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Sports

Kevin Durant injury update: Nets star has sprained MCL in right knee, will be re-evaluated in two weeks

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USATSI

In the midst of the Brooklyn Nets’ 102-101 win against the Heat on Sunday night, the team lost superstar Kevin Durant, who left the game in the third quarter with what the team called a right knee injury. On Monday, the team announced that Durant has a right MCL sprain and will be re-evaluated in two weeks. A little less than a year ago, Durant suffered an MCP sprain that kept him out for six weeks, but according to ESPN’s Adrian Wojnarowski, there is optimism that he will miss less time with this knee issue.

The injury occurred at the end of the third quarter when Heat guard Jimmy Butler landed on Durant’s knee after falling from an attempted layup. Durant immediately began grabbing at his right knee and stayed on the ground for a moment before ultimately limping back to the locker room. Shortly after, Brooklyn ruled him out for the rest of the game. Here is the play where the injury occurred:

When Durant was sidelined last season, the Nets went just 5-16, including an 11-game losing streak, showing just how important Durant is to this team. However, after losing Durant Sunday night, the Nets managed to pull out a win after being down nine points late in the fourth quarter, picking up their 18th win in the last 20 games. 

Kyrie Irving and others will now have to make up for the 30 points that K.D. provides on a nightly basis. There isn’t a single person on the Nets that could fill Durant’s role adequately, but Brooklyn has the depth to at least partially make up for his loss in production now that Durant will be sidelined for a bit. 

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Technology

Streamer Dislocates Knee Live On Twitch Playing Call Of Duty

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Have you ever caused yourself any genuine, physical harm while playing a video game? My thumb tore open after playing Gran Turismo endurance races for a week back in 1998, and I once kicked a table doing some kung fu shit for an EyeToy game. That’s about it. I have never, unlike this poor guy, done anything requiring serious medical intervention.

We’re about to meet Danny. Danny is in the Navy, currently stationed on Okinawa, and in his downtime Danny likes to play video games and sometimes stream them on the internet. That’s all very normal and expected, but we’re meeting Danny today not for what he normally does, but for the freak accident that took place recently while he was playing some Call of Duty.

As you’re about to see, Danny is getting near the end of a CoD match in this clip and gets a little excited. He gets to his feet, jumps up and down a bit, arches his back and then just…eats shit. Collapses, like one of those donkey toys where you press the button and their limbs fall down.

Two things here. Firstly, I’m sorry Danny, but as a long-time enjoyer of the “dudes getting hurt real bad” genre of physical comedy, this is—within video game circles, at least—an all-timer. It’s like a modern recreation of Will Ferrel’s “I’m Very Badly Hurt” bit from Austin Powers, only with a Call of Duty twist:

austin powers (part 2) very badly hurt

Thirty seconds in, I am concerned. Sixty seconds in, I am laughing. By “I gotta stop the stream, I’m so sorry”, I’m done.

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Secondly, and more importantly, as with any good “dudes getting hurt” videos, I can only laugh because Danny is OK!

Get well soon dude.

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Health

Steroid use for knee osteoarthritis may make it worse, studies say

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CNN
 — 

A common treatment for some arthritis pain might actually be making the condition worse, according to two new studies.

“Knee osteoarthritis is one of the most chronic, degenerative and progressive conditions, with an estimated incidence of 800,000 patients each year in the US alone,” said lead author of one of the studies, Dr. Upasana Bharadwaj.

Osteoarthritis is a common form of arthritis where the cartilage within a joint breaks down over time and the bones around it change, getting worse over time, according to the US Centers for Disease Control and Prevention.

At least 10% of the patients in the study used injections to manage the pain, added Bharadwaj, who is a postdoctoral research fellow in the department of radiology at the University of California San Francisco’s School of Medicine. Two of those pain management injectables are corticosteroids, the more common of the two, and hyaluronic acid.

The studies, which were presented at the annual meeting of the Radiological Society of North America, used either radiograph or MRI images to track the progression of osteoarthritis in the knees of patients. Some of those patients didn’t receive any treatment and others got corticosteroid or hyaluronic acid injections, according to the studies.

Both papers showed a statistically significant increase in progression of degenerative changes in knee cartilage over two years in people that had corticosteroid injections compared with those who had hyaluronic acid or no injections, according to the study authors.

However, just because the images might look worse doesn’t always mean that the people are feeling more pain, said Azad Darbandi, lead author of the other study.

“You might see that the knee looks bad on a radiograph, but the patient might not be having worse symptoms,” added Darbandi, a researcher and medical student at the Chicago Medical School of Rosalind Franklin University of Medicine and Science.

The studies highlight a debate in the osteoarthritis scientific community about the role of changes in the structure of the joint. Currently, pain is the primarily recognized symptom, said Jason Kim, the Arthritis Foundation’s vice president of osteoarthritis research. Kim was not involved in either study.

The takeaway from the studies is that corticosteroids should be administered with caution for osteoarthritis pain.

Hyaluronic acid injections may be a promising option for managing pain but is less utilized because there is less research, and most patients have to pay out of pocket, Darbandi said.

“Perhaps hyaluronic acid injections need to be studied for pain management more thoroughly,” he said.

Corticosteroids are a fast way to get pain relief and control inflammation but might not be a good option for long-term treatment, Kim said. Repeated injections can put patients at risk for other problems, such as infections because corticosteroids suppress your immune system, he said.

And some people may not see significant benefit from either steroid or hyaluronic acid injections, Kim added.

For a long-term strategy, Kim recommended building a trusted team of health care providers, including your primary care doctor, orthopedic specialist, physical therapist, nutritionist and rheumatologist.

It could be helpful to manage weight and body mass index, or BMI, to improve metabolic effects and reduce overall inflammation, Kim said. It’s also important to try to exercise and be physically active, he said, adding that walking has been proven to improve arthritis.

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Health

Corticosteroid injections associated with progression of knee osteoarthritis

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Two studies comparing injections commonly used to relieve the pain of knee osteoarthritis found that corticosteroid injections were associated with the progression of the disease. Results of both studies were presented today at the annual meeting of the Radiological Society of North America (RSNA).

Osteoarthritis is the most common form of arthritis, affecting 32.5 million adults in the U.S. Knee osteoarthritis is a chronic, degenerative and progressive condition with an estimated incidence of 800,000 patients each year. More than 10% of patients with knee osteoarthritis seek noninvasive treatment for pain relief through corticosteroid or hyaluronic acid injections.

Researchers in both studies chose cohorts from the Osteoarthritis Initiative, a multicenter, longitudinal, observational study of nearly 5,000 participants with knee osteoarthritis currently in its 14th year of follow-up.

In the first study, researchers at the University of California, San Francisco included 210 Osteoarthritis Initiative participants, 70 of whom received intraarticular injections, and a control group of 140 who did not receive injections during a two-year period. Of the 70 patients who received injections, 44 were injected with corticosteroids, and 26 were injected with hyaluronic acid. The treatment and control groups were matched by age, sex, body mass index, pain and physical activity scores, and severity of disease.

MRI was performed on all patients at the time of the injection and two years before and after. The MRI scans were assessed using whole-organ magnetic resonance imaging score (WORMS), a grading system for knee osteoarthritis that focuses on the meniscus, bone marrow lesions, cartilage, joint effusion and ligaments. The researchers identified osteoarthritis progression by comparing the imaging scores from the initial scans and two-year follow-up scans.

This is the first direct comparison of corticosteroid and hyaluronic acid injections using the semi-quantitative, whole organ assessment of the knee with MRI.”

Upasana Upadhyay Bharadwaj, M.D., Research Fellow, Department of Radiology, University of California, San Francisco

Statistical analysis showed that corticosteroid knee injections were significantly associated with the overall progression of osteoarthritis in the knee, specifically in the lateral meniscus, lateral cartilage and medial cartilage.

Hyaluronic acid knee injections were not significantly associated with the progression of osteoarthritis in the knee. Compared to the control group, the group who received hyaluronic injections showed a decreased progression of osteoarthritis, specifically in bone marrow lesions.

“While both corticosteroid and hyaluronic acid injections are reported to help with symptomatic pain relief for knee osteoarthritis, our results conclusively show that corticosteroids are associated with significant progression of knee osteoarthritis up to two years post-injection and must be administered with caution,” Dr. Upadhyay Bharadwaj said. “Hyaluronic acid, on the other hand, may slow down progression of knee osteoarthritis and alleviate long term effects while offering symptomatic relief.”

In the second study, researchers at the Chicago Medical School of Rosalind Franklin University of Medicine and Science conducted a case-control study comparing the radiographic progression of osteoarthritis in patients who received injections of corticosteroids and hyaluronic acid.

“While these injections provide some patients with short-term pain relief, the effects of the injections on the progression of the disease are unknown,” said researcher and medical student Azad Darbandi.

Darbandi’s team selected a cohort of 150 patients with similar baseline characteristics from the Osteoarthritis Initiative database, including 50 patients who received corticosteroid injections, 50 who received hyaluronic acid injections, and 50 who were not injected over a 36-month time period. The groups were matched by sex, body mass index and X-ray findings.

Patients underwent X-ray imaging of the knee at baseline and two years later. The researchers analyzed the X-ray imaging, including joint space narrowing, formation of bone spurs, and bone thickening around the knee cartilage.

Compared to patients who received an injection of hyaluronic acid or no treatment at all, patients injected with corticosteroids had significantly more osteoarthritis progression, including medial joint space narrowing, a hallmark of the disease.

“Even though imaging findings for all patients were similar at baseline, the imaging hallmarks of osteoarthritis were worse two years later in patients who received corticosteroid injections compared to patients who received hyaluronic acid injections or no treatment at all,” Darbandi said. “The results suggest that hyaluronic acid injections should be further explored for the management of knee osteoarthritis symptoms, and that steroid injections should be utilized with more caution.”

“Knowing the long-term effects of these injections will help osteoarthritis patients and clinicians make more informed decisions for managing the disease and the pain it causes,” Dr. Upadhyay Bharadwaj added.

Dr. Upadhyay Bharadwaj’s co-authors are Thomas Link, M.D., Ph.D., Zehra Akkaya, Gabby Joseph, John Lynch, Ph.D., and Paula Giesler. Darbandi’s co-authors are Sean Hormozian, Atefe Pooyan, M.D., Ehsan Alipour, M.D., Firoozeh Shomal Zadeh, M.D., Parham Pezeshk, M.D., and Majid Chalian, M.D.

Source:

Radiological Society of North America

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Sports

Elijah Mitchell will miss 6-8 weeks with his knee injury

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Elijah Mitchell‘s knee injury was more serious than expected, and the 49ers running back will miss 6-8 weeks.

“It wasn’t the news we were looking for,” 49ers coach Kyle Shanahan said in a conference call with local media, via Jerry McDonald of the East Bay Times.

The team initially thought Mitchell had an MCL sprain that would keep him out 2-4 weeks.

“He’s pretty disappointed,” Shanahan said. “Everyone knows how good Elijah’s been, how hard he’s worked to get back from his last one and how good he’s been playing since he came back. To be right back there, I know he was real down on it. He’s had some real bad luck. He got rolled up on and it was a bad position for him to be in.”

Mitchell, who set a franchise rookie record with 963 yards rushing last season, only returned from an injured reserve stint on Nov. 12. He injured his knee in the season opener and missed seven games.

Mitchell had 34 carries for 183 yards the past three games while splitting time with Christian McCaffrey as the 49ers’ lead back. McCaffrey came out of Sunday’s game with “knee irritation” so the 49ers will monitor him this week as they get ready to host the Dolphins.

Rookies Jordan Mason and Ty Davis-Price could see more playing time this week. Mason had five carries for 25 yards on Sunday against the Saints.



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Entertainment

Logan Paul says he suffered serious knee ligament damage in WWE bout

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Logan Paul’s widely praised WWE performance this weekend has come with a cost.

Paul, the former YouTuber who has dabbled in boxing and now pro wrestling, announced Saturday night on social media that he tore an MCL and meniscus, and potentially an ACL, in his WWE main event match with Roman Reigns earlier in Saudi Arabia. The announcement came with a photo of Paul elevating and icing his right knee.

The bout was for the Undisputed WWE Universal championship and was won by Reigns, the defending titleholder, after nearly 25 minutes. Paul wrote that he tore the knee midway through the match, which also featured an appearance by his brother, Jake, a former YouTuber who last week beat ex-UFC middleweight champion Anderson Silva in a pro boxing contest.

Paul, 27, drew rave reviews for his outing against Reigns, considering it was only his third career pro wrestling match. One risky move came when he jumped from the top rope onto Reigns, who was laying outside the ring on a table, all while Paul was taking a video with a cellphone in his left hand. Paul made his WWE debut back in April at WrestleMania and is signed to WWE, though not as a full-time performer.

In June 2021, Paul fought Floyd Mayweather in an exhibition boxing match in which a winner was not announced.



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Health

Knee surgery gone wrong? It’s more common than you think Carrie Jose

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Carrie Jose
 |  Portsmouth Herald

Arthroscopic knee surgery is one of the most common surgeries performed – despite research telling us that it’s not nearly as effective as most people are led to believe. Furthermore, the science tells us that people who do undergo arthroscopic knee surgery are likely to have knee arthritis that advances more rapidly – resulting in a total knee replacement that quite possibly could have been avoided.

Arthroscopic knee surgery is a minimally invasive procedure that’s commonly done to help “clean out” your knee joint if you’ve got degenerative arthritis, or to clip out pieces of a torn meniscus that might be irritating your knee.

Sounds pretty simple and harmless – right?

Well… it is until it isn’t. The big problem is that arthroscopic knee surgery is not necessary for most cases of knee pain. If there is a complication – which there are many even with “minimally invasive” procedures – you could end up being worse off than when you went in. Plus – if you never even needed the surgery to begin with – you just put your knee through unnecessary trauma that you’ve got to now heal from. This further delays you from addressing the root cause of your knee pain.

The truth is that most people can get full relief of their knee pain as well as full restoration of knee function without any type of surgery or procedure. This is true for 70% of all knee pain cases.

An early research study from 2002 by JB Mosely and colleagues, and published in the New England Journal of Medicine, revealed that placebo surgery for advanced knee arthritis was just as effective as actual arthroscopic surgery. Since then, numerous studies have proven similar results. This means that even if you have a torn meniscus or degenerative arthritis in your knee – you can still get better naturally and with conservative treatment.

So why then – despite all this research – are surgeons still performing arthroscopic knee surgery more than ever?

In some cases it’s just what the surgeon knows, and they haven’t kept up with the research. Other times, it’s due to poor conservative management of knee pain. If you’ve gotten physical therapy and it wasn’t effective, people are led to believe that the physical therapy “didn’t work”. But more often than not, you just haven’t found the right physical therapist yet – someone who understands how to diagnose knee pain properly and get you the customized approach that is required to avoid surgery.

And then there’s the elephant in the room.

It’s very common for knee pain to be coming from somewhere other than your knee. Knee pain can come from your ankle, hip, or back. One study showed that 40% of the time – knee pain is caused by your back – even when you don’t have any back pain. MRI’s add even more confusion to this. It’s entirely possible to have degenerative changes, a torn meniscus, or advanced arthritis in your knee – and still have your knee pain stemming from a source other than your knee.

Over the course of my 20 year career, I’ve seen many knee surgeries go wrong. Most of the time, it has nothing to do with the procedure itself, but everything to do with an incorrect diagnosis going in. If your knee pain can be resolved conservatively – and you put it through unnecessary trauma (surgery) – there’s a good chance you’re going to have more problems afterwards. If you get knee surgery when your knee problem isn’t even coming from your knee – then you’re definitely going to have problems afterwards.

The moral of this story is to make absolutely certain that 1) your knee problem is really a knee problem and 2) you’ve fully exhausted all (quality) conservative therapy options before going under the knife.

Remember that 70% of all knee pain cases do not need surgery. Science has proven this. Don’t resort to knee surgery unless you’re 100% sure you really need it. Because it can go wrong and when it does – it’s much harder to come back from then if you had avoided it to begin with.

Dr. Carrie Jose, Physical Therapist and Pilates expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch or sign up for her upcoming Masterclass for Knee Pain Sufferers – visit www.cjphysicaltherapy.com or call 603-605-0402.

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Sports

Report: J.K. Dobbins is expected to undergo knee surgery, out 4-6 weeks

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Getty Images

The Ravens will be without at least one of their key offensive players for Sunday’s game against the Browns — and that player will be sidelined for several weeks.

Shortly after Baltimore ruled out running back J.K. Dobbins with a knee injury, ESPN’s Adam Schefter reported Dobbins is expected to undergo arthroscopic knee surgery and will be sidelined for the next four-to-six weeks.

Dobbins did not practice all week. Dobbins is coming off an ACL tear suffered last year, but started each of the last four games. However, he played just 16 offensive snaps in last week’s loss to the Giants.

While he averaged 6.0 yards per carry as a rookie in 2020, he’s rushed for just 3.5 yards per carry this season.

Kenyan Drake played the majority of offensive snaps for Baltimore last week and recorded 119 yards on 10 carries with a touchdown. He could be in line for a big day against Cleveland’s defense, which has let up 5.0 yards per carry.

After missing the first two days of practice, tight end Mark Andrews (knee) was a limited participant in Friday’s practice and is questionable for Sunday. Via Jamison Hensley, Andrews said after practice, “My body feels good. I’m ready to go.”

Receiver Rashod Bateman (foot), cornerback Marcus Peters (quad), guard Ben Cleveland (foot), outside linebacker Justin Houston (groin), offensive tackle Morgan Moses (heel), and fullback Patrick Ricard (knee) are all questionable.

Quarterback Lamar Jackson (hip) was a limited participant in Wednesday’s practice, but was full on Thursday and Friday and is off the injury report. He’s expected to start Sunday’s game.

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Sports

Bulls’ Zach LaVine (knee) to miss season opener vs. Heat

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1:31 PM ET

  • Jamal CollierESPN

Chicago Bulls guard Zach LaVine will miss the team’s regular-season opener against the Miami Heat on Wednesday night with left knee injury management, according to Bulls public relations.

LaVine told reporters after shootaround on Wednesday morning in Miami that his absence was not tied to a setback but rather load management for his knee.

He was not sure of his status for Friday’s game against the Washington Wizards, the front end of a back-to-back before the team’s home opener against the Cleveland Cavaliers on Saturday.

LaVine, who signed a five-year, $215 million max contract this past offseason, played through lingering soreness in his knee during the second half of the 2021-22 season before undergoing arthroscopic knee surgery in May. However, he and the Bulls have continually expressed confidence in his health from the start of training camp, and LaVine played in the team’s first three preseason games, averaging 21.8 minutes per game before sitting out the finale.

As recently as after practice Friday, LaVine once again reiterated confidence in his health exiting the preseason.

“I just feel good,” he said then. “I think that’s been the main thing is not having any aches and pains and being able to go out there and really play without limitations in my own mind. … I’m just happy I feel better.”

LaVine has made the All-Star team the past two seasons and averaged 24.4 points on 47.6% shooting in 67 games last season. The Bulls are already without point guard Lonzo Ball to begin the season while he recovers from knee surgery near the start of training camp.

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Sports

Magic’s Jalen Suggs avoids serious knee injury after collision

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Orlando Magic guard Jalen Suggs has suffered a left knee capsule sprain and bone bruise, the team announced.

There’s relief that Suggs avoided a more serious injury, sources told ESPN. His timeline on a return will depend on response to treatment, the team said.

Suggs was helped off the court and into the locker room after a collision with Dallas’ Dorian Finney-Smith in a preseason loss on Friday night before undergoing evaluation.

The fifth overall pick in the 2021 draft had his rookie season interrupted by a fractured right thumb. He averaged 11.8 points and 4.4 assists in 48 games.

Orlando already is without point guard Markelle Fultz, who is out indefinitely because of a fractured left big toe suffered before training camp.

ESPN’s Tim MacMahon contributed to this report.

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