ptatc

QUOTE (caulfield12 @ Sep 18, 2008 -> 05:13 PM) Now you're reminding me of Bo Jackson's hip with "necrotic." Interesting...Fields' quote was something along the lines of that it was a simple procedure. "I'm excited to finally know what's going on and get it taken care of," said Fields of the arthroscopic surgery. "I don't know how to explain it because I don't totally understand what the doctors have told me, but they understand what they need to do. "They can go in take care of it really easily. The recovery is not supposed to be hard at all." Necrotic is the same condition but Jackson's was in bone, Fields is in tendon. From Fields' comment I don't think it is the same injury or it was misdiagnosed earlier. He may have had a couple of different injuries to that knee.

QUOTE (Balta1701 @ Sep 18, 2008 -> 03:58 PM) On May 8 of this year, Josh was placed on the AAA DL with Patella Tendinitis...aka a knee problem. I can't say for sure which knee was giving him the problems then...but something tells me the answer to that question is yes. He was on and off the Milb DL in the early months of this season. If this is the injury that they are doing surgery on, then it is a severe problem. Surgery is not done for patella tenonitis unless it has progressed to the point that part of the tendon becomes necrotic or starts to die. They can remove the dead tissue and have good tisuue grow in the spot. This is a severe case and doesn't happen often.

#2 right behind Frank Thomas in my book.

QUOTE (JPN366 @ Sep 18, 2008 -> 03:18 PM) He has logged time in the majors. Sounds like sour grapes then. "They don't like me because I don't throw hard, otherwise I would be in the show."

QUOTE (The Ginger Kid @ Sep 18, 2008 -> 11:26 AM) question: if the bone is healing and lining up as they say, but not yet fully healed, does that means he runs the risk of increasing the fracture or re-fracturing it if he plays before it's healed enough? The short answer is yes he does run the risk of re-fracturing it. A bone heals by building up a callus around the fracture and the healing begins to occur inside this callus. If the callus is injured the healing will stop and a new callus will need to be re-built. The problem is that with a partial callus there, there is a possibility that it will interfere with the new healing process and the fracture will become a non-union fracture. This is where the fracture doesn't and drastic steps need to be taken possibly even removing a part of the bone. This is not likely to happen especially with the screw in place to prevent movement. A direct blow to the bone still could do it. This re-injury scenario is unlikely but do you chance it with such a young player who could be a corner stone for years. I'm sure this is the question going through the minds of the White Sox decision makers. They have a good medical staff and I would trust them but it is a risk.

QUOTE (caulfield12 @ Sep 18, 2008 -> 10:50 AM) That wasn't the worst, lol...I bought JDS Uniphase at the height of dot.com bubble at around 110 per share...it went up to around 140 when it was added to the S&P 500 Index, and then I rode it all the way down to $2.96 per share. Actually, I don't mind writing it off as a loss...although I will hold onto AIG and maybe something positive will come of it. Maybe Warren Buffett will swoop in and that might help my Berkshire-Hathaway....actually, I think MSDW and Goldman Sachs and many regional banks are getting shorted simply because they are banks, and things will slowly correct over time, although I certainly have little hope for my AIG investment. Thankfully, I don't have more than 100 shares...imagine being a lifetime AIG worker and having your entire retirement tied into that stock and seeing your future eviscerated in a little less than 2 weeks?? I don't think anyone really was out on the forefront and accurately forecasted what was coming with AIG and now the other two Wall Street investment banks. Hold on to it. As they start to sell off the bits and pieces you never know what might happen.

QUOTE (shipps @ Sep 18, 2008 -> 08:28 AM) ptatc,I cant state it enough,how much I enjoy your sports medicine information. Thank you, I try to add what I can and make it more clear if possible.

QUOTE (Princess Dye @ Sep 17, 2008 -> 07:48 PM) Some answers: http://www.sportsline.com/mcc/blogs/entry/8590096/10580394 Bernstein today brought up the important point, however, about muscle degeneration. How much does that happen in a few weeks span? i'd like to think Quentin has like stacks and stacks of muscle to borrow from. Bernstein likes to play doctor and he is usually somewhat accurate. The only degeneration he may have would be in the small muscle of the hand. I'm sure the medical staff had him keep everything else active during this time. It's only been two weeks so everything will come back very quickly.

QUOTE (Buehrle>Wood @ Sep 17, 2008 -> 11:52 AM) Whose bright idea was it to have one of the Cubs series in the middle of the week? Also, a 6 game road stretch to Cleveland and Detroit to end the season can't be good. $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ makes perfect sense, economically. Week day games are harder to sellout. Sox-Scrubbies will sellout regardless of when its played. Extra money in the pocket!!! $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

QUOTE (southsider2k5 @ Sep 17, 2008 -> 09:03 AM) The sad thing is Borchard, Richards, and Fields would probably be better than what they have now... don't forget Billy Joe Hobert whodid start for the Saints albeit not well.

QUOTE (SoxFan562004 @ Sep 16, 2008 -> 01:07 PM) If I remember right, the Maggs contract was amazing. I think Maggs had some sort of injury that very few baseball players have had, and it was very unclear on how he would bounce back. He has an injury that will limit his range of motion and running ability in the future. It is essentially traumatic arthritis. His hyaline cartilage (not the meniscus but the covering of the bone) was injured just like the wearing down in arthritis. This cartilage has no blood supply. He had an experimental procedure done that is not approved in the US. It uses sound waves to create microfractures in the bone to get blood to the cartilage to hopefully stimulate healing. Now it just a question of how much if any healing occurred and how long before he is unable to run. It could be next year it could be in 10 years. This is why the contract was based on amount of time on the DL related to his knee for the first year or two.

QUOTE (RockRaines @ Sep 15, 2008 -> 04:27 PM) I thought they put a pin there? Same thing really, it's semantics. Just depends on if it has threads or not. I would guess it's a screw to make sure the stability is tight.

QUOTE (The Ginger Kid @ Sep 15, 2008 -> 01:06 PM) how do you take BP (two-handed) with a screw in your wrist that's there to be a splint and keep the bone that was broken immobile? doesn't that sort of defeat the purpose? Or is he getting the screw removed? the reason he could take BP is because he has the screw in the bone. The screw will stabilize the fracture and allow him to do more actvivity than if he was just casted and allowed it to heal. Remember this bone is the size of a popped popcorn kernal. If they feel it is stabile enough and a callus has built around it, they may let him play. The stability of the fracture is the issue which the screw partially solves.

QUOTE (BearSox @ Sep 7, 2008 -> 12:29 PM) sounds like Carter threw across his body... hopefully he fixed that because anyone who throws across their body with a mid 90's fastball is bound for injury problems. Just look at Kerry Wood. Alot of those early problems came from his high school coach. The guy pitched him in both games of a double header.

QUOTE (almagest @ Sep 10, 2008 -> 09:53 AM) I wonder if wearing a brace will make him even slower. I also wonder if that's even possible, or would violate the laws of physics. With the brace on he will actually need to moonwalk to first. :lolhitting

QUOTE (witesoxfan @ Sep 10, 2008 -> 02:31 AM) As the resident physician, I turn to you when it comes to injuries. In the case of Quentin... 1) Obviously the ability to withstand pain is different from person to person, but what is the pain factor in something like this? I've never even fractured a bone to my knowledge, so I have no frame of reference to even a minor fracture. 2) Is it possible that playing through the injury could worsen it and further damage could be done, hurting him long term rather than no further damage being done? (I assume the answer to this is that further damage could be done and it could hurt his career, but I figure a doctor's opinion is cool too) 3) The ultimate question I was getting at but that I wandered around in the previous two questions - is it possible that Quentin could come back early from an injury like this, wear an arm brace, and play through it? I'm not a physician. I'm a physical therapist/athletic trainer. I see injuries on the field and work with the rehab after. The pain factor really isn't important here. The entire problem revolves around the healing of the fracture. The physicians put in a screw to stabilize the fracture and hold the two pieces of bone together. If the fracture does not heal properly you run the risk of one of the pieces not getting its blood supply and slowly dying. This is called avascular necrosis. This will lead to a decreased range of motion for the wrist and could hamper his swing. The will X-ray the bone in 2-3 weeks to see if a sufficient callus has built up to determine if the blood supply and stability of the fracture is satisfactory. If it is he can start rehabbing it. From the news reports, it sounds like they are contemplating playing him at this point. This is very risky. The callus could break at this time even with the screw. If they are still in the race, the may chance it. A brace will not help as the only brace to assist it will limit the motion too much for hitting. They may try to add a pad to his wrist to protect it from getting hit but this may be too cumbersome for his hitting.

QUOTE (CaliSoxFanViaSWside @ Sep 9, 2008 -> 09:27 PM) Was it over when the German bombed Pearl Harbor ? Quiet, he's on a roll!!!!!!

QUOTE (Balta1701 @ Sep 9, 2008 -> 09:25 PM) X rays are typically only able to see the hard parts within a body (aka bones). they can't for the most part make out the softer tissues, although there are newer, higher radiation x rays coming on line that can do so. The MRI is much better at imaging softer parts. This is true. However an MRI will only reveal the amount of fluid/inflammation in the area of an acute injury. the basis for the diagnosis of an acute injury will be based on the amount of fluid in the area. A more accurate test is really the hands on ligament test. The test will reveal the amount of "give" the ligament has. This will tell you the extent of the injury. The more give the more serious the injury. This is of course my bias from seeing the injuries on the field. The MR scan a better for te internal ligaments such as the ACL or PCL. The injuries are classified as Grade 1, 2 or 3 by most people. Some use a 4 scale. There are basically 1) strtch with no tear, 2)moderate tear, 3) full tear. This injury is like an ankle sprain. as long as there are no stability issues (full tear) he can either tape it up or brace it and play. Paulie is tough and I have no doubt he will try to play with it. However, we have seen how injuries can really effect him and I'm not sure how effective he can be while not being able to bear full weight on it. I don't think this is one they will want to inject with lidocaince as he will need to plant and turn on the leg.

QUOTE (Balta1701 @ Sep 9, 2008 -> 09:23 PM) Technically, if it's a tendon/ligament, it's a sprain. A strain is a pull/tearing of a muscle. A sprain is an injured ligament. A strain is an injured muscle/tendon.

QUOTE (fathom @ Sep 9, 2008 -> 08:34 PM) It was definitely the inside of his right knee. Where's ptatc to tell us about what ligament that is? Unfortunately, I was at my son's football game and I didn't see it. The Medial collateral ligament is the one on the inside of the knee. If it just went to the side, it is probably isolated there. If there was a twist involved also it could be the Anterior Cruciate and the menisci as well. It doesn't sound good from reading the posts here.

QUOTE (fathom @ Sep 9, 2008 -> 03:22 PM) I HATE BUNTING! It seems like I have to say this once every week with Ozzie at the helm. And please, get AJ out of the f***ing 2nd spot in the lineup, and move Dye to 4th or 5th. it's kind of amazing but everywhere but on this board people complain about Ozzie not bunting enough, esecially when facing a good pitcher or when the offense is in a slump. Before everybody throws a fit this is not a comment to any one person just a general observation on the different perspectives of people.

QUOTE (Jenksy Cat @ Sep 9, 2008 -> 02:14 PM) Considering he didn't even need to be knocked out, I wouldn't compare it to brain surgery. My buddy just had a pin put in his wrist (from punching a shed ) about a 1.5 weeks ago and will be out of the cast by this friday. for most upper extremity surgeries they do a nerve block in the neck. This numbs the whole arm and they can do surgery without the .5% chance of death or brain damage due to the general athesthetic.

QUOTE (Princess Dye @ Sep 9, 2008 -> 10:40 AM) i too am really interested in knowing what soft cast means for his rehab time. if anyone knows Doesn't mean a thing. The only time you need a hard cast is when you need to restrict movement of a joint near the fractured bone. They are putting in a fixater in the bone and fracture. The soft cast is to make sure he continues to move the joints around it and doesn't get too tight. It will allow for earlier motion but the bone will heal as the bone will heal and that's at least 4 weeks.

QUOTE (greg775 @ Sep 9, 2008 -> 02:04 AM) When I read how many doctors were to be in the room for CQ surgery ... ain't no way he'll be back this year. We'll be lucky to get him for spring training. I agree Joe is done. Sad story bout his back. most of them will be physicians doing fellowships in hand specialty.

QUOTE (BlackBetsy @ Sep 9, 2008 -> 12:02 PM) Toby Hall .958 OPS against Burnett in 9 plate appearances AJ Pierzynski .258 OPS against Burnet in 12 plate appearance. I dunno but I play Hall here and Litsch in the nightcap, although AJ is ofer against Litsch (Hall hasnt faced Litsch). 9 and 12 plate appearances is a pretty small sample size. Just go with the better hitter (AJ) or maybe it's the sub in the second game who is more familiar with that pitcher.