Tua Hip Dislocation

[thegenius]

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For you college fans, did you read about Tua's hip dislocation? Apparently it was reduced immediately at the stadium. I wonder if they popped in an IV in the training room, gave him some fentanyl, and reduced it? I can't imagine they did it without any sort of sedation? Crazy!

 

[Dr Mantis Toboggan]

yeah and it was through the tab. Those can be a bear to reduce. Have to believe they had some drugs on board for that one.

For you college fans, did you read about Tua's hip dislocation? Apparently it was reduced immediately at the stadium. I wonder if they popped in an IV in the training room, gave him some fentanyl, and reduced it? I can't imagine they did it without any sort of sedation? Crazy!

 

[thegenius]

yeah and it was through the tab. Those can be a bear to reduce. Have to believe they had some drugs on board for that one.

through the tab? what do you mean?

 

[southerndoc]

Surprisingly, some of the sports teams have ketamine and propofol for this. The longer the joint is out, the longer the recovery.

 

[southerndoc]

through the tab? what do you mean?

Acetabulum. He had a posterior wall acetabular fracture.

 

[thegenius]

Ahh.

He was airlifted to the regional hospital. I presume he went to the ER. Imagine being the attending for him. “Ok ortho I’ll do whatever you want.” Your kind of like a puppet for them. The medical part was probably very easy to take care of.

“You want an MRI of the hip? Can’t we just admit him first? We don’t do emergency MRIs of the hip in the ER.”

“For Tua you will” LOL

 

[Dr Mantis Toboggan]

Maybe. Went to Birmingham first then Houston. Surgery tomorrow.

Ahh.

He was airlifted to the regional hospital. I presume he went to the ER. Imagine being the attending for him. “Ok ortho I’ll do whatever you want.” Your kind of like a puppet for them. The medical part was probably very easy to take care of.

“You want an MRI of the hip? Can’t we just admit him first? We don’t do emergency MRIs of the hip in the ER.”

“For Tia you will” LOL

 

[Zebra Hunter]

Every posterior wall acetabular fx w/ dislocation I have ever seen is a super unstable joint where there really is no reduction needed. The femoral head just tends to go in and out of the joint of its own will. You could “reduce” these patients with absolutely no meds, but that femoral head was just going fall right out anyways. Typically we’d just put these patients in traction until they went to the OR the next day. I’m curious whether Tua’s hip was truly dislocated or whether it was just a significantly unstable joint from a posterior wall fx.

 

[deleted245139]

Ahh.

He was airlifted to the regional hospital. I presume he went to the ER. Imagine being the attending for him. “Ok ortho I’ll do whatever you want.” Your kind of like a puppet for them. The medical part was probably very easy to take care of.

“You want an MRI of the hip? Can’t we just admit him first? We don’t do emergency MRIs of the hip in the ER.”

“For Tia you will” LOL

I work at an academic center that is the treating center for an NFL team for medical care... We've been fortunate that our Ortho and team docs are typically very collaborative - but yeah - absolutely becomes a little more aggressive testing, etc.
I'll say - the players are just awesome. Some of the most polite people I've ever met. 'yessir', 'nosir'. Always a pleasure to meet em

 

[Birdstrike]

For you college fans, did you read about Tua's hip dislocation? Apparently it was reduced immediately at the stadium. I wonder if they popped in an IV in the training room, gave him some fentanyl, and reduced it? I can't imagine they did it without any sort of sedation? Crazy!

These can be easier to get back in when there's an acetabular fracture. There's no lip to get over on the joint socket because that's what's fractured. That's what makes it hard to get hips back in, pulling the ball of the femoral head over the ridge made by the rim of the acetabulum. When that's gone and the femoral head has just blasted right through it breaking a chunk of the socket out, in this kind of injury or dashboard MVA injury, sometimes they just pull right back in.

Sucks for him. Chances of return to football are closer to 0% than a 100% in my opinion. Bo Jackson had a tough time, albeit with a slightly different injury and eventual THR.

 

[deleted109597]

From watching the videos in excruciating detail, it like Bo Jackson auto-reduced. When he's up on his knees there's no limb length discrepancy.

 

[RoyBasch]

yeah and it was through the tab. Those can be a bear to reduce. Have to believe they had some drugs on board for that one.

If the acetabulum is blown out they tend to be pretty easy to reduce. The hard ones are when it's totally intact. Sometimes the challenge with a concomitant acetabular blow out is maintaining reduction because there is really no "cup" to hold the femoral head in.

 

[thegenius]

I always wonder if these professional ball players, or really good collegiate athletes get good, unbiased medical advice. Tua got an ankle surgery for a sprained ankle. Nothing was broken. So he had an invasive surgery with hardware placed and all the complications from that, then played like 20 days later. For 99% of the population, they get a sprained ankle and they wait 1-2 months and everything heals up.

Now I know 99% of the population are not Tua (not 99.999%) yet it seems that Sports medicine is hyperaggressive at doing surgery for even minor orthopedic procedures for athletes that make a lot of money. All of these guys get surgery all the time for things that would otherwise we would just wait and let heal on their own.

Perhaps a downside to making a lot of money as a semi-professional or professional athlete. You're seemingly going under the knife every year.

 

[Dr Mantis Toboggan]

If the acetabulum is blown out they tend to be pretty easy to reduce. The hard ones are when it's totally intact. Sometimes the challenge with a concomitant acetabular blow out is maintaining reduction because there is really no "cup" to hold the femoral head in.

maybe that’s what I’ve experienced then. The native ones I’ve done without fracture take some force but they stay in, whereas the fractured ones keep slipping posteriorly.

 

[thegenius]

I also heard, while watching MNF, that he had his nose repaired. he had a simple traumatic nasal septum and they fixed that too.

poor guy...

 

[Porfirio]

You're seemingly going under the knife every year.

Orthopod gotta make a name for himself or herself somehow. Wouldn’t you like your name to be on ESPN?

 

[thegenius]

I also heard, while watching MNF, that he had his nose repaired. he had a simple traumatic nasal septum and they fixed that too.

poor guy...

If bet if Tua complained of a hangnail, a hand surgeon would have removed it during surgery.

 

[wareagle726]

Jim Andrews is the team Ortho doc. He's at all their games and is "The Orthopedic Surgeon" in Alabama. He's also an on-call arthropod for a few pro teams if I'm not mistaken. I've been in the Crimson Tide's facilities and have no doubt they had sedation/monitoring/imaging available right there. It's crazy the amount of medical care these guys have available but I guess I understand it.

 

[thegenius]

Jim Andrews is the team Ortho doc. He's at all their games and is "The Orthopedic Surgeon" in Alabama. He's also an on-call arthropod for a few pro teams if I'm not mistaken. I've been in the Crimson Tide's facilities and have no doubt they had sedation/monitoring/imaging available right there. It's crazy the amount of medical care these guys have available but I guess I understand it.

I wonder what kind of additional stipend he makes for being available like that. Easily in the 6 figures. Can’t imagine 7 though. If it is more power to him!

Anyone thinks Tua has any real say in what happens to him?

I recall this year I think a NY Jets football player was dismissed from the team because he had something done to him by outside medical personnel that was not approved by the team medical personnel. Crazy

 

[EctopicFetus]

Re andrews he is filthy rich and now just does it for prestige. net worth is likely close to $50m.

Dr. James Andrews ranks as No. 7 richest physician in the world

Physicians from all specialties build reputations for themselves and often as reputations climb net worth and compensation also increases.

www.beckersspine.com

Numbers vary from what I have seen. Long story short though whatever he gets he doesnt care much.

I do believe he is involed in a nasty lawsuit asking $180million.

Diving Into Sharrif Floyd's $180M suit vs. Dr. Andrews

Sharrif Floyd's lawsuit against Dr. James Andrews won’t be an easy case to settle, riddled with challenges in proving $180 million in damages.

www.si.com

For those wondering about the guy getting operated on against the medical advice of his team docs.

Dr. Glen Ross operates on Jets' Kelechi Osemele despite team's protest — 3 insights

Dr. Glen Ross performed surgery on New York Jets offensive guard Kelechi Osemele's right shoulder despite the team not approving the procedure, the New York Post reports.

www.beckersspine.com

Lastly, yes these guys do get special treatment. Its like comparing how a buggati gets taken care of as compared to your Camry.

This is how much a $1.7 million Bugatti hypercar's oil change costs — it's as much as another car

It costs as much as a 2019 Toyota Camry.

www.cnbc.com

25k to get the oil changed. Pretty sure you cant just roll into jiffy lube to get your oil changed in your buggati.

 

[SamtheWise]

I wonder what kind of additional stipend he makes for being available like that. Easily in the 6 figures. Can’t imagine 7 though. If it is more power to him!

I may be wrong but from what I understand team orthopods make relatively little compared to their personal practice, but the title as 'team physician' is a huge boon to their practice and makes them a significant amount of money in the long term.

Also VIPs get way worse care in general, I'm not surprised these guys get tons of unnecessary procedures and will probably have worse long term outcomes from them. I say this as a fan of college sports, but just another way the NCAA is dedicated to f'ing over their players, lol.

 

[d2305]

A lot of nba/nfl injured players end up here for surgers at Andrews, as we have nicer beaches than Birmingham.