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doctor-reacts-to-painful-baseball-injuries

Doctor Reacts To Painful Baseball Injuries

board certified Family Medicine doctor about to diagnose some MLB injuries I wonder if my little league skills would still hold up to this day oh pop fly fairly shallow more centered let's see the arm shoot the arms Posey can't handle it oh it looks like maybe his leg got caught underneath him and his knee might be problematic here here and the assistant trainer Mark Bruce back out there the Bruce Bochy oh maybe it's an ankle injury remember a lot of times when you're rolling an ankle you're landing on an inversion injury usually in those instances you have a sprain of a ligament or a terrible ligament but if it has happens to be an e-version injury where your leg your foot turns outside there's a ligament on the inside there called a deltoid ligament and that is so strong that it usually ends up ripping off a piece of bone creating what's known as an avulsion fracture Posey suffered a fractured fibula and torn ligaments on his ankle requiring season ending surgery there's two bones in the lower foot so on top you have the femur on the bottom you have the tip fib and the Fib is on the outside so it looks like he had an inversion injury but it must have been so bad that there might have been a fracture from either an avulsion where the ligaments ripped off a piece of bone or the ligaments tore but then also there was contact that created a fracture as well but also Buster Posey went on to win comeback player of the year the National League MVP and two World Series Championships with the Giants impressive stuff hit by pitch I mean you could tell right by the pitcher's reaction that this was a complete accident and it caught him right it looked like Up Under The Helmet oh my God that's a broken orbit I'm so worried for the nerves I'm so worried for the muscles cheek oh yeah that's a zygomatic Arch fracture it is recoverable though as long as no significant head trauma meaning brain trauma had occurred Stanton suffered multiple facial fractures Dental damage and cuts that needed stitches on December 17th the Marlins announced that Santan would shut down the rest of the 2014 season wow I mean it's very difficult to see after an injury like that there's lots of swelling also probably hard from like a traumatic standpoint to get back up into the into the batter's box and face pitches flying at you 100 plus miles an hour for a manager all the buttons that you push you're hoping for good things and they just haven't tap it that way oh did he catch it cap is on the ground Molina comes in here I think he got hit at the side of the head there so hard to see it happen so quickly it's so important to put patience on a brace like this to protect at least the cervical spine so that you don't move it when the spine itself is unprotected remember the spine sits within a vertebral column that protects the spine but now if there are fractures and loose bony fragments in that area that could potentially create a severed spinal cord and that's obviously very devastating because the higher up a spinal injury occurs where you have like let's say complete tear the more likely that you are to become further paralyzed and potentially to the point where it could be so high that it could be lethal according to espn.com had been placed on a 15-day disabled list with the skull fracture behind his left ear that doctors believe will heal on its own as well as a sore right knee that he tweaked when he dropped to the ground wow so there's a little area in the back of the skull here called the mastoid process not related to this but what's interesting about the mastoid process is that if you have an ear infection let's say a ear infection or middle ear infection as we call it if untreated can actually progress in some instances to an osteomyelitis which is an infection of the bone directly here in the mastoid process which is why whenever we do an exam we might feel this area to see if it is uniquely tender round ball right side Chris Johnson's got it oh no Jason is down oh my God that's the problem with a lot of these shoes whenever you're trying to change direction they can get stuck in the ground he was hurting all the way over there interesting I wonder like I didn't there was no misstep he was hurting was it a stress fracture that complete oh his foot looks pretty loose there Atlanta Braves a closer Jason Grilli suffered a torn Achilles while running to cover first base during the ninth inning against the Colorado Rockies the issue with not having an intact Achilles is you have no control over your foot so your foot's essentially drop when a patient comes in and if we want to see if the Achilles tendon is in intact you essentially squeeze the calf and when you squeeze the calf you should see the foot flex and if you're not seeing that flexion and the foot moving from squeezing the calf muscle that's considered a positive Thompson test you would suspect that there is a tear either full tear or partial tear the Achilles tendon look in get my sign worried about the third base coach worried about the first base coach oh cause he was worried about the coaches tipping off the player set eyes still on the target I mean his eyes were kind of on the ground there but [Applause] he took lever to a Full Count in the second inning before going down on the strikeout line over wait he's batting dare I say he did that single-handedly left three men on this one almost gets Reyes what's going wacky oh elbow injury don't look good at all according to Pete Abraham of the Boston Globe Lackey is suffering from a simple bicep strain rather than a more serious injury man he had feared just as I had feared as you can see by the title biceps there's two muscles that actually form the biceps and based on their attachments it can create a strain when throwing a ball because of that torque and spin that you're trying to put on the ball that's why a lot of movements like this which we call Soup Nation require the strength of the biceps and part of our special test that we do to check the long head of the biceps tendon up here in the shoulder requires us to make use of the Soup Nation motion tough out Ramirez gets rid of it quickly oh no oh oh my God anytime you have neck hyper extension you start threatening the arteries in your neck most like likely to be injured here are the vertebral arteries in the back of the neck that run on either end of the spine I mean you also have the carotids that there's so so much can go wrong there Ramirez had to get rid of it quickly because he knew Lewis runs well thank goodness his outstretched hands took some of the force and yes I know it still was a bad injury but it could have been a lot worse he landed on his head Royce Lewis appears to be okay now he's okay incredible I mean most of the momentum must have carried him perfectly but there had to have been some kind of strain on the anterior scalenes at least this sir no Cleo mastoid a muscle that attaches from the sternum Sterno Clio clavicle mastoid mastoid process right here it's the muscle that attaches here so imagine if it pulls on it that's the kind of motion that it does [Applause] oh Sharp hot fly oh my God draw in the second and they still got the running wow but Damon and Jackson you got to call it Tommy oh they ran fed first I have been a witness to these types of head-on collisions during soccer matches where both people went up for a header and that clunk that sound nothing can prepare you for hit it hearing two skulls just crack against each other and even the injury is initial when they bump into each other but then when their heads hit the ground that's also the secondary injury that could be equally as problematic if not more you got to remember the brain sits in a soup so when you rattle it one way it's gonna come back the other way it's called a counter coup injury Johnny Damon was on the ground for nine minutes before taking off he had a significant concussion but was alert awake when he was taken to Highland Hospital thank goodness because those types of injuries can become really problematic there's all sorts of bleeds that could happen in the brain both epidural and subdural depending on which layer above the brain is bleeding so very lucky very lucky that it's turned out this way Ellen for years the Giants held up say we just put Giants would be their next star Outfield put the Padres in here it was hard to walk oh Williamson running full speed after a foul ball tripping over the bullpen Mound and into the sidewall he suffered a concussion and he says the effects of that head injury still linger you know concussions effects can last a really long time depending on the severity of the concussion your genetic predisposition how soon you have another concussion or an injury to the Head this is why we really try to discourage athletes from returning to sport too soon the way we judge between an appropriate time or Too Soon is based on symptomatology how they're feeling how they're performing so if you're back to normal not having symptoms that's a good sign that you're good to return but a lot of athletes will sometimes hide those symptoms in order to return sooner putting themselves at risk for a more serious injury down the line [Applause] cool shot can anybody get the get defunded he turned to second they're going to tag him but he's hurt oh my gosh remember through mechanism of injury we can oftentimes see and predict what the injury is based on where the force is coming from where the body weight is going we can see which ligament or muscle or bone is affected could be a terrible Triad type looks like his ankle is really bad out of the bag and his knee went oh inward he suffered a torn medial patellofemoral wow okay so that's really unique that that happened for him and the way doctors make this diagnosis is a few ways one we're looking at the mechanism of injury two we're confirming with the physical exam and then three is Imaging specifically MRIs and a lot of times you'll see people get x-rays first in some instances that's due to insurance companies saying you need to prove that there's no bone issue remember x-rays only look at bones or whereas MRIs you can look at soft tissue connective tissue like ligaments tendons Etc so we'll get the X-ray rule out any bony pathology then move on to the MRI showing us the soft tissue uh injury or potential injury this is a celebration so I don't know how this is going to go wrong what has happened hopefully Edward Diaz isn't really hurt a lot of times what uh we don't realize with athletes is towards the end of games when celebrations are more likely to happen there's a high level of fatigue especially in the supportive and protective muscles and when there's that high level of fatigue you don't have the same shock absorption protection from injury natural reflexes that kick in in order to prevent further damage from occurring Mets general manager Billy eppler announced Thursday that Diaz will undergo surgery and is likely to miss the entire 2023 season Diaz suffered a complete tear of his right patellar tendon the issue that I see more so in younger athletes that the patellar tendon starts to impact is something known as ashgood-schlatter disease where the patellar tendon that attaches to the tibia actually pulls on the bone so much and while that bone is developing and it's a little bit soft it creates an inflammatory pulling effect on the bone leading to inflammation and pain within that bone it's a addition of adolescence but I've seen it continue into early 20s for some of my patients especially ones that are more likely to be physically active here's the set the 3-2 pitch a wild thing oh something happened there it's ball four and Saunders is hurt a wild pitch because something in his arm snapped he was diagnosed with a humorous fracture which is an upper arm fracture very unusual for that to happen I mean in an average healthy adult without trauma I would be worried about a pathogenic fracture a fracture happening as a result of some sort of bony process like a cancer in the air to shallow left long run look out oh makes the catch but cleats go into profar and both are injured jerksen getting looked at his job oh God need to jaw and the knee is such a strong bone and he's actually not a bone it's the femur meeting the tibia sitting with the patella on top of it the San Diego Padres announced that outfielder jerksen profar has been diagnosed with a concussion and a cervical neck strain after colliding with a teammate cervical neck strain is just the musculature of the cervical spine which is the top portion of the vertebral column remember the vertebral column is made up of the cervical spine the thoracic spine the mid spine the lumbar spine the lower spine the sacrum the really lower spine and then the final coccyx which is the tailbone we used to have vestigial Tails but we outgrew those or we ungrew those probably a better term boys will be matches a hot foot has been scheduled is that an official await fire development for Scott Van slyke Well Adrian certainly set it on fire something smells wrong in here what is it that smells ah now we found it don't let your teammates on fire that's good advice a burn especially in that area is going to make it really tough to do anything on the field let alone run or pitch or anything Solomon Torres facing Sosa in the fourth salsa oh wow wow when he hit him in the temple that's a very dangerous area to get hit that's a soft spot not good [Music] Adam Jones inadvertently damaged some pretty expensive equipment is out of commission wow oh that's got to be a tick tock so I want to make that into a tick tock you know when you post a video and everyone's thinking that they're watching really intently and then boom that always messes with me how about reacting to NFL injuries with the Brandon Marshall click here to check that out and as always stay happy and healthy foreign

Dr.

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