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Joe Ledley selected for the Euros, fractures fibula 3 weeks ago? Really? | Welcome and General

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Posted in: General

Joe Ledley selected for the Euros, fractures fibula 3 weeks ago? Really?

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  • jturner83

    Maybe the medical specialist can explain how somebody can play any football three weeks after a fractured fib, let alone an international tournament. Seems a little dangerous and immoral to rush a player back who is going to obviously want to play but risk ending his career. Is that even physically possible, I would have thought at least one and a half months before it even heals, before even thinking about touching the grass?

  • Alasdairjon

    Evening James - this is a great topic that we always get bombarded with when we tell clients that they are likely to be out for 6-8 weeks following a fracture!

    First, a lot depends on the type of fracture, and the site of the fracture.  Because the tibia is the main weight bearing bone in the lower leg, it takes a lot more strain, so the need for the fracture site to be fully healed is greater than the fibula.  Much of the rehab goals for a fractured fibula are based around being able to participate in training, limited by the individual's pain threshold.  They will also likely have follow up scans to determine if the bone is worsening or recovering.  The other aspect to bone healing that is important to note is that activity often helps speed the bones reaction to a fracture, and enhance healing rather than hinder it.

    One other aspect to consider is the severity of the fracture.  There may have been a spiral fracture (takes longer), a simple fracture straight through the bone, or even just a partial fracture of the fibula (there are several other options, all more severe!) and that will have a significant effect on the healing time needed.

    There will also be various methods of bone healing employed - possible modalities the medical team can apply include Low intensity pulsed ultrasound, hydrotherapy (keeping the tissues at the right temperature for optimum healing), timed compression/massage adjuncts such as Game Ready which again provide optimum conditions for speed of healing, and the old favourites which some in and out of fashion such as oxygen tents and other slightly more wacky approaches which have been used in the past - faith healers etc. I'll refrain from commenting on that approach...

    All in all, three weeks is well within the realms of being able to do some light training without adverse effects, and the manager would have been kept well informed as to his likely progression/recovery.

    As to the immorality, all the consequences will have been discussed with the player, the club, the coaches to achieve a consensus decision, and while it may seem from a distance to be impossible to achieve good function on a 'broken' leg in such a short time frame, equipment such as the Alter G which allows the player to run with a very controlled percentage of body weight, or even the underwater treadmills that exist at places like Chelsea, (and probably the FA HQ too) will allow him to work in multidirectional planes, fully challenging him to achieve complex movement at the right intensity for every stage of his recovery.

    Does that help?

  • jturner83

    Hello Alasdair,

    Great response, lots for people to consider. I'm sure I read somewhere that the fibula only takes approximately 17% of the weight? 3 weeks sounds amazing to me, treatment is really coming on. The mind-set of an athlete that wants to compete so soon after a naster injury must be intense. Great answer though, I hope it works out for him. 

     

  • IanMahoney

    Yeah

    and when Wayne Rooney broke his toes, he was supoosed to be able to play

    Depends on the players comiitment.

    Irember 2006 world cup, England scored goals when WR wasn't on the pitch. When he was no goals were scored.

    NO player no matter how good youre are worth 3-5 grand a week

    you are only as good as your last game

  • Alasdairjon

    Sadly, supply and demand Ian.  Theplayers are able to demand big bucks simply because so many people buy tickets to games, and for the right to watch it on TV, and the PR done by football and their TV partners has been far superior to any other sport.

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