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="DocTee":25b00n1r]I said it before and I'll say it again: put Sheff at short.
And fire the medical staff.[/quote:25b00n1r]
Heh, that would be more amusing than Sheffield at first a few years ago!
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Centerfield
Jun 23 2009 08:17 AM
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I don't understand how a bruise would get worse unless something were to hit it in the same place again.
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John Cougar Lunchbucket
Jun 23 2009 08:54 AM
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="sharpie":n2el9q8u]If Valdez is DFAed, then who is our backup shortstop if our regular shortstop with his broken hand can't play?[/quote:n2el9q8u]
Snooze says that Argenis F. Reyes should be in town by the end of the week. Bleh!
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LeiterWagnerFasterStrongr
Jun 23 2009 09:04 AM
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| ="Centerfield"]I don't understand how a bruise would get worse unless something were to hit it in the same place again. |
From what I understand, the "bone bruise" is essentially caused by repetitive knee trauma, caused itself by centerfieldin' with a very, very degraded mensicus.
Basically, the guy's got no padding; with nothing in there dispersing body weight/knee friction when he's running/sliding/jumping, it's more or less bone on bone when the knee is compressed (and apparently has been for a while). This is potentially a career shortener, unless something drastic (microfracture?) can be done... but said drastic measures have pretty significant recovery times and no guarantees.
(Orthopedist in the family.)
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Centerfield
Jun 23 2009 10:30 AM
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="LeiterWagnerFasterStrongr"]| ="Centerfield"]I don't understand how a bruise would get worse unless something were to hit it in the same place again. |
From what I understand, the "bone bruise" is essentially caused by repetitive knee trauma, caused itself by centerfieldin' with a very, very degraded mensicus.
Basically, the guy's got no padding; with nothing in there dispersing body weight/knee friction when he's running/sliding/jumping, it's more or less bone on bone when the knee is compressed (and apparently has been for a while). This is potentially a career shortener, unless something drastic (microfracture?) can be done... but said drastic measures have pretty significant recovery times and no guarantees.
(Orthopedist in the family.) |
Well that's fucking scary.
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LeiterWagnerFasterStrongr
Jun 23 2009 11:36 AM
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="Centerfield":2wgdz0wy]
Well that's fucking scary.[/quote:2wgdz0wy]
Yep. Think kneecap-into-tibia, a thousand little collisions a game. I wish there were a way for every WFAN caller/hack Newsday columnist bitching about Los' bum-ness/lack of smilesmanship to feel that for just one day.
I've just spent 20 minutes of waiting-for-meeting time Googling various of the treatment options. It has not made me feel any better.
TEMPORARY
Injection of Synvisc ("joint lubrication") is a palliative, intended to delay knee/tissue replacement surgery, and good for up to 6 months of pain relief. Return in 2-4 weeks. Drawbacks: Ineffectiveness, minor knee inflammation.
LONG-TERM
--Microfracture surgery(drilling of tiny holes to promote blood flow/tissue regeneration in affected area). Drawbacks: Regenerated tissue is more like scar tissue than original meniscus, leading to possible stiffness/less flexibility; includes 9-12 months of recovery time before return to competition.
--Cartilage implantation/transfer. Drawbacks: Risk of tissue rejection; significant risk of infection, subsequent surgeries to clear scar tissue; includes likely 16-month recovery period.
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John Cougar Lunchbucket
Jun 23 2009 11:47 AM
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You guys are overlooking mole reimplantation surgery, whereby a team of surgeons carefully remove Beltran's ear-mole, then implant pillowy portions of it between his kneecap and tibia on both legs for added shock absorption, strength and character.
(Remaining mole remnants may be used to relieve John Maine's shoulder impingement).
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Fman99
Jun 23 2009 11:52 AM
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="John Cougar Lunchbucket":3cm82p80]You guys are overlooking mole reimplantation surgery, whereby a team of surgeons carefully remove Beltran's ear-mole, then implant pillowy portions of it between his kneecap and tibia on both legs for added shock absorption, strength and character.
(Remaining mole remnants may be used to relieve John Maine's shoulder impingement).[/quote:3cm82p80]
I am coo coo for Carlos' cocoa puff reconstruction surgery.
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LeiterWagnerFasterStrongr
Jun 23 2009 11:53 AM
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="John Cougar Lunchbucket":ehy87zf8]You guys are overlooking mole reimplantation surgery, whereby a team of surgeons carefully remove Beltran's ear-mole, then implant pillowy portions of it between his kneecap and tibia on both legs for added shock absorption, strength and character.
(Remaining mole remnants may be used to relieve John Maine's shoulder impingement).[/quote:ehy87zf8]
Shit-- you're right.
Double shit-- why didn't they make the Citi shoulder patches out of Voltron mole? There's got to be some clutch-boosting/collapse-repellent properties in there, no?
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Gwreck
Jun 23 2009 12:01 PM
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I believe Magglio Ordonez had the microfracture procedure done successfully.
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Elster88
Jun 23 2009 01:21 PM
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For the record, has anyone seen a report saying that Beltran has the condition that LFWS is talking about? IIRC, bone bruise doesn't necessarily mean "no cartilage".
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Frayed Knot
Jun 23 2009 04:29 PM
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| ="Elster88"]For the record, has anyone seen a report saying that Beltran has the condition that LFWS is talking about? IIRC, bone bruise doesn't necessarily mean "no cartilage". |
Well, 'loss of' cartilage might be a better way of phrasing it than 'none'.
From Will Carrol at 'Baseball Prospectus'
Beltran's knees have lost a lot of cushion, so much so that he's occasionally had bruising where the femur hits the tibial plateau. That's very bad long term, and not a good sign in the short term either. There has been discussion of possible fixes like Synvisc, or the even more radical procedure of [meniscus replacement]. Beltran has two more years to go on his Mets contract, but it includes a lot of deferred money. He could be a good fit for a deal to an AL club this offseason.
Now it probably should be pointed out that Carrol has, in the past, shown a tendency to treat assumptions as facts and that there are certainly degrees of cartilage loss that needn't mean major surgery.
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Edgy DC
Jun 23 2009 07:21 PM
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Maybe he becomes a good fit, Will Carroll, but he also becomes a five-and-dime man.
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LeiterWagnerFasterStrongr
Jun 23 2009 07:49 PM
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| ="Elster88"]For the record, has anyone seen a report saying that Beltran has the condition that LFWS is talking about? IIRC, bone bruise doesn't necessarily mean "no cartilage". |
A bone bruise in the knee is just that-- bone on bone due to loss of the meniscus or other cartilage.
He's had three stretches in the last two years where he's either missed time or been hampered by a "sore knee" or "bruised knee" (mid '06, late '07 and earlier this year). As these things tend to be degenerative-- your meniscus sure as hell doesn't grow back on its own-- that doesn't bode well for time #4 (especially since uncommonly-tough Beltran is the one saying he can't play through this). Though Carroll is a bit of a leaper sometimes, gun-to-head, I'd probably bet it's closer to a worst-case scenario than the best-case one.
Beltran as something other than the Beltran we've known is a somewhat depressing thought. That said, getting F-Bomb some apprentice work in center-- with one of the world's finest tutors at his elbow-- doesn't seem like a terrible idea.
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