A Bit of Info Re: Hip Injuries

[PhoSita]

Twitter user Dylan (@DB_for_Three) has been posting some info re: hip injuries as they pertain to what IT may be dealing with.  It's a pretty informative thread that seems worthwhile for anybody following this saga.


I know this doesn't look pretty quoted like this, but really read through it.  Tells you a lot about how hips work and how hip issues develop and linger.

Dylan‏ @DB_For_Three  4h4 hours ago
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 There's more subtleties than "hurt or not" when it comes to hip joint injuries. These aren't knees we're talking about

Dylan‏ @DB_For_Three  4h4 hours ago
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Replying to @DB_For_Three
So IT suffers from a RL femoral-acetabular impingement (that is chronic) last year he suffered a labral tear (acute)

Dylan‏ @DB_For_Three  4h4 hours ago
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Replying to @DB_For_Three
If you want to boil it down, IT has a condition which predisposed him to injuries, & he just suffered one of those injuries

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
Okay so, bc people were asking, I'll boil the whole thing down to very basic "in English" talk. I apologize but I'm starting super basic

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
To start off, I know many of you will say"well duh" but when people talk about the hip, it's not the "hips" their talking about but 1 joint

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
The "hip" is actually the top of the bone in your leg abutting to a cup like indentation in your pelvis"hip bone"

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
The end of the leg bone has a near perfectly round "femoral head" that sits in that cup"acetabulum" both are coated in a slippery substance

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
In a contained cavity filled with fluid. That allows for full range mobility & the person feels no pain from that.

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
That joint is then held together my ligaments & a hard ring around the cup called... a labrum. It's moved by muscles in multiple directions

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
And supplied blood by a "surprisingly delicate" system of arteries.

Okay that's the basic anatomy.
On to the pathology

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
For some people that perfectly fitted ball in a cup coated in slippery substance in a bag filled with fluid, isn't actually so perfect

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
1 case is called "impingement".There are basically 2 common "flavors" both occur more often in athletes & often occur together

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
The first,CAM is basically the "ball" isn't ball shaped & the part of the bone the ball is connected to is also irregular

Dylan‏ @DB_For_Three  2h2 hours ago
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Replying to @DB_For_Three
This causes problems in the joint when an athlete brings their leg up.
The second,Pincer, is basically the lips of the cup are too long

Dylan‏ @DB_For_Three  1h1 hour ago
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Replying to @DB_For_Three
That causes the LABRUM on the end to hit the part of the leg bone & causes damage to that labrum

Dylan‏ @DB_For_Three  1h1 hour ago
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Replying to @DB_For_Three
Overall, having both deformities is actually more common than one or the other

Dylan‏ @DB_For_Three  1h1 hour ago
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Replying to @DB_For_Three
Ok, so what? His hip cups&ovals are weird shaped, what does that mean? Well...

Dylan‏ @DB_For_Three  1h1 hour ago
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Replying to @DB_For_Three
So heres the thing, these deformities both wear down the cartilage with a lot of hip flexion(like running...) that causes arthritis

Dylan‏ @DB_For_Three  1h1 hour ago
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Replying to @DB_For_Three
both cause pain with large ranges of motion, eventually to the point of impacting athletics, the ROM is essentially limited by this

Dylan‏ @DB_For_Three  1h1 hour ago
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Replying to @DB_For_Three
the pain can become enough that...an athlete may start forming a strange gait that involves less flexion...

Dylan‏ @DB_For_Three  58m58 minutes ago
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Replying to @DB_For_Three
also the "pincer" can cause acute labrum tears, that will lead to frequent recurring pain, catching,& instability of the joint

Dylan‏ @DB_For_Three  56m56 minutes ago
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Replying to @DB_For_Three
first line for impingement is PT, if that fails, you gotta get surgery. Surgery well... isnt great

Dylan‏ @DB_For_Three  54m54 minutes ago
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Replying to @DB_For_Three
30 % dont improve, some even get worse here...

A lot get arthritis either way

Dylan‏ @DB_For_Three  50m50 minutes ago
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Replying to @DB_For_Three
basically the same story is true of the labrum. Try to let it heal for ~3 mo. if it doesn't--> surgery

Dylan‏ @DB_For_Three  49m49 minutes ago
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Replying to @DB_For_Three
BASICALLY: This is something that is always going to nag him whether or not he gets surgery. It may not get worse, but may not get better

Dylan‏ @DB_For_Three  48m48 minutes ago
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Replying to @DB_For_Three
he has pain that is going to hinder him, even just a bit, & limit his mobility, even just a bit. Threaten his labrum again

Dylan‏ @DB_For_Three  47m47 minutes ago
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Replying to @DB_For_Three
the threat of "needing surgery" will always be there when "his hip acts up"& it'll only get tougher with aging, esp. at his level of athlete

Dylan‏ @DB_For_Three  46m46 minutes ago
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Replying to @DB_For_Three
BUT, he did it last year & the year before that, he may not get worse&just work through the pain. Maybe these acute injuries dont come again

& that's what I mean by "this isn't a simple injury" & why the Cavs were concerned.

Why they made the trade & now are going back ? well...

Dylan‏ @DB_For_Three  46m46 minutes ago
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Replying to @DB_For_Three
If med staff is the reason then Id guess that they are not satisfied with results of rest & rehab & are leaning towards him needing surgery

Dylan‏ @DB_For_Three  43m43 minutes ago
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Replying to @DB_For_Three
Maybe he has both CAM&Pincer impingements & a labrum tear, recovery from surgery can be as long as 6 months in some cases(for normal people)

Dylan‏ @DB_For_Three  39m39 minutes ago
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Replying to @DB_For_Three
I hope this wasnt too "in the weeds", boring, long winded for everyone,
I'm sure it was probably all 3. Just thought people may be curious

[Ogaju]

is this the type injury that ended Bo Jackson's carreer?

[PhoSita]

is this the type injury that ended Bo Jackson's carreer?

No, my understanding is that Bo traumatically dislocated his femur from his hip socket, which tore those "delicate arteries' which supply the hip with blood, resulting in death of the tissue inside the hip and requiring a hip replacement.

[LilRip]

Yeah I read somewhere before that hip injuries are actually pretty serious stuff. So IT may not come back (in whatever uniform) as the IT we know. Kinda like Rondo with his ACL, altho I think people have higher success rates dealing with ACL recovery nowadays.

[mctyson]

Thanks for posting this - I think there is little doubt Cleveland thinks he needs surgery.

[Who]

Thanks for posting this - I think there is little doubt Cleveland thinks he needs surgery.

Yeah, thanks for posting this. Great information.

Sounds awful for IT post-NBA after all the wear and tear the NBA will cause for him.

[Eja117]

That's good info but the Cavs KNEW ALL THAT. They knew it all BEFORE they made the trade.

So I see it as trade is done. If they don't like it they can patch things up with Kyrie.

Also IT is ticked off right now. Why would you be so incredibly ticked off if you know you suffered a catastrophic injury.

Basically everything was going completely normally in the world of sports, and then suddenly the Cavs went "OOOOOMMMGG!"

The Cavs must think we're stupid.

[jpotter33]

What I found interesting was when he was talking about the player changing their gait/how they walk after dealing with this pain for awhile.

Has anyone else noticed that IT almost always walks with a limp? That's something that I noticed almost immediately when he came to Boston. He always seems to favor his left leg where it looks like he's hobbling around with a left leg injury. I'm guessing this is the explanation for his peculiar gait.

[hwangjini_1]

That's good info but the Cavs KNEW ALL THAT. They knew it all BEFORE they made the trade.

So I see it as trade is done. If they don't like it they can patch things up with Kyrie.

Also IT is ticked off right now. Why would you be so incredibly ticked off if you know you suffered a catastrophic injury.

Basically everything was going completely normally in the world of sports, and then suddenly the Cavs went "OOOOOMMMGG!"

The Cavs must think we're stupid.

They may have known all the medical information, but did they have a first hand physical check up of IT to see what sort of healing progress he had made? Am I wrong or is the cavs' objective resulting from the physical and thus new information?

[SHAQATTACK]

What I found interesting was when he was talking about the player changing their gait/how they walk after dealing with this pain for awhile.

Has anyone else noticed that IT almost always walks with a limp? That's something that I noticed almost immediately when he came to Boston. He always seems to favor his left leg where it looks like he's hobbling around with a left leg injury. I'm guessing this is the explanation for his peculiar gait.

wow....didn't you know ?  he was born with one leg shorter than the othern!






































 ....just pulling your leg ...LOl

[jpotter33]

What I found interesting was when he was talking about the player changing their gait/how they walk after dealing with this pain for awhile.

Has anyone else noticed that IT almost always walks with a limp? That's something that I noticed almost immediately when he came to Boston. He always seems to favor his left leg where it looks like he's hobbling around with a left leg injury. I'm guessing this is the explanation for his peculiar gait.

wow....didn't you know ?  he was born with one leg shorter than the othern!






































 ....just pulling your leg ...LOl

Lol that's seriously what it looks like when he walks, though.

[Eja117]

That's good info but the Cavs KNEW ALL THAT. They knew it all BEFORE they made the trade.

So I see it as trade is done. If they don't like it they can patch things up with Kyrie.

Also IT is ticked off right now. Why would you be so incredibly ticked off if you know you suffered a catastrophic injury.

Basically everything was going completely normally in the world of sports, and then suddenly the Cavs went "OOOOOMMMGG!"

The Cavs must think we're stupid.

They may have known all the medical information, but did they have a first hand physical check up of IT to see what sort of healing progress he had made? Am I wrong or is the cavs' objective resulting from the physical and thus new information?

I highly doubt they looked and saw something dramatically different from what was described

[Rosco917]

This is a situation where Cleveland is shaking down an organization that is considered wealthy, strictly when speaking about draft picks. They're having second thoughts. (A telling sign to me is I haven't heard LeBron welcome IT with open arms yet to the Cavs.)

There is NO WAY the Cavs would have traded Kyrie for IT under normal circumstances. By Kyrie demanding a trade, he put them in a terrible position. They have to be bitter, and now realize IT isn't going to start the season healthy, and there is a suspicion he will never be the same player as last year.

If IT comes back to only 85-90% of what he was., we got a steal.

IMO Put up a good argument...in the end give a small compensation to them to get this done.

[guscelts]

My 1st question upon the trade was:  What about the hip?   People act surprised at this development??