Doctor Reacts To Painful Baseball Injuries
– Board certified family medicine doctor, about to diagnose some MLB injuries. I wonder if my little league skills would still hold up to this day. Pee-woop! Oh, pop flies, sac fly. – [Announcer] Sure holds has the best arm. Fairly shallow. More center than running. – Let's see the arm. Shoot the arm. – [Announcer] Cousins is gonna test him. Posey can't handle it. – Oh,
– and Posey gets clobbered. – It looks like maybe his leg got caught underneath him and his knee
might be problematic here. Here they go.
– Grestner and assistant
trainer, Mark Grusback out there. If Bruce Boche, – Oh maybe it's an ankle injury. Remember a lot of times
when you're rolling an ankle you're landing on an inversion injury. Usually in those instances
you have a sprain of a ligament or a tear of a ligament. But if it has happens
to be an Eversion injury where your leg, your foot turns
outside, there's a ligament on the inside there
called a deltoid ligament. And that is so strong that it usually ends up
ripping off a piece of bone creating what's known
as an avulsion fracture. Posey suffered a fractured
fibula and torn ligaments on his ankle, requiring
season ending surgery.
There's two bones in the lower foot. So on top you have the femur, on the bottom you have the Tib Fib and the Fib is on the outside. So it looks like he
had an inversion injury but it must have been so bad that there might have been a fracture from either an avulsion
where the ligaments ripped off a piece of bone or the ligaments tore. But then also there was
contact that created a fracture as well. But also Buster Posey went
on to win comeback Player of the year, the National League MVP and two World Series
Championships with the Giants. Impressive stuff. Oh, Hit by a pitch. I mean you could tell right
by the pitcher's reaction that this was a complete accident. – [Announcer] And it caught him right, it looked like up under the helmet. – Oh my god. That's a broken orbit. I'm so worried for the nerves.
I'm so worried for the muscles. – [Announcer] Cheek. – Oh yeah, that's a
zygomatic arch fracture. It is recoverable though as
long as no significant head trauma, meaning brain trauma had occurred. Stanton suffered multiple
facial fractures, dental damage and cuts that needed
stitches on December 17th and Marlins announced that
Stanton would shut down the rest of the 2014 season. Wow, I mean it's very difficult to see after an injury like that. There's lots of swelling. Also probably hard from
like a traumatic standpoint, to get back up into the,
into the batter's box and face pitches flying at you a hundred plus miles an hour. – [Announcer] For a manager,
all the buttons that you push, you're hoping for good things and they just haven't happened that way. – Oh, did he catch it? – [Announcer] Happ is on the ground, Molina comes in to score. – I think he caught it.
– [Announcer] Escobar scores. – I think he got hit at
the side of the head there. It's so hard to see it
happened so quickly. It's so important to
put patients on a brace like this to protect the, at
least the cervical spine so that you don't move it when the
spine itself is unprotected. Remember the spine sits
within a vertebral column that protects the spine. But now if there are fractures
and loose bony fragments in that area, that could
potentially create a severed spinal cord and that's
obviously very devastating. 'cause the higher up a
spinal injury occurs where you have like let's say
complete tear, the more likely that you are to become further
paralyzed and potentially to the point where it
could be so high that it could be lethal. According to espn.com Happ
been placed on a 15 day disabled list with the skull
fracture behind his left ear that doctors believe will
heal on its own as well as well as sore right knee
that he tweaked when he dropped to the ground.
Wow, so there's a little area
in the back of the skull here, called the mastoid process. Not related to this,
but what's interesting about the mastoid process is that if you have a ear infection,
let's say an inner ear infection or a middle ear
infection as we call it if untreated, can actually
progress in some instances to an osteomyelitis, which is an infection of the bone directly here
in the mastoid process. Which is why whenever
we do an exam we might feel this area to see
if it is uniquely tender – [Announcer] Ground ball, right side.
Chris Johnson's got it. Oh no Jason, really? – What happened? – [Announcer] is down. – Oh my God. That's the problem with
a lot of these shoes. Whenever you're trying to change direction they can get stuck in the ground. – [Announcer] He was hurting
all the way over there. – Interesting, I wonder
like I didn't, there was no misstep. – [Announcer] He was hurting
all the way over there. – Was it a stress fracture that complete? Oh, his foot looks pretty loose there. Atlanta Braves a closer.
Jason Grilli suffered a torn Achilles while running to cover first base during the ninth inning
against the Colorado Rockies. The issue with not having
an intact Achilles is you have no control over your foot. So your foot's essentially
dropped when a patient comes in. And if we want to see if the
achilles tendon is in intact you essentially squeeze the calf And when you squeeze the calf,
you should see the foot flex. And if you're not seeing that flexion in the foot moving from
squeezing the calf muscle that's considered a
positive Thompson test. You would suspect that there is a tear either a full tear or partial
tear of the Achilles tendon. – Look in, get my sign. – Oh, one handed pitch? – [Coach] In front of my body,
I wanted to hide my grip. Worried about the third base coach worried about the first base coach. Oh, 'cause he was worried about the coach's tipping off the player. – Set eyes still on the target.
– I mean his eyes were kind
of on the ground there. – [Announcer] Back to the mound, he goes to second for one out. – Oh, he got the double play, Oh! – [Announcer] Here's Abbott now, he took Lieber to a full
count in the second inning before going down on the strikeout. (crowd cheers) – Lined over the, – Wait, he's batting? – [Announcer] Jim at its
first base and looks like It's gonna score a run baby. – Dare I say. He did that single-handedly. (beep) – [Announcer] Left three men
on, this one almost gets Ray as well as Lackey, Oh oh. – Oh, elbow injury, – [Announcer] Does not look good at all. – [Mikhail] According to Pete
Abraham of the Boston Globe, Lackey is suffering from a
simple bicep strain rather than a more serious
injury many had feared, just as I had feared. As you can see by the title bi ceps. There's two muscles that actually
form the biceps and based on their attachments, it
can create a strain when throwing a ball because
of that torque and spin that you're trying to put on the ball.
That's why a lot of movements like this which we call supination,
require the strength of the biceps. And part of our special test that we do to check the long head of
the biceps tendon up here in the shoulder, requires us to make use of the supination motion. – [Announcer] Top hop for
Ramirez gets rid of it quickly. Oh no. – Oh, oh my God. – Anytime you have neck hyperextension you start threatening the
arteries in your neck. Most like likely to be injured here are the vertebral arteries in the back of the neck that run on
either end of the spine. I mean you also have the
carotids that, ugh, there's so so much can go wrong there. – [Announcer] Ramirez had to get rid of it quickly because
he knew Louis runs well. – Thank goodness his
outstretched hands took some of the force and yes, I know
it still was a bad injury but it could have been a lot worse. – He landed it on his head. Royce Lewis appears to be
okay now he's the designated, – He's okay? Incredible, I mean most of the momentum must have
carried him perfectly.
But there had to been some kind of strain on the anterior scalene. At least the sternocoleidomastoid,
a muscle that attaches from the sternum, Sterno. Cleo, clavicle, mastoid, mastoid process right here. It's the muscle that attaches here. So imagine if it pulls on it. That's the kind of motion that it does. – [Announcer] Off the end
of the bat of the short, – Ooh sharp pop fly – [Announcer] Jackson
going out, they collide. – Oh my god. – [Announcer] And the ball has dropped. Throw into second and
they still got the runner. – Wow. – [Announcer] But Damon and Jackson, – You gotta call it. – [Announcer] Tommy, – Oh they ran head first. I have been a witness to
these types of head-on collisions during soccer
matches where both people went up for a header
and that clunk, that sound nothing can prepare you
for hitting, hearing two skulls just crack against each other. And even the injury is
initial when they bump into each other.
But then when their heads hit the ground that's also the secondary
injury that could be equally as problematic if not more. You gotta remember the
brain sits in a soup, so when you rattle it one way, it's gonna come back the other way. It's called a contrecoup injury. Johnny Damon was on the
ground for nine minutes before taking off. He had a significant
concussion but was alert, awake, when he was taken
to Hyland Hospital. Thank goodness 'cause those types of injuries can become really problematic. There's all sorts of bleeds
that can happen in the brain both epidural and subdural depending on which layer
above the brain is bleeding. So very lucky, very lucky
that this turned out this way. – [Announcer] Ellen, for
years the Giants held out. – Sam, you just put Giants. – [Sam] There are a lot
injured guys on the Giants. – No, that was Max on – [Announcer] Max Williamson would be their next star outfielder. – Put the Padres in here. – [Sam] I just had the Padres – [Announcer] They had it.
– Oh – [Announcer] You're lucky
you don't break your neck. – [Announcer 2] It was
hard to watch Williamson running full speed after a foul ball, tripping over the bull pen
mound and into the sidewall. He suffered a concussion and he says the effects of
that head injury still linger. – You know, concussions
effect can last a really long time depending on the severity of the concussion, your
genetic predisposition how soon you have another concussion or an injury to the head. This is why we really try
to discourage athletes from returning to sport too soon. The way we judge between
an appropriate time or too soon is based on symptomatology how they're feeling,
how they're performing.
So if you're back to
normal not having symptoms that's a good sign that
you're good to return. But a lot of athletes will
sometimes hide those symptoms in order to return sooner. Putting themselves at risk for a more serious injury down the line. – [Announcer] Off the end of the bat. Pool shot, can anybody get to first? Machado's gonna beat everybody. Beckham went over to get it. Machado fell down. Did he turn to second? They're gonna tag him, but he's hurt. Oh my gosh. – Remember, through mechanism of injury, we can oftentimes see and predict what the the
injury is, based on where the force is coming from,
where the body weight is going. We can see which ligament or
muscle or bone is affected. Could be a terrible triad type. It looks like his ankle is really bad. – [Announcer] That corner of the bag and his knee went oh, inward. – He suffered a torn
medial patellofemoral.
Wow, okay, so that's really unique that, that happened for him. And the way di doctors make
this diagnosis is a few ways. One, we're looking at
the mechanism of injury. Two, we're conferring
with the physical exam. And then three is imaging,
specifically MRIs. And a lot of times you'll
see people get x-rays first. In some instances that's due to insurance companies
saying you need to prove that there's no bone issue.
Remember x-rays only look at bones or whereas MRIs can look at soft tissue connective tissue like
ligaments, tendons, et cetera. So, we'll get the x-ray, rule out any bone pathology and then move on to the MRI showing us
the soft tissue injury or potential injury. (crowd cheering) This is a celebration so I don't know how
this is gonna go wrong. What is happening? – [Announcer] Hopefully
Edwin Diaz isn't really hurt – A lot of times what we don't realize with athletes is towards the end of games when celebrations
are more likely to happen there's a high level of fatigue especially in the supportive
and protective muscles. And when there's that
high level of fatigue you don't have the same shock absorption protection from injury,
natural reflexes that kick in in order to prevent
further damage from occurring. Mets general manager Billy Eppler announced Thursday that
Diaz will undergo surgery and is likely to miss
the entire 2023 season. Diaz suffered a complete tear
of his right patellar tendon.
The issue that I see more
so in younger athletes that the patellar tendon
starts to impact is something known as
Osgood-Schlatter disease where the patellar tendon that attaches to the tibia actually
pulls on the bone so much and while that bone is developing
and is a little bit soft it creates an inflammatory pulling effect on the bone leading to inflammation and pain within that bone. It's a condition of adolescents,
but I've seen it continue into early twenties for some
of my patients, especially ones that are more likely
to be physically active.
– [Announcer] Here's the
set, the three, two pitch a wild pitch. – Oh, oh something happened. – [Announcer] Back to the
screens scoring from third. – Did the UCL fully tear there? – [Announcer] It's ball four and Saunders is hurt, a wild pitch because something in his arm snapped. – He was diagnosed with a
humerus fracture, which is an upper arm fracture. Very unusual for that to happen. I mean, in an average
healthy adult without trauma I would be worried about
a pathogenic fracture, a fracture happening as a result of some sort of bony
process like a cancer. – [Announcer] Three, two, I
the air it is shallow left, long run, look out. Oh, Abrams makes the catch,
but cleats go into Profar and both are injured. Jurickson getting looked at his jaw, – Oh God, knee to jaw and the
knee is such a strong bone.
The knee is actually not a bone, it's the femur meeting the tibia, sitting with the patella on top of it. The San Diego Padres announced that outfielder Jurickson
Profar has been diagnosed with a concussion and
a cervical neck strain after colliding with a teammate. Cervical neck strain
is just the musculature of the cervical spine which is the top portion
of the vertebral column. Remember the vertebral column is made up of the cervical spine, the
thoracic spine, the mid spine the lumbar spine, the
lower spine, the sacrum the really lower spine and then the final coccyx,
which is the tailbone. We used to have vestigial tails but we outgrew those. Or we ungrew those? Probably a better term. – Boys will be boys,
– Matches? – [Announcer] a hotfoot
has been scheduled.
– Is that a firecracker? – [Announcer] we shall
await further developments, for Scott Van Sly? Well, Adrian certainly set it on fire. Something smells wrong in here. What is it that smells? Ah, now we found it. – Don't light your teammates on fire. That's good advice. A burn, especially in that area is gonna make it
really tough to do anything on the field, let alone
run or pitch or anything. – [Announcer] Solomon Torres facing Sosa in the fourth, Sosa. Oh, wow. – Wow. When he hit him in the temple that's a very dangerous area to get hit.
That's a soft spot. (crowd gasps) – Ah, that's gotta hurt. – Not good. Not good. (static) – [Announcer] Adam Jones
inadvertently damaged some pretty expensive equipment. The mid home Robo cam
is out of commission. Wham. – Oh – That's gotta be a TikTok. Someone make that into a TikTok. You know when you post
a video and everyone's thinking that they're watching
really intently, then boom. That always messes with me. How about reacting to NFL injuries with the Brandon Marshall? Click here to check that out. And as always, stay happy and healthy. (upbeat music).
