Category Archives: Achilles/Patellar/Quadricep

J.J. Barea Torn Achilles Tendon

On January 11, 2019, the Dallas Maverick’s point guard and sixth man J.J. Barea tore his right achilles tendon. The injury occurred in the fourth quarter of a game against the Minnesota Timberwolves on a play where Barea drove to the basket and made a contested shot with little physical contact. Barea stayed on the court after the play holding his leg until play was finally stopped.

Reports indicate that Barea underwent surgery to repair the achilles a few days later. The injury  should sideline him from play for the entire 2019 season and may threaten the start of next season per reports.

For more detailed medical information about torn achilles injuries click here. 

Victor Oladipo Knee Injury

On Wednesday, January 23rd, the Indiana Pacers’ starting shooting guard Victor Oladipo injured his right knee late in the second quarter of a game vs the Toronto Raptors.  The injury occurred when Oladipo planted his right foot while running after the Raptors’ Pascal Siakam on a fast break.  Oladipo had to be carted off.

He had ruptured his quadriceps tendon.  The quadriceps is the large muscle in the front of the thigh.  It straightens the knee.  The quadriceps tendon attaches the muscle to the knee cap (patella).  The patellar tendon attaches the patella to the lower leg (tibia).

Quadriceps rupture is fairly obvious on examination.  The ubiquitous “athlete MRI” that seems to be obtained routinely and largely unhelpfully can be useful in this circumstance to plan surgery.  A completely ruptured quad tendon prevents an individual from straightening the knee.  Without surgery, it would be difficult to walk let alone play basketball. This injury is ready to take force after about 6 months, but it will take a while to strengthen the muscle and get back into game shape.  Oladipo may be ready to play by the beginning of next season.  Former San Antonio Spurs starting point guard Tony Parker also ruptured his quadriceps tendon in early May 2017 during the NBA Playoffs.  He received surgery two days after the injury and returned to play six-and-a-half months later.

It is worth noting that Oladipo has missed nearly a dozen games this season due to an undisclosed right knee problem.  A normal quadriceps tendon is unlikely to rupture, so that problem may have been quadriceps tendinopathy.  Quadriceps tendon ruptures generally occur in people over age 40, with most cases occurring in people in the 50-60 age range.  Quadriceps rupture is very rare among NBA players, and 26-year-old Oladipo is relatively young for this injury.  Charles Barkley and Tony Parker both sustained the injury later in their careers at age 36 and 34, respectively.

Sheldon Rankins Torn Achilles Tendon

On January 13th, the New Orleans Saints faced off against the Philadelphia Eagles in a divisional playoff game at the Superdome. On the second defensive possession of the first quarter, Saints defensive tackle Sheldon Rankins fell to the ground holding his left leg. Following an initial assessment by Saints medical trainers, Rankins was carted off the field. He did not return to the game.

It was later revealed that he had torn his Achilles tendon. He had an MRI. We often talk about overuse of MRI in professional athletes. There is some thought that knowing the exact location on MRI might direct treatment, but that is debatable. The problem is obvious on examination.

Rankins chose to have surgery to repair the torn Achilles a few days after the injury. It will be difficult for him to be ready in time for the start of the 2019 season.