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Speaker 1: All right, it's time, after a very brief post football

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Speaker 1: season pause, to talk injuries with one of the experts

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Speaker 1: from Ortho sincey Orthopedics and sports Medicine. You know, I've

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Speaker 1: been talking about Ortho sincey Orthopedics and sports Medicine for years.

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Speaker 1: They took care of my daughter when she broke her

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Speaker 1: foot about a year ago. With my neck, I went

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Speaker 1: to Ortho Sincy. They took care of me. Among the

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Speaker 1: many great things about Ortho Sincy Orthopedics and Sports Medicine

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Speaker 1: is they have specialist locations and services across the Tri

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Speaker 1: State and this includes walk in orthopedic urgent care at

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Speaker 1: five different locations with extended evening and weekend hours in

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Speaker 1: Edgewood and Anderson. So so learn more at Orthosincy dot com.

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Speaker 1: That's orthos ci Ncy dot com. Doctor John Fridge from

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Speaker 1: Orthosincia is with us. I want to start by talking

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Speaker 1: about the hammetbone injury epidemic, because this is already being

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Speaker 1: called the season of the hammetbone injury. Even before spring

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Speaker 1: training really got started, we saw high profile players like

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Speaker 1: Corbin Carol, Francisco Lindor, and Jackson Holiday that had to

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Speaker 1: be sidelined with hammet bone injuries, so it's becoming a

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Speaker 1: common injury. I'm not sure most of us know what

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Speaker 1: the hammmet bone is. Let's start there. What is the

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Speaker 1: hammet bone?

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Speaker 2: Yeah, thanks for having me on the show, moo. The

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Speaker 2: hammate is one of the carpol bones, which are the

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Speaker 2: eight bones that make up your wrist. It's on kind

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Speaker 2: of the pinky side of the wrist, right in the

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Speaker 2: bottom part of your palm.

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Speaker 1: Obviously, you can get hit by a pitch right because

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Speaker 1: you know your hand is exposed. But this is being

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Speaker 1: called like a swing related type injury, where you could

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Speaker 1: literally hurt the injury and bust it by swinging a bat.

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Speaker 1: How does that work?

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Speaker 2: Exactly? So, because the bone is prominent in the bottom

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Speaker 2: part of your palm, the people that are at risk

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Speaker 2: are people in gripping sports. So in baseball, you're gripping

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Speaker 2: the baseball bat, and the bat the actual nod at

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Speaker 2: the bottom there kind of pushes up against the bone,

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Speaker 2: so that when you're striking something like the or if

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Speaker 2: you're even checking the bat against the ground, it can

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Speaker 2: deliver that force directly to this little bone that's in

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Speaker 2: your palm and break it.

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Speaker 1: So how are these types of injuries typically treated.

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Speaker 2: I mean in the average person oftentimes will monitor it,

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Speaker 2: immobilize it, allow it to heal, but it doesn't always heal,

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Speaker 2: and so oftentimes in professional athletes MLB players, they'll actually

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Speaker 2: get a surgery for this because it's a more predictable recovery.

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Speaker 2: The surgery for this, the little hook part that breaks off,

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Speaker 2: is to actually open it up and remove that and

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Speaker 2: then people can start the healing process and recovery.

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Speaker 1: What is the typical recovery time, because we're talking about

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Speaker 1: I think with all three of these guys, at least

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Speaker 1: the possibility that they could play, if not on opening

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Speaker 1: days soon thereafter.

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Speaker 2: Usually it's about six weeks. So the surgeries are pretty

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Speaker 2: straightforward procedure to remove that broken piece, They get sewn up,

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Speaker 2: they heal up, and it's kind of a gradual process

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Speaker 2: as they're able to tolerate with the pain. But the

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Speaker 2: hope would be to have them return to play six

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Speaker 2: weeks after circ.

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Speaker 1: When can they begin rehab or as it's often referred

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Speaker 1: to as baseball related activities.

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Speaker 2: Immediately and so obviously not going directly into play, but

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Speaker 2: they're starting to rehab. The paulm right away, having them

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Speaker 2: doing some sports specific exercises and kind of progressing them

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Speaker 2: based on their degree of pain and where they're at.

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Speaker 1: I want to ask you about Lindsay Vaughan. So the

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Speaker 1: Olympics are over, but her road to recovery from the

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Speaker 1: injury she suffered in Italy is frankly just kind of

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Speaker 1: getting underway. And we could spend ten minutes just sort

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Speaker 1: of detailing the saga that she's been involved in. But

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Speaker 1: she suffered a tour ACL during a World Cup event

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Speaker 1: in late January, and this was just prior to the Olympics.

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Speaker 1: Then she goes and competes in the Olympics despite the

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Speaker 1: ACL tear, and she suffers a catastrophic injury. The injury

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Speaker 1: doesn't appear to be related to to the ACL tear,

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Speaker 1: but it's it's been a complete fracture left leg, tibia,

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Speaker 1: fibular head, tibio plateau. I'm reading some very clinical terms here,

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Speaker 1: multiple surgeries. I've read that like she was in danger

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Speaker 1: of maybe losing at least part of her leg. So

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Speaker 1: there's so much to unpack here. Let's start with this,

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Speaker 1: how could you even begin to compete at this level

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Speaker 1: when you have a tour ACL and.

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Speaker 2: You're a skier, absolutely, and so I would say the

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Speaker 2: average person like me, for instance, if I tore my ACL,

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Speaker 2: there's no way I would be even getting around very easily.

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Speaker 2: That just speaks as to I mean, just how an

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Speaker 2: incredible athlete Lindsay Bonn is. She is at such a

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Speaker 2: level that she tore ACL and you see these videos

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Speaker 2: of her days after doing box jumps and squats, and

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Speaker 2: that just speaks to her level of conditioning. I mean,

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Speaker 2: you can to some degree compensate for the instability of

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Speaker 2: an ACL tiar with better muscle strength and appropriate option.

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Speaker 2: And I think just because she's such a high level athlete,

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Speaker 2: she was able to compensate pretty quickly.

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Speaker 1: So see she suffers the injury at the Olympics, and

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Speaker 1: then before she can come back to the US, she

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Speaker 1: goes through four surgeries. Roll through this for me, like,

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Speaker 1: what are the different types of surgeries? Give me the

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Speaker 1: extent of this injury that she's been dealing with.

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Speaker 2: Of course, so in competition out in Italy, we of

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Speaker 2: course clip that gate and take this nasty fall and

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Speaker 2: didn't know the full details of it at that time,

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Speaker 2: but it's now come to light she did sustain a

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Speaker 2: very severe injury to her tibia, and so when she

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Speaker 2: had that twisting moment of the leg, she essentially shattered

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Speaker 2: the top part of her tibia into the knee joint.

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Speaker 2: When they talk about a tibial plateau fracture, that just

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Speaker 2: means that she broke into the top part of her

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Speaker 2: tibia bone as it enters the knee joint. And those

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Speaker 2: are usually high energy, very complex injuries, meaning it's broken

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Speaker 2: into multiple pieces and looking at her x rays, that's

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Speaker 2: what happened to her. As a result of an injury

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Speaker 2: like that, it's not only damage to the bone but

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Speaker 2: to the soft tissues as well, and so when you

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Speaker 2: have that degree of breakage of your bone, it bleeds

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Speaker 2: into the area. Now, your muscles surrounding the tibia are

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Speaker 2: divided into different compartments. There's four different compartments of your

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Speaker 2: lower leg, and they function to help serve the muscle

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Speaker 2: to contract in those different compartments and perform the different

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Speaker 2: functions that you're like, Well, those compartments don't really allow

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Speaker 2: much for swelling, and so when you break and they

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Speaker 2: bleed into that compartment, they get overly tight and they

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Speaker 2: can get so tight that it cuts off blood flow

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Speaker 2: and oxygen to that compartment and the muscle can die,

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Speaker 2: and that's when you have an emergency, which is what

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Speaker 2: she had. And so when they talk about compartment syndrome,

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Speaker 2: that's that bleeding and pressure into that compartment, and that's

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Speaker 2: an orthopedic emergency. They need surgery immediately to open the

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Speaker 2: leg up, open up that compartment to give the muscle

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Speaker 2: room to breathe so that it doesn't get cut off

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Speaker 2: and die. And so it sounds like she was rushed

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Speaker 2: into surgery to have fasciotomies, which is where we cut

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Speaker 2: open those compartments to allow the muscles to breathe, and

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Speaker 2: over time, additional surgeries to continue kind of gradually closing

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Speaker 2: those openings until she could get her fracture there.

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Speaker 1: At what point do they decide that she's okay to travel,

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Speaker 1: because that's not a quick puddle jumper.

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Speaker 2: That's a long flight, not at all, and so I'm

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Speaker 2: sure they had to arrange for specific medical transport on

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Speaker 2: a flight and low altitude because there's some risk of

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Speaker 2: blood clots. My guess is they got her to a

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Speaker 2: point where the fracture was stabilized with an external fixitor,

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Speaker 2: they were able to close the skin finally to reduce

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Speaker 2: her risk of infection so that they could get her

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Speaker 2: back to the States for her more definitive procedure to

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Speaker 2: fix her fracture.

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Speaker 1: She has stated a desire to compete again. I guess,

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Speaker 1: knowing what I know about Lindsay Vaughn, I would not

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Speaker 1: rule that out. But is that realistic?

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Speaker 2: Uh? For the learnery person. Probably not someone like her.

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Speaker 2: I think anything's possible, to be quite honest, although she

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Speaker 2: had a severe, tremendous injury. I mean she has demonstrated

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Speaker 2: time and time again she has incredible recovery potential. I

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Speaker 2: think if she received the proper care, she got this

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Speaker 2: fixed appropriately. But it's a matter of healing and then

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Speaker 2: after healing kind of doing the appropriate rehab to return

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Speaker 2: normal function and high level function in her incidents. I

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Speaker 2: think it's a possibility, but only the future will tell.

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Speaker 1: There you go the expertise of doctor John Fridge from

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Speaker 1: Ortho Sincy. I have said this for years because it's true.

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Speaker 1: The great thing about Ortho Sincey is they have specialists

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Speaker 1: in locations all over the Tri State and this includes

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Speaker 1: walk in orthopedic urgent care weekdays from nine a m.

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Speaker 1: To nine pm and on Saturdays, nine am to one

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Speaker 1: pm with Edgewood and Anderson. It's easy because you never

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Speaker 1: need an appointment, and it's definitely cheaper than going to

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Speaker 1: an er. Whenever you have an urgent orthopedic injury, go

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Speaker 1: to Orthosinc dot com. That's Ortho c I n c

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Speaker 1: Y dot com. Uh, we're gonna get a combine recap

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Speaker 1: of sorts even though the combine is ongoing. The Week

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Speaker 1: that Wasn't Indie with our friend Kelsey Conway from the

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Speaker 1: Cincinnati Inquirer.

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Speaker 2: Next