May 17, 2024 • 9 mins
Dr. Mark Yuhas from OrthoCincy joined us to discuss TJ Friedl's fractured thumb and the likely prognosis as well as the likliehood of Matt McLain returning this season, and Joe Burrow's progress from last season's injury.
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
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
We do have a lot to discusswith doctor Mark Juhas from Ortho Sincy.
We love Orthos since they have specialistsand locations all across the Try State.
They've got walkin orthopedic urgent care duringthe week from nine a m. To
nine pm and on Saturdays from nineam to one pm. You can learn
more at Orthosinc. Dot com,Orthosinc dot com, orthos ci Ncy dot
(00:23):
com. You never need an appointment. Doctor Juhas is with us. Let's
start by talking about TJ. Friedelwho gets hit on the thumb on Sunday,
stays in the game, then hecomes out the initial X two X
rays were inconclusive. He was ina lot of pain. On Monday.
They do US scan. It tellsus there's a break. We're awaiting the
(00:45):
CT results before we can really figureout what the timeline is going to be.
Let's start with this. Give mesome reasons why the initial X rays
could be negative or inconclusive. Well, once again, thanks for having mem
and I know it's challenging, especiallyin these baseball injuries. There's been a
lot of hand injuries recently, andespecially for this particular athlete, having just
come off of a previous injury.I think to answer your question about,
(01:10):
uh, you know, why wouldan initial X ray not show a fracture.
You know, sometimes you know thefracture is aligned well. So a
break in the bone can be alignedso well that it doesn't actually show up
on the initial X ray. Wecall that. One may call it a
hairline fracture. We'd like to callit a non displaced fracture. Those can
(01:30):
show up sometimes with other forms ofimaging, such as like a CT scan.
We get a CAT scan that kindof gives us a three D view
of the bone and the joint,and that gives us at a better look
at things. Sometimes we'll just getX rays a week later because it will
actually show a sign of a healingbone. So there are there are definitely
reasons that a break may not showup right away, and that's usually the
(01:51):
case. It's usually a good one, meaning it's not shifted and not broken
in a in a way that's that'svery obvious. Unfortunately, with the REDS
and even with teach Freedom, we'veheard this year about risk fractures and hand
fractures. This is a thumb fracture. As far as fractured fractures go.
How does an injury like this comparedto let's say a fractured hand or a
fractured wrist. Yeah, so afracture or a break in any of the
(02:15):
bones in the hand, they docome in different varieties. And even in
the thumb, if this were youknow, and it seems to be an
injury more of the tip of thethumb or kind of out towards the tip,
those those injuries tend the heel alittle more straightforward, But it really
depends on where it is, evenin relation to the joint, the things
that allow our thumb to move.If it's in the joint or closer to
(02:38):
that cartilage, then sometimes those needa little bit more time to heal.
Sometimes we pay closer attention to thosebreaks alignment wise, because it's important that
they heal in just the right position. So so that that's kind of the
variety of the breaks in the thumb. But even even compared to hand and
risk, even the thumb, ifit's at the base or at the tip,
even that changes how we approach it. Sometimes still sort of waiting to
(03:00):
find out what the possible timeline couldbe for his return. As they await
results of the CT scan that they'redoing. But what sort of time frame
could we be talking about here.Yeah, again, it depends on where
it's at and in relation to whereit is near the joints. This is
something that may be protected sometimes withas little as as pain wall out within
(03:22):
a few weeks and you know,maybe wearing some bracing or splinting, and
sometimes these can take even up tosix weeks or even longer to go.
So there is a pretty broad onlineuntil we know a little bit more information,
I would think. Let's talk aboutMatt McClain. So it's obviously going
to be a while before we seehim, but they do seem to be
the Reds do at least they doseem to be holding out hope that he's
(03:43):
going to be able to play atsome point this season, maybe even in
August. Light baseball activities for Maccan can start here within the next couple
of weeks if things progress the waythey have. The recent reports after Matt
met with a surgeon was that thereare no real concerns right now, so
there's still hoping for mid August.Let's talk about the next steps for Matt.
What are they going to involve andso that's really encouraging, and that's
(04:09):
you know, the important part isthe communication between the surgeon and the medical
staff and the team that is aroundhim so much helping the train Usually you
know, next steps in terms ofyou know, baseball activities or just progressing
with therapy with shoulder injuries, weneed to make sure movement is good and
smooth and you know, feeling nopain when when we move. That's kind
(04:29):
of the first step, just withday to day activities. Then you know,
some strengthening will occur, and Ithink it's really important for any athlete
to have strengthening around the shoulder,So stabilizing some of those muscles around your
scapula, core, stabilizing exercises,things that will make you strong to kind
of offload and make sure that everythingelse is moving smoothly as inside the shoulder
(04:53):
continues to heal. So those areprobably the next steps. And then you
know with baseball activities, you know, this being a non throwing shoulder,
it's obviously hitting without pain. Beingas predictable, you know, putting being
put in predictable situations, because onceyou're in the game, it can be
unpredictable. So you want everything tokind of go in a checklist to be
(05:14):
you know, in the predictable moments, not having pain, progressing, strengthening,
so that when the time comes thateverything the athlete feels comfortable being in
an unpredictable situation. When we getto the real heart of the summer and
we're talking about the possibility of himcoming back and his return maybe getting closer,
what will ultimately determine whether or nothe could play And does I mean
(05:35):
should we hold out real hope thatyeah, he might be able to play
as soon as August? Yeah,I think I think so it kind of
alludes to what I said, isis it really comes down to there's there's
obviously a checklist. There's going tobe a lot of people that will be
analyzing video and making sure that hisswing and everything else is comfortable. Communication
(05:56):
is very important between he and andthe training staff, and that that's really
the most important thing. And everyathlete, every injury is a little bit
different, every recovery in that term. But to think that's a realistic timeline,
I mean, it certainly seems thatway, and it was one of
those things that I'm sure they're they'resort of taking it on a week to
week and then a month to monthbasis, and it sounds encouraging us far
(06:16):
though, for sure, no questionabout that. Let's talk about somebody else
who has given us some encouraging news, and that's Joe Burrow. We got
a chance to watch him throw lastweek. Now, he's not participated in
any sort of contract contact drill yet, he's not been cleared for that.
He's been throwing since early April.He was actually asked, are you dealing
with any discomfort? He chose reallynot to answer that question. Let me
(06:38):
let me start with that, doesit make sense that with where he is
right now and his recovery and hisreturn, that he could still be dealing
with some residual discomfort after a workout? I think I think it's it's a
question that is difficult to answer becausepeople even define discomfort in different ways.
And when you're when you're talking aboutthrowing a football or baseball and that throwing
(06:59):
motion, how specific it is withthe movements may not feel quite right for
the athlete, especially at the highestlevel that you can get, and it's
hard to maybe maybe you know,communicate that there may be certain things that
that feel not as normal right atfirst, and I'm not speaking for him
or anyone else, but that thatis you know what can happen often,
(07:20):
especially with like we said, it'sfine of movements of these little bones in
the wrist, and the feedback thatthat is required, and how how detailed
these athletes are, then you know, it takes time to get to the
point where yeah, it feels quoteunquote normal. Again, Yeah, what
do you need to see before yousay, okay, Joe, you can
go out there and let it flyduring contact drills. Well, I mean
(07:42):
there's there's, of course a timelinewe expect as surgeons to say they're biologically
there should be healing. We lookat we examine the athlete, we look
at motion, all these these testswe do in the clinic, We look
at X rays. They may evenget more imaging to see how things are
looking. But one on we getpast that. It really comes down to
the feedback from from the athlete tosay it feels good. We know that
(08:05):
the risk is low if they're thatthere would be a re injury or have
anything because we feel things are healed, and so you know, those are
the main things we look at tosay, hey, let's let's go and
it's it's time to do what youknow, what you feel comfortable doing.
So outstanding insight as always, cannotthank you enough. We'll do it again
(08:26):
soon. Man, thanks so much, Thanks a lot moo for having me
today. You got it. There'sour guy, doctor Mark Juhas from Orthos
since he say it every week.Great. Think about the folks at Orthos
Sincy as. They have specialists andlocations across the tri state, including walking
orthopedic urgent care during the week fromnine a to nine p and on Saturday's
nine a to one p at Edgewoodand Anderson Anderson's where I took my daughter
(08:48):
when she broke her foot. Theywere awesome to her. They will be
awesome to you whenever you have anurgent orthopedic injury. No appointment. It's
cheaper than an ER, it's easythan than an e R, and the
care is top notch. Orthosinc.Dot com. That's Ortho c I n
c Y dot com
We do have a lot to discusswith doctor Mark Juhas from Ortho Sincy.
We love Orthos since they have specialistsand locations all across the Try State.
They've got walkin orthopedic urgent care duringthe week from nine a m. To
nine pm and on Saturdays from nineam to one pm. You can learn
more at Orthosinc. Dot com,Orthosinc dot com, orthos ci Ncy dot
(00:23):
com. You never need an appointment. Doctor Juhas is with us. Let's
start by talking about TJ. Friedelwho gets hit on the thumb on Sunday,
stays in the game, then hecomes out the initial X two X
rays were inconclusive. He was ina lot of pain. On Monday.
They do US scan. It tellsus there's a break. We're awaiting the
(00:45):
CT results before we can really figureout what the timeline is going to be.
Let's start with this. Give mesome reasons why the initial X rays
could be negative or inconclusive. Well, once again, thanks for having mem
and I know it's challenging, especiallyin these baseball injuries. There's been a
lot of hand injuries recently, andespecially for this particular athlete, having just
come off of a previous injury.I think to answer your question about,
(01:10):
uh, you know, why wouldan initial X ray not show a fracture.
You know, sometimes you know thefracture is aligned well. So a
break in the bone can be alignedso well that it doesn't actually show up
on the initial X ray. Wecall that. One may call it a
hairline fracture. We'd like to callit a non displaced fracture. Those can
(01:30):
show up sometimes with other forms ofimaging, such as like a CT scan.
We get a CAT scan that kindof gives us a three D view
of the bone and the joint,and that gives us at a better look
at things. Sometimes we'll just getX rays a week later because it will
actually show a sign of a healingbone. So there are there are definitely
reasons that a break may not showup right away, and that's usually the
(01:51):
case. It's usually a good one, meaning it's not shifted and not broken
in a in a way that's that'svery obvious. Unfortunately, with the REDS
and even with teach Freedom, we'veheard this year about risk fractures and hand
fractures. This is a thumb fracture. As far as fractured fractures go.
How does an injury like this comparedto let's say a fractured hand or a
fractured wrist. Yeah, so afracture or a break in any of the
(02:15):
bones in the hand, they docome in different varieties. And even in
the thumb, if this were youknow, and it seems to be an
injury more of the tip of thethumb or kind of out towards the tip,
those those injuries tend the heel alittle more straightforward, But it really
depends on where it is, evenin relation to the joint, the things
that allow our thumb to move.If it's in the joint or closer to
(02:38):
that cartilage, then sometimes those needa little bit more time to heal.
Sometimes we pay closer attention to thosebreaks alignment wise, because it's important that
they heal in just the right position. So so that that's kind of the
variety of the breaks in the thumb. But even even compared to hand and
risk, even the thumb, ifit's at the base or at the tip,
even that changes how we approach it. Sometimes still sort of waiting to
(03:00):
find out what the possible timeline couldbe for his return. As they await
results of the CT scan that they'redoing. But what sort of time frame
could we be talking about here.Yeah, again, it depends on where
it's at and in relation to whereit is near the joints. This is
something that may be protected sometimes withas little as as pain wall out within
(03:22):
a few weeks and you know,maybe wearing some bracing or splinting, and
sometimes these can take even up tosix weeks or even longer to go.
So there is a pretty broad onlineuntil we know a little bit more information,
I would think. Let's talk aboutMatt McClain. So it's obviously going
to be a while before we seehim, but they do seem to be
the Reds do at least they doseem to be holding out hope that he's
(03:43):
going to be able to play atsome point this season, maybe even in
August. Light baseball activities for Maccan can start here within the next couple
of weeks if things progress the waythey have. The recent reports after Matt
met with a surgeon was that thereare no real concerns right now, so
there's still hoping for mid August.Let's talk about the next steps for Matt.
What are they going to involve andso that's really encouraging, and that's
(04:09):
you know, the important part isthe communication between the surgeon and the medical
staff and the team that is aroundhim so much helping the train Usually you
know, next steps in terms ofyou know, baseball activities or just progressing
with therapy with shoulder injuries, weneed to make sure movement is good and
smooth and you know, feeling nopain when when we move. That's kind
(04:29):
of the first step, just withday to day activities. Then you know,
some strengthening will occur, and Ithink it's really important for any athlete
to have strengthening around the shoulder,So stabilizing some of those muscles around your
scapula, core, stabilizing exercises,things that will make you strong to kind
of offload and make sure that everythingelse is moving smoothly as inside the shoulder
(04:53):
continues to heal. So those areprobably the next steps. And then you
know with baseball activities, you know, this being a non throwing shoulder,
it's obviously hitting without pain. Beingas predictable, you know, putting being
put in predictable situations, because onceyou're in the game, it can be
unpredictable. So you want everything tokind of go in a checklist to be
(05:14):
you know, in the predictable moments, not having pain, progressing, strengthening,
so that when the time comes thateverything the athlete feels comfortable being in
an unpredictable situation. When we getto the real heart of the summer and
we're talking about the possibility of himcoming back and his return maybe getting closer,
what will ultimately determine whether or nothe could play And does I mean
(05:35):
should we hold out real hope thatyeah, he might be able to play
as soon as August? Yeah,I think I think so it kind of
alludes to what I said, isis it really comes down to there's there's
obviously a checklist. There's going tobe a lot of people that will be
analyzing video and making sure that hisswing and everything else is comfortable. Communication
(05:56):
is very important between he and andthe training staff, and that that's really
the most important thing. And everyathlete, every injury is a little bit
different, every recovery in that term. But to think that's a realistic timeline,
I mean, it certainly seems thatway, and it was one of
those things that I'm sure they're they'resort of taking it on a week to
week and then a month to monthbasis, and it sounds encouraging us far
(06:16):
though, for sure, no questionabout that. Let's talk about somebody else
who has given us some encouraging news, and that's Joe Burrow. We got
a chance to watch him throw lastweek. Now, he's not participated in
any sort of contract contact drill yet, he's not been cleared for that.
He's been throwing since early April.He was actually asked, are you dealing
with any discomfort? He chose reallynot to answer that question. Let me
(06:38):
let me start with that, doesit make sense that with where he is
right now and his recovery and hisreturn, that he could still be dealing
with some residual discomfort after a workout? I think I think it's it's a
question that is difficult to answer becausepeople even define discomfort in different ways.
And when you're when you're talking aboutthrowing a football or baseball and that throwing
(06:59):
motion, how specific it is withthe movements may not feel quite right for
the athlete, especially at the highestlevel that you can get, and it's
hard to maybe maybe you know,communicate that there may be certain things that
that feel not as normal right atfirst, and I'm not speaking for him
or anyone else, but that thatis you know what can happen often,
(07:20):
especially with like we said, it'sfine of movements of these little bones in
the wrist, and the feedback thatthat is required, and how how detailed
these athletes are, then you know, it takes time to get to the
point where yeah, it feels quoteunquote normal. Again, Yeah, what
do you need to see before yousay, okay, Joe, you can
go out there and let it flyduring contact drills. Well, I mean
(07:42):
there's there's, of course a timelinewe expect as surgeons to say they're biologically
there should be healing. We lookat we examine the athlete, we look
at motion, all these these testswe do in the clinic, We look
at X rays. They may evenget more imaging to see how things are
looking. But one on we getpast that. It really comes down to
the feedback from from the athlete tosay it feels good. We know that
(08:05):
the risk is low if they're thatthere would be a re injury or have
anything because we feel things are healed, and so you know, those are
the main things we look at tosay, hey, let's let's go and
it's it's time to do what youknow, what you feel comfortable doing.
So outstanding insight as always, cannotthank you enough. We'll do it again
(08:26):
soon. Man, thanks so much, Thanks a lot moo for having me
today. You got it. There'sour guy, doctor Mark Juhas from Orthos
since he say it every week.Great. Think about the folks at Orthos
Sincy as. They have specialists andlocations across the tri state, including walking
orthopedic urgent care during the week fromnine a to nine p and on Saturday's
nine a to one p at Edgewoodand Anderson Anderson's where I took my daughter
(08:48):
when she broke her foot. Theywere awesome to her. They will be
awesome to you whenever you have anurgent orthopedic injury. No appointment. It's
cheaper than an ER, it's easythan than an e R, and the
care is top notch. Orthosinc.Dot com. That's Ortho c I n
c Y dot com
Mo Egger News
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