ptatc

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.

QUOTE (fathom @ Sep 6, 2008 -> 07:38 PM) My dad talked to 4 different orthopedic surgeons last night (ironically, he's at a convention this wknd), and not one of them thinks a baseball hitter could return within 2 months of this type of surgery. Too much in the way of stress on the wrists of a baseball swing. They're right. The whole two week check thing is just to see how the healing is going. Of course, I've seen alot of professional sports clubs push athletes back well before they should be playing. They could just inject the wrist with xylocaine and let him play but I don't think the White Sox would do that.

QUOTE (chisoxdavid @ Sep 5, 2008 -> 09:24 PM) So there is still hope that Carlos can heal for the playoffs? Maybe the ALCS if they make it that far and if he gets all the breaks (pun intended) with healing. But I wouldn't count on it.

QUOTE (fathom @ Sep 5, 2008 -> 05:28 PM) Can someone confirm that they said no long-term damage is expected? There will be no long term effects unless there is a non-union fracture which with his age and health is very unlikely. The mechanism of hitting the bat is a likely scenario for the injury. Fracturing the scaphoid (the bone I think is involved) is done with a blow to the base of the palm. This would be like hitting the bat.

QUOTE (winninguglyin83 @ Sep 5, 2008 -> 04:02 PM) Here is the story from the Sun-Times. Obviously, one of the Sox players told Cowley that CQ punched a locker. I fear that's what really happened. BY JOE COWLEY Staff Reporter Carlos Quentin's season appears to be over as the White Sox left fielder and MVP candidate suffered a fractured right wrist that will require surgery Monday, according to sources. It's not certain how Quentin suffered the injury, but speculation is he punched a locker in Boston. He was a late scratch before Monday's game in Cleveland and hasn't played since. Quentin has 36 home runs. The Sox have options to replace Quentin, including moving Ken Griffey Jr. from center to left field. And Nick Swisher would move to center. it's pretty difficult to injure the wrist punch a locker with a regular punch. Usually that hurts the bones in the back of the hand and is very apprearent. He would most likely need to punch with his palm for a wrist injury or have the bat hit it after throwing it down. The contact would need to be with his palm.

QUOTE (DABearSoX @ Sep 5, 2008 -> 04:03 PM) Damn ptatc...i got some questions about my knee for ya PM me for stuff not about the Sox. I've done it for a few.

QUOTE (forrestg @ Sep 5, 2008 -> 02:27 PM) i think we should go young move Alexei to center put getz in a second he is a good left hand hitting fielder that has good numbers against both righties and lefties. Keep Brian out there and our defense is better.. Power is gone a little but we need to start playing like pyranna and start taking the ball the way it is pitched.. Opposite field. It is amazing that a broken wrist is found 5 or six days after it was originally xrayed.. That doesn't make sense. Now a pin how incompetent is our med staff It's very common to miss certain types of fractures on X-rays. An MR scan or CT scan is necessary to find them.

QUOTE (hawksox13 @ Sep 5, 2008 -> 02:32 PM) ESPN says two weeks minimum, probably more. http://sports.espn.go.com/mlb/news/story?id=3571240 the only way it's less than 1 month is that it is the hamate bone which fractured. This bone has a hook which goes around the ulnar nerve. It can fracture and needs to be removed. There is very little immobilization and little recovery time for that injury because the bone is removed. I have a feeling it's the previous one I mentioned.

QUOTE (fathom @ Sep 5, 2008 -> 02:30 PM) Long-term prognosis is? 100% recovery unless there is a non-union healing of the bone which in a guy his age and health is highly unlikely.

This injury sounds like a scaphoid fracture. The scaphoid is a small bone in the wrist at the base of the thumb. The reason they need to immobilize a small fracture is that the bone is peanut shaped and the blood vessel runs through the narrow protion. If it is not taken care of the lower part of the bone can die from a lack of blood. This will cause a decrease in the motion at the wrist which is what you DO NOT want to happen. These fracture are typically not seen on X-rays as they are too small. Usually MR or CT scans are needed. If this is the case, they will pin the bone to insure stability for 1-2 weeks then be in a cast or splint for 4-8 weeks to get a good callous for bone healing. i don't know if in fact this is the injury but by the description from reading here, that is the most logical injury Also, it was not from a HBP. This is his right wrist. He gets hit almost exclusively on the left arm, where his previous forearm injury was. It is very conceivable that he threw his bat and tried to catch it while the bat hit the wrist at the base of the thumb.

QUOTE (greg775 @ Sep 3, 2008 -> 12:45 PM) I wonder if he should have taken the whole year off. Maybe nothing would have helped. If you have back surgery and play baseball, how can it not flare again? You are swinging the bat at BP all the time, bending all the time. I'd love to see a study on guys who have back surgery and continue playing baseball and football. How it holds up. Back problems typically do flare up occasionally. There are a number of guys who go back to playing baseball and football. The typical rehab time is 3-6 months. However, everyone reacts differently and most players will say that it takes 8-12 months before you feel "normal" again. I'm not sure what's going on with Crede but he really shouldn't be having the problems that he is havbing, if everything is right in his back. It may just be that he needs to get used to the way his back will feel but he just isn't comfortable with it and it may take the rest of the year.

QUOTE (nitetrain8601 @ Sep 2, 2008 -> 06:31 PM) Not against Cleveland. There's alot of bad signs. Our guys aren't hitting and Ozzie has found it suitable to play AAA players right now over the guys who have gotten us this far. Maybe the players are a little more beat up than the team has been admitting to. I don't think Ozzie would not start them over "the guys who got us here" without a reason.

QUOTE (EvilJester99 @ Sep 2, 2008 -> 02:38 PM) From what I seen he has a new delivery as well. He is looking more at the catcher on his release than the ground as he use to. I didn't see the game. Did his velocity drop with a different delivery?