http://www.chicagotribune.com/sports/baseb...0,7845987.story

 

 

 

Not that this would shock anyone, but Guillen is stating that he will go forward refusing to think about a possible return for CQ.

 

At the very least, I like hearing that he hasnt completely shut the door on that possibility. He seems like the kind of guy that publicly would if doctors (thru the Sox) had told him it's a 100% shut-the-door situation. So I at least read between the lines here that slim has not left town.

Edited September 9, 200817 yr by Princess Dye

Reading on down is what caught my eye:

 

The Sox's medical staff also reported that third baseman Joe Crede felt slightly better, three days after undergoing his second epidural injection in his lower back.

 

Ok...so just what are we to take of this. Ya know...I love Joe and all...but to just bring him back and throw him in the lineup again like they did before just doesn't make any sense to me. I hope the Sox are smarter than that at this point of the year.

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.

The fact that CQ was only placed in a "soft" cast is somewhat encouraging.

Ozzie can't plan on having him back. He has to assume he won't have him, and be surprised if he does.

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.

# of Doctors = length of rehab?

 

Interesting. Where did you find this correlation?

 

Crede is done...the Sox have a capable defensive player there (well, actually more than capable) in Uribe.

 

CQ has a chance to come back for the playoffs. But I don't think he will.

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.

He'll definately be back for spring training. He should be fine in the winter.

I don't think the Sox will rush him but Ozzie has the right mentality. At this point you have to move on and play with what you have. If you end up getting someone else back, fantastic, but if you don't, you got to deal with it so the sooner you plan on the future without having "X" guy for the season the better.

i too am really interested in knowing what soft cast means for his rehab time. if anyone knows

Ozzie can't plan on having him back. He has to assume he won't have him, and be surprised if he does.

exactly. You work with what you have and if you get a surprise? Awesome. all the better. The Sox CAN win without him, but they cant limp along hoping he comes back.

You can't plan. If he comes back, that's amazing, but right now, the team has to know they have to pick it up without him.

 

Here's a question, what are the rules with playoff eligibility? CQ wouldn't get blocked I presume.

I'm pretty sure playoff rosters consist of the 25-man roster as of 8/31, plus anybody on the DL or bereavement lists, etc. as of that date. If somebody from the 25 man gets hurt after 8/31 and is injured at the start of a series, a team can add a sub for that player. Playoff rosters can be reset series by series, subject to the same rules.

 

 

I'm pretty sure playoff rosters consist of the 25-man roster as of 8/31, plus anybody on the DL or bereavement lists, etc. as of that date. If somebody from the 25 man gets hurt after 8/31 and is injured at the start of a series, a team can add a sub for that player. Playoff rosters can be reset series by series, subject to the same rules.

And since they maneuvered Crede on to the 25 man roster before Sept. 1, and Linebrink was on the DL, and now Q is, they've got at least 2 spots open that they can play with, which means that they can do pretty much anything they want with those last few spots

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.

 

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.

 

Don't know if this has been posted yet, but on the Comcast pre-game show, it was reported that Chris Getz also has a broken wrist.

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.

 

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.

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.

 

I say CQ's chance of coming back for the playoffs is about 15%.

I say CQ's chance of coming back for the playoffs is about 15%.

Thank you Dr. G. Scott.

Edited September 9, 200817 yr by CaliSoxFanViaSWside

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.

 

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?

 

 

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.

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.

 

apologies for the mislabeling...your knowledge is very much appreciated all the same

 

I think at this point the earliest you can hope for him to return is the Minnesota series, and the thought of running out a Quentin at less than 100% both due to injuries and rustiness, even as good of a hitter as he is, scares me. On the one hand, I hope they do all they can to win the division, but at the same time you don't want to dampen the long term health of a player who now looks like the face of the franchise. Catch-22 if there ever was one.