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Talking LDT: What does a fractured fibula mean?

 
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MessagePosté le: Ven Nov 23, 2018 1:37 am    Sujet du message: Talking LDT: What does a fractured fibula mean? Répondre en citant

Editor’s note: Chiefs starting right guard Laurent-Duvernay Tardif is on the shelf for the foreseeable future with a fractured fibula. What does that mean http://www.thechiefsfootballauthentic.com/allen-bailey-jersey-authentic , exactly? Let’s bring in our in-house injury expert Aaron Borgmann, to find out.We unfortunately learned Sunday that Laurent Duvernay-Tardif suffered a fractured fibula on a play late in the game. Here, we will discuss the mechanism from the video provided and talk about possibilities for recovery based upon the information that has been released to the public. For those unfamiliar with the fibula, it is a long thin bone on the lateral (outside) aspect of the lower leg. It runs from your knee to your ankle and supports approximately one-sixth of your body weight, unlike the larger tibia adjacent to it. Many structures, including muscles and ligaments, attach to it in the lower leg. It is also held to the tibia by the connective tissue known as syndesmosis. Fractures of this bone are relatively common and typically heal very well when managed correctly.As you can see from the video above, the player has his left foot in the ground slightly pointed outward. The defensive player then falls on the lateral aspect of his lower leg and collapses LDT inward, pinning both his foot and knee, most likely in an externally rotated position.As you can see from the picture below, there are many types of fractures that can occur in this bone:Since we have no knowledge of type or even location of the fracture, we cannot assume which type the athlete sustained. Due to this, I will only speak to MY knowledge and experience with these injuries.The most common fibular fracture injuries that I encountered in my NFL career were the following:Simple non-displaced impact injuries:These were from a direct blow to the lower leg and didn’t require surgery, only immobilization and bone healing time. Rehab here will be quick, as the bone needs no actual intervention, just time to heal. Since the fibula supports only minimal weight, ambulation in rehab can begin almost immediately and can progress quickly based upon athlete’s symptoms. Follow-up imaging over the course of weeks will determine bone healing status and the athlete will be worked back into tolerance watching for symptoms of pain over the fracture site.Displaced isolated fibula only:These injuries occur from the ankle being pinned and either twisted or hit directly on the lateral aspect of the lower leg. The exception in this injury is that in football players surgical intervention is needed to repair this in order to regain the structural integrity of the lower leg. A metal plate with screws will be inserted to the lateral aspect of the bone in order to facilitate proper alignment and fixation. Rehab is similar here as with the plate now acting as a support, the process can be accelerated with little time for weight-bearing restrictions.Fibula fractures with ankle involvement:Similar to above, only with more additional structures damaged. These typically come in the form of a fracture of the fibula and a dislocation of the ankle joint. As you can imagine, these are quite painful and while every attempt is made to relocate the ankle on the field, it can sometimes be difficult due to the level of pain the athlete is in. Surgical intervention again is required to repair the bone and, in this case, additional reconstruction will be needed to address any ligamentous structures at the ankle that may have been damaged such as the thicker Deltoid Ligament on the inside of the ankle.Unique to this category is something called a Maisonneuve fracture. This is a spiral type fracture that occurs on the upper part of the fibula, but also involves the previously-discussed syndesmosis (structure that holds the fibula and tibia together). This is a surgical intervention that is typically more complex since you have to fixate the fracture but also address the injury to the thick connective tissue for structural stability. This is done by fixating the lower fibula to the tibia by a screw or piece of surgical wire known as a “TightRope.” This allows the normal relationship and stability of lower leg to be regained correctly.In any case, with additional structures involved, the rehabilitation adds complexity, not necessarily time. With additional surgical fixation the structures that have been damaged are now secure and rehab can at times, depending upon the extent of damage and athlete demands, often proceed quicker here. A famous example of this is Terrell Owens return to the Super Bowl in a mere seven weeks post-injury. Early mobility is key and often much aquatic work is done in order to regain function quickly. The bottom lineNo matter the type that this athlete has suffered, the interventions lead to quality outcomes and the vast majority of players that I have encountered with these injuries make full and complete recoveries and go on to have little to no complications. Aaron Borgmann is the owner of Borgmann Rehab Solutions and a former 12-year NFL Physical Therapist and Athletic Trainer.Final Chiefs’ 53-man roster projection Now that the final preseason game has ended, there’s nothing left but the cruelest weekend in the NFL season: the cutdown to the initial 53-man roster. Some will make the roster unexpectedly, some cuts will happen that we should have seen coming and some guys will make the initial 53 only to get cut when the Chiefs sign or trade for another team’s unwanted players. That’s why it’s the initial 53 and not the final 53.But, it is the final prediction from the staff here at Arrowhead Pride. As with the first edition, I’ve put this list together using roster size information compiled by Gary McKenzie and with additional input from the whole AP staff.Offense (26 players)Quarterback:Locks: Patrick Mahomes, Chad Henne On the bubble: Matt McGloin, Chase LittonReid’s average: 3Prediction (3): Mahomes, Henne, LittonIt’s still Lit’. Everyone outside of 1 Arrowhead Drive has basically agreed that Chase Litton has earned the No. 3 quarterback job. Will the Chiefs’ brass agree?Running Back:Locks: Kareem Hunt, Spencer Ware, Damien WilliamsOn the bubble: Kerwynn Williams, Darrel Williams, Ray LawryReid’s average: 3.4Prediction (4): Hunt, Ware, Damien Williams, Darrel WilliamsDarrel looks like a lock at this point, and it would be very surprising if he isn’t on the roster or practice squad. The only question is, “How many Williams(es) do they keep?”Fullback: Locks: Anthony Sherman On the bubble: Algernon BrownReid’s average: 1Prediction (1): Sherman“The Sausage” returns for leadership and special teams reasons.Tight End:Locks: Travis Kelce Womens Reggie Ragland Jersey , Demetrius HarrisOn the bubble: Alex Ellis, Tim Wright, Jace AmaroReid’s average: 3.2Prediction (3):Kelce, Harris (Amaro), EllisHarris will serve a suspension in Week 1.Expect Amaro to take his place until Week 2, Ellis looks like the No. 3.Wide receiver:Locks:Tyreek Hill, Sammy Watkins, Chris Conley, Demarcus RobinsonOn the bubble: Jehu Chesson, De’Anthony Thomas, Marcus Kemp, Gehrig Dieter, Daniel Braverman, Byron Pringle, Elijah Marks, Jordan Smallwood, Davon Grayson, Blake Mack, Josh CrockettReid’s average: 6Prediction (7): Hill, Watkins, Conley, Robinson, Thomas, Dieter, KempI think it’ll come down to special teams for the last couple of spots, so it’s DAT, Kemp and Dieter. Pringle certainly made his best case for a job against Green Bay, but will it be enough?Offensive line: Locks: Eric Fisher, Cameron Erving, Mitch Morse, Laurent Duvernay-Tardif, Mitchell Schwartz, On the bubble: Bryan Witzmann, Kahlil McKenzie, Andrew Wylie, Jordan Devey, Ryan Hunter, Jimmy Murray, Bentley Spain, Ethan CooperReid’s average: 8.4Prediction (8): Fisher, Erving, Morse, Duvernay-Tardif, Schwartz, Wylie, Witzmann, McKenzieThe big story is still the left guard position and the depth here. Erving has been the starting LG all preseason Youth Steven Nelson Jersey , but don’t count out Andrew Wylie, who could not only make the roster, but could also quietly challenge for playing time. Prior to Thursday’s game, the news broke of Parker Ehinger being traded to Dallas for cornerback Charvarius Ward. We had Ehinger as the odd man out in our prior prediction post, and it’s clear he wasn’t going to make the roster, so Brett Veach traded him for another young defender.Defense (24 players)Defensive line: Locks: Chris Jones, Xavier Williams, Allen Bailey, Jarvis Jenkins, Derrick NnadiOn the bubble: Justin Hamilton, Dee Liner, T.Y. McGill, Mike Purcell, Stefan CharlesReid’s average: 6.4Prediction (5): Jones, Williams, Nnadi, Bailey, JenkinsWe went light on the defensive line, given that Speaks and Tanoh can slide inside at times. Jarvis Jenkins and Justin Hamilton have been very good, along with T.Y.McGill—could one of them push Allen Bailey and his substantial contract off the roster?Outside linebacker: Locks: Justin Houston, Breeland Speaks, Tanoh Kpassagnon, Dee FordOn the bubble: Frank Zombo, Tyrone Holmes, Robert McCrayReid’s average: 4.8Prediction (4): Houston, Speaks, Tanoh, FordFans want to cut Zombo, and we doubt Toub does, but there’s a new four-man rotation at OLB, and Zombo doesn’t really fit.Inside linebacker: Locks: Reggie Ragland, Anthony Hitchens, Dorian O’Daniel On the bubble: Ukeme Eligwe, Terrance Smith, Raymond Davison, Ben Niemann, Otha PetersReid’s average: 4.2Prediction (5):Ragland, Hitchens, O’Daniel, Eligwe, NiemannNiemann has done everything possible to win a roster spot, and we predict that he is rewarded after a tremendous offseason. Smith is the odd man out.Cornerback: Locks: Kendall Fuller, Steven Nelson, Tremon Smith, Orlando Scandrick, Charvarius WardOn the bubble: David Amerson, Will Redmond http://www.thechiefsfootballauthentic.com/dustin-colquitt-jersey-authentic , Keith Reaser, Arrion Springs, D’Montre Wade, Dorleant Makinton, Step DurhamReid’s average: 5Prediction (6): Fuller, Nelson, Smith, Scandrick, Ward, SpringsAfter a frustrating preseason, David Amerson might just find himself on the roster bubble. He’s struggled each week, and the Chiefs have added two corners in the last 11 days, clearly showing they aren’t content with the position. We’ll predict they go with upside over experience and keep three rookie corners.Safety:Locks: Eric Berry, Armani Watts, Daniel Sorensen, Eric Murray On the bubble: Leon McQuay, Jordan SternsReid’s average: 4.6Prediction (4): Berry, Watts, Murray, Sorensen (McQuay)Sorensen is injured and is expected to return a few weeks into the season.Until then, expect McQuay to be on the roster in his place.This might be an area in which the team still really needs to add a player. Special teams (3 players)Placekicker: Prediction (1): Harrison Butker Long Snapper:Prediction (1): James Winchester Punter:Prediction (1):Dustin Colquitt Dave Toub’s comments confirmed that we already know the final depth chart for the kickers: “We’re so confident in the guys we have we want them to get as many reps,” Toub said. “And at the end of the day, is anybody going to come in here and beat Dustin Colquitt? Is anybody going to beat Harrison Butker?”Outside the 53Practice Squad:Makinton Dorleant, Robert McCray, Byron Pringle, Raymond Davison, Dee Liner, Ryan Hunter, Blake Mack, T.Y. McGill, D’Montre Wade, Jordan SternsLast Five ON: These guys make the initial roster, but they shouldn’t get too comfortable, as roster moves might still push them off.De’Anthony Thomas, Gehrig Dieter, Jace Amaro, Alex Ellis,Arrion SpringsLast Five OFF: These guys just miss the cut, but that could easily change.Jordan Devey, Justin Hamilton, Jehu Chesson, T.Y. McGill, Frank Zombo
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