guess is they got in there, it was more unstable than they
thought, and then they bumped itup to eight to ten weeks. So,
(27:00):
you know, most people's bone,assuming you're not a smoker, you're
young, healthy like Jung is I, you know, eight weeks of healing
with a plague and screws on theinside, it's probably stable enough. Sorry,
I apologize right. My wife isout of town and my little daughter
is giving some of her thoughtsful morning. She agrees with us. She does,
(27:25):
so the you know, probably thebone will be stable enough at eight
weeks. I think they're saying tenjust to you know, camper expectations.
It'll probably be stable enough at thatpoint that he can play. But you
know, non athletes, if Ihad this injury before I went back to
something that you know, involves lotsof force, like you know, swinging
a bat or whatever. I wouldhave probably honestly say twelve. So in
(27:48):
a professional athlete efforts fix, Ithink eight to ten is spot on,
and I wish him the best newsrecovery, and I hope he comes back
sooner. Well, we appreciate yourinsight and good luck with the Allison and
uh, we'll see you later,see you later, all right, sorry,
that was the rest of the show. That was doctor Blaylock, one
of the foremost hand and risk specialistsin Dallas Fort Worth. We're very fortunate
(28:12):
to have him at Texas Sports Medicine. All Right, quick, little break.
We have a winner on the driver'sseat. Make sure that we get
his address so that he or sheso that we can send them their gift.
We'll do this again after this upcomingbreak, so so be quick.
Two one four seven eight seven nineteenseventy one, coming right back, Welcome
(29:00):
back, Welcome back to Inside SportsMedicine. T O sorry else, this
is an easy one. Two onefour seven eight seven nineteen seventy one.
Text in or call in name ofthe song and the name of the band
and you'll win first. Want todo it? Wins. Welcome back to
(29:25):
Inside sports Medicine. So in thisupcoming segment, we're gonna go back to
We're gonna go back old school.We're gonna go back to section that we
used to call sports Medicine one ohone and yeah, sports Medicine one oh
one was basically discussing some of thefundamentals of our our area, our specialty,
(29:51):
our world. You know, episodeone twenty three years ago, we
talked about the difference between a sprainand and a strain. We talked about
the difference between a you know,break and a fracture, that sort of
thing. Well, now we're goingto talk about some of the basics braces,
(30:11):
sleeves, crutches, some of thehokey stuff that you see out in
the real world. There are thereare millions of muscular skeletal appliances, and
the reasons that they exist are relativelysimple, pretty straightforward. If you sprain
(30:38):
an ankle and the ligaments are damaged, you might want to wear an ankle
brace. If your knee is soreand your luca and you're sitting out,
you might want to wear a compressionsleeve or leggings. And people don't understand
(30:59):
when to you what I have seenin our practice people coming in for second
and third opinions with a you know, thousand dollars brace because they've got tendonitis,
and I'm scratching my head. Youknow, a twenty five dollars sleeve
would have done the exact same thingas this thousand dollars brace. In fact,
(31:22):
it probably was not even appropriate.So this is an opportunity for me
to kind of maybe educate just ahair about what the differences are. Sleeves
and leggings are all about compression,and that's really what you get out of
(31:45):
those types of appliances. There isa huge marketing I'm searching for the word
a marketing. Whatever. The coppersleeve, it's not the copper, it's
not the copper in the sleeve,it's the sleeve in the sleeve. That's
(32:07):
how that works. And so we'velearned a long time ago that joints and
muscles for that matter, respond alittle bit more efficiently when there's a little
bit of compression on them. Bikeshorts that's a classic. Leggings that's another
classic. If if you put somethingaround a muscle, it reacts just a
(32:32):
hair faster, a hair better.You've seen the athletes where with tape around
their knees and shoulders. It's physiotape. It comes in various different colors.
Well, that works, and itworks on this principle that I was just
discussing, and it's called appropriate reception. If there is a sensory feedback,
(32:54):
then the muscle responds just a hairbetter. So compression sleeves, leggings,
tights, compression shorts, physiotape,all of those things work using that appropriateception
angle of things, and they areeffective. Now you can put menthol in
(33:15):
it, you can put copper init. You can put it red or
green or blue or whatever. Itstill all works the same way. It's
not the copper, it's the sleeve. It's not the menthol, it's the
compression. But those things offer noprotective support. That's where braces come in.
A brace must have some type ofa buttress. Whether that buttress is
(33:40):
a felt pad that holds a kneecap in place, or whether that buttress
is metal on the side of theknee like a hinge to hold it from
going out of socket, or whetherthat is a fiberglass something around your ankle
to give you a give your sprainedankle support. So we use braces to
(34:05):
help with a stability problem. Andthe braces get a bit more expensive because
they are more structural. So wherea sleeve might be twenty five to fifty
dollars, a brace will kind ofbe in the three figure range, you
know. And I don't know,ankle brace maybe seventy five bucks or a
(34:28):
knee brace maybe two hundred bucks.But braces are there to help restore stability.
It is difficult to get I guessthey sell braces on Amazon. It's
difficult to get braces that fit appropriatelywithout having the opportunity to try them on.
(34:52):
And I think this is why fora lot of braces you have to
have a prescription. And the prescriptis not just to get insurance to pay
for it. The prescription is tomake sure it fits correctly. You know.
We have acl braces that are wow, they're in a thousand dollars range,
but they are worthless if they don'tfit. I saw a patient the
(35:16):
other day, by the way,a little sidebar story. She had a
left knee brace on her right knee, so it was thousand dollars but it
was made for the left knee.But she's wearing it on the right knee,
so it didn't fit. It wasjust a complete waste of money.
(35:37):
Again, so difference between compression sleevesbraces. One thing I do want to
touch on is crutches. Often wewill use crutches primarily for comfort. And
so if you sprain your ankle andyou really can't put any way on it,
(36:00):
yeah, you need a pair ofcrutches. You need a pair of
crutches. The crutches allow the armsto do the work and the extremity,
the lower extremity to be spared.So it's again it's for comfort, but
it also can be for protection.Doctor Blaylock on the last segment was talking
(36:24):
about a procedure where in Josh Young'swrist he had plates and screws put in.
Well, sometimes you want to protectthat repair, so you put them
in either a cast or a brace. Well, the same thing happens in
the lower extremity. So if wedo ankle surgery because you broke your ankle
(36:45):
and we want to protect that repair, we'll put your own crutches. Yeah,
don't walk on it, little Johnny, because it's not healed enough and
the screws might pull out, andso the crachure is not The crutches are
not only for comfort, but they'reall also for protection. Most of the
time. In a situation like that, we're also going to double up and
(37:07):
we'll put you in a boot ofsome sort. So there's a boot to
protect you and there are crutches totake the weight off. It is so
important to understand, even at themost fundamental level. If you're a mom
or dad, why did you putlittle Johnny on crutches? Why did we
put Grandma in a boot? Askthe question, Ask the question is this
(37:31):
really necessary? Now, we're notgoing to talk about the business of medicine,
but I can't leave this segment withouttalking about the business of medicine.
You know, a boot, anankle boot, and you've all seen people
wearing them. It's very common.You know, might cost the clinic ninety
(37:54):
dollars. Well, guess how muchinsurance pays for that. Reimburses for that
eighty two dollars, So the clinicwill will we'll lose money on using the
boot, but it's important because itis a protective device and you really want
to use it. On a businessof medicine side, that can also be
(38:15):
misused. I told you about thethousand dollars brace for tendonitis. Yeah,
that's that's that's a classic abuse ofsuch a situation. But anyway, crutches
are for protection and for also forcomfort. Uh. There are people that
(38:36):
you see walk in the mall essentiallycarrying their crutches, and I smile because
I'm wondering, Gosh, they can'tbe really following orders. You know,
you're you're you're walking, but butyou're full weight bearing, You're you're not
(38:58):
limping. I suspect that somebody toldthem, hey, little Johnny, you
need to be using the crutches,but little Johnny's not being very compliant.
Uh. There are situations where crutchescan actually get in the way. You
know, I've seen people who arenot very comfortable using crutches, especially the
older population, and they can beunsteady and they can fall and break their
wrist or whatever whatever. So ifyou're going to use an appliance like that,
(39:22):
make sure someone shows you how todo it and someone does it correctly
for you. In this world ofAmazon, that bothers me a little bit
because people order stuff but they neverreally know how to apply it correctly,
and they're not taught Daniel. You'veused crutches before, right, I have,
yes, sir, yeah, fortysurgers with you. Yes, several
(39:43):
surgeries, I know, so I'veused them several times. But tell our
audience, is it that it's supposedto shadow your bad leg your good leg?
What is the application of crutches?That's a really good question. So
after I do acl surgery, patientswill get a pair of crutches for the
first four or five days until they'resteady. Now they're going to be full
(40:07):
weight bearing immediately. So we dosurgery on a Tuesday morning and by Tuesday
afternoon they're walking the halls. Butall those patients are going to get crutches,
and they're going to get crutches primarilybecause I want them to use them
for stability. If you're post anesthesiaor if you've had something for discomfort and
(40:31):
your wobbly, I want you touse the crutches in your hands purely for
balance. Now, once you arefully awaken, you're out of the anesthesia,
et cetera, et cetera, thenwe get rid of the crutches and
you're full weight bearing. So oneuse of crutches is just for stability.
(40:52):
Because I'm unsteady. If it isan extremity like I hurt my ankle,
I hurt my knee, and Iwant to take the weight off of that,
then you use the crutch on thesame side. And the purpose there
(41:12):
is the crutch and the arm arenow carrying the weight rather than your knee
and ankle are carrying the weight,So it's replacing, it's allowing some of
the weight to be off. Allright, quick little break two one four
seven eight seven, nineteen seventy one. If you have any questions, We've
got some winners, We've got someaddresses. We will come back after this
quick break. She's in Welcome back, another easy one. All right,
(42:01):
First one to dial or text twoone four seven eight seven, nineteen seventy
one with the name or the nameof the song or the band coming right
back after this finished break. Thatcoming back after the break we just finished.
(42:24):
Yeah, you get the first oneto text in with the answer.
Obviously, if you already won something, you may not be eligible for the
second one too. Sorry. Ilive in the studio with Daniel and Garrett
wrapping up episode eight seventy five.We have a few things to get to
(42:45):
before this is all over. Thisis a sports medicine thing as well.
Daniel was telling me about Julius Randall. You want to tell everybody what's going
on with him. Yeah, theKnicks just shut him down for the year.
He's getting surgery. He's been dealingwith a shoulder injury for the last
(43:06):
couple of months. It sounds likehe's been doing rehab all this stuff and
they're pulling the plug on him.Yeah. That surprises me. So Julius
Randall is a Dallas product, bigname in the in the NBA, has
done extremely well for himself. Idon't know what what kind of shoulder problem
(43:28):
he would have that requires urgent surgery, especially when their playoff bound. I
mean, I think I think theKnicks are doing really well in in the
East. They're they're trying to tradethem. So did you say that on
the air? Yes, I did. Well. The only reason they would
take him out to go having inyour career or in the season surgery is
(43:52):
they have a different plan for him, and the only way to get selling
draft conversations for him or something inthe long run for him is to make
sure he's going to be healthy tostart. Yeah, but you've ruined your
chance. Yeah, you're trading you'reyou know, you're tied fourth fifth right
now, you know. Yeah,I mean the Knicks have never gone that
(44:14):
far in the playoffs. If you'retrying to trade a guy, shutting him
down and having surgery is the worstthing you can do because the trade value
just plummets. I mean it literallyjust plummets. No one, no,
no other team is want to giveyou, going to give you because they're
negotiating. Stance just just just wentup. So yeah, I again,
(44:37):
So they're only handful of things thatcan happen to his shoulder at a basketball
player. Rotator cuff, Yeah,you can have a rotator cuff tear or
whatever not not doesn't happen very commonin basketball, but it does happen.
You know, we had a coupleof players on the MAVs that ended up
having rotator cuff surgery, but oftenit was it was off season surgery.
(44:59):
The which is the layer of cartilagelaborum stands for lip, and sometimes you
can have a labral tear, butthat usually responds to some kind of a
arthroscopic procedure, but it also canwait till the end of the season.
Instability which means my shoulder slips inand out of socket. Again very common.
(45:20):
There are braces for that, andagain that can wait. I'm really
scratching my head. You've got you'vegot the season that's maybe another week or
two left, You've got the playoffsthat are coming up. You've got the
nixt team which is fourth or fifthin the East with a pretty decent season
going, and you shut down yournumber two player. I'm scratching my head
(45:43):
about that again. And why dowe talk about it on sports medicine because
these are all common problems for littleJohnny and little little Mary. You know,
we all have these shoulder problems.They play sports, and what happens
to Julius Randall happens to ten thousandother athletes. And so I'm I'm again,
I'm trying to figure out what's goingon now. The Knicks do have
(46:08):
a relatively new medical staff because theirprevious team doc was a really good friend
of mine, and I know thatshe just retired last year. So I
don't I don't know if maybe thisisn't inexperienced move by their medical staff.
(46:29):
One of the easiest answers in theworld of sports medicine, is Yeah,
you better sit out. That's theeasiest answer, and may not necessarily be
the right answer at the time forthe player or for the team, but
that's the easiest answer. Oh,you know, we had to let that
(46:49):
heal. Again, I'm not I'mnot downplaying it. But if if all
of us in the sports medicine worlddid that, you'd hardly have a be
able to feel the team, especiallyin the NFL. You know, all
the guys in the NFL have injuries. They all have injuries, and part
(47:13):
of the judgment, part of thejudgment of your medical staff, whether it's
the trainer or the doctor or thetherapist or whatever, part of the judgment
is understanding number one and the injury, number two, the player and the
player's mentality number three, the situationin the year. Understanding all of these
things and being able to make theright recommendation, the easiest recommendations. Yeah,
(47:37):
you better sit out. Nothing wrongwith that. But you're not going
to go very far into playoffs ifthat's what you say, not without your
number two scorer, and he's Ithink he's a leading rebounder, et cetera,
et cetera. I'm scratching my headabout that one. I really don't
know. I don't know. Iguess we'll find out. So we got
final four weekend in the ladies.We are down to South Carolina, which
(48:05):
really looks unbeatable and Iowa, whichI think is a fan favorite because of
Caitlin. Do you have any thoughts? I think you get a great story
either way, either you get America'shero Caitlyn Clark or you get a thirty
seven and no season. And Iplayed last year except it was in the
final four in the semis and Ithink Iowa won. What Iowa lost to
(48:30):
l Seve in the final four lastyear? Oh no, I don't know.
But when they played South Carolina lastyear, didn't th same two teams
played last year? I I don'tknow. Yeah, I no, No,
you're right, it was it wasLSU and Iowa for the final.
My god, I was I'm wrong. No, that's all right, We're
wrong a lot on this show.Not when it comes to medical though.
(48:52):
Yeah. And on the men's side. So it starts tonight. So I
had North Carolin. I know,my my my bracket was busted. Its
busted. I'm out. But Ithink Yukon's unbeatable. I don't know how
you can go against uh, thetwo time player of the year Eadie.
(49:14):
Is it Eadie or Eddie? Edie? And Purdue Yeah, DJ DJ Burns
n C State. Yeah, they'reon an immaculate run. They went,
he beat it in the ACC Championshipsgames. We've never had a fourteen lost
team in the final four. Theywon like five games in five days to
(49:36):
get in. That's unbelievable, unbelievable. And they beat North Carolina to win
the AAC Chamionship, right and tobasically cement themselves a lock into the play.
But they if they lost the firstor second round of the a SEC,
they wouldn't even be in a tournament. Story storybook, storybook. But
but now now you're playing with thebig boys, I mean produced solid.
(49:59):
You on a solid is it?Alabama? Alabama? Alabama solid? I
mean yeah, it'd be cool storyif they won. It'd be a real
cool story if they won. Ijust don't know how he matches up against
Edie. I mean he's giving upseven inches in height. I mean he's
on the floor player, you know, like you could slip a piece of
paper under your shoes. So whoplays? Who plays? So what are
(50:22):
the pairings tonight, and so it'sn C State and Purdue, and then
it's Alabama and Yukon. And Purdueis a nine and a half point favorite,
and I think Yukon's eleven and ahalf? Is that right? I
can check it, but I wouldn'tbe wrong because Alabama will probably lose bad.
Look, I think I think ifwe go with the odds, Purdue
and Yukon is gonna make for agreat championship game. Absolutely, maybe the
(50:44):
first time Purdue actually makes it thechampionship game and not lose to a fifteen
seed or sixteenth seed in the firstor second round. Well, assuming they
get past the eleventh seed tonight,and we'll get to see, yeah,
two great bigs going up against eachother. Right, we'll see Zachieti and
then we'll see who's Yukon's big.Remind me, oh yeah, yeah,
I got picture. You can pickme a second. I can figure this
(51:05):
out for you. I have togo look at the roster. So someone
on the text is asking about aquestion about braces and how you get him
fitted. Yeah, so that thatthat's a really good question. Sorry,
we were talking about that in thelast segment. Clickin yeah, yeah,
yeah. Yeah. He's also seventoo, so it's a seven two verse
(51:29):
seven six matchup, which would bekind of interesting. He's seven four?
Is he seven four? I thankyou? Seven four? Uh? The
only seven to six ever in theNBA. I think Bowl Manu Bowl And
oh gosh, he's played for theMAVs. Hang On just had a terrible,
unfortunate bike accident. Oh it's it'llcome to me. I'm so sorry.
(51:54):
Anyway, So the question about howto get the bracest fitted so normally
and by the way, the instructionsare often just not very clear. So
at our facility at Texas sportsman SeanBradley, yeah yeah, yeah, yeah,
(52:15):
yeah, yeah yeah yeah. Sowell, sidebar story about Sean Bradley.
I did surgery on him. Hehad a knee issue and he was
so tall he wouldn't fit in thehospital bed, so we had to get
a special bed with extensions. Andwe didn't think of this, nor if
(52:37):
it mattered. Even if we didthink of it, it wouldn't have mattered.
We didn't have an operating table longenough. Oh we we did not.
They do not make an O Rtable that is long enough to accommodate
someone who is seven foot six,and I was doing ourthrooscopy on his knee.
(52:57):
And so normally when we do ago we stand on the end of
the bed oh our table and reachacross to do surgery on a knee.
I couldn't reach it. I literallycould not reach his knee. It was
everything turned out great. He endedup coming back to play in a few
weeks. But the sidebar story waswe did not have an our table for
(53:21):
seven foot six and anyway, Idon't know how we got on that.
I think I took us there.Back to the question on the text as
to how you get appropriate braces andcrutches fitted. If you were in the
(53:42):
er, then typically it's going tofall to the nursing staff in the er,
and they will they don't like doingit, but somebody has to do
it. They have to fit youfor the crutches, and they'll typically make
sure that you know how to withcrutches, and they'll have to fit you
with the boot and have to makesure that you know how to do that.
(54:05):
But assuming you're not in the emergencyroom, it can be done at
the rehab facility and on rare occasion, if someone comes to our facility and
says, hey, listen, Ijust got this brace. Can you help
me learn how to put it on? We'll help you do that. But
usually those are prescribed because fit isimportant, size is important, and especially
(54:28):
how tight to make the straps.I find that when people use knee braces
or ankle braces, they often putthe straps on way too tight, and
that can obstruct blood flow and lymphaticflow, and then you get swelling,
and sometimes you get compression of nerves, especially if the nerves are under the
skin, and it is very problematic. I think. I think one of
(54:52):
the most dangerous appliances out there isan ace wrap. Oh my goodness.
I have seen people come in withthe ace wraps so tight that the nerves
are damaged. The the that footan ankle, or the size of a
of a grape, They somehow seemto think that the tighter I put this
(55:14):
ACE wrap on, the better.Well, no, that is that is
not correct. Uh yeah. Acewraps can be so dangerous When people put
them on way too tight. You'reyou're trying to get support out of something
that is not meant to be forsupport, right, They're meant to hold
the the gauze on right, yeah, exactly. I use ace wraps and
(55:35):
and in my clinic just just tokeep the incisions clean. You know what.
We're just going to put a coveringon it, just to keep the
wounds cleaner, or just to tohelp with a little bit with the swelling.
We're not going to drive the swellingout with the ace wrap. It's
not made for that anyway, norwill it nor will it. Yeah,
(55:55):
right after surgery, you'reposed, you'resupposed to swell, exactly, so you
Yeah, ace wraps can be verydangerous. You guys be careful, all
right, Episode eight seventy five.We're done. We've had several winners for
all of our music trivia. Hopefullyeverybody's responded with the correct size and the
(56:19):
correct address, and we will sometimeduring this week. I'm gonna leave it
up to Daniel to mail them out. You will get Texas Sports Medicine shirts.
Wear them proudly. We have.We have the privilege of being to
see many of you in our officeat Texas Sports Medicine, and I do
(56:43):
think that it is a privilege.I love it when someone comes in and
says, yeah, I heard youon the radio, and you know what
you said makes sense to me,So I need you to, you know,
give me an opinion on little Johnny'sankle or knee or whatever. That's
very, very flattering. We lovedoing the Red Show. We're not radio
people. It is a departure fromwhat we do on a daily basis.
(57:06):
But hopefully in the previous ninety minutesyou learned something and you had some fun
doing it at the same time,until next week on behalf of all of
our sponsors Jaguar, Landrover of Dallas, Backendorf Jewelers, and the Center for
Disc Replacement, as well as TexasSports Medicine, Performance and Recovery Center on
behalf of all of us here onninety seven to one and Inside Sports Medicine
(57:30):
until next week. Tell your friendsname
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