Cowboys second-round draft pick Jaylon Smith working out

skinsscalper

skinsscalper

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BrassCowboy said:
no, his reply was to someone else. he is saying that the nerve, according to doctors, grows back about 1-2 inches a month from the time he first injured it.when it grows to the point of making connection as a whole nerve again, it should start responding like a nerve should ("start firing"), until that point it is simply growing and in the healing process. It has not "fired up" yet so apparently still growing.

there is a chance this nerve does not find the other nerve ending in which then it will never fire up. so until it actually fires up, we all will worry did we waste this pick. Doctor who looked at him apparently has high hopes his case will be one where he will be whole again so we wait.......
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I wish they would just attach a fiber optic line and be through with it. (I'm kidding, of course)
 
willia451

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When and if he can ever suit up and play, then we'll talk.

This whole "nerve firing" watch thing makes me feel like we drafted a dead man.

And now we're waiting to see if Dr. Frankenstein can pull off an electrical voodoo miracle.

Maybe he can. But not wasting much thought on it.
 
hra8700

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The most important question is whether his emg showed full or partial palsy. This is the most recent review in the literature:

"Functional recovery (MRC ≥3/5) following complete CPN palsy was 38.4 %. Full recovery (MRC = 5/5) following partial CPN palsy was 87.3 %"

Functional recovery means any ability to lift foot against gravity. Full recovery means full strength.
 
packpitts

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CowboyChris said:
someone please explain this
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"Functional recovery (MRC ≥3/5) following complete CPN palsy was 38.4 %. Full recovery (MRC = 5/5) following partial CPN palsy was 87.3 %"

http://www.ncbi.nlm.nih.gov/pubmed/26115847?report=abstract

Knee Surg Sports Traumatol Arthrosc. 2015 Oct;23(10):2992-3002. doi: 10.1007/s00167-015-3676-7. Epub 2015 Jun 27.
A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation.
Woodmass JM1, Romatowski NP2, Esposito JG2, Mohtadi NG2,3, Longino PD2.
Author information
Abstract
PURPOSE:
A common peroneal nerve (CPN) palsy has been reported to complicate knee dislocations in 5-40 % of patients. Patients who suffer from a persistent foot drop have significantly worse functional outcomes. Reports on prognostic factors for nerve recovery or treatment-specific functional outcomes remain sparse in the literature.

METHODS:
Two independent reviewers completed a search of Medline, Embase, PubMed and the Cochrane Library from 1946 to present. Motor strength was determined using the Medical Research Council (MRC) grading system or an equivalent description. A functional recovery was defined as an MRC ≥3/5.

RESULTS:
The combined search of Medline, Embase, PubMed and the Cochrane Library identified 1528 abstracts. Thirteen articles met our inclusion/exclusion criteria. This included 214 CPN palsies. Functional recovery (MRC ≥3/5) following complete CPN palsy was 38.4 %. Full recovery (MRC = 5/5) following partial CPN palsy was 87.3 %. Younger age was predictive of neurologic recovery. Recovery following isolated neurologic interventions ranged from 0 to 30 %.

CONCLUSIONS:
A vastly different prognosis can be expected for patients who suffer an incomplete versus a complete CPN palsy. The majority of patients with an incomplete palsy will achieve a full motor recovery while <40 % of patients with a complete motor palsy will regain the ability to dorsiflex at the ankle. While neurologic interventions show promise for the future, the outcomes in knee dislocation patients remain poor. The most predictable means of reestablishing antigravity dorsiflexion in a persistent CPN palsy is a posterior tibial tendon transfer.
 
CATCH17

CATCH17

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I don't want to read all this and try to comprehend it.

Is Jaylon going to play again?
 
RS12

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packpitts said:
CONCLUSIONS:
A vastly different prognosis can be expected for patients who suffer an incomplete versus a complete CPN palsy. The majority of patients with an incomplete palsy will achieve a full motor recovery while <40 % of patients with a complete motor palsy will regain the ability to dorsiflex at the ankle. While neurologic interventions show promise for the future, the outcomes in knee dislocation patients remain poor. The most predictable means of reestablishing antigravity dorsiflexion in a persistent CPN palsy is a posterior tibial tendon transfer.
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OK so was complete or incomplete palsy? Because the odds arent good for complete.
 
speedkilz88

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CATCH17 said:
I don't want to read all this and try to comprehend it.

Is Jaylon going to play again?
Click to expand...
DeLorean-970-80.jpg
 
Bizwah

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Some reports say the nerve was torn. Other reports say stretched. I would assume that if his nerve was stretched, the a complete recovery is likely.
 
FuzzyLumpkins

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jazzcat22 said:
It's has to do with feeling in the foot...when you are running, you need to feel your foot hit the ground, to make the cuts. Without that, you can do what you need to do.
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He can feel the bottom of the foot. That is a different nerve that handles that. He cannot feel the front of his shin and the inner part of the top of his foot or at least that is how it started out. Also the muscle in the front of the leg that lifts the foot is not functioning properly.
 
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