Tony Romo to undergo Mumford procedure

[Doc50]

Well the good news is it's his collarbone and not his hamstring. For some reason our trainers can't figure out hamstrings and plantar fasciisitis. Just ask Terence Newman and Miles Austin.

I personally was hoping for the plate and screws surgery, so I'm a little disappointed but Romo and his doctors have more info than I do.

Ok, I'll repost some basics about clavicular fractures.

A complete clavicular fracture will assume a configuration that we term "bayonet apposition".
This represents a side-by-side orientation of the bone, with an overlap of approximately 2 centimeters.

Healing takes a bit longer in this position because the fractured ends are not approximated (realigned). Tony's refracture from another compressive hit was therefore not unexpected.

All fractures heal with overzealous deposition of bone, rendering the site thicker and stronger than before. In the case of bayonet-opposed fractures, the bone is eventually more than twice as thick as before. So the placement of any internal fixation device is superfluous, takes unwarranted risk, and is likely to weaken the bone with the use of screws.

The Mumford procedure removes a segment of the distal clavicle, thereby relieving any impingement with the acromion, and creating a space which may serve to limit compressive force on the clavicle from direct lateral impact to the shoulder. The procedure is entirely elective, an attempt to lessen the chance of another fracture when landing on the left shoulder and sustaining impact force of up to 1000 psi.

I hope all can see how the long and convoluted journey of Romo's fracture makes good medical sense.

 

[Cowboy06]

Here's a great article on the procedure.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1888780/

And a quote from the article:

"The results of direct arthroscopic distal clavicle resection have been published previously. In a series of 29 patients with isolated AC joint arthrosis, 93% had excellent or good results at minimum 2 year follow up."

Great info, but how many played QB and already had broken the bone three times? I really hope the Cowboys draft a QB this year and wouldn't even flinch if they bought in a QB next year via the draft as well. We need young talented QBs that will compete. We can then trade a QB to some needy team. Just my wish and certainly doesn't make it right. Guess I just want to watch my team win and get back to the SB year after year...

 

[ROUSH8692]

I picture Floaty as some 9 year old with braces and a keyboard. Isnt there a forum to discuss dragon ball Z somewhere, or do we have to suffer through misinformed threads consisting of medical advice and Kellen Moore harlequin novels forever.....

Good lord man, google something and actually read it.

 

[Nightman]

You obviously have an opinion on the matter, and that's fine. Just don't mistake it for an informed opinion, because it's clearly not.

Not all opinions are equal, just because we all like to think our own takes are right. The message board guidelines insure that everybody can be heard. It doesn't guarantee that everybody has to be taken seriously. Especially on something like the efficacy of a very specific surgical procedure. That's just silly.

I'm not even talking about myself.

I'm talking about all the hardos that take themselves way too seriously.

God forbid someone offers up an uninformed opinion, maybe they have some personal experience or special interest in a subject.

None of us are GMs but we know and love football or we wouldn't be here.

Either way people need to lighten and not try to dissect every word.

 

[Floatyworm]

I picture Floaty as some 9 year old with braces and a keyboard. Isnt there a forum to discuss dragon ball Z somewhere, or do we have to suffer through misinformed threads consisting of medical advice and Kellen Moore harlequin novels forever.....

Good lord man, google something and actually read it.

So I googled....ROUSH8692

And this is what I found......

https://www.reddit.com/user/ROUSH8692

Looks like you stay @ a Holiday Inn frequently. Go back to school and finish your degree.

But feel free to tell me how your world works. This is good stuff.

 

[DandyDon1722]

Ok, I'll repost some basics about clavicular fractures.

A complete clavicular fracture will assume a configuration that we term "bayonet apposition".
This represents a side-by-side orientation of the bone, with an overlap of approximately 2 centimeters.

Healing takes a bit longer in this position because the fractured ends are not approximated (realigned). Tony's refracture from another compressive hit was therefore not unexpected.

All fractures heal with overzealous deposition of bone, rendering the site thicker and stronger than before. In the case of bayonet-opposed fractures, the bone is eventually more than twice as thick as before. So the placement of any internal fixation device is superfluous, takes unwarranted risk, and is likely to weaken the bone with the use of screws.

The Mumford procedure removes a segment of the distal clavicle, thereby relieving any impingement with the acromion, and creating a space which may serve to limit compressive force on the clavicle from direct lateral impact to the shoulder. The procedure is entirely elective, an attempt to lessen the chance of another fracture when landing on the left shoulder and sustaining impact force of up to 1000 psi.

I hope all can see how the long and convoluted journey of Romo's fracture makes good medical sense.

Thanks Doc. Very informative and I get why he's doing it. My other takeaway is that the bone will be stronger than it was before he broke it the first time because it has had time to heal properly.

 

[SilverStarCowboy]

Is this the thread where we complain about the Coaches, Front Office and getting a new Franchise QB?


No?

Oh okay nv r mnd.



Seriously though I kid I kid, Romo needs to make an effort not to get hit into the ground at that angle that broke his collar bone in the first place...both times. Surely Tony realizes he can't go down on his shoulder into the ground more than anyone. Take the dreaded" breath knocker" instead and we'll take that 15 yard unnecessary roughness as well.

 

[Idgit]

I'm not even talking about myself.

I'm talking about all the hardos that take themselves way too seriously.

God forbid someone offers up an uninformed opinion, maybe they have some personal experience or special interest in a subject.

None of us are GMs but we know and love football or we wouldn't be here.

Either way people need to lighten and not try to dissect every word.

It they have personal experience or a special interest, then the opinion probably isn't uninformed.

Either way, they're obviously welcome to share opinions. There's no shortage of that here. but like I said, not all opinions carry the same weight, for obvious reasons.

 

[plymkr]

Ok, I'll repost some basics about clavicular fractures.

A complete clavicular fracture will assume a configuration that we term "bayonet apposition".
This represents a side-by-side orientation of the bone, with an overlap of approximately 2 centimeters.

Healing takes a bit longer in this position because the fractured ends are not approximated (realigned). Tony's refracture from another compressive hit was therefore not unexpected.

All fractures heal with overzealous deposition of bone, rendering the site thicker and stronger than before. In the case of bayonet-opposed fractures, the bone is eventually more than twice as thick as before. So the placement of any internal fixation device is superfluous, takes unwarranted risk, and is likely to weaken the bone with the use of screws.

The Mumford procedure removes a segment of the distal clavicle, thereby relieving any impingement with the acromion, and creating a space which may serve to limit compressive force on the clavicle from direct lateral impact to the shoulder. The procedure is entirely elective, an attempt to lessen the chance of another fracture when landing on the left shoulder and sustaining impact force of up to 1000 psi.

I hope all can see how the long and convoluted journey of Romo's fracture makes good medical sense.

Thank you, I appreciate this. this helps me understand a lot better. So if he would have got the plate put in the surgery could have been counter productive due to the screws weakening the bone.

 

[Idgit]

Ok, I'll repost some basics about clavicular fractures.

A complete clavicular fracture will assume a configuration that we term "bayonet apposition".
This represents a side-by-side orientation of the bone, with an overlap of approximately 2 centimeters.

Healing takes a bit longer in this position because the fractured ends are not approximated (realigned). Tony's refracture from another compressive hit was therefore not unexpected.

All fractures heal with overzealous deposition of bone, rendering the site thicker and stronger than before. In the case of bayonet-opposed fractures, the bone is eventually more than twice as thick as before. So the placement of any internal fixation device is superfluous, takes unwarranted risk, and is likely to weaken the bone with the use of screws.

The Mumford procedure removes a segment of the distal clavicle, thereby relieving any impingement with the acromion, and creating a space which may serve to limit compressive force on the clavicle from direct lateral impact to the shoulder. The procedure is entirely elective, an attempt to lessen the chance of another fracture when landing on the left shoulder and sustaining impact force of up to 1000 psi.

I hope all can see how the long and convoluted journey of Romo's fracture makes good medical sense.

This is great. But my gut tells me his career is probably over. Who's to say which of us is right?

I say we call it a draw.

 

[Beast_from_East]

LOL! I love how people will question the choices of multiple team doctors.

I think people are skeptical because this medical staff has a history of being totally wrong on time tables. How many times do we hear that a player is "day to day" and ends up missing half the season?

Not saying they don't know what they are doing with Romo, just saying that their track record when it comes to injuries is not the best. And lets be totally honest here, they knew that Romo's collarbone was not fully healed when they suited him up against the 15-1 Panthers.

That is why it broke again on a simple, routine tackle. The guy didn't power drive him into the turf or anything, so that tells you right there the collarbone was not healed and they still suited up Romo because the season was just about over at that point.

Like I said, I am not criticizing............I am just throwing the facts out there and people can judge for themselves.

 

[Sarge]

I had this procedure done in 2010. Didn't do much to alleviate my pain or improve my range of motion.

 

[DandyDon52]

Was it a mistake? Or just a risk? You think the doctors told him there was no chance of reinjury that week? I don't. I think he risked it to try to save a still-salvageable season. Because Tony Romo is a legit bad ***.

You could say Tony is also a little stupid too, he wanted to play, the jones wanted him to play, So the docs give in and say he can.
It was obviously a mistake, by all parties.

save a still-salvageable season........It wasnt salvageable. Only the dreamers thought Tony back and rusty, with gimpy dez,
could win all 7 games to be 9-7 , which is what it would have took, and then win 3 more in a row to go to SB.
That would be 10 in a row!
At the time I felt best they could do is win 5 of the 7 , which would be 7-9 and more than likely not good enough to get in playoffs.

 

[Idgit]

You could say Tony is also a little stupid too, he wanted to play, the jones wanted him to play, So the docs give in and say he can.
It was obviously a mistake, by all parties.

save a still-salvageable season........It wasnt salvageable. Only the dreamers thought Tony back and rusty, with gimpy dez,
could win all 7 games to be 9-7 , which is what it would have took, and then win 3 more in a row to go to SB.
That would be 10 in a row!
At the time I felt best they could do is win 5 of the 7 , which would be 7-9 and more than likely not good enough to get in playoffs.

Not every risk that doesn't pan out is a mistake. And the season was very much salvageable on Thanksgiving last season. We're talking about winning the East here, and not the league, though.

And I think 8-8 would have won it if one of the wins was against the Skins. 7-9 was still a possibility at the time we made the decision to play him.

 

[DandyDon52]

Not every risk that doesn't pan out is a mistake. And the season was very much salvageable on Thanksgiving last season. We're talking about winning the East here, and not the league, though.

And I think 8-8 would have won it if one of the wins was against the Skins. 7-9 was still a possibility at the time we made the decision to play him.

Well you "gotta know when to fold em" as kenny rogers says.
and at 2-7 and the state of the team, it was time to fold.
Also the gain has to be worth the risk, it wasnt.

It all worked out, and now they get to draft higher than they have in a long time, and tony got the M thing, so
maybe it was all for the best.

 

[Idgit]

Well you "gotta know when to fold em" as kenny rogers says.
and at 2-7 and the state of the team, it was time to fold.
Also the gain has to be worth the risk, it wasnt.

It all worked out, and now they get to draft higher than they have in a long time, and tony got the M thing, so
maybe it was all for the best.

How many games back were they on Thanksgiving? 2? That's not when to fold 'em.

I hope it's for the best, too. I don't give a rat's about the draft position, but if we can add a real playmaker there, that's obviously a good thing.

 

[CATCH17]

Carson Wentz.

 

[Wood]

Honestly...what scares me the most is this...(I've dealt w/ AC shoulder seperation (2nd degree) personally my SR year in high school...As a RB...It wasn't fun)

Removing bone to create a bigger cavity so the collar bone and humerus bone don't impinge is gonna lead to the shoulder dislocating more easily.

I didn't have the surgery.....and still to this day...30 years later the shoulder joint is still loose. I can't imagine making the cavity more bigger is gonna lead to structure stability in Romo's instance.

Here's a good analogy....Like a differential in a car. Once you start to get play in that connection...It just starts to get more and more play in it until it fails.

I think your ultimately gonna be right. I will be watching with one eye closed when Romo gets sacked.

 

[Doc50]

Honestly...what scares me the most is this...(I've dealt w/ AC shoulder seperation (2nd degree) personally my SR year in high school...As a RB...It wasn't fun)

Removing bone to create a bigger cavity so the collar bone and humerus bone don't impinge is gonna lead to the shoulder dislocating more easily.

I didn't have the surgery.....and still to this day...30 years later the shoulder joint is still loose. I can't imagine making the cavity more bigger is gonna lead to structure stability in Romo's instance.

Here's a good analogy....Like a differential in a car. Once you start to get play in that connection...It just starts to get more and more play in it until it fails.

Your analogy has nothing to do with Romo's case. He did not sustain an AC separation, and the procedure has no bearing on shoulder dislocations or structural stability.

 

[Picksix]

I think people are skeptical because this medical staff has a history of being totally wrong on time tables. How many times do we hear that a player is "day to day" and ends up missing half the season?

Not saying they don't know what they are doing with Romo, just saying that their track record when it comes to injuries is not the best. And lets be totally honest here, they knew that Romo's collarbone was not fully healed when they suited him up against the 15-1 Panthers.

That is why it broke again on a simple, routine tackle. The guy didn't power drive him into the turf or anything, so that tells you right there the collarbone was not healed and they still suited up Romo because the season was just about over at that point.

Like I said, I am not criticizing............I am just throwing the facts out there and people can judge for themselves.

As an athletic trainer who has spent a bit of time working in pro sports (or been around those that have and do), I can say there are a lot of factors that go into when a guy returns to play from an injury. We tend to simplify things based on averages and generalities. One reason is that it's just easier, or maybe less complicated is a better way to put it. Sometimes we don't want other teams knowing just how extensively a player is hurt. Sometimes the player should be back within a certain time frame, and either he doesn't work hard enough (for whatever reason), or tries to come back too fast and has a setback. Sometimes the player has his own timetable. The worst part is when the agent or a family member gets involved (like Derrick Rose's brother), and convinces the player to make a "business decision." Those are the times when Garrett or Stephen will come out and say something cryptic, like "we thought originally he'd be back by now, but things haven't come along like we'd hoped."

Sometimes, the training/medical staff gets it wrong, and it's on them. More often than not, though, as I like to say, there's always more to the story.