All posts by David Ring

Joel Embiid’s Orbital Bone Fracture

Philadelphia 76ers All-star Joel Embiid fractured his eye socket (orbital bone) on March 28th after colliding with teammate Markelle Fultz lunging for a loose basketball. Embiid had no signs of concussion in the locker room, but was diagnosed with a concussion at the hospital. A CT scan identified the orbital fracture around his left eye.

The 76ers announced that Embiid will have surgery within a few days. That suggests that the bone is far enough out of place to benefit from surgery.

A common misconception is that surgery is necessary or that it helps bones heal more quickly. Bones take equal time to get to full strength with or without surgery. The use of metal implants is usually done for better alignment and for some bones that are less likely to heal without surgery.

Athletes are often willing to accept the risks of reinjury, returning prior to complete healing. Some athletes wear a mask to attempt to reduce the risk of reinjury while the bone is still healing and vulnerable. It was stated that Embiid will miss 2 to 4 weeks and could be available for the playoffs.

This article was made by Paul Bonilla and David Ring

Stephen Curry’s Medial Collateral Ligament Sprain

Golden State Warriors star point guard Stephen Curry left the game late in the third quarter against the Atlanta Hawks on March 24 after teammate JaVale McGee collapsed on his left leg. Curry hobbled off the court gripping his left knee. Later, the team confirmed a grade two medial collateral ligament (MCL) sprain.

The MCL connects the top of the tibia to the femur in a way that keeps the leg from buckling outward. Spraining (partial or complete tearing) the MCL is common in contact sports such as basketball or football. A grade two sprain means that there is substantial partial tearing (many fibers are torn), but that the ligament is still structurally sound. An MCL injury can be diagnosed on examination. An MRI is not particularly helpful, and the average person would not have an MRI. MRIs seem to be overused among athletes, probably because of the small chance that there is another injury (e.g. to the anterior cruciate ligament or ACL) and the pressure to return to play quickly.

MCL sprains heal without surgery. With partial tears, return to activity is based largely on comfort and risk tolerance. Keeping the knee moving is healthy. Sports places the ligament at risk of worse pathology if there is another injury.

This article was made by Paul Bonilla and David Ring