Category Archives: pain

BROKEN COLLARBONE

What causes this injury?

  • A fracture of the connecting bone between the upper part of the breastbone and the shoulder blade.  Broken collarbones often occur due to falling, sports injuries and traffic accidents.

Is surgery necessary for broken collarbones?

  • Surgery is necessary for this type of injury if the break is complicated enough.

What is the prognosis?

  • A broken collarbone can take six to twelve weeks to heal. This injury risks nerve and blood vessel damage and potential arthritis. Treatment options include medications and physical therapy. If complicated enough, implanted plates, screws and rods will be used to hold the bones in place during the healing process.

Lonzo Ball Ankle Sprain

Courtesy of Mayo Clinic

Lonzo Ball, an American basketball player for the Los Angeles Lakers, returned  to the court on July 4, six months after being diagnosed with an ankle sprain. Ball sprained the ankle on January 19 in a game against the Houston Rockets. While Ball was originally expected to return before the end of the season, the Lakers decided to let Ball heal more completely and return over the Summer. It was the third time Ball had sprained his ankle injury during the season but he had not missed any time during the previous instances.

Juan Martin del Potro Patellar Fracture

On June 19th, tennis player Juan Martin del Potro slipped on the grass during his Queen’s Club Championships match against Denis Shapovalov and injured his knee. Del Potro finished the match with a victory, but had pain and swelling in his knee. He withdrew from the tournament and scans of an unspecified type revealed that he fractured his right patella, or kneecap. Del Potro previously fractured his right patella in October 2018 after falling during a match in Shanghai.

Image result for patellar fractures

The patella is the small bone that sits in front of the knee joint. It’s unusual to fracture it and be able to complete a tennis match.  That would be either a non-displaced fracture or perhaps tendinopathy with an accessory patella ossicle being referred to or misidentified as a fracture.

Following his first injury in Shanghai, Del Potro opted for PRP (Platelet-Rich Plasma) therapy on his knee. In PRP, a concentration of a patient’s own platelets is injected into an injury site, which speeds up the healing of injured muscles, ligaments, tendons, or joints. This is an unproved treatment typically used for tendon issues. It’s experimental for every indication, but particularly so for fractures.

After his recent injury, however, Del Potro chose to have surgery. According to Del Potro’s team, he had a successful operation on June 22nd during which the surgeon removed a bone fragment. Again, it’s not entirely clear what is going on, but this is not typical of a patella fracture.

Del Potro has a long history of tennis-related injuries. Since 2009, he has undergone three surgeries on his left wrist as well as one on his right wrist. Del Potro stated that his doctors decided his recent knee surgery was the best treatment option not just for tennis, but also for his overall health and quality of life outside of sports.

Del Potro has confirmed that he will not be playing again in 2019. The 30-year-old also stated that he is unsure whether he played his last match of professional tennis and will wait to see how his recovery goes before making a decision.