Totally agree from my perspective sitting in the northwest corner on the edge of Michigan and Bama sections.
The older ( 40+) fans who had lived through the troubles during the 90s to aughts have some perspective. They seemed to have a more realistic perspective and were charitable about good and bad plays.
The younger contingent I heard/interacted with including the drunk and vaping 5 fan contingent next to me in the row (mostly mid-20s) who know nothing but Alabama being unstoppable were much more cocky, talking shit and feeling that they were inevitable.
One of the memories I’ll have from the game is them nopeing out after the last play
My guess is that his injury was relatively straightforward in terms of his fracture and soft tissue injury, hence the early definitive fixation of his fractures. His posts after surgery don't show an ex-fix on his leg, just bandages. he likely had definitive treatment, not what we would call a "temporizing surgery" like an external fixator.
All good signs for his recovery. he should return to 100% after his fracture heals and has a good chance to be back for fall camp in the league without any residuals.
Get well soon Zak!
Thank you for all you did for the team, the team, the team!
I think PSU's defense is weak vs the run. their interior DL is not as good as their back 7 and they will turn the JJ keeps on . Not to mention the team should be playing angry. All of this should contribute to a big rushing weekend.
the pain usually improves after reducing the dislocation or stabilization of the limb with splinting or something like a knee immobilizer brace. (you sometimes see the vacuum beanbags paramedics use if the leg is obviously broken)
As an Orthopaedic surgeon who works in a not-for-profit role and has taken care of a number of D1 athletes, I think I can understand where the differing opinions lie…
I don’t want to presume what the motives of anyone involved in his care are, but anytime there are multiple providers involved, you will get different opinions; especially so when one the circumstances of an injury change.
It sounds like Cade got an opinion after his first injury that he could continue to play with a partially torn, patellar tendon, which is reasonable if his knee function was OK, If you were to have that fixed, you are committing him to a 6 to 12 month recovery which would preclude him from competing for a starting job and playing in the following year.
It sounds from the interview like a surgeon outside of the University of Michigan medical group disagreed with the initial medical evaluation.
It’s not uncommon that patients , especially high level athletes,(and their parents) will put more stock and more aggressive treatment recommendations to get them back on the field regardless of the risk. I’m not saying this is what happened in this case, but I’ve seen it before
it's pretty easy to see the difference by the way the injury happens if you know what you are looking for...
Regular or "low" ankle sprain is an inversion injury. Think landing on an opponent's foot with the medial side (inside) of your heel. the sole of the foot points to the midline and the ligaments on the outside (lateral side) of the ankle are torn.
A "high ankle sprain" is a rotational injury where the foot is usually planted and the toes are forcefully rotated away from the midline. Think of getting tackled with your foot planted and the force of the tackle causes the knee and foot to rotate relative to each other. this tears the ligaments holding the tibia and fibula together at the ankle joint.
My guess, (based on nothing but injury mechanism and that coach says it's not necessarily career threatening) is that he suffered an ACL + posterolateral corner injury.
PLC injuries can be treated acutely (within first week or 2) by repairing torn ligaments instead of reconstruction (using cadaver tendons to replace damaged ligaments).
He would then need to wait a few weeks or so to have his ACL reconstructed after the swelling goes down and his knee motion is back to near normal
unfortunately, studies on knee braces for offensive players, especially linemen have shown that knee braces do not lessen the incidence of these injuries
would post the reference, but being blocked by spam filter
it's obvious that you have thought a great deal about the subject and are not at all defensive regarding differing opinions like others who feel the need to flex their credentials on the blog.
I guess the difference in our opinions stems from your conjecture (which you rightly acknowledge is theory (no disrespect)) vs what I was trying to highlight as peer reviewed evidence. maybe part of the disconnect is the difference in terminology used in our fields. as orthopaedic surgeons we refer to valgus as an increase in the tibiofemoral angle (or amount of knock-knee) not the rotation of one bone relative to the other.
Ashish Bedi (U-M orthopaedic surgeon) studied hip rotation contributing to ACL tears, and found an increased incidence of injury with restricted hip motion, but this was in relation to femoroacetabular impingement and differences in pivot landing (not how he injured his ACL). something that we have no reason to believe that Drake Johnson suffers.
Moreover, many of the in vitro tests of ACL failure study fatigue failure vs catastrophic failure which is the likely mode of failure in live human subjects.
In addition, as you note, there are differences between studies of passive stability vs dynamic stability and which better represents real-life events. In the end, both of our fields have their own ideas regarding why people tear their ACL. both of us are probably right (and wrong) to some degree)
Here are some recent orthopaedic reviews regarding risk factors for ACL tears...
Risk Factors for Anterior Cruciate Ligament Injury
A Review of the Literature — Part 1: Neuromuscular and Anatomic Risk
I appreciate the mechanics discussion, and I don't want to be condescending, but there are a few well defined risk factors for ACL tears. These are implicated in an increased incidence of adolescent females tearing their ACL compared to their male counterparts. These scientifically validated reasons include diminished ratio of hamstrings strength to quad strength and anatomy of the intercondylar femoral notch in females (smaller than males). This is obviously not Drake's problem...
non-contact ACL-tears like Drake's are the norm and are more common in people who have had an ACL reconstructed previously, so not totally surprising....
People are different in now much rotation exists in their femur and tibia and how much their toes point out when they walk. (duck foot vs pigeon toed) that has never been shown to affect their likelihood of tearing their ACL
Long story short... Go on Drake. Keep up the good rehab and kill it this fall
Recent Comments
Aaron Rogers has entered the chat….
Hope people don’t take any of this as true medical information and talk to an actual doctor if they have an injury
surprised that it took so long for anybody to mention charlevoix and petoskey
The 1997 Penn State beatdown and subsequent rally/house party at Bollinger's house (the University president's house) are seared into my memory
Totally agree from my perspective sitting in the northwest corner on the edge of Michigan and Bama sections.
The older ( 40+) fans who had lived through the troubles during the 90s to aughts have some perspective. They seemed to have a more realistic perspective and were charitable about good and bad plays.
The younger contingent I heard/interacted with including the drunk and vaping 5 fan contingent next to me in the row (mostly mid-20s) who know nothing but Alabama being unstoppable were much more cocky, talking shit and feeling that they were inevitable.
One of the memories I’ll have from the game is them nopeing out after the last play
I’m ok with Michigan playing either of these teams
That’s the difference between JJ and Bo Nix.
JJ throws a dime to CJ… Bo throws an INT
My…
Not necessarily true.
My guess is that his injury was relatively straightforward in terms of his fracture and soft tissue injury, hence the early definitive fixation of his fractures. His posts after surgery don't show an ex-fix on his leg, just bandages. he likely had definitive treatment, not what we would call a "temporizing surgery" like an external fixator.
All good signs for his recovery. he should return to 100% after his fracture heals and has a good chance to be back for fall camp in the league without any residuals.
Get well soon Zak!
Thank you for all you did for the team, the team, the team!
Source: orthopaedic trauma surgeon
Disagree
edit: meant as reply to mmb 82
I think Zinter killed a guy
great adjustment Sherrone!
I want to see a party at Santa's house like 1997
Just wait for this weekend...
I think PSU's defense is weak vs the run. their interior DL is not as good as their back 7 and they will turn the JJ keeps on . Not to mention the team should be playing angry. All of this should contribute to a big rushing weekend.
Kinda like last year
michgan's defense should eat McCord alive
love that he used Kendrick Lamar's PRIDE as the music
Is UCF actually good?
the pain…
not usually.
the pain usually improves after reducing the dislocation or stabilization of the limb with splinting or something like a knee immobilizer brace. (you sometimes see the vacuum beanbags paramedics use if the leg is obviously broken)
That was on Hinton. you can see Donovan looking at him like WTF??? after Hinton took the wrong man in pass pro
He’ll be 6’1” by the time he graduates
…
lots of stars in bolivia
what qualities (basketball skill and mentality) do you look for in 1-and-dones
what qualities (basketball skill and mentality) do you want to see in 4-year players?
which would you rather coach?
As an Orthopaedic surgeon who works in a not-for-profit role and has taken care of a number of D1 athletes, I think I can understand where the differing opinions lie…
I don’t want to presume what the motives of anyone involved in his care are, but anytime there are multiple providers involved, you will get different opinions; especially so when one the circumstances of an injury change.
It sounds like Cade got an opinion after his first injury that he could continue to play with a partially torn, patellar tendon, which is reasonable if his knee function was OK, If you were to have that fixed, you are committing him to a 6 to 12 month recovery which would preclude him from competing for a starting job and playing in the following year.
It sounds from the interview like a surgeon outside of the University of Michigan medical group disagreed with the initial medical evaluation.
It’s not uncommon that patients , especially high level athletes,(and their parents) will put more stock and more aggressive treatment recommendations to get them back on the field regardless of the risk. I’m not saying this is what happened in this case, but I’ve seen it before
Pick six!!!
#whataboutism
To be?
Let’s see if they go back to the run game here. LOL
It’s actually rocket surgery…
or brain science
it's pretty easy to see the difference by the way the injury happens if you know what you are looking for...
Regular or "low" ankle sprain is an inversion injury. Think landing on an opponent's foot with the medial side (inside) of your heel. the sole of the foot points to the midline and the ligaments on the outside (lateral side) of the ankle are torn.
A "high ankle sprain" is a rotational injury where the foot is usually planted and the toes are forcefully rotated away from the midline. Think of getting tackled with your foot planted and the force of the tackle causes the knee and foot to rotate relative to each other. this tears the ligaments holding the tibia and fibula together at the ankle joint.
Rib eye and local NorCal IPA tonight...
hope Harris and Evans/Santistil/Jackson watched that Georgia TD
Eureka is not "suburban St Louis"
Its country... far enough out to not be routinely scouted, and not a traditional power you would expect to attract attention.
DP... dammit
My guess, (based on nothing but injury mechanism and that coach says it's not necessarily career threatening) is that he suffered an ACL + posterolateral corner injury.
PLC injuries can be treated acutely (within first week or 2) by repairing torn ligaments instead of reconstruction (using cadaver tendons to replace damaged ligaments).
He would then need to wait a few weeks or so to have his ACL reconstructed after the swelling goes down and his knee motion is back to near normal
unfortunately, studies on knee braces for offensive players, especially linemen have shown that knee braces do not lessen the incidence of these injuries
would post the reference, but being blocked by spam filter
that is some highliter yellow
sarcasm tag?
it's
thanks MgoStrength,
it's obvious that you have thought a great deal about the subject and are not at all defensive regarding differing opinions like others who feel the need to flex their credentials on the blog.
I guess the difference in our opinions stems from your conjecture (which you rightly acknowledge is theory (no disrespect)) vs what I was trying to highlight as peer reviewed evidence. maybe part of the disconnect is the difference in terminology used in our fields. as orthopaedic surgeons we refer to valgus as an increase in the tibiofemoral angle (or amount of knock-knee) not the rotation of one bone relative to the other.
Ashish Bedi (U-M orthopaedic surgeon) studied hip rotation contributing to ACL tears, and found an increased incidence of injury with restricted hip motion, but this was in relation to femoroacetabular impingement and differences in pivot landing (not how he injured his ACL). something that we have no reason to believe that Drake Johnson suffers.
Moreover, many of the in vitro tests of ACL failure study fatigue failure vs catastrophic failure which is the likely mode of failure in live human subjects.
In addition, as you note, there are differences between studies of passive stability vs dynamic stability and which better represents real-life events. In the end, both of our fields have their own ideas regarding why people tear their ACL. both of us are probably right (and wrong) to some degree)
Here are some recent orthopaedic reviews regarding risk factors for ACL tears...
Risk Factors for Anterior Cruciate Ligament Injury
Noncontact Anterior Cruciate Ligament Injuries: Mechanisms and Risk Factors
Gotta throw my credentials out there
Dr Vorax............
I appreciate the mechanics discussion, and I don't want to be condescending, but there are a few well defined risk factors for ACL tears. These are implicated in an increased incidence of adolescent females tearing their ACL compared to their male counterparts. These scientifically validated reasons include diminished ratio of hamstrings strength to quad strength and anatomy of the intercondylar femoral notch in females (smaller than males). This is obviously not Drake's problem...
non-contact ACL-tears like Drake's are the norm and are more common in people who have had an ACL reconstructed previously, so not totally surprising....
People are different in now much rotation exists in their femur and tibia and how much their toes point out when they walk. (duck foot vs pigeon toed) that has never been shown to affect their likelihood of tearing their ACL
Long story short... Go on Drake. Keep up the good rehab and kill it this fall
Dr Vorax
that values me highly...
Are you sure you are not Tom Brady?
I went to school with Tom Brady and you sound like Tom Brady
It will be... except for the aftermath
I don't expect to be shaking hands with Lee Bollinger in his living room after the game.
Maybe the new prez?
Never heard of
George who???
Never heard of him.
only if she's 5'3"
response
ever
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it's karma
JERRYDEMPTION!!!!!!!!!!!
Darius