Jalen Ramsey Tears Meniscus

[dallasdave]

 

[Alexander]

Lighten up Francis, you are on a message board. I don't think anyone is going to turn you in if you weren't a Dr.

Speak for yourself. I have alerted the authorities.

 

[dallasdave]

Saw this coming tbh

Now imagine the meltdown that would of occurred if we took him at 4

TOTALLY AWESOME!!!

 

[Fla Cowpoke]

Probably because of the tweet from Dr. Chao that speedkillz posted, which stated that most meniscus tears don't heal?

Right, I get that 90% you just trim the meniscus and go on your merry way, but there are cases where there is blood flow apparently and they do stitch. It was just done with Myles Jack by a very respected orthopedic surgeon. Dr. Chao doesn't say there is no reason, just that most are trimmed. I am guessing trim will be the likely resolution of Ramsey's injury...but to just assume, without ever seeing the patient AND saying that the meniscus can't be repaired, I think Doc50's answers are incomplete at best. A quick google search disproved his claims that meniscus don't heal and that it's never done.

 

[Fla Cowpoke]

Speak for yourself. I have alerted the authorities.

Citizen's arrest, Citizen's arrest.

https://cdn.meme.am/instances/58022010.jpg

 

[Fla Cowpoke]

Couple more searches, and it appears both Russell Westbrook and Derrick Rose have both had their meniscus injuries stitched.

 

[tyke1doe]

Nkemdiche fell out of a second story window and was relatively unharmed

You like never ran at nearly the speed Ramsey does, let alone cut at that speed.

Actually, I did.

 

[tyke1doe]

Citizen's arrest, Citizen's arrest.

https://cdn.meme.am/instances/58022010.jpg

One of the best Andy Griffith episodes eva!

 

[tyke1doe]

FTFY

Oh, ye of little faith.

 

[Doc50]

Right, I get that 90% you just trim the meniscus and go on your merry way, but there are cases where there is blood flow apparently and they do stitch. It was just done with Myles Jack by a very respected orthopedic surgeon. Dr. Chao doesn't say there is no reason, just that most are trimmed. I am guessing trim will be the likely resolution of Ramsey's injury...but to just assume, without ever seeing the patient AND saying that the meniscus can't be repaired, I think Doc50's answers are incomplete at best. A quick google search disproved his claims that meniscus don't heal and that it's never done.

As a primary solution to to a simple meniscal tear in an otherwise normal knee, stitching/re-anchoring a meniscus is essentially never done.
The surgical risks involved with an open repair as opposed to arthroscopy do not justify any potential benefit. When presented the options of how to deal with such a condition, any rational person would opt for the scope, especially considering the repair will likely only be temporary.

If a more complex knee condition exists (not meniscus) which cannot be addressed arthroscopically, an open surgery is done which may incidentally reveal a very minor meniscal detachment as an additional finding; the surgeon may elect to attempt an incremental re-attachment during the procedure. Again, no reputable surgeon would perform an open knee surgery just to explore or for the sole purpose of trying to repair a meniscus. Leaving that damaged cartilage in there is just likely to cause more problems, and the aggressive approach takes too much risk. The arthroscopy is much simpler, less risky, and resolves faster. This is well-understood in the medical profession, and there are thousands of athletes functioning just fine without menisci. Heck, even when arthroscopy was in its early stages, Joan Benoit had a meniscus trimmed, and won the US Track and Field marathon 2 weeks later.

If you get your healthcare from Google, good luck.

 

[JBS]

Couple more searches, and it appears both Russell Westbrook and Derrick Rose have both had their meniscus injuries stitched.

Sounds like Ramsey has 50:50 shot to survive

Westbrook is alive and kicking

Rose is dead, right?

 

[Fla Cowpoke]

As a primary solution to to a simple meniscal tear in an otherwise normal knee, stitching/re-anchoring a meniscus is essentially never done.
The surgical risks involved with an open repair as opposed to arthroscopy do not justify any potential benefit. When presented the options of how to deal with such a condition, any rational person would opt for the scope, especially considering the repair will likely only be temporary.

If a more complex knee condition exists (not meniscus) which cannot be addressed arthroscopically, an open surgery is done which may incidentally reveal a very minor meniscal detachment as an additional finding; the surgeon may elect to attempt an incremental re-attachment during the procedure. Again, no reputable surgeon would perform an open knee surgery just to explore or for the sole purpose of trying to repair a meniscus. Leaving that damaged cartilage in there is just likely to cause more problems, and the aggressive approach takes too much risk. The arthroscopy is much simpler, less risky, and resolves faster. This is well-understood in the medical profession, and there are thousands of athletes functioning just fine without menisci. Heck, even when arthroscopy was in its early stages, Joan Benoit had a meniscus trimmed, and won the US Track and Field marathon 2 weeks later.

If you get your healthcare from Google, good luck.

Yeah, because well known and accomplished doctors never post medical information on the internet.

We know that they did it in Jack's case, and the initial indications were that his osteochondral defect wasn't an issue...and that Doctor apparently differs from you in that he suggests in a case where the tear is in an area with blood flow, the best course would be to try to save the meniscus. Yes, there are people that can play sports without a meniscus at all, but they are most likely going to deal with more issues in regard to pain, swelling, etc than someone with a meniscus.

You said a meniscus NEVER heals. You are wrong. You said no one does the stitching, yet I have pointed out multiple athletes that have had it done.

I have NEVER said Ramsey needs stitching or will opt for it. It has at least been mention in multiple reports. Chances are that his will be one of the 90% where they trim it and go. The wrestler on our team that had it done missed out competing for a state title, he was the defending runner up from a year ago. They did the stitiching because long term the Dr felt trying to save the meniscus was the best for the young man.

By the way, Schefter just said that it appears likely that Ramsey will have his trimmed, although he has a second opinion next week and he mentioned the "doomsday" scenario of getting it stitched and being out 4-6 months, which puts his season in jeopardy.

 

[speedkilz88]

http://www.ocregister.com/ucla/revealed-684510-meniscus-thursday.html

“Just like in real estate, they’ll tell you it’s location, location, location,” Dr. Klapper said, to preface our discussion. “That’s the same thing that is true for surgery, and particularly true for the meniscus.”

As he explained, “Think of the meniscus as a slice of apple pie. The crust is thick, and the slice of the pie tapers to the tip of the pie. The meniscus is literally like that. The rim of the meniscus is like the crust portion of the apple pie, and the tip is the closest to the center of your knee joint. When you have a tear at the tip, we will trim it, and those are the folks who come back really quickly, because there’s nothing to need a brace, or crutches, or be precautionary for. There are no restrictions. And when you heard Metta World Peace, when he hurt his meniscus and 12 days later played again for theLakers, that’s what was done, a trim. Once the meniscus is torn in the case of Russell Westbrook, for example, or in the case of Myles Jack, where the tear is where the crust of the pie is, this is where the circulation of the meniscus has the richest blood supply, where putting stitches in will give you the best chance of not having to trim it and leave the player with a perfectly intact meniscus, which we believe is critical in maintaining the other cartilage in your knee that leads to arthritis.

“In Scooby’s case, if the tip was were the tip of the apple pie was, it’s a no-brainer," Klapper said. “You can't put stitches in. It won't work. You’re forced as a surgeon to trim it. They can then come back quicker. If it’s by the tip, trim it. If it’s by the crust, you got to put stitches in. Good for the player, because you’ve preserved the meniscus. Bad for the coach and the team, because he’s going to be out for the rest of the season.”

 

[Doc50]

If you read my posts, you'll see that I did not use the word never.

I said that no one repairs them anymore unless it is incidental to an already open procedure.

It is not my intention to post here to gain recognition for myself or to maintain some authoritarian or arrogant personification -- that's not who I am.

I am simply offering my professional opinion (and paying for the privilege to do so) as a public service on any healthcare issue, and especially to offer clarity on football injury-related issues.

I manage patients with a broad array of injuries and medical problems and conduct clinical research on a daily basis. Each case is individual, and there is no way to predict or prescribe appropriate treatment without evaluating all the details, and we seldom know all such details on the cases we discuss. So, I attempt to open-mindedly generalize.

It seems that some use these forums as a chance to be a hammer; I don't think anyone likes being a nail, myself included, so I will bow out.

Again good luck to you.

 

[CowboyRoy]

When he is slaying offenses and selling jerseys, you will worship through ground he covers.

Of course I will. If and when that day will ever comes. And no doubt you have 100% confidence it will happen and you think it was a great pick.

 

[Bleu Star]

Of course I will. If and when that day will ever comes. And no doubt you have 100% confidence it will happen and you think it was a great pick.

110% confidence

 

[Fla Cowpoke]

If you read my posts, you'll see that I did not use the word never.

I said that no one repairs them anymore unless it is incidental to an already open procedure.

It is not my intention to post here to gain recognition for myself or to maintain some authoritarian or arrogant personification -- that's not who I am.

I am simply offering my professional opinion (and paying for the privilege to do so) as a public service on any healthcare issue, and especially to offer clarity on football injury-related issues.

I manage patients with a broad array of injuries and medical problems and conduct clinical research on a daily basis. Each case is individual, and there is no way to predict or prescribe appropriate treatment without evaluating all the details, and we seldom know all such details on the cases we discuss. So, I attempt to open-mindedly generalize.

It seems that some use these forums as a chance to be a hammer; I don't think anyone likes being a nail, myself included, so I will bow out.

Again good luck to you.

Ok, you didn't say NEVER.

You did say this:

You don't repair a meniscus.

 

[Fla Cowpoke]

Same injury to meniscus. Jack had it clipped I believe.

Jack had it stitched. I have posted the article several times. That is why after 6 months he still wasn't running a 40.

 

[Fla Cowpoke]

Perhaps you missed where I said I've had this same injury. Don't you think my Dr. told me every word about a torn meniscus that you are repeating now? Thank you for the information but you are preaching to the choir.

Of course I didn't read it and wouldn't have believed it anyway given your posts on the subject.

 

[CowboyRoy]

110% confidence

Yep, and no doubt 110% had the Eagles or Commanders made the exact same pick you would be laughing in their faces calling it foolish.

And werent you one of the guys that was touting "win now" at all costs? That drafting a QB with the first pick was a waste because he would sit on the bench and not help the team "win now"?

And werent you also downing picking Ramsey because "defensive players dont have an immediate impact"?

Smith is an injured defensive player that wont play for at least another year. Yet you are touting the pick as a genius move. A little ironic dont you think?