Einstein Injury Analysis Report Podcast: Week 7 Player Commentary

Posted by Christine Skiffington on Oct 21, 2016 2:52:15 PM

wip_injury_report_REVISED_1200X1200.jpgEinstein's own sports medicine expert Rosemarie Boehm, MD, joins Ike Reese on Sportsradio 94WIP this week to discuss the most important injuries of interest to Philadelphia football fans. Going into week seven of the season, Dr. Boehm weighs in on Bennie Logan's groin strain and how to avoid a reoccurring injury. Plus, she discusses the likelihood of Sam Bradford re-tearing his ACL. 

Bennie Logan sustained a left groin strain in the Eagles game last Sunday and is currently listed as “week to week,” which implies he may miss a few games. What is the best way to make sure that isn't a reoccurring injury?

A groin strain is a common injury, in which the groin muscles are over-stretched or torn, usually during running, jumping or changing directions abruptly. Once the injury occurs, initial treatment is rest, ice, Nonsteroidal Anti-inflammatory Drugs (NSAIDS), a compression wrap, and active stretching without pain.

While most groin strains will heal with time, rest and rehab, they will need to make sure he is pain-free, with good movement and equal leg strength from side to side. Unfortunately, groin strains can frequently recur and become a nagging injury.

Before actual return to play, Logan will undergo functional testing, which would include controlled non-contact drills of running, cutting, jumping, etc. If all this is done before his return to play, it will reduce his risk of recurring injury.

Other ways to reduce the risk of recurrence would be warming up properly and remaining warm during time on the sidelines, especially as the weather gets colder, and continuing stretching and strengthening. A compression wrap or sleeve worn on the affected area during play and practice would also be helpful.

One thing the Eagles training staff will have to keep in mind is that if this groin strain does not get better, or worsens, it could be something more serious like a sports hernia, which is actually a tear of the abdominal wall muscles. But most likely this is just a common groin strain and he will heal, rehab and return to play in a few weeks.

Sam Bradford makes his return to Philadelphia for Sunday’s game and is having a great season so far. He is healthy and playing well after two ACL tears. How much more likely is it that he injures it again than someone who never had a knee injury?

As we know, he has torn his left knee ACL two times in the past, which is a very common sports injury. His initial tear was in 2013, which ended his season, and he re-tore it in 2014 after being sacked, again undergoing a season-ending surgery.

Most of the studies I reviewed concluded that there was a higher incidence of ACL re-tears in athletes of younger age, higher activity level and type of graft used. An allograft, which is tissue from a cadaver, is five times more likely to re-tear than an autograft, which is the athlete’s own patellar tendon or hamstring tendon.

While we don’t know which graft was used for him, the fact that he had an initial tear and a re-tear most likely puts him at a 5-7% chance of experiencing another re-tear. Some studies imply that the contra-lateral, or opposite, ACL is more likely to tear because both knees have just as much loss of position sense after the first tear.

To decrease his risk of another tear, I’m sure Sam Bradford is continuing a neuromuscular training program, as well as stretching and strengthening.

 Listen to this week's podcast: 

Be sure to check back soon for next week's report. Have questions about your favorite NFL player's recovery? Post them here and our sports injury experts may be able to answer them on next week's show. 

Topics: Sports Medicine, Injury Analysis Report

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Perspectives highlights the expertise and services provided by the physicians, specialists, nurses and other healthcare providers at Einstein Healthcare Network. Through this blog, we share information about new treatments and technologies, top-tier clinical teams and the day-to-day interactions that reinforce our commitment to delivering quality care with compassion. Here, you will also find practical advice for championing your health and wellness.

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