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November 8, 2025 5 mins

Dr. John Fritch from OrthoCincy joined us to discuss Samaje Perine's high ankle sprain, Jayden Daniels' dislocated elbow, and how Joe Flacco managed to play last week despite his shoulder injury. 

Learn more about OrthoCincy at OrthoCincy.com

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Episode Transcript

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Speaker 1 (00:00):
Twenty one away from six. We got injuries to talk about.
We do it every week with one of the experts
from Ortho Sincy Orthopedics and Sports Medicine. The great thing
about Orthosincy is they have specialists and locations all over
the Tri State and this includes walk in orthopedic urgent
care at five locations with extended evening and weekend hours

(00:23):
in Edgewood and Anderson. You can learn more at orthosinc
dot com. That's Ortho ci Ncy dot com. Doctor John
Fritches with us from Ortho Sinsey. Let's begin by talking
about samajp Urin officially week to week with a high
ankle sprain. Let's begin with that. What's exactly a high
ankle sprain and how does it differ from a typical
ankle sprain?

Speaker 2 (00:45):
Absolutely good question, and so high ankle sprains happen above
the ankle joint. It's a little higher up on your leg.
Has to do with the connection between your tibia and
fibula the lower leg bones, as opposed to a typical
ankle sprain, which has to do with the ligaments connecting
your leg bones to the foot bumtons. And so we'll

(01:05):
higher up.

Speaker 1 (01:07):
So something like this. There's obviously different levels and severities
of high ankle sprains. What are they?

Speaker 2 (01:13):
Yeah, so severity of the high ankle sprains has to
do with the degree of instability that's caused by it.
So sprains are ultimate due to ultimately due to small
tears in your ligaments, and if those tears are bigger,
they tend to be more stable and more severe usually
cause greater amount of symptoms like pain with putting weight
on your leg.

Speaker 1 (01:33):
Is it a good sign that for Samage in particular,
that he was able to walk off the field under
his own power.

Speaker 2 (01:40):
Yes? Absolutely, I would think that if he had a
higher grade sprain that it would be difficult for him
to put weight on it, and so certainly reassuring.

Speaker 1 (01:49):
Let's talk about Joe Flacco who played on Sunday and
played extraordinarily well, and Zach Taylor after the game said, look,
this was a guy who during the week couldn't lift
his arm, couldn't raise his hand. You would in a classroom.
He's dealing with a sprained ac joint. I just want
to know this, how could you go from not being
able to raise your arm to being able to hang

(02:12):
forty two points on another team in an NFL game.

Speaker 2 (02:15):
I mean, it's certainly impressive. Yeah, I think he had
some good rehab in a milder injury. Your ac joint
is the connection of your clavical or collarbone to the
scapula or your shoulder blade. When they talk about a
shoulder separation, that's the kind of injury. At My guess
is his was a less severe one, so that they've

(02:36):
been able to kind of rehab them, pad them up,
and get them feeling good enough to get through because
I mean, he had an amazing game last weekend.

Speaker 1 (02:44):
Yeah, they don't play this weekend, which I'm sure helps,
But is this the sort of thing where he's just
going to have to figure out a way to manage
the pain the rest of the season more or less.

Speaker 2 (02:52):
I mean, these injuries are common, so the therapists and
trainers are used to dealing with them and getting them
through the season. Usually for the lower grade springs of
the ac joint, it's about kind of getting them through,
and I mean I think this is just going to
nag them a little bit for the next month or two.

Speaker 1 (03:08):
All Right, Now, I want to ask about another quarterback.
Jade and Daniels of the Washington Commanders, who left a
lopsided game on Sunday night against Seattle had his arm
in a cast as he left the field. It's been
reported that he has a dislocated left elbow. It's his
non throwing arm. Dislocated elbow seems sort of self explanatory.
But take me into the particulars of the injury, of course.

Speaker 2 (03:30):
Yeah, I saw the video and it was a gruesome one. Yeah. Essentially,
is where your forearmbones connect to your humorous your upper armbone,
and when that pops out of place, it's like a
hinge joint, and so it can pop out and cost
some associate injuries like ligament tears or fractures. So that's
what happened with him, assuming you got to put back

(03:52):
in place on the field and they put them in
a cast, and so he's at least working in the
right direction.

Speaker 1 (03:57):
What does the treatment for this sort of injury look like?

Speaker 2 (04:01):
It really varies on the severity. I mean, based on
what the reports we've seen thus far, it sounds like
it was simply a dislocation. I think he's lucky in
that sense. Oftentimes he's are associated with fractures or breaks
in the bone associated with big ligament injuries that need
a surgery, and so in his case, if he didn't
have a big fracture or something that he had to repair,

(04:22):
then it involves putting him in a cast for a
period of time, usually a week or two, then working
on getting the elbow moving again because it tends to
stiffen up quickly, so transitioning into a brace that allows
him to bend in straight, and really rehabbing the heck
out of that elbow for the next few months.

Speaker 1 (04:40):
Is it made easier due to the fact that it's
not his throwing arm.

Speaker 2 (04:43):
Certainly, and so I mean, if it was this throwing arm,
I'd imagine he'd needed in tip top shape in order
to pass again. And so it'd probably be a career
end or sorry, a season ending injury for him. Because
it's his other elbow, he's not requiring as much it
and so I don't know, certainly we can speculate a

(05:05):
little bit here, but hopefully give them get them back
a little sooner than the end of the season.

Speaker 1 (05:11):
Yeah, we'll see. There you go, Doctor John Fritch. Orthos
Sincy I say it every week because it's true. The
great thing about Orthos sinc is They have specialists on
locations all over the Tri State. This includes walk in
orthopedic urgent care weekdays nine a m. To nine pm
and on Saturdays nine am to one pm at both
Edgewood and Anderson. Is easy because you do not need

(05:32):
an appointment and it's definitely cheaper than going to an er.
Whenever you have an urgent orthopedic injury, go to Orthosincy
dot com. That's ortho ci Ncy dot com. Steve Cangelosi
MLS Season Past Next

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