Christopher C. Dodson, M.D.
Chicago Bulls fans learned yesterday that all-star guard Derrick Rose will once again require knee surgery and is out indefinitely. The reality is it could have been worse.
Rose, Chicago’s star guard was diagnosed with a medial meniscal tear in his right knee. The news comes less two years after Rose suffered a torn anterior cruciate ligament (ACL) in his left that knee required him to miss all of last season. Most sports fans at this point are aware of ACL surgery and what it means for their favorite athlete; typically the injury is season ending.
It is unclear what type of meniscal tear Derrick Rose sustained. but a big part of how much time he will miss will be determined by whether or not doctors can repair the tear with sutures. Or will they simple trim a section of it out, termed a meniscectomy?
Peter DeLuca, M.D.
One significant change in the care of athletes over the last 10 years has been this concept of specialization. When I grew up you typically played football in the fall, basketball/hockey in the winter and baseball in the spring. The summer was spent going on vacation with your family or getting a job to make some cash for the rest of the year.
Now pre-teens and teens are selecting a sport that they excel at and play that sport 12 months a year. There are numerous arguments for this practice that Dr. Joel Fish enumerated in a previous blog such as not lagging behind other athletes in order to compete for a potential scholarship.
- The median household income in 2011 was $50,000
- The average cost for college is $43,000/year
A few years ago a friend of my daughter was a star athlete in 3 sports and never had an injury. He decided that he wanted to only play basketball. His family invested thousands of dollars paying for camps and leagues throughout the year for him to participate in his dream sport. That’s when all the injuries began. He had multiple stress fractures, knee sprains, hand fractures, recurrent ankle sprains that left him with unstable ankles and bursitis. It was this experience with this one patient that made me look deeper into this phenomenon of sports specialization.
Robert Senior, Sports Doc blog Editor
“It’s happening again!”
That was the initial reaction of many 76ers fans, as news broke that the team was trading All-Star point guard Jrue Holiday to the New Orleans Pelicans as part of a package that would bring back much-heralded draft pick Nerlens Noel from the University of Kentucky.
Why the concerns? Well, Noel is currently recovering from an ACL tear that is expected to keep him out until December. After the previous year’s drama with Andrew Bynum, how could the Sixers deal their potential franchise player for another injured big man?
Eugene Hong, M.D., Team Physician - Drexel, Philadelphia University, Saint Joe’s, & U.S. National Women’s Lacrosse
I am watching the NBA Western Conference playoffs as I write this blog post. Many people saw these playoffs irrevocably altered when Kobe Bryant went down with an acute Achilles tendon rupture last month.
The list of NBA players who have ruptured their Achilles tendon includes Isiah Thomas (arguably never the same afterwards), Dominique Wilkins (as good as ever by some assessments) and Elton Brand. Probably more people in Philadelphia watched Ryan Howard become injured on the way to first base during the NL division series against St Louis in 2011.
You may, in fact, know someone who has had the misfortune of having their Achilles tendon completely tear. It is a serious injury with potentially a significant impact for an active person at any age and at any level of sports. You may also know that many healthy active people will have a problem with their Achilles tendon at some point in their athletic lives. So what is this injury?
Justin Shaginaw, MPT, ATC, Aria 3B Orthopaedic Institute, Athletic Trainer - US Soccer Federation
We all marvel in the extraordinary recovery of athletes following injury.
Ray Lewis returned to play less than 3 months following tricep repair surgery. Adrian Peterson nearly broke the single season NFL rushing record less than a year after ACL reconstruction. Kyle Lowry played point guard for Villanova less than 4 months following his own ACL reconstruction.
How is this possible? Do these gifted athletes just work harder during rehab? Do their bodies heal faster than the rest of us?
Robert Cabry, M.D., Drexel Sports Medicine, Team physician - U.S. Figure Skating, Assoc. Team Physician - Drexel
As the world recently watched Kevin Ware’s horrific leg injury, many questions arose. How much pain is he in? How does this happen? Will the doctors be able to fix it? Will he return to basketball?
Behind the scenes, the medical team (usually consisting of a certified athletic trainer and team physician) is only thinking about attending to the injury quickly so there is no further damage and the athlete is made as comfortable as possible. Only later will they try to figure out why this happened and if something like this could be prevented in the future.
When an athlete goes down during a game, the certified athletic trainer (ATC) is usually the first one to their side. When the injury is as serious as a compound fracture, the team physician will join the athletic trainer immediately and they will work as a team to attend to the athlete. In collegiate athletics, the team doctor attends the games, but the athletic trainer usually covers practices alone. Many serious injuries occur during practice, so it’s important that the ATC is well trained and has an action plan in place for these types of events. Most ATCs are cool under fire and manage emergencies very well.
Joel H. Fish, Ph.D., Director - The Center For Sport Psychology in Phila., Sports Psychology Consultant - 76ers & Flyers
The phenomenon of March Madness continues to grow. For this year’s NCAA Men’s Basketball Tournament, more people submitted brackets than ever before. Viewership of the first weekend’s games was at an all-time high, with people utilizing television, computers, and their phones to catch glimpses of the games whenever they could.
In Philadelphia, of course, there is extra interest in the journey of La Salle as they get ready to play Wichita State this upcoming Thursday. For a city that takes such pride in The Big 5, to have one of our own advance to the Sweet 16 feels like having one of the family continue to play. The fact that La Salle has also been an underdog throughout and has Philadelphia players on its roster increases our rooting interest in this upcoming game.
Additionally, last weekend Philadelphia played host to the greatest underdog story in years—little-known Florida Gulf Coast University. In their first-ever tourney appearance, the Eagles upended mighty Georgetown and toppled San Diego State to advance to this weekend’s regional finals in Dallas. They’ll take on their in-state rivals, the nationally-ranked Florida Gators—adding another layer of intrigue to the team who has already provided one of the best March Madness storylines in years.
Robert Senior, Sports Doc blog Editor
After months of speculation littered with countless doctor’s visits, setbacks (and hairstyles), the Sixers confirmed this week what we’ve all suspected—Andrew Bynum’s 2012-13 season is over before it even started.
How could this have happened? How could the franchise invest so many resources into a player with one year on his contract, only to have him never step on the court? Dr. Arthur Barotlozzi, MD says that with cartilage injuries, you just never know.
“Cartilage is the holy grail of sports medicine,” he summarizes. “Once we figure it out, we'll be able to solve everything.”
- Alfred Atanda, Jr.
- Arm, Shoulder Injuries
- Back Injuries
- Brian Cammarota
- Broad Street Run
- Cassie Haynes
- Children, Teens
- David Berkson
- David Rubenstein
- Desirea D. Caucci
- Eugene Hong
- Head Injuries
- Heather Moore
- In The News
- Jim McCrossin
- Joel H. Fish
- John Quinn
- Julie Coté
- Justin Shaginaw
- Kelly O'Shea
- Kevin Miller
- Knee Injuries
- Michael G. Ciccotti
- Other Sports
- Performance Enhancement
- Peter F. DeLuca
- Philadelphia Marathon
- Philly Marathon
- Physical Therapy
- R. Robert Franks
- Robert Cabry
- Robert Senior
- Rock 'n' Roll Half Marathon
- We Tried It
- Working Out