Coutts Injury Rumour.....

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S5Blade said:
From the usual, someone a friend works with, is a friend of coutts Family member who said...

That its actually an internal fracture of the bone and not a break, heals much faster and coutts could be as back as soon as 6-8 weeks. Something called a Greenstick fracture and why he didnt need surgery.

Might be bollocks, might not be, dont shoot the messenger :D
Click to expand...
They were talking about this in the latest Shoreham View vid for the Fulham game.

It could be that he can get his leg right earlier than expected, but I suspect getting his head right will be just as demanding. This is his second major injury and he’s going to need a lot of help to overcome the usual doubts. That said, the fact that he’s done it all before could be a positive, it’d be great if we could get something out of him this season even if it’s just for that last few games.
 
South Bucks said:
A medical friend of mine who's been monitoring posts but is not ITK is under the impression he's not had intrusive surgery so no posts pins and screws but just realignment when put under and probably an initial plaster cast and then a second one later when the swelling has gone down. Unless someone knows the surgery was otherwise. Not as bad as it could have been but still out for many months though, takes along time to rebuild all functionality and reach match fitness.
Click to expand...

_76055361_482566485.jpg
 
Coutts will be in the team this weekend wearing the number 7 shirt with the name Lundstrum on the back.

True story.
 
I’m a bit late to the party, please forgive me.

I am a doctor.

I’ve never seen a green stick fracture in an adult in 7 years of working in A+E. I see them every week in children.

They are not impossible, but as this medical journal article from 1996 shows, they are so shockingly rare it’s worth excitedly writing to other doctors to tell them you’ve made a new discovery.
https://goo.gl/gSR4A4

Adult’s bones are literally made of different stuff to children’s bones - meaning that a green stick fracture is almost impossible.

What is unusual about Coutts’ fracture is that despite that horrible photo, he has only broken the tibia, and not it’s little brother, the fibula. Coupled with the fact that he doesn’t require surgery, this means the fracture (greenstick or no greenstick) must be a relatively minor one.
In a professional athlete, even the slightest misalignment of the bones would probably result in surgery. (Another reason to think it’s not greenstick - these often deform the bone with some ‘angulation’ (bending) - which in children resolves by itself because the bones are springy, but in adults would require surgery to straighten it up).

However, even a very minor tibial fracture will take a while to heal.
It may only be a few weeks before he is up and about walking around again, but the real problem will be getting him back to full fitness.
Lying in bed all day with your leg in a cast is bad for you. You can lose up to 5% muscle mass per day in the muscles that you aren’t using.

When his leg comes out of that cast in a few weeks time, the bone will likely have rejoined, (the process of rejoining will take 6 weeks, but with some fancy braces you can walk on it again sooner than that) - but the leg will be a shrivelled remnant of it’s former self due to all the muscle wastage.
Like this:
A96B2D67-29DC-49C4-B78B-4F7BA5A3583E.jpeg

It will take another 1-2 months to build up the muscle before he can even start thinking about getting back to something like ‘normal’ training. And then probably another 1-2 months to be back to full fitness after that.

So, even for a minor break, in an absolute best case scenario, with a professional medical team it’s going to be 12-16 weeks.
In reality, probably longer.

If you want to read more about tibial fractures (with gory pictures), this isn’t a bad place to start:
https://emedicine.medscape.com/article/1249984-treatment#d10

Regards,
Your Blades Medical Correspondant
 
Great news if true but I suspect PC not having surgery is more to do with the position his tibia is in rather than it being a less severe break. I had the same injury (actually suffered in a very similar way) about 15 years ago - they decided not to operate and instead let the bone heal itself as it was apparently in a good position and a rod/pins would have to be removed as I intended to play again (apparently it's a tricky job trying to get them out if the bone is broken again). The only downside was having to wear a plaster cast for 17 weeks over summer. I missed just over a year's football and lost a few yards of pace.
 
Bladeaway said:
I’m a bit late to the party, please forgive me.

I am a doctor.

I’ve never seen a green stick fracture in an adult in 7 years of working in A+E. I see them every week in children.

They are not impossible, but as this medical journal article from 1996 shows, they are so shockingly rare it’s worth excitedly writing to other doctors to tell them you’ve made a new discovery.
https://goo.gl/gSR4A4

Adult’s bones are literally made of different stuff to children’s bones - meaning that a green stick fracture is almost impossible.

What is unusual about Coutts’ fracture is that despite that horrible photo, he has only broken the tibia, and not it’s little brother, the fibula. Coupled with the fact that he doesn’t require surgery, this means the fracture (greenstick or no greenstick) must be a relatively minor one.
In a professional athlete, even the slightest misalignment of the bones would probably result in surgery. (Another reason to think it’s not greenstick - these often deform the bone with some ‘angulation’ (bending) - which in children resolves by itself because the bones are springy, but in adults would require surgery to straighten it up).

However, even a very minor tibial fracture will take a while to heal.
It may only be a few weeks before he is up and about walking around again, but the real problem will be getting him back to full fitness.
Lying in bed all day with your leg in a cast is bad for you. You can lose up to 5% muscle mass per day in the muscles that you aren’t using.

When his leg comes out of that cast in a few weeks time, the bone will likely have rejoined, (the process of rejoining will take 6 weeks, but with some fancy braces you can walk on it again sooner than that) - but the leg will be a shrivelled remnant of it’s former self due to all the muscle wastage.
Like this:
View attachment 33617

It will take another 1-2 months to build up the muscle before he can even start thinking about getting back to something like ‘normal’ training. And then probably another 1-2 months to be back to full fitness after that.

So, even for a minor break, in an absolute best case scenario, with a professional medical team it’s going to be 12-16 weeks.
In reality, probably longer.

If you want to read more about tibial fractures (with gory pictures), this isn’t a bad place to start:
https://emedicine.medscape.com/article/1249984-treatment#d10

Regards,
Your Blades Medical Correspondant
Click to expand...


Sorry Doc, but actual experts medical opinions aren't needed or wanted on here... .
 
..... are you trying to tell us that adult bones aren't made out of green-sticks then?

Bloody medical professionals, taking all the blind optimism out of injuries and disease, the bastards.
 



vorpal blade said:
..... are you trying to tell us that adult bones aren't made out of green-sticks then?

Bloody medical professionals, taking all the blind optimism out of injuries and disease, the bastards.
Click to expand...
Never mind - still got the Gooseberry Bush :)
 
Bladeaway said:
I am a doctor.
Click to expand...

But can we trust you?

Congratulations upon your appointment to the post of Blades Medical Correspondant (BMC).

Do you have any updates available for the Ched Evans injury?
 
Bladeaway said:
I’m a bit late to the party, please forgive me.

I am a doctor.

I’ve never seen a green stick fracture in an adult in 7 years of working in A+E. I see them every week in children.

They are not impossible, but as this medical journal article from 1996 shows, they are so shockingly rare it’s worth excitedly writing to other doctors to tell them you’ve made a new discovery.
https://goo.gl/gSR4A4

Adult’s bones are literally made of different stuff to children’s bones - meaning that a green stick fracture is almost impossible.

What is unusual about Coutts’ fracture is that despite that horrible photo, he has only broken the tibia, and not it’s little brother, the fibula. Coupled with the fact that he doesn’t require surgery, this means the fracture (greenstick or no greenstick) must be a relatively minor one.
In a professional athlete, even the slightest misalignment of the bones would probably result in surgery. (Another reason to think it’s not greenstick - these often deform the bone with some ‘angulation’ (bending) - which in children resolves by itself because the bones are springy, but in adults would require surgery to straighten it up).

However, even a very minor tibial fracture will take a while to heal.
It may only be a few weeks before he is up and about walking around again, but the real problem will be getting him back to full fitness.
Lying in bed all day with your leg in a cast is bad for you. You can lose up to 5% muscle mass per day in the muscles that you aren’t using.

When his leg comes out of that cast in a few weeks time, the bone will likely have rejoined, (the process of rejoining will take 6 weeks, but with some fancy braces you can walk on it again sooner than that) - but the leg will be a shrivelled remnant of it’s former self due to all the muscle wastage.
Like this:
View attachment 33617

It will take another 1-2 months to build up the muscle before he can even start thinking about getting back to something like ‘normal’ training. And then probably another 1-2 months to be back to full fitness after that.

So, even for a minor break, in an absolute best case scenario, with a professional medical team it’s going to be 12-16 weeks.
In reality, probably longer.

If you want to read more about tibial fractures (with gory pictures), this isn’t a bad place to start:
https://emedicine.medscape.com/article/1249984-treatment#d10

Regards,
Your Blades Medical Correspondant
Click to expand...
I think for clarity we should speak to your receptionist ,the real expert.
 
Bladeaway said:
I’m a bit late to the party, please forgive me.

I am a doctor.

I’ve never seen a green stick fracture in an adult in 7 years of working in A+E. I see them every week in children.

They are not impossible, but as this medical journal article from 1996 shows, they are so shockingly rare it’s worth excitedly writing to other doctors to tell them you’ve made a new discovery.
https://goo.gl/gSR4A4

Adult’s bones are literally made of different stuff to children’s bones - meaning that a green stick fracture is almost impossible.

What is unusual about Coutts’ fracture is that despite that horrible photo, he has only broken the tibia, and not it’s little brother, the fibula. Coupled with the fact that he doesn’t require surgery, this means the fracture (greenstick or no greenstick) must be a relatively minor one.
In a professional athlete, even the slightest misalignment of the bones would probably result in surgery. (Another reason to think it’s not greenstick - these often deform the bone with some ‘angulation’ (bending) - which in children resolves by itself because the bones are springy, but in adults would require surgery to straighten it up).

However, even a very minor tibial fracture will take a while to heal.
It may only be a few weeks before he is up and about walking around again, but the real problem will be getting him back to full fitness.
Lying in bed all day with your leg in a cast is bad for you. You can lose up to 5% muscle mass per day in the muscles that you aren’t using.

When his leg comes out of that cast in a few weeks time, the bone will likely have rejoined, (the process of rejoining will take 6 weeks, but with some fancy braces you can walk on it again sooner than that) - but the leg will be a shrivelled remnant of it’s former self due to all the muscle wastage.
Like this:
View attachment 33617

It will take another 1-2 months to build up the muscle before he can even start thinking about getting back to something like ‘normal’ training. And then probably another 1-2 months to be back to full fitness after that.

So, even for a minor break, in an absolute best case scenario, with a professional medical team it’s going to be 12-16 weeks.
In reality, probably longer.

If you want to read more about tibial fractures (with gory pictures), this isn’t a bad place to start:
https://emedicine.medscape.com/article/1249984-treatment#d10

Regards,
Your Blades Medical Correspondant
Click to expand...
Interesting, I am going to PM you a picture of a little problem I've been having. Would welcome your thoughts.
 
derekacorah said:
Anyone got a magic sponge and some ralgex?
Click to expand...
anyone else think that Coutts is being a bit of a pussy about the whole thing?

I've had worse on a Sunday morning, played out the ninety minutes, gone for a pint, home for a proper dinner and then hobbled into work the next day.

bones heal OK as long as you keep moving about, its all this lying down that causes the problems
 



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