Category Archives: Basketball

Nick Ward’s left hand fracture

Nicholas Jeffrey Ward, an American college basketball player for the Michigan State Spartans injured his hand in the Spartans win over Ohio State  on Sunday, Feb. 17, 2019.

According to Ward, he injured his hand when he made contact with an opponent’s elbow. Wards’ hand was wrapped in a green tape and he did not start the second half of the game. Ward underwent a surgery later Sunday night to repair his left-hand fracture.  Some of the media reports said it was a “hairline” fracture. The term “hairline” is usually meant to indicate that you can barely see the break and the bone is structurally sound. It’s not clear why someone would have surgery on such a fracture. With the exception, perhaps, of the scaphoid bone in the wrist, cracks in the hand bones tend to heal quickly without surgery.  

It’s not clear when he will return.  With or without surgery, hand bones need about 2-3 months to get to a level of healing where contact sports such as basketball entail limited risk (ie about 80 to 90% strength).

 

Mo Bamba Left Leg: Tibial Stress Fracture

On Saturday, February 2nd, the Orlando Magic’s rookie center Mo Bamba missed his team’s game vs The Brooklyn Nets due to a sore lower left leg.  He had tests done the following Monday and was diagnosed with a left tibia (shinbone) stress fracture on Tuesday.

Stress fractures are areas of the bone where small cracks occur more quickly than the bone can heal or remodel.  The idea of “overuse” injury is largely overstated, but tibial stress fracture seems to be one problem that is due to activity surpassing the body’s generally excellent capacity for healing.  Another example is thrower’s elbow.

 

The accumulation of repeated stress on the bone leading to an area of reduced strength of the bone usually develops over weeks or months.

Stress fractures are known to affect big men in the NBA.  Yao Ming of the Houston Rockets ended his career due to stress fractures of the navicular bone in his left foot.  Legendary center Bill Walton’s career was also hampered by a series of stress fractures to both his feet.  In general, players with stress fractures recover and avoid recurrent issues.

The general course of treatment for a stress fracture is relative rest with some low impact exercises for about six to eight weeks while the bone heals itself.  Bamba, however, underwent an unspecified procedure on February 7th.  Professional athletes often choose surgery more readily than the average person.  These differences between what athletes do and what any one of us might do are the reason that Sports Injury Blog exists.  We can only speculate why Bamba decided to have surgery right away, but presumably he felt it would help him get back to play sooner.

Orthopedic surgeons sometimes refer to this as “the dreaded black line”.  To some degree that reflects the feeling that rest will work, but it can be difficult to get elite athletes to rest.

Bamba does not yet have a timetable for return.  The Magic organization will continue to watch how Bamba responds to rest and rehabilitation, but it seems likely he will miss the rest of the season.

Omri Casspi Torn Meniscus

Starting January 26th, Memphis Grizzlies’ forward Omri Casspi missed three consecutive games for right knee pain. An MRI was performed on February 1st leading to a diagnosis of a meniscus tear. He chose operative treatment. The expected time to return to play is 6 weeks. In surgery, the torn part of the meniscus is usually removed.

The meniscus is a cushion between the femur (thigh bone) and tibia (leg bone). The meniscus changes with age and arthritis. It can also be injured, usually with a forceful twist. Pain from meniscus injuries usually resolves without surgery, but it can take many months. Sometimes a piece of the meniscus moves into an unhelpful position and surgery can be helpful.

When the meniscus is excised, the small arthroscopy scars only need a few weeks to heal. After that, players can return as soon as their knee is comfortable and mobile enough to be effective.