September 19, 2024 • 8 mins
Dr. Matt DesJardins from OrthoCincy joined us to talk about BJ Hill and Sheldon Rankins and their hamstring injuries, as well as the broken fibula suffered by Chiefs running back Isiah Pacheco, and the conversations surrounding Tua Tagovailoa's concussions.
Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
Listen Live: ESPN1530.com/listen
Get more: https://linktr.ee/MoEgger
Learn more about OrthoCincy by going here.
Listen to the show live weekday afternoons 3:00 - 6:00 on ESPN1530.
Listen Live: ESPN1530.com/listen
Get more: https://linktr.ee/MoEgger
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
We do this every single Wednesday. We talk injuries with
one of the experts from Orthos. Since the great thing
about Orthos since he is they've got specialists and locations
all over the tri State and they walk. They offer
walk in orthopedic urgent care weekdays nine a m. To
nine pm and Saturdays nine am to one pm. Learn
(00:20):
more at Orthosinc dot com. That's Ortho ci Ncy dot com.
Doctor Matthew Dejarnon is with us from Orthos. Sincey Bengals
had two defensive tackles leave the game on Sunday, both
with hamstring injuries, I'm going to start with this and
admit it might be a little bit of a dumb question,
but I'll ask it anyway. You have defensive tackles who
(00:41):
aren't asked to run long distances, and then you have
wide receivers like t Higgins who's dealing with a hamstring issue.
He's asked to run long distances. Does that have any
bearing on how this particular injury is treated?
Speaker 2 (00:55):
You know, they're really not. The treatment options for the
hamstring pulls are really similar no matter your size or position.
So initially it's a little bit of relative rest and
some local treatment, you know, the usuals like stretching. They'll
start them working on some strengthening exercises early. The biggest
thing with hamstring injuries mode it's very difficult to predict
(01:17):
the right time to return back to full play because
there's such a risk of re injury. So that's really
what it comes down to, and that's where some of
the position might make a difference. So for example, the
wide receivers who do a lot of sprinting, it can
be a little slower for them to return, versus maybe
some of the power positions, like the interior linemen, they
(01:37):
potentially can get back a little bit sooner.
Speaker 1 (01:40):
Does the grade of the injury have any correlation to
where specifically the injury is, maybe close to the knee,
maybe somewhere mid hamstring, or closer to the buttocks.
Speaker 2 (01:52):
Yeah, definitely. So the closer you are to the tendon
part of the hamstring, the slower the recovery. So if
it's closer up to the buttocks where the hamstring attaches,
those can be quite slow and difficult to recover. Much
more favorable to have an injury in the mid portion
of the hamstring, where the muscle belly is. Those tend
(02:14):
to do a lot better, much easier recovery.
Speaker 1 (02:16):
Is there are there hamstring issues that you see arise
where all right, there's some pain, but it's benign enough
that you'll recommend the athlete go ahead and just try
to work through it and stay in competition.
Speaker 2 (02:29):
Yeah, so the mid muscle belly ones can be like that.
If it's a lower grade injury where their function levels
pretty high, they're able to get up the speed pretty
quick and it's more mildly bothersome. Those are some that
you can work through that happens, you know, every week
in a high school setting and a collegiate setting, and
even at the NFL setting. Stuff that you don't even
(02:50):
hear about.
Speaker 1 (02:51):
I want to talk about a player who plays the
same position but hasn't played yet. Chris Jenkins, a rookie
from Michigan. Right before the season starts, he has thumb surge,
and the word was, look, he could maybe play as
soon as week two. That didn't happen. They're obviously thin
at that position, so there's an increased spotlight on him.
I guess take me through how it's possible to go
from the operating table to the field with this specific
(03:15):
injury in such a short amount of time.
Speaker 2 (03:18):
You know, I'm not sure what the specific injury is.
There's not a lot of public information on that. The
one thing that I could think of about the thumb is,
no matter what they did to it, a lot of
times you can protect it with specific bracing or casting.
And so I'm speculating, of course, but if they did
a procedure that was relatively minor and felt like they
(03:39):
could protect it as alignment in a cast or a brace,
maybe that's sort of the angle on it. But it's
hard to know exactly what was done.
Speaker 1 (03:47):
I guess what it's worth asking what type of thumb
injuries typically require surgery.
Speaker 2 (03:53):
So the most common one from a sports standpoint is
something called it on the collateral ligament sprain. There's a
couple of different names for it, but it's a tear
of the ligament at the base of the inside of
the thumb, and that's one of the common injuries where
an athlete might have to have surgery for something like that.
If it's just healing up kind of loose, the surgery
we'd be to tighten it up.
Speaker 1 (04:14):
I want to ask about a player who was unfortunately
from our standpoint terrific against the Bengals on Sunday. Isaiah
Pacheco a running back who then fractured his fibula, and
so he's going to miss six to eight weeks. Well,
what's interesting is I hear about the injury and my
first thought is he's not going to play this year,
But they're still allowing for the possibility that he comes
back maybe within eight weeks. How does that happen?
Speaker 2 (04:38):
Yeah, So the fibula is the smaller of the two
bones in the lower leg, so it doesn't bear as
much weight as the larger bone, the shin bone or
the tibia. And if it's a pretty simple fracture, something
we might refer to as a don't direct blow, like
maybe he took a knee or a cleat right to
the fibula and it cracks a little bit. If it's
really well lined up in all ligament structures in the
(05:01):
ankle and the knee air intact, you basically throw it
in a boot and let it heal and he'll be
rehabbing along the way, and the healing times not terrible.
So that's something where a player could come back in
the same season. Not a big injury necessarily.
Speaker 1 (05:15):
Doctor Matt dejarn And from Orthosinsia is with us. While
I have you as a medical professional online, I want
to talk about what I think is the biggest injury
in the sport right now, and that's a head injury,
a concussion to a tiger. I looa Miami Dolphins who
is just unfortunately he keeps getting these concussions. It's his
third one. He has missed five games due to concussion
(05:35):
back in twenty twenty two, and so there's a long
list of commentators, players, former players, his former college coach
Nick Saban advising that he hanging up. I'm more interested
in somebody with a medical background, even if it's not
specifically concussions. As you kind of take in this debate,
what do you think?
Speaker 2 (05:55):
Yeah, so this is a really really complex decision making
On the front end. The NFL for Concussion Protocol is
really designed to help guide medical professionals in terms of
getting the athlete back in the near term, you know,
a couple of games later, or a game later or
that season. The protocol is really not designed to make
(06:18):
complex decisions such as, hey, this is your third big
injury in two or three years, or hey you're having
really lingering symptoms. Those are very complicated decisions dealing with
the player's career. Obviously, it has a lot to do
with contracts and a lot to do with life after
the NFL, So those are really individual to involve the player,
(06:40):
the player's family probably agents multiple medical recommendations on it,
or really really complicated decision making.
Speaker 1 (06:50):
And I guess you know, TUA has has access to
world class medical care, unlimited resources. You see concussions at
the youth level, at the high school level, and you know, look,
I mean, obviously high school athletes are cared for now,
better maybe than they ever have been. But it obviously
is a little bit different when you're talking about concussions
(07:12):
at that level. Do you ever get to a point
where you, at least in football, advise a kid that
maybe not play.
Speaker 2 (07:19):
Absolutely, absolutely. There's a couple of things that you really
look for along that line. So obviously, multiple injuries is
the obvious one, but if there's a couple other things,
such as if the athlete is slower to recover with
each injury, that could be a warning sign. The other
one would be the concussions come with less of an impact.
(07:40):
That's also a warning sign that the brain is getting
more and more vulnerable, just like could happened with any
other body part. So if you see that pattern in
the setting of multiple injuries, it would be good medicine
to consider that athlete retiring from a collision based sport
or high risk activity.
Speaker 1 (07:59):
Awesome pertise as always, thank you so much. We'll do
it again soon. Doctor. Do you appreciate it?
Speaker 2 (08:05):
You are welcome, Thank you awesome.
Speaker 1 (08:07):
That's our guy, Doctor Matt Dejarn on Ortho Sincy, I
say this every week. The great thing about the people
at Ortho Sincy is they have specialists and locations across
the tri State including walk in orthopedic urgent care weekdays
nine a to nine p and Saturday's nine eight to
one p at both Edgewood and Anderson. It's easier and
cheaper than going to an er. When you have an
(08:29):
urgent orthopedic injury. Go to Orthosincy dot com. That's Ortho
c I n c Y dot com.
We do this every single Wednesday. We talk injuries with
one of the experts from Orthos. Since the great thing
about Orthos since he is they've got specialists and locations
all over the tri State and they walk. They offer
walk in orthopedic urgent care weekdays nine a m. To
nine pm and Saturdays nine am to one pm. Learn
(00:20):
more at Orthosinc dot com. That's Ortho ci Ncy dot com.
Doctor Matthew Dejarnon is with us from Orthos. Sincey Bengals
had two defensive tackles leave the game on Sunday, both
with hamstring injuries, I'm going to start with this and
admit it might be a little bit of a dumb question,
but I'll ask it anyway. You have defensive tackles who
(00:41):
aren't asked to run long distances, and then you have
wide receivers like t Higgins who's dealing with a hamstring issue.
He's asked to run long distances. Does that have any
bearing on how this particular injury is treated?
Speaker 2 (00:55):
You know, they're really not. The treatment options for the
hamstring pulls are really similar no matter your size or position.
So initially it's a little bit of relative rest and
some local treatment, you know, the usuals like stretching. They'll
start them working on some strengthening exercises early. The biggest
thing with hamstring injuries mode it's very difficult to predict
(01:17):
the right time to return back to full play because
there's such a risk of re injury. So that's really
what it comes down to, and that's where some of
the position might make a difference. So for example, the
wide receivers who do a lot of sprinting, it can
be a little slower for them to return, versus maybe
some of the power positions, like the interior linemen, they
(01:37):
potentially can get back a little bit sooner.
Speaker 1 (01:40):
Does the grade of the injury have any correlation to
where specifically the injury is, maybe close to the knee,
maybe somewhere mid hamstring, or closer to the buttocks.
Speaker 2 (01:52):
Yeah, definitely. So the closer you are to the tendon
part of the hamstring, the slower the recovery. So if
it's closer up to the buttocks where the hamstring attaches,
those can be quite slow and difficult to recover. Much
more favorable to have an injury in the mid portion
of the hamstring, where the muscle belly is. Those tend
(02:14):
to do a lot better, much easier recovery.
Speaker 1 (02:16):
Is there are there hamstring issues that you see arise
where all right, there's some pain, but it's benign enough
that you'll recommend the athlete go ahead and just try
to work through it and stay in competition.
Speaker 2 (02:29):
Yeah, so the mid muscle belly ones can be like that.
If it's a lower grade injury where their function levels
pretty high, they're able to get up the speed pretty
quick and it's more mildly bothersome. Those are some that
you can work through that happens, you know, every week
in a high school setting and a collegiate setting, and
even at the NFL setting. Stuff that you don't even
(02:50):
hear about.
Speaker 1 (02:51):
I want to talk about a player who plays the
same position but hasn't played yet. Chris Jenkins, a rookie
from Michigan. Right before the season starts, he has thumb surge,
and the word was, look, he could maybe play as
soon as week two. That didn't happen. They're obviously thin
at that position, so there's an increased spotlight on him.
I guess take me through how it's possible to go
from the operating table to the field with this specific
(03:15):
injury in such a short amount of time.
Speaker 2 (03:18):
You know, I'm not sure what the specific injury is.
There's not a lot of public information on that. The
one thing that I could think of about the thumb is,
no matter what they did to it, a lot of
times you can protect it with specific bracing or casting.
And so I'm speculating, of course, but if they did
a procedure that was relatively minor and felt like they
(03:39):
could protect it as alignment in a cast or a brace,
maybe that's sort of the angle on it. But it's
hard to know exactly what was done.
Speaker 1 (03:47):
I guess what it's worth asking what type of thumb
injuries typically require surgery.
Speaker 2 (03:53):
So the most common one from a sports standpoint is
something called it on the collateral ligament sprain. There's a
couple of different names for it, but it's a tear
of the ligament at the base of the inside of
the thumb, and that's one of the common injuries where
an athlete might have to have surgery for something like that.
If it's just healing up kind of loose, the surgery
we'd be to tighten it up.
Speaker 1 (04:14):
I want to ask about a player who was unfortunately
from our standpoint terrific against the Bengals on Sunday. Isaiah
Pacheco a running back who then fractured his fibula, and
so he's going to miss six to eight weeks. Well,
what's interesting is I hear about the injury and my
first thought is he's not going to play this year,
But they're still allowing for the possibility that he comes
back maybe within eight weeks. How does that happen?
Speaker 2 (04:38):
Yeah, So the fibula is the smaller of the two
bones in the lower leg, so it doesn't bear as
much weight as the larger bone, the shin bone or
the tibia. And if it's a pretty simple fracture, something
we might refer to as a don't direct blow, like
maybe he took a knee or a cleat right to
the fibula and it cracks a little bit. If it's
really well lined up in all ligament structures in the
(05:01):
ankle and the knee air intact, you basically throw it
in a boot and let it heal and he'll be
rehabbing along the way, and the healing times not terrible.
So that's something where a player could come back in
the same season. Not a big injury necessarily.
Speaker 1 (05:15):
Doctor Matt dejarn And from Orthosinsia is with us. While
I have you as a medical professional online, I want
to talk about what I think is the biggest injury
in the sport right now, and that's a head injury,
a concussion to a tiger. I looa Miami Dolphins who
is just unfortunately he keeps getting these concussions. It's his
third one. He has missed five games due to concussion
(05:35):
back in twenty twenty two, and so there's a long
list of commentators, players, former players, his former college coach
Nick Saban advising that he hanging up. I'm more interested
in somebody with a medical background, even if it's not
specifically concussions. As you kind of take in this debate,
what do you think?
Speaker 2 (05:55):
Yeah, so this is a really really complex decision making
On the front end. The NFL for Concussion Protocol is
really designed to help guide medical professionals in terms of
getting the athlete back in the near term, you know,
a couple of games later, or a game later or
that season. The protocol is really not designed to make
(06:18):
complex decisions such as, hey, this is your third big
injury in two or three years, or hey you're having
really lingering symptoms. Those are very complicated decisions dealing with
the player's career. Obviously, it has a lot to do
with contracts and a lot to do with life after
the NFL, So those are really individual to involve the player,
(06:40):
the player's family probably agents multiple medical recommendations on it,
or really really complicated decision making.
Speaker 1 (06:50):
And I guess you know, TUA has has access to
world class medical care, unlimited resources. You see concussions at
the youth level, at the high school level, and you know, look,
I mean, obviously high school athletes are cared for now,
better maybe than they ever have been. But it obviously
is a little bit different when you're talking about concussions
(07:12):
at that level. Do you ever get to a point
where you, at least in football, advise a kid that
maybe not play.
Speaker 2 (07:19):
Absolutely, absolutely. There's a couple of things that you really
look for along that line. So obviously, multiple injuries is
the obvious one, but if there's a couple other things,
such as if the athlete is slower to recover with
each injury, that could be a warning sign. The other
one would be the concussions come with less of an impact.
(07:40):
That's also a warning sign that the brain is getting
more and more vulnerable, just like could happened with any
other body part. So if you see that pattern in
the setting of multiple injuries, it would be good medicine
to consider that athlete retiring from a collision based sport
or high risk activity.
Speaker 1 (07:59):
Awesome pertise as always, thank you so much. We'll do
it again soon. Doctor. Do you appreciate it?
Speaker 2 (08:05):
You are welcome, Thank you awesome.
Speaker 1 (08:07):
That's our guy, Doctor Matt Dejarn on Ortho Sincy, I
say this every week. The great thing about the people
at Ortho Sincy is they have specialists and locations across
the tri State including walk in orthopedic urgent care weekdays
nine a to nine p and Saturday's nine eight to
one p at both Edgewood and Anderson. It's easier and
cheaper than going to an er. When you have an
(08:29):
urgent orthopedic injury. Go to Orthosincy dot com. That's Ortho
c I n c Y dot com.
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