Doctor Explains Trevor Siemian RARE Ankle Injury and DISLOCATION | No Break and He WALKED OFF?
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- เผยแพร่เมื่อ 16 ก.ย. 2019
- Trevor Siemian suffered a rare "pure" dislocation ankle injury during week 2 of the NFL season during Monday Night Football against the Cleveland Browns. He somehow didn't have a fracture which only happens in less than 1% of ankle dislocations. Also he managed to walk off the field! In this video i'll review the footage of the injury to explain the mechanism and what is going on in the ankle joint to cause this injury pattern.
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DISCLAIMER: Content not intended to be taken as medical advice. Opinions are my own and do not represent those of my employer. I have not personally treated or evaluated the individual(s) discussed in this video. Content used with educational and transformative intent within Fair Use Guidelines
Content owned and produced by Brian Sutterer LLC 2019
#NFL - กีฬา
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It was nice of Garrett to snap it back into place. Pure class.
Clive Pinnock what a guy, am I right?
Clive Pinnock Maybe if the refs were aware Garrett had reset the dislocation he had just caused, they wouldn’t have given him a personal foul.
Garret: hold my beer
Medical personel: Am I a JoKe to you?
Yeah such a classy guy lol
Those ligament abbreviations sound like new football league abbreviations.
CFL too?
Ikr
Please keep doing these once you become a team’s head doctor
My man Garrett snaps his ankle outta place then re snapped back into place in the same play lol
Siemian earned some respect for being a tough SOB walking off with that injury
You should explain Caris Levert ankle dislocation in more detail and how he could recover so quickly! Great video as always Dr!
that would be a great breakdown, really tripped me out when i saw that
Kyle Mapson as a net fan watching that made my heart dropped and they showed the replay I thought he was done for a year plus
@@crazymangaming9679 bro same
I don't think he fucks with hoops like that
imarino13 tbh I’ve seen all the nasty nba injuries because I have interest in that kind of thing but seeing it and not expecting it is hard to watch
Geez, that slomo looked absolutely disgusting...it's amazing that it wasn't even more serious.
Great, informative video as always.
i go to my friends after these videos and pretend i know what happened. thanks doc 😂 making me smarter every vid
One of my favorite videos of yours. Appreciate how you convey the essentials while still giving us a chance to appreciate the complexity of the anatomy and biomechanics at play. And your step-by-step footage breakdowns are second to none.
This is seriously the best channel on TH-cam. You need your own TV series now. Keep up the great work Dr.
Thanks Doc! I always enjoy watching your vids always being super descriptive about every injury. Keep up the great work!
This is one of my favourite channels. He is like the cool science teacher that used sports examples to explain theory.
You channel is so good, definitely deserves more publicity
When I saw this injury happen I couldn’t wait for you to make a video about it!
Dude I love ur work ethic ! Keep going
Nice break down. No pun intended.
This is one of your best vids doc the content is getting better and better. Keep it up!
Thanks! Did a new recording method to discuss the injury and I'm glad it seemed to work out!
Keep up the good work 👏👏
As my final year in college studying health/wellness, I appreciate your work a lot😌
This was interesting to watch as I had a similar injury about 8 weeks ago and was never really told what had happened to my ankle. Hope Siemian gets better soon.
I couldn’t believe what I saw! Thanks for the content.
Love your page man!
Had an injury like that a few years ago it looks gruesome but it’s not painful until your body cools down a hour later
Really astonishing work dude, greetings from a fellow Greek resident doctor!
I made a mistake eating during this video
This such a cool and useful channel like damn nice and original content
dude you are seriously nailing it with all these videos, I'm a starting out male nurse (MURSE) for short, and I just gotta say how inspirational these are! Keep up the good work and stay inside! haha
Great video, man! Just found your channel and subscribed!
I don't know if you take any recommendations, and I know it's a bit old, but this video reminded me how amazed I was by the Kobe Bryant finger dislocation and reduction on court years ago. Any chance you could break that one down? Thanks!
I worked Ortho, Trauma Stepdown for 15 years. You'd think I'd get used to seeing this. 😳 Great content!
Amazing content! Could you go over Kevin Ware’s compound fracture injury? What might have caused it, how to prevent it, recovery process, etc. Thanks
Videos lit 🔥🔥hope they all recover and play :)
I love this channel.
Im not a dr, I just saw video of the injury, and saw this video, I totally wondered if his ankle got popped back when it hit the guys leg who hit him, sure looks liek thatis what happened but thanks for explaining.
Peter F. I saw the replay and said he’s done for game
Hey Brian, love the content. I was wondering if maybe you had any thoughts about Philip Rivers playing with a torn ACL back in 2008?
Absolutely love your content, man! Wish you were my doctor lol
This man is going to be hitting all 3 sources of income when this channel hits.
I was watching the game and I knew it was bad...and when we see a bad injury we think of Dr. Stutterer...awesome video👍👍👍
This video hurt my ankles
browns fan. hated watching that
I watched that play, at first when it happened it didn't seem that bad but after slow mo you could see the defender and Trevor Simiens weight landed all on that ankle as it rolled.
My favorite channel
Could you please do inky Johnson, It was long ago but I think it would be a great topic to discuss
Cool video of an uncommon injury. I wonder if the dorsiflexion position had something to do with the fibula not fracturing.
Man doc .. you’re fast Love your content 👊.. Can you maybe do a video on Mason Mount ?! Coquelin put in a DISGRACEFUL challenge on mount and damn near Snapped his leg 🤬 (ankle injury )
Quality content
Good video: one comment - these ankle injuries are not really eversion injuries but actually have rotatory mechanisms and Siemian based on what I can tell this video had a supination external rotation injury, which is the same mechanism and similar type of injury that Gordon Hayward had a while back (except he fractured). The injury begins with an injury to the ATFL and the force propagates rotationally then next to the fibula, then the posterior malleolus and then medial malleolus/deltoid ligament. The fibula does not really break because the talus is moving laterally into it but rather because it is torqued/rotated during the injury event, which is why the fibula fracture is typically oblique (a direct lateral hit from the talus would result in a transverse fracture). The talus in this instance is not actually moving laterally in relation to the tibia but rather, it is the tibia which moves medially away from the talus.
If he did indeed dislocate and spontaneously reduce his ankle, his deltoid ligament would have to be torn and treatment would certainly involve surgery, which with a deltoid injury would not involve ligament reconstruction but rather fixation across the syndesmosis (either screws or Arthrex tightrope) to hold his tibia and prevent it from subluxing medially while the deltoid scars down. Or if he was a normal person...you could theoretically treat it with strict non weight bearing in a cast for 8 weeks if the reduction can be maintained in a cast but ain’t no NFL player gonna wait for that.
My two cents from an orthopedist’s perspective...
At 5:15, how is that not eversion? Appreciate the Ortho input as you all certainly deal with these more than I would. I can see the rotational component playing a role but just looking at the freeze frame that certainly looks like more eversion and pronation, not at all supination. Supination is present with inversion injuries right?
So in a twisted way, he was very lucky
Odd that I have to keep reminding myself to breathe when I watch your videos.
I had this same injury years ago (ruptured deltoid ligament). The way my surgeon explained it was that you can't just create a synthetic replacement like an ACL since there aren't opposing bone masses to attach to. The best they could do was try to reattach the remaining ligament, stick me in a cast for 2 months and hope scar tissue glued it back together.
Anyway it felt pretty good after 6 months, and good as new after about 9. Plus a sick scar
what do you recommend for someone who, suffered a level 2 deltoid sprain left ankle, still dealing with the stiffness of the ankle? What exercises do you recommend to strengthen the deltoid? Thanks in advance if you answer!!!
Super interesting
You are going be busy this season doctor. No joke a lot of injuy
Hi Dr. Sutterer, great video! Just wondering if you’re in orthopedics? Seems like something you’d be passionate about based on your love for sports and your knowledge about the musculoskeletal system
Physical medicine and rehab.
Brian Sutterer MD Thanks for the reply! And that makes even more sense, you’re clearly great at what you do. Thanks for the great content, I’m learning a lot!
Can you do Tim Mayza torn UCL?
Do UFC’s Austin Hubbard’s compartment syndrome.
I remember seeing the replay, I thought for sure he broke it. Don't know what he was thinking trying to plant that foot in the first place.
I walk on the balls of my feet and used to roll my ankles all the time in sports, mostly coming down in basketball, makes way more sense after this video
Hey, why do High ankle sprains generally hurt the most ??
I used to think a ankle sprain wasnt a big deal until I tore about everything in my ankle. 2 years later and I still have pain and am very cautious walking jogging and running.
Sounds like you didn’t do rehab
Blew my ankle out while doing rehab on my knee. So I'm a little hesitant to go back. I missed 5 weeks of work because of it.
I snapped the back of my tibia off like that. Do you have anything on isolated posterior malleolus fractures?
For me, I tore my ATFL, and according to everyone around that I was playing basketball with, they said my ankle flexed to about a 110 degree angle, which is absolutely insane. That put the radiologists and docs into a deep set of shock, and they were lost as to how I could have possibly avoided fractures completely like I had. When I went in to a foot & ankle specialist, they wanted to get their own xrays on it too (even though it was a year later) just because they wanted to have their own verification that there was no signs of any previous fractures. And they found no signs of any fracture history. I got the MRI, and again, they looked to see any signs of previous possible fractures but found nothing but a heavily scarred up ligament. Even they could not figure out how my bones defied the forces completely.
Doctor Brian please do a video on UFC fighter Austin Hubbards compartment syndrome leg injury!
th-cam.com/video/bL5aLaMmYVY/w-d-xo.html
It sounds like this dude could’ve had so many more different injuries from what you said, he should be lucky he still has his foot LOL
Hi Brian, couple questions:
1. Looked very similar Allen Hurns' injury last year, how does this compare?
2. Is this injury any different to a syndesmosis injury? These come up fairly regularly in Australian football.
Liam Briggs sydesmosis injuries are high ankle sprains, they are sprains or tears of any of the four ligaments that connect the tibia and fibula; they do not involve the talus. -orthopedist
I had this injury from a bad landing pole vaulting, I was lucky with no ligament ruptures, only took 3 weeks before I was cleared to vault again.
I wish you were my MD.
Please annotate what the left, right, front, back, etc. of the image is. The colors and oral description help but a simple indication of planes of reference would help understand it better
Good tip
My right ankle has dislocated numerous times. The pain is breath taking plus I have to suck it up and put my ankle back into place knowing that pain is going to be so glorious that I’m going to get nauseous and maybe even see stars. Thankfully it doesn’t last long. My ankle isn’t repairable. My only option is to have my ankle permanently fused in a right angle position. Something I’m not ready to do. I hope this young QB gets excellent repair of his ankle. Having an unstable ankle would end his career.
I saw this play live. At first we were laughing because of the way he threw the ball and my dad called the ball a duck, and then he started freaking out because of the injury.
I'm a die-hard Yankee fan. Can you please do a video on dellin betances freak Achilles injury and what is recovery like for partially torn Achilles. Thanks
So weird question. About 5 inches above the inside ball of my ankle I get severe pain about once every couple months. When I put weight on the outside part of my foot it gets unbearable and it's difficult to walk. It lasts for about a week and goes away. It's been happening for about 5 years. I don't think it's a bone problem but I could be wrong. It does hurt when I put pressure on the spot but I got to dig my fingers in deep to hit the spot. You ever heard of reoccurring pain like this every couple months?
Watching the game i thought he tore his Achilles, it looked pretty painful 😖
ESPN should hire you to explain some of these injuries, cause watching the games you have no clue what's going on everytime a dude walks off
I have the same injury can i play sports again? I need some rehab exercises
Honestly I've never seen a a man so relieved to get injured. Miles Garrett is frightening.
January 6th I tripped off my porch and dislocated my ankle and broke 3 bones and thru did surgery and put me in a boot I have 6 sitches on one side and 15 Staples on the other side... I can't wait to be up walking again
Dude don't teach me dumb it down😂😂
1% of pure dislocations? Wow. I suffered one myself (and am still recovering) about a month ago and mine was a pure dislocation with no fracture
🗣🗣🗣🗣You are a fucking genius my guy 💯💯💯💯✊🏿✊🏿✊🏿... I ever get a head coaching job... I'm definitely giving you a call to be our head trainer/ Doctor guy
Nah bro, from 4:47 and on, I was screaming "CHANGE THE FUCKING PICTURE"
You should make a video about Joe Theismann
Alex Smith's injury last year is more relevant and the exact same injury.
Also Michael gallop from the cowboys acl
Can we walk properly after these injury
Oh boy slow motion gore
So many injuries and it’s only week 2
I'm a HS QB coach and I teach them to keep their knees straight to avoid this type of injury in this circumstance. I'm also a Mathematics teacher and I educate them that their leg will break with the load and force applied to it. This is when the lineman hits them in the front and driving them to the ground on their backs. I guess Siemen missed that day of practice.
you’ve rlly had a lot of content to make with all these injuries lmao
Happened to me in highschool. Still dont know how he walked off. I couldn't walk for a week.
Adrenaline is one heck of a drug
So it’s like Tony Finau and his ankle
🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏
Why don't they have you in the booth for MNF and SNF man?
I broke my ankle(foot trapped while falling down a stair case and turning around while it was trapped) anyway 2 surgeries later, I think I can conceptualize how Siemian was extremely lucky, with this freak sort of compression load and rebound without a major fracture...99 out of 100 times the Fibula snaps and reconstructive surgery is required, I don't think he realizes just how lucky he was, although I'm certain it was excruciatingly painful,lol!!
My Achilles be hurting sucks it comes an goes.
Semen got an ouchy?
He is like the fifth quarterback to get hurt this season, and it's only been week 2!
1:45 it’s like god got lazy with our feet &just put tape
Michael Gallup?
Actually since your a doctor can u answer a question I am concerned about for me?
DM him on Twitter he’ll respond there for sure
imhotep nixon he has his dms on private tho, any other way?
Doctors aren’t supposed to give consultations online without paperwork.
just ask, maybe one of us can answer it for you
This
I dislocated my ankle, bone broke through the skin, but I didn't break anything.