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Speaker 1: Checked in with orth of Colorado. Is doctor Michael Ellman

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Speaker 1: joining us here. Brought to you by ORTHO Colorado Hospital,

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Speaker 1: part of commons Bury Health. Go to Orthocolorado dot org.

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Speaker 1: Good afternoon, doctor Ellman. How are you.

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Speaker 2: I'm doing great. Hey, thanks for having me on guys.

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Speaker 1: Yes, we really appreciate the time. So let's start with

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Speaker 1: Pastor tan As. The Broncos are opting, not at least

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Speaker 1: right now, to put him on IR, and I think

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Speaker 1: that he would be on IR at this point if

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Speaker 1: it was going to be the case. So what does

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Speaker 1: that do for the prognosis and recovery based on the

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Speaker 1: injury as you know it?

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Speaker 2: Yes, I mean obviously it's a good sign. If he's

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Speaker 2: not putting them on you put somebody on IR at

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Speaker 2: at least four games. I think that the Broncos schedule

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Speaker 2: had something to play with this. You know, he's got

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Speaker 2: about a four to six week injury in general with

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Speaker 2: these pech muscleo tenantist strains, and so if you're thinking

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Speaker 2: about optimistically here with pat, if we can get him back,

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Speaker 2: you know at the at the four week mark, you're

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Speaker 2: looking at you know, two to three more weeks here

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Speaker 2: and then a bye week. After the bye week, I

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Speaker 2: think that's the goal to get him back at that point.

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Speaker 3: The Commanders have been decimated by injuries. Right now they

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Speaker 3: are three and six. Now, we watched Jane Daniels lie

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Speaker 3: on the ground and as being said that he had

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Speaker 3: a dislocated elbow. How does that affect or will effect

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Speaker 3: his growing but more employee, What do you think the

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Speaker 3: time for return would be for Jane Dames.

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Speaker 2: Yeah, that's a good question. Guys. The you know, pretty

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Speaker 2: gruesome injury. If you guys saw it, I'm sure a

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Speaker 2: lot of people have seen it by now. You know,

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Speaker 2: your elbows shouldn't be aligning the ninety degrees toward towards,

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Speaker 2: you know, away from the normal plane of motion. So

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Speaker 2: he clearly dislocated his elbow. The question really becomes is

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Speaker 2: this as simple or is this a complex dislocation? What

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Speaker 2: we mean by that? If it's simple and it's just

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Speaker 2: ligament damage and elbow and the bones are dislocated, But

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Speaker 2: once you put them back into place, the human process

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Speaker 2: can begin. Those we generally treat conservatively and and and

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Speaker 2: players can get back usually within four to six weeks.

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Speaker 2: It's kind of the most optimistic prognosis for Jaden if

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Speaker 2: there's if there's you know, a lot of it's gonna

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Speaker 2: be dependent on the imaging that he had today, whether

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Speaker 2: or not there's bony involvement, you know, soft tissue, skin, nerve, artery,

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Speaker 2: et cetera. If if any of that is involved, this

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Speaker 2: becomes more of a complex situation. Uh, and you likely

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Speaker 2: a season ender for him. The good news for him

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Speaker 2: is his non throwing arm right, so he's a he's

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Speaker 2: a writing and this is a left arm. And so

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Speaker 2: you know, ideally if he gets back for to six

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Speaker 2: weeks with an elbow brace with the simple dislocation, he

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Speaker 2: can get back. But you know, the Commanders are going

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Speaker 2: to have to make a lot of decisions here depending

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Speaker 2: on the course of their season and how it's going

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Speaker 2: with regards to a risk benefit analysis of getting him back.

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Speaker 1: Last one I have for you here Joe Alt, the

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Speaker 1: very talented offensive tackle. Therefore, the LA Chargers is going

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Speaker 1: to have season ending ankle surgery for a high right

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Speaker 1: ankle sprain. And most of the time with high ankle sprain,

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Speaker 1: I mean, I know they can be severe, but usually

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Speaker 1: as rest. Why would you need surgery in this case?

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Speaker 2: Yeah, great question. So the you know, the the high

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Speaker 2: ankle sprain is a different animal than the lower ankle spring.

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Speaker 2: The high ankle sprain involves what we called the sindismosis,

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Speaker 2: which is a very stick ligament that connects our tibia

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Speaker 2: to a fibula to lower bones in our lower leg.

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Speaker 2: And in his case, he had a high ankle sprain

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Speaker 2: about a month, probably six weeks ago. That was his

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Speaker 2: initial injury this year, and he sat for three to

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Speaker 2: four weeks, he came back and now he reinjured it.

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Speaker 2: So clearly it's his ligament's way of saying that it's

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Speaker 2: just not nearly as strong and stable enough to support

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Speaker 2: him through the rest of this year. So usually if

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Speaker 2: somebody fails a course of non operative freemen or they

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Speaker 2: come back and they re injure, that's when we're looking

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Speaker 2: at surgical intervention to fix it, stabilize it with you

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Speaker 2: know what we call a tight rope, which is kind

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Speaker 2: of this fancy rope type device connects the tibia to

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Speaker 2: the tibula, allows that thing to scar in and heal

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Speaker 2: and get him back to one hundred percent hopefully by

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Speaker 2: twenty twenty six.

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Speaker 1: Really appreciate the time, doctor Elman, Thank.

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Speaker 2: You so much. Absolutely thanks for having me guys, You

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Speaker 2: guys have a good one.

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Speaker 1: YouTube Doctor Michael Ellman with Ortho Colorado Hospital part of

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Speaker 1: Common Spirit Health. Go to Ortho Colorado dot or