Dr. Amelia Wiggins from OrthoCincy joined us to discuss Trent Brown's knee injury, Brandon Williamson's elbow problems. and an NFL player's sore feet.
Learn more about OrthoCincy by going here.
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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):
Jamar Chase back at practice today. No Sheldon Rankins, no
bj Hill. Trey Hendrickson also out with an illness. Bengals
Panthers Sunday at one o'clock. There was a pretty significant
injury on Monday night. Trent Brown done for the season.
We're going to talk about him and more. We do
this typically on Wednesdays. Today is obviously not Wednesday. We
(00:21):
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. They offer
walking orthopedic urgent care during the week nine a to
nine p and Saturday's nine eight to one p. Learn
more at Orthosinc dot com. That's Orthos ci NCY dot com.
(00:41):
I want to begin with Brandon Williamson before we talk
about Trent Brown. He is gonna have Tommy John surgery.
A lost twenty twenty four for him because of the
shoulder injury that caused him to miss so much of
the season. He comes back and now he's got a
UCL injury. This is not good. It obviously ends his
twenty twenty four ends as twenty twenty five before it
(01:02):
even begins. What causes severe injuries to the UCL.
Speaker 2 (01:08):
To the UCL it is it is a strong what
we call valgus force on the inside of the elbow
right over your media of a condyle on where your
funny bone is. You have you hit that owner nerve.
Those two are closely related. So when pitchers are pitching,
when they're in that late cocking phase and that early
acceleration when they start to whip that ball forward, the
(01:30):
arm is obviously back behind you and your elbows coming
forward a little bit, and there's a lot of torque
on the inside of that elbow. So at that phase,
if you're you know, if your biomechanics are off or
just from repetition, you know, it's very they're throwing a
lot of force there. Sometimes that force can be too
much and that that ligament is small and can just pop.
(01:55):
That's exactly what happened with him.
Speaker 1 (01:57):
This this procedure. It feels like we talk about it
with such regularity that I think we've sort of lost
sight with exactly what happens. Can you describe it for us?
Speaker 2 (02:06):
The surgery itself, so the ulner collateral is a ligament
that goes from the humorous down to the ulna there
and it holds the inside of the elbow stable. So
basically what we do that ligament usually is irrepaarable. Sometimes
people can repair that and they can just stitch that
(02:27):
ligament back up and tack it back into the bone
the humorous that's usually where it comes off. So a
lot of times you know, you can do that, or
most commonly what we do is just reconstruct that ligament.
So you use an alligraphed or you use an autograph
a tissue from their own body to make a new
ligament and you just dock it in to the bone
(02:49):
and if you usually back it up with a suite
air and that secures it. It is honestly, it's just
like an ACL. The technique is the same as how
I would fix an ACL. It is just in the
l though with much smaller, smaller anchors and a smaller ligament.
Speaker 1 (03:04):
So this is a procedure that obviously so many advancements
have been made. This felt like many many years ago
it was a death sentence and now I mean pictures
come back from it with regularity, and in some cases
they're even better. And we have had pitchers who have
had the procedure multiple times, and so you know, there
was a time where you would hear Tommy John surgery
and you feared the worst. And now I hate to
say routine, but that's almost what it feels like, you.
Speaker 2 (03:27):
Know, it is it's becoming more and more common. And
I don't know if that's our surgical techniques have obviously
evolved over the years. We have better anchors. We you know,
we know to put stronger graphs in and back them
up within what we call internal brief is extra sutures.
It is it is becoming a lot more common. That
also has to do with the fact that our kids
(03:47):
are a lot more active. You know, we have a
pitch count at age nine, ten eleven now because we
realize it matters because people were pitching too much, putting
too much force at such a young age, before they
were skeletonly much before their muscles were in balance, before
their biomechanics were good, and so we saw a big
increase in this injury. And now I think so we
(04:10):
fix obviously more and now I think we're going back
to the younger age. We're trying to prevent more of
these because nobody wants anyone to have this surgery at
any age. If we can do less of them, that
would be best, but it will come down to more prevention, biomechanics, stretching,
all that stuff.
Speaker 1 (04:28):
Yeah, doctor Amillie Wiggins from Orthosinsia is with us. Let's
talk about Trent Brown unfortunately carted off on Monday night.
He has a tendon tear in his right knee and
his twenty twenty four season is over really before it
even begins. Can you tell me what the pateller tendon
is and what it does.
Speaker 2 (04:46):
So, the Betel attendant attaches your kneecap to your shin bone.
It's that bump you can feel it in front. I
think everyone kind of know your knee cap and then
the shinbone not to be tubercle that it attaches to,
and it extends the leg. So if the petell attendon
or the quad tendon which would attach your quad step
to your petella, if those rupture, then you cannot lift
(05:09):
your leg while it's straight. Your leg will just fall bent.
And if you watch his injury, that's exactly what happened.
He went he was in such a stance that he
had so much pressure on his quad. His quad muscle
was so strong as he was crouching down that it
pulled that tendon straight off the bone, and then he
(05:33):
just collapsed. You could see that his leg did not
hold him anymore, because you need that pattell attendon to
hold your leg in full extension, and he just dropped
right to the ground.
Speaker 1 (05:41):
So this is maybe a stupid question, not the first
time I've asked one. He's a big man, So was
was his weight? Was his mass a factor or could
it have been with something like this, I.
Speaker 2 (05:55):
Mean, yeah, yeah, it can be.
Speaker 1 (05:57):
It is.
Speaker 2 (05:57):
It's a lot of force your body. Your knee feels
five to seven times your body weight, so that's a lot.
He's a big dude, but he's also so strong. I
think the force when he contracks his quadrucep the force
of that is just unreal, you know, And so I
(06:17):
think it was just I was obviously a very unfortunate injury.
But yeah, the force of his contracting because he was
getting down into that squat stance, the force of that
plus his body weight plus I mean a lot of
football players and basketball players will have chronic batilla tendonitis.
That tendon because it gets so much force put on it,
(06:39):
so much stress, it does get a tendonitis, this chronic
inflammatory tissue in there that players can play through, but
compared to me and you, you know, their tendons are
not as healthy as ours, and then just too much
force on it.
Speaker 1 (06:54):
That's our friend, doctor Amelia Wiggins from Orthos Sincy. I
say it every week. The great thing about the people
at Orthos since is they have specialists on locations across
the tri State including walk in orthopedic urgent care weekdays
nine a to nine p, Saturday's nine am to one p,
and Edgewood and Anderson. It's easier and it's cheaper than
going to an er. Whenever you have an urgent orthopedic injury,
(07:15):
go to Orthosincy dot com. That's Ortho ci Ncy dot com.
We'll head to Charlotte next. It's the Ortho Cincy Moeggers
Show and the bud Light five o'clock. Hapya. We're on
ESPN fifteen thirty, Cincinnati Sports station.
Jamar Chase back at practice today. No Sheldon Rankins, no
bj Hill. Trey Hendrickson also out with an illness. Bengals
Panthers Sunday at one o'clock. There was a pretty significant
injury on Monday night. Trent Brown done for the season.
We're going to talk about him and more. We do
this typically on Wednesdays. Today is obviously not Wednesday. We
(00:21):
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. They offer
walking orthopedic urgent care during the week nine a to
nine p and Saturday's nine eight to one p. Learn
more at Orthosinc dot com. That's Orthos ci NCY dot com.
(00:41):
I want to begin with Brandon Williamson before we talk
about Trent Brown. He is gonna have Tommy John surgery.
A lost twenty twenty four for him because of the
shoulder injury that caused him to miss so much of
the season. He comes back and now he's got a
UCL injury. This is not good. It obviously ends his
twenty twenty four ends as twenty twenty five before it
(01:02):
even begins. What causes severe injuries to the UCL.
Speaker 2 (01:08):
To the UCL it is it is a strong what
we call valgus force on the inside of the elbow
right over your media of a condyle on where your
funny bone is. You have you hit that owner nerve.
Those two are closely related. So when pitchers are pitching,
when they're in that late cocking phase and that early
acceleration when they start to whip that ball forward, the
(01:30):
arm is obviously back behind you and your elbows coming
forward a little bit, and there's a lot of torque
on the inside of that elbow. So at that phase,
if you're you know, if your biomechanics are off or
just from repetition, you know, it's very they're throwing a
lot of force there. Sometimes that force can be too
much and that that ligament is small and can just pop.
(01:55):
That's exactly what happened with him.
Speaker 1 (01:57):
This this procedure. It feels like we talk about it
with such regularity that I think we've sort of lost
sight with exactly what happens. Can you describe it for us?
Speaker 2 (02:06):
The surgery itself, so the ulner collateral is a ligament
that goes from the humorous down to the ulna there
and it holds the inside of the elbow stable. So
basically what we do that ligament usually is irrepaarable. Sometimes
people can repair that and they can just stitch that
(02:27):
ligament back up and tack it back into the bone
the humorous that's usually where it comes off. So a
lot of times you know, you can do that, or
most commonly what we do is just reconstruct that ligament.
So you use an alligraphed or you use an autograph
a tissue from their own body to make a new
ligament and you just dock it in to the bone
(02:49):
and if you usually back it up with a suite
air and that secures it. It is honestly, it's just
like an ACL. The technique is the same as how
I would fix an ACL. It is just in the
l though with much smaller, smaller anchors and a smaller ligament.
Speaker 1 (03:04):
So this is a procedure that obviously so many advancements
have been made. This felt like many many years ago
it was a death sentence and now I mean pictures
come back from it with regularity, and in some cases
they're even better. And we have had pitchers who have
had the procedure multiple times, and so you know, there
was a time where you would hear Tommy John surgery
and you feared the worst. And now I hate to
say routine, but that's almost what it feels like, you.
Speaker 2 (03:27):
Know, it is it's becoming more and more common. And
I don't know if that's our surgical techniques have obviously
evolved over the years. We have better anchors. We you know,
we know to put stronger graphs in and back them
up within what we call internal brief is extra sutures.
It is it is becoming a lot more common. That
also has to do with the fact that our kids
(03:47):
are a lot more active. You know, we have a
pitch count at age nine, ten eleven now because we
realize it matters because people were pitching too much, putting
too much force at such a young age, before they
were skeletonly much before their muscles were in balance, before
their biomechanics were good, and so we saw a big
increase in this injury. And now I think so we
(04:10):
fix obviously more and now I think we're going back
to the younger age. We're trying to prevent more of
these because nobody wants anyone to have this surgery at
any age. If we can do less of them, that
would be best, but it will come down to more prevention, biomechanics, stretching,
all that stuff.
Speaker 1 (04:28):
Yeah, doctor Amillie Wiggins from Orthosinsia is with us. Let's
talk about Trent Brown unfortunately carted off on Monday night.
He has a tendon tear in his right knee and
his twenty twenty four season is over really before it
even begins. Can you tell me what the pateller tendon
is and what it does.
Speaker 2 (04:46):
So, the Betel attendant attaches your kneecap to your shin bone.
It's that bump you can feel it in front. I
think everyone kind of know your knee cap and then
the shinbone not to be tubercle that it attaches to,
and it extends the leg. So if the petell attendon
or the quad tendon which would attach your quad step
to your petella, if those rupture, then you cannot lift
(05:09):
your leg while it's straight. Your leg will just fall bent.
And if you watch his injury, that's exactly what happened.
He went he was in such a stance that he
had so much pressure on his quad. His quad muscle
was so strong as he was crouching down that it
pulled that tendon straight off the bone, and then he
(05:33):
just collapsed. You could see that his leg did not
hold him anymore, because you need that pattell attendon to
hold your leg in full extension, and he just dropped
right to the ground.
Speaker 1 (05:41):
So this is maybe a stupid question, not the first
time I've asked one. He's a big man, So was
was his weight? Was his mass a factor or could
it have been with something like this, I.
Speaker 2 (05:55):
Mean, yeah, yeah, it can be.
Speaker 1 (05:57):
It is.
Speaker 2 (05:57):
It's a lot of force your body. Your knee feels
five to seven times your body weight, so that's a lot.
He's a big dude, but he's also so strong. I
think the force when he contracks his quadrucep the force
of that is just unreal, you know, And so I
(06:17):
think it was just I was obviously a very unfortunate injury.
But yeah, the force of his contracting because he was
getting down into that squat stance, the force of that
plus his body weight plus I mean a lot of
football players and basketball players will have chronic batilla tendonitis.
That tendon because it gets so much force put on it,
(06:39):
so much stress, it does get a tendonitis, this chronic
inflammatory tissue in there that players can play through, but
compared to me and you, you know, their tendons are
not as healthy as ours, and then just too much
force on it.
Speaker 1 (06:54):
That's our friend, doctor Amelia Wiggins from Orthos Sincy. I
say it every week. The great thing about the people
at Orthos since is they have specialists on locations across
the tri State including walk in orthopedic urgent care weekdays
nine a to nine p, Saturday's nine am to one p,
and Edgewood and Anderson. It's easier and it's cheaper than
going to an er. Whenever you have an urgent orthopedic injury,
(07:15):
go to Orthosincy dot com. That's Ortho ci Ncy dot com.
We'll head to Charlotte next. It's the Ortho Cincy Moeggers
Show and the bud Light five o'clock. Hapya. We're on
ESPN fifteen thirty, Cincinnati Sports station.
Mo Egger News
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