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Wednesday, April 3, 2013




Louisville guard Kevin Ware lies in a hospital bed holding the NCAA Regional Championship trophy flanked by coach Rick Pitino, left, and former Louisville assistant coach Richard Pitino on Monday.


SPONTANEOUS LEG FRACTURES

The louisville basketball injury


BOY! If you were watching, the NCAA basketball sweet 16, last week then you saw the gruesome injury to Kevin Ware(above with coach Pitinio). This is what we call a spontaneous fracture or non-contact fracture. For those of you old enough to remember the Joe Theisman injury, then Ware's injury I'm sure conjured up those memories.. Which I am happy to here that some television stations were taken to task and told to cease the replay of Ware's fracture. Good call.

I waited to write on this injury until the final outcome of surgery which is typically to insert ORIF (orthopedic ridgid  internal fixation) which was the case here. Surgeons spent two hours inserting a rod into the tibia (lower leg bone). I have trained many athletes over the years and they return to sport with minimal complications. It appeared that Ware suffered a displaced compound fracture. That is when the bone breaches the surface (breaks through skin).

These fractures: non-contact, are unusual.  What most people don't know that bone, as hard as it may appear, has amazing properties. It can:
  • bend
  • twist
  • compress

Bone can tolerate great stress. Unfortunately, the tensil forces have limitations. When these are breached then energy is released in form of fracture. 

This is when a good sports medicine team puts together an aggressive program for return to play. It will be awhile before therapy of this type begins. But I assure you, Mr. Ware will be back!



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