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Jack Trengove out for year with navicular fracture


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50% is way underestimated Nutbean.

As an example of player complicity in the process, when HFC's Andy Collins was at his and the club's 90's glory years, I had seen him on a Thursday with follow up on some injury I don't remember. He mentioned in passing that he'd got a knock to his chest in his last game, but by the time I saw him, soreness had gone. So, move on, no issue, doesn't need treatment. AC was notoriously a hardnut. I bullied him into getting an X-ray. The results hadn't arrived by selection time. I checked with Andy, he said he had the X-ray, and the radiologist said no probs, but didn't know what had happened to the report. Anyway, no symptoms (according to Andy). He played, came back next week with more soreness, another X-ray, showed a rib crack. He never had the X-ray, as was desperate to play that week particularly. I

Appreciate your general input Webber, but I'm not sure one of your ex patients would appreciate you disclosing their name and medical details, unless of course, you have their express permission. Isn't this a privacy breach?

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I'm actually glad they finally found something wrong with him that they can now fix.

I remember listening to TripleM footy a year or two ago and Garry Lyon saying that Melbourne need to send Jack Trengove in to get every reasonable scan or test under the sun because there was clearly something going on.

By the sounds of it they did but unfortunately came up with nothing evident.

Sounds like Jack was pretty relieved too yesterday in his press conference that there actually is something physically affecting him and it wasn't just in his head.

Lets hope now a good recovery plan can be put in place and Jack can start fresh and work his way back to the promise he showed in his first couple of seasons.

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Appreciate your general input Webber, but I'm not sure one of your ex patients would appreciate you disclosing their name and medical details, unless of course, you have their express permission. Isn't this a privacy breach?

I really, really doubt that AC would be bothered by his physio talking about a foot injury he suffered 20 years ago.

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"On the evidence they had at the time, it was the wrong one". Did you mean to write that? If they HAD evidence 'at the time' of a navicular fracture, they would have acted as they have now. They didn't, isn't that obvious? I'm defending the application of reason to this situation. Some want to hear it, some don't. ;-)

I probably didn't express it right, because I meant it exactly as you've described. In the absence of definitive evidence of a fracture, they had to make a judgement call, and though the course of action they chose was reasonable, it just turned out to be wrong. They responded in a reasonable way to the evidence available at the time.

At the time the decision was made (i.e. after the first scan), the only other alternative was to keep Trengove off his feet altogether - completely non-weight-bearing - until the pain stopped completely. This would have been a huge intervention that would have taken most of the season, with a very hard-to-determine end-point. Once the decision to intervene to that degree had been made, they'd have to follow it through to the end (in the face of what would have been extreme player frustration) with no objective markers to go by, only Trengove's reported levels of pain. To justify intervening to this level, you'd want pretty solid objective evidence to back you up, and it wasn't there. So this was the far less preferable decision at the time, although in hindsight it would have turned out to be the correct one.

So it wasn't by any means an unreasonable decision to let Trengove keep playing and keep reviewing the situation.

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I really, really doubt that AC would be bothered by his physio talking about a foot injury he suffered 20 years ago.

May be true, however the point being its not OK for a medical professionals to disclose this type of info on the internet, assuming Webber is a physio. Actually, it's written into the Charter of Health Care Rights in Victoria.

I'll leave it there.

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You forgot Mark Neeld, Julia Gillard, Schwab, the global financial crisis, pink batts and aliens.Now

Thanks, a profound oversight to forget these two.

Plenty.

Trengove's lack of form seemed to have brought out all the Area 54 types from what I'd been reading, or am I misreading your intent?

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Actually, it's written into the Charter of Health Care Rights in Victoria.

If you say so. If it is written, I doubt it's to protect a footballer keeping his broken rib from 20 years ago private. I understand that the rule is black and white and I understand why, but I reckon in this case Webber's "disclosure" is a pretty soft target.

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If you say so. If it is written, I doubt it's to protect a footballer keeping his broken rib from 20 years ago private. I understand that the rule is black and white and I understand why, but I reckon in this case Webber's "disclosure" is a pretty soft target.

I'm not a prude. I think Moonshadow is right. I discuss some of the challenges that various patients can bring and make a point of hiding names, altering presenting details, ages, marital status, employment history, sometimes even gender, so that I can get the point across or use a real life example without revealing identifying features of the person. I think the decision about whether it is a "soft target" is, in all due respects, not relevant and not yours to make. It is the patient's. The nature of injury, timing, details etc are irrelevant to the decision to identify the patient. Once you start down that slope, it ends badly.

While I love learning from the example Webber made, I would have learnt just as much without the name being released. I'd delete it (if not done already).

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I'm not a prude. I think Moonshadow is right. I discuss some of the challenges that various patients can bring and make a point of hiding names, altering presenting details, ages, marital status, employment history, sometimes even gender, so that I can get the point across or use a real life example without revealing identifying features of the person. I think the decision about whether it is a "soft target" is, in all due respects, not relevant and not yours to make. It is the patient's. The nature of injury, timing, details etc are irrelevant to the decision to identify the patient. Once you start down that slope, it ends badly.

While I love learning from the example Webber made, I would have learnt just as much without the name being released. I'd delete it (if not done already).

Agreed.

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Does anyone know if any clubs or the MFC have standards on the types of footy boots players wear?

With so many feet injuries occuring I think it would be worth looking at..

Not just our problem but the entire games problem. We are just having a rash of them at the moment. In the old days, boots were made more for support and protection rather than performance. Now days they are made to allow unrestricted speed and agility. This takes priority and passes the buck to medical technology to deal with the resulting injuries.

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Appreciate your general input Webber, but I'm not sure one of your ex patients would appreciate you disclosing their name and medical details, unless of course, you have their express permission. Isn't this a privacy breach?

You're barking up the wrong tree, Moonshadow. You can take it from me that AC couldn't give a rats a*** about me telling an anecdote from his fascinating injury file. Maybe it's time you got another hobby.

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And I've done a fair bit of advising on privacy law...

I guess it's not the time to spill the real truth on Dermie's broken 'johnson' episode then?

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If your the same Richard Webber that works for the Hawthorn Physio Clinic, you guys could have done more to hobble Hawthorn when you had the contract. Hate that club.

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Without getting too detailed BB, the midfoot is critical to the 'rigid lever' that the foot must become to allow power in push off, thus for running and jumping. It also must have the flexibility to allow deformation of the foot during weightbearing prior to push off. The navicular is the keystone of the arch which forms the rigid lever. If it's suspect, the whole transfer of power is inhibited. If JT's nav heals without issues of blood supply being affected, there's no reason he can't make a full recovery, and that would include complete power capabilities. If the midfoot was unstable either biomechanically or as a conscious lack of trust in it, he would certainly present with those symptoms, but there are a bunch of other pathologies that could give the same symptoms.

Thanks for that. Always good to learn.

Like Jack it gives me hope that he can resume a good career with us, uninhibited by this injury, that appears to have curtailed his performance.

PS. He was still getting high possessions, but lacked penetration with his kicking and pace. Imagine if the last 2 areas are improved, he could become a very good player for us, in an improved side.

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