Absolutely. "He was a magic player" with a CAN DO attitude.He was a magic player but I think we've seen him the last time in crimson. As I posted in the post-game thread, I've been through the fractured acetabular plateau, with the associated cartilage damage, leading to hip replacement years later. Dr. Davis, the GaTech team doctor, with the Andrews Group, did my eventual replacement at St. Vincent's. If it were a dislocation, there would be disturbance to the cartilage. If the socket were fractured, then there are long-term consequences. We need to pray for him and his family, thank him for what he's done for the University and pull behind the team with Mac as the leader...
Let's just hope not too much bone or soft tissue, not the vasculature, and not the sciatic nerve. There are also other things to worry about beyond the musculoskeletal as well, potentially. Early reduction does greatly reduce risk for AN. That would have been done pretty quickly, but there's still a risk (maybe around 5% under good circumstances). That is assuming no direct vascular injury. Still a lot we don't know at this point.Unfortunately, some soft tissue is always involved. Necrosis of the trocantor is pretty much a crap shoot - hard to predict. In my case, Bo's injury actually happened not that long after mine. After I was dxed with the crack in the back of the socket, I went back to my orthopedist and asked if perhaps we should take another x-ray of my trocantor. He agreed and they took regular x-rays for a couple of years. If the bone starts to die, as in Bo's case, it turns chalk white, instead of normal gray. I dodged that, but the cartilage damage over a period of years caused deterioration and an eventual replacement, when they saw off the trocantor, the head of the femur, anyway. On a light note, a couple of years after the replacement, the nurse of a new family doctor, noting my age, asked if I'd had a bone scan lately. I answered that I'd had something better. Bristling a bit, she asked what was better than a bone scan. I said that, when they sawed off the head of my femur, the surgeon had held it in his hands and, later, said that my bones were in excellent shape for my age...
One thing to keep in mind is that there are some really unathletic quarterbacks in the NFL. Tom Brady's 40 time was 5.28!After my fracture, I ran many thousands of miles for three decades. So there's at least a chance that his career won't be affected...
Yep. Been there, done that...Right now I'm reading a report of "acetabular fracture" which is a break in the socket portion.
Yes. I was very happy to avoid AN. But, you're correct. There's no way to rule out direct vascular injury. That will emerge over the next several days. It's a matter of luck, unfortunately...Let's just hope not too much bone or soft tissue, not the vasculature, and not the sciatic nerve. There are also other things to worry about beyond the musculoskeletal as well, potentially. Early reduction does greatly reduce risk for AN. That would have been done pretty quickly, but there's still a risk (maybe around 5% under good circumstances). That is assuming no direct vascular injury. Still a lot we don't know at this point.
You had the best bone scan available!
Right - the earlier report of a "posterior wall fracture" is probably the best of these possible fractures.Right now I'm reading a report of "acetabular fracture" which is a break in the socket portion.
So the posterior wall fracture is part of the socket? I didn't know. Not very familiar with these medical terms.Right - the earlier report of a "posterior wall fracture" is probably the best of these possible fractures.
One benefit Tua does have with his talent is that he is not only a mobile quarterback. He has a very strong arm and is accurate on his throws, so even if this injury does slow him down some as far as being mobile goes he still has other advantages as far as talent goes.One thing to keep in mind is that there are some really unathletic quarterbacks in the NFL. Tom Brady's 40 time was 5.28!
So, I guess the question isn't if he's as mobile as he used to be. Honestly that was kind of a weakness because he ran when he should have protected himself. The question is just if he can be healthy enough for robust physical activity. I sure hope so, and may be he can transition into an NFL QB that stays in the pocket. That's what he had to do anyway if he wanted any hope of a lengthy career.
Yes - google it. It is the back wall of the "cup". Any transverse fracture would mean the end of his football career. This one he can probably make a full recovery from.So the posterior wall fracture is part of the socket? I didn't know. Not very familiar with these medical terms.
Almost certainly not now, though long-term risk for osteoarthritis that would necessitate one in his later years is a substantial risk.I'm just curious. I know we aren't doctors here, but are we looking at hip replacement as the surgery? Or is that too much speculation?
Earle is spot on with this. Saw many hip fractures & dislocations in my ER days. Sometimes it’s the dislocation you worry about the most. The area in and around the acetabulum and the femoral head are very vascular. With a hip dislocation you’re always about trauma to the vessel supplying that femoral head and the socket. My hope is they got the dislocation reduced in a timely fashion and blood flow wasn’t compromised.Let's just hope not too much bone or soft tissue, not the vasculature, and not the sciatic nerve. There are also other things to worry about beyond the musculoskeletal as well, potentially. Early reduction does greatly reduce risk for AN. That would have been done pretty quickly, but there's still a risk (maybe around 5% under good circumstances). That is assuming no direct vascular injury. Still a lot we don't know at this point.
You had the best bone scan available!
True. Mine healed up and allowed me to pursue an avocation as a distance runner and triathlete. OTOH, the doc with Andrews told me that, although the crack in the back of the acetabular socket healed up, the damage to the cartilage would not and that's what led to a hip replacement 25 years later. I'm sure Tua, at this stage of his life, would make this trade in a New York minute...Yes - google it. It is the back wall of the "cup". Any transverse fracture would mean the end of his football career. This one he can probably make a full recovery from.
I agree. It would have to be a disastrous injury to indicate THR...Almost certainly not now, though long-term risk for osteoarthritis that would necessitate one in his later years is a substantial risk.
The procedure to fix this (if the injury is severe enough) is called ORIF, or open reduction and internal fixation. CT, CTA, MRI, and direct exam and visualization of the injury guide the treatment.