January 3, 2025 • 7 mins
Dr. Nick Gates from OrthoCincy joined us to talk about Orlando Brown playing with a broken leg, and the prognosis for Chase Brown's high ankle sprain.
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're talking injuries with one of the experts from Ortho
(00:02):
since Orthopedics and sports Medicine. The great thing about Orthos
since he is they have specialist locations and services all
over the Dry State, including walk in orthopedic urgent care
at five different locations with the extended evening and weekend
hours in Edgewood and Anderson. Learn more at orthosinc dot com.
That's Ortho ci Ncy dot com. Doctor Nick Gates from
(00:27):
Orthosinsia is with us. Let me start with Orlando Brown,
who revealed after the game on Saturday that he has
been playing with a broken leg. Says his tibia and
fibula are fused together because of how quickly he grew
as a child. Let's start with this might seem like
a silly question, but clarify the difference between the tibia
(00:48):
and the fibula.
Speaker 2 (00:50):
The tibia and astibula are the two bones in your
lower leg that go from your knee down to your ankle.
The tibia is the larger one by far, and that's
what is your shin bone. If you feel your shin,
that's your tibia. Off to the outside is the smaller bone.
That's the fibula. But they both run from knee to angles.
Speaker 1 (01:09):
So he played with a broken leg, at least according
to him, and I have no reason to doubt him.
Walk me through what determines whether or not a guy
like this, a guy of his size, can play with
an injury like this.
Speaker 2 (01:23):
It does seem a little unusual to say he can
play football with a broken leg. Really, what that gets
to you can think back to the old days. If
your result is me and remember a broken leg like
Tim Crumrie. That's a different kind of broken leg. You
can detect a fracture or a broken bone that's sometimes
very subtle and is only detectable by MRI. You hear
(01:47):
the word bone bruise sometimes and there's a continuum between
a bone that gets bruised or a bone that gets
fractured or broken. Add to that that some bones are
very stable and then even with a crack or a fracture,
a crack would be a fresher or a break that
that bone is very stable and theoretically you can be active.
On top of that. You put on top of that
(02:08):
also that if you look at his timeline, the day
he did that, I think is roughly nine or ten
weeks since injury was first reported. So I think when
he played against Denver and you go through his timeline,
that's a good eight or ten weeks or so since
his injury. That's a lot of healing time that can
happen during that time.
Speaker 1 (02:28):
What risk is he running if anybody playing with this
sort of injury.
Speaker 2 (02:34):
My impression, and again, this is a bit unusual, so
it's a little tough on these ones to look from
the outside, I think his risk is pretty minimal. My
impression would be that they've mitigated risk before they let
him get on the field. It's probably something that it's
partially pain related, but as I think he's mentioned in
the media, it's not all he has to protect it,
(02:54):
even not necessarily just because of pain. But I think
I'm sure they've been minded turing it over these weeks
and seeing evidence of healing, so I don't think they're
putting him at any significant risk.
Speaker 3 (03:05):
All Right, the season could end as soon as Saturday night.
We certainly hope it doesn't.
Speaker 1 (03:09):
But once the season comes to an end, are there
treatments that he is pushing back? Is surgery still an option?
What are the early stages of the off season going
to be like.
Speaker 2 (03:18):
For him, I think almost certainly time to heal. I
would be very surprised if I hear about him being
taken right off to have surgery. He refers to his
two bones being fused together since he was a child.
The technical term for that is a tivfib synoptosis, where
the two bones are kind of abnormally fused together, and
(03:42):
he talks about that his whole career. Congenital or something's
born with. That's pretty rare, but it does add It
does add to the complexity of what he's dealing with.
But in those situations, at first it's going to be
healing time. Typically surgery is very much deserved for only
if it's absolutely necessary. I think it's a great sign
(04:03):
that he played good football against Denver that I think
that's a real good sign that surgery's low likelihood.
Speaker 3 (04:09):
All right, One more about Orlando Brown.
Speaker 1 (04:11):
So his explanation was that his tibia and fibula in
both legs are fused together because he grew up too
quickly as a child.
Speaker 3 (04:19):
Explain that for me.
Speaker 2 (04:22):
That's one tough one to explain. Other than he's like
likely referring to something called congenital synostosis, which is fancy
words for his tibia and fibula are actually fused or
grown together in some abnormal way. Typically those bones sit
right next to each other but are not attached by
bones in him. And this is a very real thing.
(04:45):
You can sometimes, even when you're born, have those bones
abnormally connected. My impression would be possibly, that's kind of
how he was when he was young, and he's been
playing football like that his entire career. It does add
some complexity of diagnosis. It adds some complexity to the future.
It is. It's a pretty uncommon anatomic variant, is what
(05:06):
it is.
Speaker 3 (05:08):
Doctor Nick Gates from Orthosinsia is with us.
Speaker 1 (05:10):
Let's talk about Chase Brown who suffered an injury, a
high ankle sprain.
Speaker 3 (05:13):
They're calling it on Saturday night.
Speaker 1 (05:15):
Frankly, when he first went down, I thought it was
going to be worse than we have found out yet.
It is seeming unlikely that he is going to go
on a Saturday night in Pittsburgh. Walk me through what
a high ankle sprain is and how it differs from
a typical ankle sprain.
Speaker 2 (05:31):
A high ankle sprain usually occurs with a reverse mechanism.
Typical ad sprain. You roll your ankle inward, you stretch
the strain and maybe tear ligaments on the outside part.
You look at the video of his the pictures that
are out, it's more of a rotates the foot outward
and that sprains or tears a ligament a little higher
(05:51):
up above your ankle on the outside. It sometimes can
cause a media or inside ankle sprain at the same time.
So it is you have to be more with them.
I'm seeing only good reports. I think it's good that
he was able to walk off under his own power,
but it's a little behind sprain. Is truly different than
a standard ankle sprain sometimes can be more concerning.
Speaker 1 (06:15):
All right, Maybe another dumb question here, But it's cold
this time of year, obviously, could that impact an injury
like this.
Speaker 2 (06:21):
I think that's a real small factor. Tell you truth, No,
I don't think being that cold or particularly warm, it
is going to be a big difference for him. It's
going to come down to the things they're doing this week.
It is swelling down to get him comfortable, and how
comfortable he is on that day. The cold might makes
any athlete a little bit longer to warm up, but
I don't think it can have a big it's not
(06:42):
a big factor.
Speaker 1 (06:44):
Awesome stuff is always terrific. We'll do it again soon,
doctor Nick Gates, Ortho Sinse. He do appreciate it. Man,
thank you.
Speaker 2 (06:51):
You're welcome O anytime.
Speaker 1 (06:52):
All right, there you go, doctor Nick Gates from Ortho Sincy.
I say it every week and I have for years
because I believe it and it's true.
Speaker 3 (07:00):
Think about ORTHO since he is.
Speaker 1 (07:02):
They've got specialists and locations all over the Tri State,
including walkin Orthopedic urgent Care weekdays nine am at nine
am to nine pm and on Saturdays nine am to
one pm in Edgewood and Anderson. It's easy because you
don't need an appointment, and it's definitely cheaper than going
to an er.
Speaker 3 (07:20):
Whenever you have.
Speaker 1 (07:20):
An urgent orthopedic injury, go to orthosince dot com. That's
Ortho c I Ncy dot com
We're talking injuries with one of the experts from Ortho
(00:02):
since Orthopedics and sports Medicine. The great thing about Orthos
since he is they have specialist locations and services all
over the Dry State, including walk in orthopedic urgent care
at five different locations with the extended evening and weekend
hours in Edgewood and Anderson. Learn more at orthosinc dot com.
That's Ortho ci Ncy dot com. Doctor Nick Gates from
(00:27):
Orthosinsia is with us. Let me start with Orlando Brown,
who revealed after the game on Saturday that he has
been playing with a broken leg. Says his tibia and
fibula are fused together because of how quickly he grew
as a child. Let's start with this might seem like
a silly question, but clarify the difference between the tibia
(00:48):
and the fibula.
Speaker 2 (00:50):
The tibia and astibula are the two bones in your
lower leg that go from your knee down to your ankle.
The tibia is the larger one by far, and that's
what is your shin bone. If you feel your shin,
that's your tibia. Off to the outside is the smaller bone.
That's the fibula. But they both run from knee to angles.
Speaker 1 (01:09):
So he played with a broken leg, at least according
to him, and I have no reason to doubt him.
Walk me through what determines whether or not a guy
like this, a guy of his size, can play with
an injury like this.
Speaker 2 (01:23):
It does seem a little unusual to say he can
play football with a broken leg. Really, what that gets
to you can think back to the old days. If
your result is me and remember a broken leg like
Tim Crumrie. That's a different kind of broken leg. You
can detect a fracture or a broken bone that's sometimes
very subtle and is only detectable by MRI. You hear
(01:47):
the word bone bruise sometimes and there's a continuum between
a bone that gets bruised or a bone that gets
fractured or broken. Add to that that some bones are
very stable and then even with a crack or a fracture,
a crack would be a fresher or a break that
that bone is very stable and theoretically you can be active.
On top of that. You put on top of that
(02:08):
also that if you look at his timeline, the day
he did that, I think is roughly nine or ten
weeks since injury was first reported. So I think when
he played against Denver and you go through his timeline,
that's a good eight or ten weeks or so since
his injury. That's a lot of healing time that can
happen during that time.
Speaker 1 (02:28):
What risk is he running if anybody playing with this
sort of injury.
Speaker 2 (02:34):
My impression, and again, this is a bit unusual, so
it's a little tough on these ones to look from
the outside, I think his risk is pretty minimal. My
impression would be that they've mitigated risk before they let
him get on the field. It's probably something that it's
partially pain related, but as I think he's mentioned in
the media, it's not all he has to protect it,
(02:54):
even not necessarily just because of pain. But I think
I'm sure they've been minded turing it over these weeks
and seeing evidence of healing, so I don't think they're
putting him at any significant risk.
Speaker 3 (03:05):
All Right, the season could end as soon as Saturday night.
We certainly hope it doesn't.
Speaker 1 (03:09):
But once the season comes to an end, are there
treatments that he is pushing back? Is surgery still an option?
What are the early stages of the off season going
to be like.
Speaker 2 (03:18):
For him, I think almost certainly time to heal. I
would be very surprised if I hear about him being
taken right off to have surgery. He refers to his
two bones being fused together since he was a child.
The technical term for that is a tivfib synoptosis, where
the two bones are kind of abnormally fused together, and
(03:42):
he talks about that his whole career. Congenital or something's
born with. That's pretty rare, but it does add It
does add to the complexity of what he's dealing with.
But in those situations, at first it's going to be
healing time. Typically surgery is very much deserved for only
if it's absolutely necessary. I think it's a great sign
(04:03):
that he played good football against Denver that I think
that's a real good sign that surgery's low likelihood.
Speaker 3 (04:09):
All right, One more about Orlando Brown.
Speaker 1 (04:11):
So his explanation was that his tibia and fibula in
both legs are fused together because he grew up too
quickly as a child.
Speaker 3 (04:19):
Explain that for me.
Speaker 2 (04:22):
That's one tough one to explain. Other than he's like
likely referring to something called congenital synostosis, which is fancy
words for his tibia and fibula are actually fused or
grown together in some abnormal way. Typically those bones sit
right next to each other but are not attached by
bones in him. And this is a very real thing.
(04:45):
You can sometimes, even when you're born, have those bones
abnormally connected. My impression would be possibly, that's kind of
how he was when he was young, and he's been
playing football like that his entire career. It does add
some complexity of diagnosis. It adds some complexity to the future.
It is. It's a pretty uncommon anatomic variant, is what
(05:06):
it is.
Speaker 3 (05:08):
Doctor Nick Gates from Orthosinsia is with us.
Speaker 1 (05:10):
Let's talk about Chase Brown who suffered an injury, a
high ankle sprain.
Speaker 3 (05:13):
They're calling it on Saturday night.
Speaker 1 (05:15):
Frankly, when he first went down, I thought it was
going to be worse than we have found out yet.
It is seeming unlikely that he is going to go
on a Saturday night in Pittsburgh. Walk me through what
a high ankle sprain is and how it differs from
a typical ankle sprain.
Speaker 2 (05:31):
A high ankle sprain usually occurs with a reverse mechanism.
Typical ad sprain. You roll your ankle inward, you stretch
the strain and maybe tear ligaments on the outside part.
You look at the video of his the pictures that
are out, it's more of a rotates the foot outward
and that sprains or tears a ligament a little higher
(05:51):
up above your ankle on the outside. It sometimes can
cause a media or inside ankle sprain at the same time.
So it is you have to be more with them.
I'm seeing only good reports. I think it's good that
he was able to walk off under his own power,
but it's a little behind sprain. Is truly different than
a standard ankle sprain sometimes can be more concerning.
Speaker 1 (06:15):
All right, Maybe another dumb question here, But it's cold
this time of year, obviously, could that impact an injury
like this.
Speaker 2 (06:21):
I think that's a real small factor. Tell you truth, No,
I don't think being that cold or particularly warm, it
is going to be a big difference for him. It's
going to come down to the things they're doing this week.
It is swelling down to get him comfortable, and how
comfortable he is on that day. The cold might makes
any athlete a little bit longer to warm up, but
I don't think it can have a big it's not
(06:42):
a big factor.
Speaker 1 (06:44):
Awesome stuff is always terrific. We'll do it again soon,
doctor Nick Gates, Ortho Sinse. He do appreciate it. Man,
thank you.
Speaker 2 (06:51):
You're welcome O anytime.
Speaker 1 (06:52):
All right, there you go, doctor Nick Gates from Ortho Sincy.
I say it every week and I have for years
because I believe it and it's true.
Speaker 3 (07:00):
Think about ORTHO since he is.
Speaker 1 (07:02):
They've got specialists and locations all over the Tri State,
including walkin Orthopedic urgent Care weekdays nine am at nine
am to nine pm and on Saturdays nine am to
one pm in Edgewood and Anderson. It's easy because you
don't need an appointment, and it's definitely cheaper than going
to an er.
Speaker 3 (07:20):
Whenever you have.
Speaker 1 (07:20):
An urgent orthopedic injury, go to orthosince dot com. That's
Ortho c I Ncy dot com
Mo Egger News
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