Webber
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Everything posted by Webber
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Bad luck for Max King, but thatâs footy, sadly (just ask the women, with ACL ruptures more this year than any before). As a likely 40-50 goal forward, the Suns couldnât afford to lose him, and this will force the end of Stuart Dewâs tenure. As a cheeky tie-in to this weekâs âBIG NEWS STORYâ (according to the Herald-Sun), this is why coaches get so stressed/anxious/angry about injury situations and are thus inclined to take it out on medical staff. Their jobs/careers simply depend on players being fit.
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Great design. Imagine how good it would be without all the logos/advertisingâŠ
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I keep coming across twenty-somethings whoâve tested positive then had either âno symptomsâ or a couple of days cough. When I ask those if it was like the flu, they reply it was more like âa coldâ. Different for different age-groups of course, but thereâs undoubtedly a high number of those whoâve had the virus but havenât been recorded as such. We are rapidly heading for endemic stage. Boosters will evolve to strain specificity, such as Pfizerâs âOmicron boosterâ currently in the works. Treatments for the âillnessâ will also evolve and improve. Putting aside the inexplicable attitude toward vaccines by some (a fractional percentage in Australia, thankfully), and the developed worldâs greed-fuelled neglect of vulnerable countries, the global response to this pandemic is remarkable. Far from what it could be obviously, but compared to its obvious precedent, the Spanish Flu, remarkable nonetheless. All we need do now is redirect our vocational values system toward health and community (hospital staff on garbage wages are currently being slaughtered), and away from its frank obsession with âwealth accumulationâ, and the futureâs looking bright.
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Sounds great W11, will give it a listen.
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For the sole reason that a delayed return usually indicates a problematic knee. That is, the return date is not by choice. The vast majority of the delays Iâve treated are caused by joint-surface trauma issues, not the graft, thus a compromised future. We discussed the article a bit at work when it came out, and noted the lack of commentary on this, but then again, that would need another study!). American Football is inherently hard to analyse because it is positionally based, meaning some field-positions will have very high incidence, others very low. Iâm loathe to even compare the two.
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Thereâs always doubt, and thereâs always tinkering/improvising on existing protocols. Otherwise known as trial and error. Ask David Schwarz. The womenâs issue is troubling, and complicated. At the moment, their rate of ACL rupture is somewhere between 2 and 3 times that of men. Thereâs a number of theories as to why, none of which dominate. Anatomical differences (thigh to lower leg angle, narrower notch at the bottom of the femur thatâs more likely to âcutâ the ACL in rotational activities), hormonal consequences (monthly ligamentous softening), developmental differences - are girls/women coming to the sport later less bodily âattunedâ or familiar with its bio-mechanical specifics? Current thinking is that itâs likely a combination of all these factors. The industry is trying to find screening measures (being doing this for decades) to assess the likelihood of ACL injury, and specific training to lessen likelihood, but I suspect nothing will change until the womenâs game is made of girls/women whoâve all been playing from âbirthâ, like the men, and the ACL vulnerable are weeded out before they get to adult status. Even then, incidence will be higher. Do you then alter rules, etc to mitigate incidence, and how? Complicated. No, soccer doesnât have the same joint forces through the knee. Less game time = less running = less load. Less body contact (no tackling), less spiking joint forces (jumping, landing), and arguably less rotational repetition. Australian Football is unique in its lower limb demands, all of which makes it a perfect storm for the poor old knee.
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Two problems with this. Australian Rules Football produces more ACL ruptures per playing hour per player than any football sport in the world. The reason rehab has been pushed from 9 to 12 months is not to reduce the risk of graft failure (it doesnât), but to lessen the incidence of general joint irritability on return to the game (which has to do with lingering joint surface trauma suffered during the injury that ruptured the ligament). It has done that. As Iâve said, there are surgeons who push more aggressive returns. I donât know who did Tommoâs knee, but if he comes back âearlyâ, Iâve got more than a fair idea.
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Havenât seen or heard of it for ~ 5 years.
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He wasnât doing full contact. Used to be 9 months turnaround (surgery to full match ready) for ACL recons, but the last few years weâve been standardising full rehab 12 months, predominantly to avoid incidence of âjoint irritabilityâ. Different surgeons have different ideas, but the vast majority now go with a 12 month protocol. Dispute it as you will, but if Tommo plays Round 1, it will be against trend.
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Very unusual for any AFL club to play ACL reconstructions inside 12 months post- surgery. He wonât play round 1.
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