Marcus Lattimore Update from USC website

#26
#26
wildnkrazykat said:
The femur is the strongest bone in ur body so the likelihood of it breaking in half from a blow (considering how many times football players take hits like that one) is slim to none. If there had been a fracture it would have been on the lower end of the bone.

By tearing, or even severely spraining, the 4 major ligaments, the femur and tib/fib have nothing to hold them together and the joint capsule is destroyed. The translation in the joint compromises the meniscus, which typically doesn't seem like a major injury, but considering the amount of trauma that happened in the joint, lattimore will probably have microfractures as well.

Thrash is right about the fracture situation. If it had only been a fracture lattimore would have been lucky.
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Thanks. I honestly was just going off from what I've heard. Great explanation kat! Really enlightened me. Excuse my ignorance on medical issues.
 
#27
#27
You're fine and welcome. I spent the last 11 years in collegiate sports medicine so when I get a chance to explain I take it
 
#28
#28
Looked like a career ending injury. Hoping it isn't, the guy has been a team leader and we haven't heard about him being in trouble. Seems like a good guy and I'm hopin he makes it big.
 
#29
#29
Gonna come down to whether it is a dislocated kneecap without disruption of the patellar tendon, dislocation of the kneecap with disruption of the patellar tendon or a knee dislocation.
 
#30
#30
wildnkrazykat said:
Gonna come down to whether it is a dislocated kneecap without disruption of the patellar tendon, dislocation of the kneecap with disruption of the patellar tendon or a knee dislocation.
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What's the best case scenario? Im guessing the first? And what would the recovery time frame be for each of these?
 
#31
#31
govols/cc said:
Idk I just think its gotta be worse than these preliminary reports based on what I saw. I hope it's not though. How long before a MRI can be done?
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My experience of it with my torn acl. The Xrays of bones come first so if they say no fractures thn I assume that would be accurate. My MRI was day after xrays as the doctor looked at the xrays and when saw was clean and no breaks I was passed to a Orthopaedic Specialist. Doesnt take long but xrays can be done instantly. In an athletes case alot of times they wait for swelling to go down at least till the Monday after the game for a mri. For a couple reasons to see clearer since images are kindly vague and because you have to lay motionless for like 30 minutes so if you move, then start over. So they want you to be comfortable to relax so you don't move. That is tough though as different things going on in your knee you want to fidget. I even got a cramp like 5 minutes in from where they propped my leg up in a weird position. But when the lady asked if I wanted to start over I just dealt with it to get it over with. But as for Marcus Lattimore he has a long long recovery road ahead of him. That much carnage in a knee to be fixed isn't just like a single acl.
 
#32
#32
I walked around for a week and my knee kept giving out. X rays negative. Week later MRI showed thousands of tiny fractures not noticeable on X-ray. Shattered it. Tibial plateau was fubar
 
#33
#33
therealUT said:
If nothing is torn, it is not that bad. It might still be a season ending injury (or at least keep him out until a bowl game), however, from the looks of the injury and the initial prognostications it was being reported as a potentially career-ending injury.

If these reports are correct (only a hyperextension and dislocation with no major damage to the ligaments) then Lattimore will play a lot of football in the future.
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You cannot dislocate a knee without tearing multiple ligaments.
 
#34
#34
govols/cc said:
At minimum a year imo. Some say a repaired knee can be stronger than before but with multiple ligament damage who knows. Watching McGahee tonight should have given him at least some hope.
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Those who say a repaired or reconstructed knee is stronger are just wrong. Most recent literature shows that a high percentage of simple acl reconstructions do not return to their prior level of function. Now imagine multiple ligaments needing reconstruction along with a prior acl on the contralateral knee. Not good. Praying for this young man.

Edit, this is not the study I was thinking of, but quickest I can find. There are more.

A Cross Sectional Study of Return ... [J Orthop Sports Phys Ther. 2012] - PubMed - NCBI
 
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#37
#37
Thrasher865 said:
Hmmmmm.... I'm gonna go have my knees rebuilt!
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You're genetics make it moot to do so.

Anyway it's just what I have heard. When an ACL is replaced its usually with a stronger tendon or ligament substitute & it's anchored through the bone.
 
#38
#38
govols/cc said:
You're genetics make it moot to do so.

Anyway it's just what I have heard. When an ACL is replaced its usually with a stronger tendon or ligament substitute & it's anchored through the bone.
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The anchoring aspect has nothing to do with the tensile strength of the graft. If you have a choice in taking two players of equal size/strength/ability.....everything is equal you're prolly gonna take the one with his original knee vs one with a surgically repaired knee.
 
#39
#39
wildnkrazykat said:
The anchoring aspect has nothing to do with the tensile strength of the graft. If you have a choice in taking two players of equal size/strength/ability.....everything is equal you're prolly gonna take the one with his original knee vs one with a surgically repaired knee.
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I'm no expert I had just always thought a tendon was stronger than a ligament. In case of an ACL using a patellar tendon graft where you graft a piece of bone along with the tendon I could see that maybe being stronger taking into account the ROM is pretty a one way hinge. Also assuming no complications & ideal rehab. I'm sure everybody wants to keep all their original parts if they can.
 
#42
#42
This reminds me of a Vol Call about Jamal Lewis and the ligament they put in him from a cadaver. The caller asked what would happen if the ligament came from a person that was slower than Jamal...

Can't remember if the host said this or we did after but the answer is he would always veer in the direction of the slower leg :)

Best wishes to ML.
 
#43
#43
volinbham said:
This reminds me of a Vol Call about Jamal Lewis and the ligament they put in him from a cadaver. The caller asked what would happen if the ligament came from a person that was slower than Jamal...

Can't remember if the host said this or we did after but the answer is he would always veer in the direction of the slower leg :)

Best wishes to ML.
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Lol. Fast twitch replacement.
 
#44
#44
It's really comparing apples and oranges. Unless something definitive has come out in the last few days detailing the injury then we are assuming we are talking about multiple ligament tears. However our discussion was based on results in ACL reconstruction.

I'd venture to say a large percentage of run of the mill ACL tears include some disruption of the mcl though is is very rarely corrected in surgery due to its ability to heal, and because it had a different responsibility as far as stabilizing the knee when compared to the ACL. With ML we are probably talking close to total knee reconstruction. That is a whole different ballgame
 
#45
#45
Thrasher865 said:
Fracture would have been best case scenario.
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Gordon keeping his head up and seeing what he hit would have been the best case for ML. Bad tackling form was the cause of the injury. Same with the McGahee injury. Gordon could have seriously injured his neck by dropping his head to make a tackle like that.
 
#46
#46
ugh man that was a nasty hit. I was waiting on Comcast to install my cable and caught it on ESPN3.com so when I saw it, I thought his whole leg bent back. Glad to hear it's not as serious.
 
#47
#47
Looks to be in good spirits considering.

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#48
#48
wildnkrazykat said:
The femur is the strongest bone in ur body so the likelihood of it breaking in half from a blow (considering how many times football players take hits like that one) is slim to none. If there had been a fracture it would have been on the lower end of the bone.

By tearing, or even severely spraining, the 4 major ligaments, the femur and tib/fib have nothing to hold them together and the joint capsule is destroyed. The translation in the joint compromises the meniscus, which typically doesn't seem like a major injury, but considering the amount of trauma that happened in the joint, lattimore will probably have microfractures as well.

Thrash is right about the fracture situation. If it had only been a fracture lattimore would have been lucky.
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I broke my femur playing backyard football. Playing a little WR, I jumped for a ball before the guy covering me. I landed on my butt with my legs crossed, he landed on top and my left leg twisted and it snapped in half 2 inches from my hip. I looked down and my leg was literally upside down.

To top it all off, I was 3 weeks into traction ( sp? ) and the nurse was adjusting how high my leg was suspended in the air and pressed the wrong button... My leg dropped from about 18 inches and re broke. Worst pain ever.

After 3 months in the hospital, 3 months in a body cast and 8 months of rehab I was good to go.
 
#50
#50
Hayezb said:
I broke my femur playing backyard football. Playing a little WR, I jumped for a ball before the guy covering me. I landed on my butt with my legs crossed, he landed on top and my left leg twisted and it snapped in half 2 inches from my hip. I looked down and my leg was literally upside down.

To top it all off, I was 3 weeks into traction ( sp? ) and the nurse was adjusting how high my leg was suspended in the air and pressed the wrong button... My leg dropped from about 18 inches and re broke. Worst pain ever.

After 3 months in the hospital, 3 months in a body cast and 8 months of rehab I was good to go.
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Dear Lord, you must be old. We have much better ways to treat that now. No offense intended. Nail and screws. Up the next day.
 
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