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Old 11-16-2019, 09:06 PM   #1135
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Originally Posted by Wingman Ray View Post
This is prime example why you don't leave your QB in when you have a hapless opponent floating. Bama was up 35-7 and Saban was running a flippin 2 min drill to score more points. A 2 min drill up by 30 pts!?!?!

Bad luck to the kid, bad break for the team, screw you Saban.
Not exactly. The reason Tua was still in wasn't to run up the score. Bama had plenty of opportunity to do that in the 2nd half and didn't. It was to get in some "actual game conditions" practice of the 2 minute drill. Using out-of-hand games as "quality scrimmage time" to practice certain things is common. Do I wish in hindsight that Saban had pulled him? Of course, but I understand why he was still playing.
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Old 11-17-2019, 01:40 AM   #1136
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sounds a bit more optimistic....

Quote:
Alabama quarterback Tua Tagovailoa will miss the remainder of this season after suffering a dislocated right hip Saturday in the Crimson Tide's 38-7 win over Mississippi State, Alabama orthopedic surgeon Dr. Lyle Cain said in a statement.

Tagovailoa also suffered a posterior wall fracture, sources confirmed to ESPN, and medical officials are continuing to evaluate his injury to determine the best course of treatment. He is expected to make a full recovery, Cain said.
https://www.espn.com/college-footbal...dislocated-hip
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Old 11-18-2019, 04:18 AM   #1137
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Surgeon explains Tua’s hip injury, Bo Jackson connection and long-term outlook (Al.com)

Quote:
Like Bo Jackson?

Instant fear surrounded the connection between Tagovailoa's injury and the one that ended Bo Jackson's pro football career.

Yes, Jackson dislocated his hip being tackled in a 1991 game for the Oakland Raiders. And he had the same fracture as Jackson.

So, what made Jackson's injury so life-changing? The multi-sport star suffered from Avascular necrosis or AVN in the aftermath of his dislocation and fracture.

"What can happen with the dislocation is that blood vessels will either tear or they'll be placed on stretch for so long that the bone itself will lose its blood supply and that will cause death of the bone," Banffy said. "If you get it reduced right away, the idea is that will minimize the risk. But this is still something that you have to watch and it might not even present itself for a couple of months, similar to the way it did with Bo Jackson."

The statement released by Alabama's team orthopedist Saturday night stated the hip was reduced at the stadium before being transported to St. Vincent's in Birmingham. Reducing a hip means putting it back in socket.
Could Modern Medicine Have Saved Bo Jackson's Career? (Deadspin)

Quote:
What happens next is crucial—and time-sensitive. First, you need a prompt reduction of the joint, which just means getting it back into place. When out of place, still-intact femoral-supplying blood vessels can be stretched or impinged upon, restricting blood flow. Any disruption in blood flow can start a chain reaction of avascular necrosis (AVN), the bone disease we mentioned earlier, and the likelihood increases greatly when time between injury and reduction passes six hours.2 I'd say Bo was lucky to have such a quick reduction, but as we'll see, his injury was plagued by a nearly perfect storm of complications.

Avascular necrosis is rare, but it's one of the most severe complications in hip injuries. It shows up in 3-15 percent of hip dislocations, and is less common in subluxations.4 Decreased blood supply—as minor as a 20 percent temporary decrease—can cause the death of cells within the femur.3 These dead regions can be surgically repaired, but the healing process disrupts the stability of the bone, predisposing the femur to fracture. With a new break, disruption of blood flow occurs again, causing more cell death. It's a vicious cycle. This process of cell death, resorption, revascularizing, weakening, fracture, and cell death repeats and progressively weakens the bone until collapse of the joint occurs, requiring full hip replacement.4

Once this process gets rolling, prognosis is poor and it's generally a matter of when the hip will be replaced, not if. AVN is difficult to diagnose early. When Bo's injury occurred in 1991, the possible complications were known, and methods of diagnosing established, but the process was still unrefined.
Quote:
Prevention is the first line of defense here. MRIs and angiographs—injections of dye into the vessels followed by X-rays that visualize flow patterns—can demonstrate damage to vital blood vessels before extensive cell death occurs. The last 20 years has seen great strides in imaging quality, allowing analysis of fine structural integrity, and we know about the best timing, types, and views to implement for specific injuries. Immediate X-rays, CTs, and MRIs are necessary for visualizing dislocations or bleeding into the joint, but aren't effective in visualizing AVN until four or six weeks post-injury.3 It appears bone scans may be effective in catching earlier avascular necrosis progression by showing increased uptake of radioisotopes before damage would be visible on MRI. It's as simple as, we know a little more, and our equipment is a lot better.
Quote:
The best chance today's medical community could have given Bo for a full career would've been the complete prevention of avascular necrosis through improved imaging techniques and injury management. Our understanding of traumatic hip injuries has improved dramatically since Bo Jackson's retirement, and so has the treatment. But it's likely his prognosis would only be slightly improved today. His treatment was almost certainly thorough and prompt, and we can assume his avascular necrosis was diagnosed quickly. Medical opinion on progressive AVN is unchanged over the decades: Don't ever play football again. Bo Jackson's hip was a ticking time bomb of decay. Not even he could play NFL football on one of those.

Last edited by Legacy; 11-18-2019 at 04:45 AM..
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