Category Archives: Knee

Kyrie Irving’s Knee Fracture

Celtics all-star point guard Kyrie Irving is out of the NBA playoffs due to a complication knee from prior knee surgery.

Irving fractured his patella (kneecap) in an injury during the NBA Finals on June 4, 2015. The fracture required surgery to hold the fracture together with two pieces of wire threaded through two screws while the bone healed. After the bone heals, patients can keep the wires and screws in place; however, the kneecap is a prominent area and the metal may become bothersome.

On March 24, they removed the wire only. The knot used to tighten the wire is often the most irritating part.

On April 7, they decided to remove the screws as well. When they removed the screws they encountered a low-grade infection. Bacteria can hide from the immune system alongside metal or other foreign material. Once the metal is removed, the infection should resolve.

With the metal out of place the holes in the bone make it a little weaker and at risk for re-fracture with jumping, falling or contact with another player. When the decision was made to remove the screws, it also became necessary to stay out of full-contact basketball for four to six months while the bone strengthens after removing the screws.

This article was made by Paul Bonilla and David Ring

Filipe Luis’ Left Fibula Fracture

Star defender Filipe Luis, who plays for Atletico Madrid in the Europa League, fractured his left fibula after he was caught in a striker’s follow through in a game against Lokomotiv Moscow on March 16th, 2018. Luis was escorted off the field in a stretcher and promptly taken to the hospital to for x-rays. The Brazilian native may miss the upcoming World Cup.

The lower leg is made up of a series of bones that includes the tibia, fibula, and tarsals. The tibia, commonly referred to as the shinbone, is the large bone that connects the knee and the ankle. The fibula is the thin, lateral bone that is parallel to the tibia and plays a role in support for the tibia and is a crucial site for the attachment of ligaments at the knee and ankle.

A fibula fracture that is part of a twisting ankle injury is often repaired with a plate and screws in order to line up and stabilize the ankle while it heals. Fracture of the fibula from direct contact will heal on its own and is not usually considered for surgery. Bone healing gets to about 80% strength over 3 to 4 months and up to 100% strength in a year. Athletes are usually given the option to pay after 3 to 4 months of healing, when they are comfortable and mobile enough to be effective. For many sports, it takes 6 to 12 months to return to top level play after a leg fracture. If this is a direct fibula fracture, it may be relatively quick to return to high level of play.

Athletes are usually eager to return to play and may be willing to take some risks to do so. It’s possible–with some risk–that Filipe could play in the World Cup this summer.

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