PA-S | Ortho bro here to explain how injuries actually work and to share other health knowledge | Mechanisms, anatomy, timelines, never an official diagnosis
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Joined January 2024
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♀️Most women who get waved off in perimenopause are not dramatic.
A lot of clinicians were barely taught this. In one survey, only about 7% of medical residents felt prepared to manage menopause. About 20% got no lectures on it at all.
If you were told it was “just stress,” that can be a training gap. Not a personality flaw.
Those dang entitled Americans!!!!
Breaking: Nikita Kucherov has requested a trade from the Tampa Bay Lightning, sources tell @emilymkaplan.
Cooley is deemed week to week on IR which fits more of the MCL sprain window depending on the grade
Good news that the ACL is safe
Could be some sort of ankle sprain too but as mentioned it did not seem too bad of a mechanism on the ankle
Devin Cooley of the Flames left the game with a LBI after the collision seen below
His left leg extends out and gets caught in an awkward position and he collapses on top of it
First glance had me thinking more adductor strain but the way he falls on the leg could mean more knee ligament (MCL/ACL) or meniscus injury
It does seem to get too stuck underneath him but it hard to tell
Could be looking at a more than a day-to-day situation but hoping that is wrong
The baseball season is over and with a pending lockout an interesting piece about prolonged training interruptions came across my eyes
Could be useful for the general population as well⬇️
A review in The American Journal of Sports Medicine found that a complete stop in training costs up to 10% of fitness for each week of inactivity.
Aerobic and strength endurance fade faster than speed and maximal strength.
Detraining reduces VO2 max, blood volume, stroke volume and insulin sensitivity, and it raises body-fat percentage
After four weeks of inactivity, fast-twitch fibres start converting to slow-twitch, and athletes with more muscle to begin with lose it faster, and the loss of flexibility that follows raises the risk of injury
The 2020 shutdown is the closest thing we have to a natural experiment
In Swiss elite athletes had training times drop which interesting also heightened anxiety, depression, and insomnia
Most of these effects returned to baseline once restrictions ended and could be attributed to financial concerns too
The moral for you is to NEVER STOP MOVING
Brandt Clarke down and out after this dirty hit
Will vertical’s he checked for a concussion and neck injury through the protocol
Common mechanism for a potential AC joint sprain/separation but Clarke seems to reach for the jaw/head first so maybe less likely
Spitting up blood or “something like that”????
Brock Faber has been reportedly cleared to begin skating again in a couple of days after this play left him with a fractured skull about a month ago
Him being cleared to skate tells us this was likely an uncomplicated fracture and concussion symptoms may have resolved which is fantastic news
There is still a long road for Faber to return to fully playing, likely at the very least a couple more months to begin ramping up any sort of contact
Will be interesting to see other potential precautions taken for Faber such as equipment modifications
The skull heals well and the reinjury risk lies more in brain injury versus fracturing it again. It is important to note that feeling better does NOT always equal fully recovered, especially in this case
The Body Explained | Hockey Injuries retweeted
Warren Foegele left the game with assistance last night after knee on knee contact
Lauzon’s knee seemed to strike Foegele’s knee on the outside more and causing that valgus stress that is seen very commonly in MCL sprains/tears
The knee did not seem to give as much as guys like Marchenko the other day which is promising but cannot rule out any ligament or meniscus injury of the knee
Any time there is a big blow like this it is important to rule out a tibial plateau fracture (pictured below) among other fractures, so X-Rays were likely taken
A simple contusion is a diagnosis of exclusion so we will wait to see Foegele’s timeline
The Body Explained | Hockey Injuries retweeted
Noel Acciari left the game after this collision but later returned which is good news
It seems the injury came from the knee to the head in what we call an axial loading pattern injury
This mechanism in general is concerning for a cervical (neck bone) fracture of spinal cord injury; this definitely did not happen as he returned but is just a general tidbit
It can also cause concussions very easily which is likely why Acciari got checked out
Wonder if he will deal with some stiffness or neck strain symptoms later on
The Body Explained | Hockey Injuries retweeted
Devin Cooley of the Flames left the game with a LBI after the collision seen below
His left leg extends out and gets caught in an awkward position and he collapses on top of it
First glance had me thinking more adductor strain but the way he falls on the leg could mean more knee ligament (MCL/ACL) or meniscus injury
It does seem to get too stuck underneath him but it hard to tell
Could be looking at a more than a day-to-day situation but hoping that is wrong
Another angle of Cooley that leads to more knee speculation versus groin
Ankle could even be involved but it didn’t seem to get trapped too
Devin Cooley of the Flames left the game with a LBI after the collision seen below
His left leg extends out and gets caught in an awkward position and he collapses on top of it
First glance had me thinking more adductor strain but the way he falls on the leg could mean more knee ligament (MCL/ACL) or meniscus injury
It does seem to get too stuck underneath him but it hard to tell
Could be looking at a more than a day-to-day situation but hoping that is wrong