plymkr
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We don't know a lot. We have no xrays or other scans to see how it has healed. Is it anatomically correct or is there some rotation etc of the bone from the healing?
There is no reason why the bone is not healed by now unless there is a non-union. If it were then they would have already operated so we can rule this out.
That leaves doing something to prevent a further break which would only occur in an athlete in a contact sport. You and I would likely not be contemplating this.
My educated guess is they just want to reduce the risk of another break. The arm is suspended from a wishbone in the form of the collarbone and the scapula. The scapula floats which is why is takes a significant direct blow to break it. Think Roy on Emmitt and that is highly unusual as we generally think high impact car accidents etc to break the scapula.
The collar bone attaches to the sternum or breastplate. Impact on the end of the shoulder as in a fall onto the shoulder drives the wishbone into its attachment. Being a longitudinal bone the clavicle generally loses the battle and breaks from midshaft to distal shaft generally the latter.
If you remove part of the distal clavicle then you increase the zone of compressibility and move the clavicle further away from the direct transmission of the force. I didn't look at any data to see if there is a decreased incidence of recurrent injury following this procedure. I've never heard of it but that doesn't mean it doesn't exist. My guess is there is no great data as there are too many variables to arrive at good conclusions and too small a sample size. You'd have to have a curbside consult with someone like Andrews who has enough personal knowledge to give you an inclination albeit not a great answer.
The vascilation is just a symptom of the inability to move forward. Romo doesn't have enough good data to formulate a decent plan. That doesn't mean he won't do anything.
And there is no way to strengthen the shoulder here to decrease the likelihood of another break. If he falls on the shoulder hard enough in the right position it will break again as would yours or mine. It's simple physics.
And for the last time.....his back is at only a slightly greater risk than any other starting QB in the NFL.
Good post. I want to add to this. All we have heard is Tony is thinking about having PREVENTATIVE surgery to improve the chances of a non-injury season. We are not talking about surgery to fix the collar bone. All we know is the collar bone is healing, or has healed if enough time is past. The delay in the surgery could be due to 3 opposing views of the collar bone trying to decide what to do with it.
Doctor's point of view: Tony you don't need surgery on a healthy collar bone. I don't want to perform an unnecessary surgery on a patient. there's no sense in cutting into your skin and tissue for a healthy bone to try and make it more healthy.
Tony's POV: I don't want to get hurt again I'm going to listen to the doctor, agent, wife and team but I think I may want a plate put in to prevent surgery; or maybe this mumford thing I just heard about.
Team's POV: We desperately need you to play 16 games or we suck and our coach looks like a clapping raggedy andy doll on the sidelines. Be as aggressive as you can with this injury.
Romo is probably hearing it's best to get the plate, mumford surgery, or let it heal like last time. The last time he broke his collar bone he didn't have a problem for 5 seasons with it. Then he's also hearing all these ways to prevent it so some doctors could be saying let it heal and some doctors could be saying do 1 of the 2 surgeries and who knows what the team is saying.
And one more thing, I can't stand when the media or anyone says Tony Romo is one play away from ending his career. Every single player at every single position is one play away from losing their career or season. Injury prone or not injury prone, Every single NFL player is one awkward step, tackle, or block away from their career ending. Michael Irvin was not considered injury prone and got tackled awkwardly in Philly and never played another down, and he was one of the more durable players in the game. So the argument on whether or not we should draft a qb should not be due to injuries, cuz if that were the case then every team in the NFL should draft a qb. I feel the argument is about age, 36 year old franchise qb you should start planning for the future. But to say we have to draft a qb because Romo is one play away from losing his season/career is foolish. We should draft a qb to be prepared for our 36 year old qb to retire. We should not draft a qb out of fear that our qb is going to get hurt. I don't want Dallas to be making moves with the draft out of fear of injury. Career and season ending injuries can happen on every play with every player. that's the NFL IMO.