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MCL Injury to Max Gawn


Colm

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11 minutes ago, HardBallGet said:

Is there a higher chance of rerupture with non operative?

The question is whether non-operative management allows the ACL to intrinsically repair at all. In Australia, particularly Australian Rules Football states, it’s NEVER left to chance for footballers, they are ALWAYS surgically repaired. There are however some recent studies coming from OS, that suggest the ACL (if caught VERY early post-injury) can self-repair. We just don’t see that approach here, preferring (at this stage) to go for definitive repair with an allograft. Could change in the future, but I can tell you now that surgeons will resist it with all their might. 

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35 minutes ago, RyanD said:

No-op management is a completely normal rehab option

Not for an AFL footballer, and never has been, at least since they started surgically reconstructing in the 80’s. 

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1 hour ago, RyanD said:

Let me throw a conspiracy theory out there. P.s. physio here.

To me the communication was weird From Goody and Alan Richardson. 

Melbourne and Gawn MAY be considering an no-op management of his ACL (if ACL is suspected). 

In that case, they would definitely be murky with the results. Bulldogs did this and lied about Giansiracusa and his ACL. They went with a no-op management. The only reason for the consideration would be Gawn's age and premiership window.

Whilst the Lachman's test was negative (95% accuracy), nothing was mentioned about an anterior draw. An anterior draw is an alternate test for an ACL, however it's less reliable. 

A clinical guess can only assume its VERY unlikely he has done his ACL. Technically, Max is a 5% chance of an ACL. Enjoy your Saturday. 

I’m sorry but the words and demeanour used by Goody and Richo in the media were not reflective of 95%. Something just doesn’t add up if that test wasn’t positive. 
 

I read that even a partial tear of the ACL is also essentially a reconstruction.. I always thought it was only for full ruptures. Which is perhaps what we maybe dealing with here. 

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1 hour ago, RyanD said:

Let me throw a conspiracy theory out there. P.s. physio here.

To me the communication was weird From Goody and Alan Richardson. 

Melbourne and Gawn MAY be considering an no-op management of his ACL (if ACL is suspected). 

In that case, they would definitely be murky with the results. Bulldogs did this and lied about Giansiracusa and his ACL. They went with a no-op management. The only reason for the consideration would be Gawn's age and premiership window.

Whilst the Lachman's test was negative (95% accuracy), nothing was mentioned about an anterior draw. An anterior draw is an alternate test for an ACL, however it's less reliable. 

A clinical guess can only assume its VERY unlikely he has done his ACL. Technically, Max is a 5% chance of an ACL. Enjoy your Saturday. 

G’day @RyanD, nice to read another physio on here. I don’t know any clinician (physio or orthopaedic surg) who trusts or even uses Anterior drawer to diagnose ACL rupture. Similarly I don’t know anyone who uses non-anaesthetised pivot shift any more. Spot-on with the Lachman’s, but the only way they’re not surgically reconstructing Max’s ACL is if it’s a partial tear (in which case I agree they’d keep it quiet). Fingers crossed it’s a pure MCL, grade 1. 

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14 minutes ago, Webber said:

G’day @RyanD, nice to read another physio on here. I don’t know any clinician (physio or orthopaedic surg) who trusts or even uses Anterior drawer to diagnose ACL rupture. Similarly I don’t know anyone who uses non-anaesthetised pivot shift any more. Spot-on with the Lachman’s, but the only way they’re not surgically reconstructing Max’s ACL is if it’s a partial tear (in which case I agree they’d keep it quiet). Fingers crossed it’s a pure MCL, grade 1. 

Any thoughts on your observations on the way Max was walking post game? Is there a chance it’s an MCL?

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13 minutes ago, Demonland said:

Any thoughts on your observations on the way Max was walking post game? Is there a chance it’s an MCL?

Almost certainly, based on the injury footage. I reckon it’s just a matter of what else and how bad. If it’s just MCL, the fact he was walking around well suggests not bad. Can anyone here can verify that his Lachman’s test was non-positive, I wonder? What’s the source?! 

Edited by Webber
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7 minutes ago, Webber said:

Almost certainly, based on the injury footage. I reckon it’s just a matter of what else and how bad. If it’s just MCL, the fact he was walking around well suggests not bad. Can anyone here can verify that his Lachman’s test was non-positive, I wonder? What’s the source?! 

Apparently it was mentioned on the telecast but I sure didn’t hear it and the way Richardson and Goodwin sounded doesn’t fill me with confidence that it was said. 
 

Richardson did say that the doctors are saying “he feels reasonable”.  I don’t know what that means. 

Edited by Jaded No More
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Maxy is going to be out for a while, whatever the diagnosis.  I know the team is bigger than the individual.  But Maxy is huge.  HUGE.  This team needs to dig deep and somehow find a way to move forward.  Coaches, psychologists et al get onto this asap!  Us fans can keep grieving hard but the team can't afford to.  

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2 minutes ago, Jaded No More said:

Apparently it was mentioned on the telecast but I sure didn’t hear it and the way Richardson and Goodwin sounded doesn’t fill me with confidence that it was said. 

Makes me wonder if they mistook ‘not-definitive’ for ‘non-positive’. Whole different can of ugly worms. I’m bound to mention also, anxieties notwithstanding, that all this speculation is pointless. Hopefully it’s somehow therapeutic. 

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Just now, Sir Why You Little said:

We shall now find out how strong the MFC really is…

It now doesn't matter what happened last night, it's what happens from now on that matters.

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