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July 3, 2026 9 mins

Dr. Brandon Kohrs from OrthoCincy joined us to talk about Tony Santillan's oblique injury and the prognosis for Dane Myers.

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Speaker 1 (00:00):
Good news for the Reds today, and they've gotten some
good injury news recently with guys like Hunter Green and Ameliopegon,
but still some guys who are on the injured list
with some significant injuries, Tony Santion and Dan Myers. Let's
start with talking about Tony Santion. Doctor Brandon Cours from
Orthosincia is with us. You know, we love Orthos since
the orthopedic urgent care locations all over the Try State.

(00:23):
You never need an appointment ever, Walkin's always welcome, extended
evening and weekend hours in Anderson and Edgewood nine to
nine during the week, nine to eight to one p
on Saturdays. Definitely cheaper than going to an er, more
convenient to orthosinci dot com. That's ortho ci Ncy dot com,

(00:43):
doctor Cours. Let's start by talking about Tony Santion. So
he's got an oblique injury, and the Reds haven't talked
so much about the grade, but Terry Francona said it's
a significant injury. Seems like he's facing a prolonged absence.
Can you can you remind us what the oblique injury
grade scale involves?

Speaker 2 (01:05):
So there's three basic grades. With any type of muscle
tendon injury, typically it's going to be one, two, and three. Uh,
just to generalize it. You know, One, you barely can
see on the MRI. It's a little bit of inflammation. Two, Uh,
you can see something there, but it's not completely torn.

(01:26):
Three you're basically to the point where you're either completely
ripping through things. It's a complete tear. It's very high grades,
so you look at them. If it's the mid substance muscle,
it's almost all the way through. If it's a tendon,
it's ripped off the bone. So it's really, you know,
not that bad. You'll be fine, walk it off type situation. Two,

(01:48):
it's going to take you a little while to get better.
Three this is really bad. This is surgical, this is
life altering. You know, this isn't a good situation.

Speaker 1 (01:57):
When you hear that an injury, we're not seeing the grades,
so you know, it could be some antics, I guess,
But when you hear that the that an oblique injury
is significant, what concerns come to mind?

Speaker 2 (02:06):
The main concern is the word it's significant, right, And
you always try to undersell these injuries because you don't
want to tip your hand. And when Francona is getting
on an interview and he's saying, you know, this is
a significant injury, I do not like those words. To me,
that is a months and months. That is a you know,
high grade two type injury. Definitely not just a simple

(02:28):
grade one, and even a grade one oblique injury and
a pitcher is can be significant because of the rotational
torque that you're creating, and oblique injuries are something where
you know you might get to the point where you're
walking around fine and you can do everything you need
to do in life, until you throw a baseball ninety
plus miles an hour and he had a high end

(02:50):
rotational torque, and then you're like, ooh, this this isn't
better yet. And I think if you look too, with
the injury get mentioned too. He's like, I don't even
know exactly when I did it. He felt I think
he felt fine for a while and everything was okay
because he wasn't throwing with maximal effort. And once he
starts doying with maximal effart, you see this injury. So
I think this is when somebody said significant, he's going

(03:12):
to be out for months. I would anticipate.

Speaker 1 (03:14):
Yeah, that's that's where my head went as well. Is
this the sort of injury that is a little bit
more difficult when you're a picture as opposed to other
positions or even players who play other sports.

Speaker 2 (03:24):
Yeah, absolutely, And it's because of that high end rotational
torque that you're getting where you're really really max effort
of bleaks. You know, hitting you get it some too.
I mean you hear hitters too with oblique type injuries.
Those are going to take you a while to get
to recover from as well. But I think a picture
just the way you throw the ball in the kinetic chain,
and these players nowadays who are basically maximizing and maximizing

(03:48):
every every potential inch of muscle they have all throughout
the kinetic chain. Is that max effort and max efficiency.
That's and this is something that can recur too. Right.
You hear this where you have an a blaque injury
and oh he injured is a bleak again? I think
the type of a bleak abdominal type injuries are ones
that can keep coming back as well. So you got

(04:09):
to make sure you get it healed. You got to
make sure it's some one hundred percent before you get
back out there and you try to throw again.

Speaker 1 (04:15):
Let's talk about Dane Myers, doctor Brandon Course from Orthos,
since he.

Speaker 2 (04:19):
Is with us.

Speaker 1 (04:19):
Dane Myers the other night of Milwaukee ran into a
wall and first of all, he held out of the
ball that he was chasing down, which was remarkable. And
I was I was at the ballpark last this past
Monday in Milwaukee, and I feared the worst. I thought,
this is going to be something really, really bad. He
is on the injured list, but it's with a bruce
left shoulder and Bruce ribs. It doesn't seem like it's

(04:41):
as bad as a lot of us originally feel feared.
So let's go back to Monday night. He's just suffered
the injury. How do doctors definitively rule out a concussion
or a neck injury after such a violent collision?

Speaker 2 (04:52):
Oh yeah, and the heck of a catch too. Preparing
for this, I watched it and I was like, oh,
that looks bad, but yeah, fortunate, Uh, you know, it
looks like he's gonna be okay. But it's on field,
and and a lot of these situations, especially the NFL,
is a is a big one where you kind of
have separate, separate evaluators, but you know in baseball, same thing.

(05:13):
So number one, you're gonna go up to this individual
and you're gonna say, man, like, how you doing, how
you feeling? Like, what's hurting? Any headaches? Any? Do you
know what happened? Can you walk me through the play?
Did you feel like you're blacked out at all? And
players are gonna tend to be pretty honest about that, uh,
for the most part, And then you know once they're like,

(05:35):
you know, I didn't didn't black out, I didn't hit
my head. I just slammed my shoulder my neck into
the wall, Like those are really killing me. Then you
start to go over the exam so a lot of
it's just gonna be palpati, especially for the next So
you're gonna, you know, feel where they're hurting. Are they
hurting right over their spinest process, right over their spine
where you can kind of feel the bumps on the
back of your neck there? No, Okay, So that's all good.

(05:56):
No pain there whereas it hurt? Is it more over here? Okay,
it's gonna be more in the off tissues. That's the
promising things that's going to be a good thing. So
it's just a lot of that's palpatory. And then you're
going to go through range of motion protocols. As far
as the next concern, where can you you know, move
your head down, can you look up? Can you look left?
Look right? Now, even with a significant muscular injury h

(06:16):
to the neck, you know, you're still going to be
sore with a lot of that stuff, but you're going
to be able to do it to some degree and
you're gonna have some decent resistance. But the biggest thing
on the neck is just pushing on it. And basically,
you know, if you're hurting over the bone, you're hurting
over the spinust process. You can do some of these
range emotions, that's not going to help differentiate. And then
as far as the concussion, so now you've you know,

(06:36):
you talked to them and you said, hey, you know,
how you feeling, what's going on? What happened? Where are
we what are we doing? Just kind of the general, uh, general,
you know, typical concussion. You hear about questions people ask.
Those are the things you're going to start with, and
then it's going to be more exam based where you're
going to take them back, get them out of the crowd,
get them out of all this fans screaming and yelling,

(06:57):
and you're going to, you know, start doing ocular exams
where you have them follow your fingers around and you're
gonna go up and down and back and forth and
make sure that you know they're all of their nerves
that impact their eyes. Our eyes are good because you
know you can see them and they're right there. It's
a nice insight into the brain. And then you're gonna

(07:20):
go through and you're gonna test some of the other nerves.
You're gonna have them open, nerve their mouth, move their
tongue around, and then you're gonna do balance testing. And
so there's actually a pretty thorough test you go through
and if you pass all those, we say, okay, you
know you're good and you're stable. You didn't have any
loss of consciousness. Everything looks okay, we can get you
back out there. As tolerated.

Speaker 1 (07:39):
The injuries themselves a bruise shoulder and bruised ribs. It
seems to me like the prescription here is just rest.
Is that accurate?

Speaker 2 (07:50):
Yeah, it's as tolerated, and you know, we're gonna get
a bunch of treatments. We're gonna do icing, different modalities, heat, ice,
anti inflammatories, rest, maybe steroid medications. I'd be good for
something like this when you want to rapidly calm down
inflammation and you're gonna do all those things and see
how you do. I mean the you know, the rip
contusion and breathing. I mean, that's gonna be pretty sore.

(08:13):
And you you have a lot of ligaments. There's a
lot of elastic tissue around the ribs that's helping you
to breathe, and every time you take a deep breath in,
that's gonna hurt and that's gonna be uncomfortable. So that's
gonna be one of the biggest things to overcome is
getting that to calm down.

Speaker 1 (08:28):
Awesome inside. As always, doctor Brendan Cours from Ortho Sincy,
I appreciate it. Man, have a great Fourth of July weekend.
Thank you you too, doctor Brendan Cores from ORTHO. Since
joining US ORTHO, since the Orthopedic Sports Medicine, you never
need an appointment. You got extended evening and weekend hours
in Edgewood and Anderson nine eight to nine p during
the week nine eight to one p on Sunday. You

(08:49):
never need an appointment. Definitely cheaper than going to an er,
and certainly more convenient. Whenever you suffer an urgent orthopedic injury.
Go Orthosinc. Dot com. That's Ortho O c I n
c Y dot com

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