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"Common Injuries in Professional Football Quarterbacks".


PIZ

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1 hour ago, PIZ said:

Interesting read, as it discusses UCL injuries.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825334/

 

Good work!

 

Found this particularly interesting:

" In our personal experience, the vast majority of UCL injuries in professional quarterbacks, including complete tears, can be managed non-operatively. Early treatment consists of rest, various treatment modalities, and ice and anti-inflammatory medications. Progressive rehabilitation and strengthening of the flexor-pronator musculature is essential for strengthening the muscles that counterbalance the valgus force about the elbow during the throwing motion, especially in a UCL deficient quarterback. The athlete is then started on a throwing program and advanced gradually. "

 

So evidently a QB doesn't need a UCL to throw if the right muscles are strengthened around it, is my read of their take?

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As you probably know you can’t really strengthen a ligament, only RICE (rest, ice, compression, and elevation) and NSAIDS.  If he can work diligently at strengthening the muscles, he might make it back in a couple of weeks.  He probably doesn’t have any feeling in his fingers.

 

i seriously doubt they will do surgery.

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6 hours ago, Hapless Bills Fan said:

 

Good work!

 

Found this particularly interesting:

" In our personal experience, the vast majority of UCL injuries in professional quarterbacks, including complete tears, can be managed non-operatively. Early treatment consists of rest, various treatment modalities, and ice and anti-inflammatory medications. Progressive rehabilitation and strengthening of the flexor-pronator musculature is essential for strengthening the muscles that counterbalance the valgus force about the elbow during the throwing motion, especially in a UCL deficient quarterback. The athlete is then started on a throwing program and advanced gradually. "

 

So evidently a QB doesn't need a UCL to throw if the right muscles are strengthened around it, is my read of their take?

From my own UCL injury not from throwing a football however the solution was PT and focused on strengthening the muscles around the UCL.  

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6 hours ago, Hapless Bills Fan said:

 

Good work!

 

Found this particularly interesting:

" In our personal experience, the vast majority of UCL injuries in professional quarterbacks, including complete tears, can be managed non-operatively. Early treatment consists of rest, various treatment modalities, and ice and anti-inflammatory medications. Progressive rehabilitation and strengthening of the flexor-pronator musculature is essential for strengthening the muscles that counterbalance the valgus force about the elbow during the throwing motion, especially in a UCL deficient quarterback. The athlete is then started on a throwing program and advanced gradually. "

 

So evidently a QB doesn't need a UCL to throw if the right muscles are strengthened around it, is my read of their take?

I teach anatomy, so I won't comment on the way they diagnose things with the stress test, etc.  But I can comment on the general function of ligaments, and joints and the muscles that surround them.

 

The UCL is similar to the MCL of the knee.  They provide stability to the medial aspect of the joint.  Muscles passing across the medial aspect of the joint, if strengthened, also can help provide joint stability.  So if those are built up they can attenuate the loss of ligament function.

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You may not need to operate, but how much of his throwing ability will he retain? Or even longterm? I get he's no stranger to injuries, but considering all he has going for him right now is his physical attributes, until he's able to develop more, that's not exactly promising.

 

If this is one of those "will have offseason surgery but will otherwise try to play this season" scenarios - I'd rather they do the surgery now and have him as close to ready for 2019 as they can, and give him as much of the offseason to be healthy and continue to develop. Granted, I don't know how much of a necessity surgery would be here to make sure he's okay long term.

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