11 Responses to “The Dynasty Doctor: Ankle Sprains (High/Lateral)”

  1. German Cowboys says:

    Very nice article. well written.

    Regarding RB Stewart, as you mentioned he had a high ankle surgery in January 2013 ( plus a second one for a lateral ankle sprain. Plus his well documented history of ankle injuries in the past.

    i want to point out 2 things in this case:

    a) When a high ankle rupture ( anterior syndesmose ligament) is fixed by surgery, we drill a screw through the Fibula into the Tibia to remodel the correct anatomical position of the ankle, as you mentioned, but we also stich up the ruptured ligament ( anterior syndesmosis) the screw is only to make sure the ankle is brought back to the correct anatomical position and must removed after 6 weeks, so the player could start to put some weight during rehab. ( means he needs one small procedure to remove the screw).

    b) The problem with the high ankle injury ( rupture of the anterior syndesmosis ) is that in some cases , not seldom, a cartliage injury to the ankle ( in the Talus area, where all the weight endures ) occurs, which means even if the operation was succesful, the player could need more time to heal and even when he is healed, the cartilage problems could linger and make the player vulnerable to pain and joint inflammation ( post-traumatic arthritis).

    As i followed Stewart NFL career so far with all his injuries, i can only recommend to forget all about him.

    Even if he comes back, when do you know in which week he will get you the points ?,even when he was healthy, he did not do it over a authoritative time-stretch. Do you want to figure out , if this is the sunday he will do it? Afterall he could start a game and not finish it for you.

    Besides, the Panthers situation is such a mess with Deangeo, Tolbert, and a running QB in Cam Newton, who likes to cash in by himself once they are in the red-zone.

    Even in Dynasty, which all is value-related , i will not waste a roster spot for him. He is the ultimate teaser, i will let other than me bragg about how cheap he got him , just to sit him on the bench. ( if you won with him in the past, you must be playing in a 32 teams league then, ???)

    • Well said GC, thanks for the comment.

    • Scott Peak says:

      Hey German Cowboys.

      Thanks for your comments! I see where some ortho surgeons remove the screw at 6 weeks, but there seems to be a controversy over whether healing is sufficient at 6 weeks or is it better to wait until 12 weeks to remove the screw. What do you think? That is relevant given the time course of recovery and, hence, our investments in dynasty/fantasy, especially if the injury occurs mid-season.

      I agree whole-heartedly with your points on avoiding JStew. I agree with your comments on buying him cheap. It sounds great to get him cheap, but what good does it do if he continues the trend of failed expectations? For example, what if last year someone traded JStew for Alfred Morris and a third? That easily could have been done, and at the time the owner who got JStew would be ecstatic. Now, that owner would be regretting it. My point is, why not use that roster spot on a player with true potential to rise up, rather than a player like JStew whose track record of failed expectations is already established?

      Great comments, German Cowboys. Much appreciated!

  2. German Cowboys says:

    Regarding the question when is the best time to remove the screw, i like to stress out, that removing the screw after 6 weeks, does not mean the player is healed. It only means in order to be able to continue with the rehabilitation, the screw needs to be removed, otherwise the screw would break, if the player is allowed to put weight on his ankle, while rehabbing. After such surgery it takes 12 weeks for a player to start playing , if everything went well and no further damage to his cartilage,etc. is slowing the recovery. In small amount of cases , we leave the screw longer than 6 weeks , but until the screw is not removed, the player cannot be allowed to put all the weight on his ankle, so it would mean the recovery will take for sure longer than the anticipated 12 weeks.

    So in Sports-medicine, when handling Pro-athletes, we remove the screws after 6 weeks, if no further damage comes along with the high ankle sprain ( anterior syndesmosis ligament rupture), so the athlete recovers as soon as possible and will not miss too much time.

    I remove the screw always after 6 weeks and have seen very good results in doing so.

    Usually in soccer , a player with such injury ( like Franck Ribery, the french striker , who plays for Bayern Munich) comes back after 8-12 weeks.

    But a RB ,who will be tackled by some 300 pounds Linemen and LB’s, will definitely need atleast 12 weeks to comeback.

    Stewart with the well documented health problems and situation in Carolina, is one player i will avoid in any situation. I would not waste a roster spot for him, even if he comes cheap, as you Scott and i said above.

    Again , very nice written article, Scott. Your medical articles are the best in all fantasy and even real football. You beat even the ESPN-Guys. The followers of this site get a real nice help by reading your Med-articles to win their leagues.

    • Scott Peak says:

      Thanks GC! I appreciate your nice words and comments. I enjoy reading your thoughts on my articles and I learn from your insight on these issues as well. Are you an ortho surgeon and/or sports medicine doc? That level of expertise is always a big help in playing dynasty football.

  3. German Cowboys says:

    Hey Scott,

    yes i am a surgeon/orthopedic-traumatic-surgeon and practice Sports-medicine as well.

    i also played american football in the german football league ( GFL).

    Keep the good work and the fun.

    Your articles should give the followers of this site a huge advantage managing the season through all the injuries, which definitely are a big part of football and the game of fantasy.

    • Scott Peak says:

      That’s impressive, GC. I’m glad you are commenting on these articles/issues. It helps all of us gain more insight into injuries, and that could make the difference in winning games for our teams.

      Thanks again for your kind words and taking the time to offer your expertise! :)

  4. Karl Safchick says:

    Awesome article Scott! Easily the most informative stuff when it comes to injuries and how to handle them. Always love the read.

    I just drafted Stewart really late in an MFL10. How do you feel about his redraft stock in a best ball format?

    • Scott Peak says:

      Thanks Karl! I’m glad you liked it. :)

      I don’t like Stewart in any format, honestly. I don’t think he can stay on the field long enough to be useful, and even when he does play, his usefulness is limited to a few games per year. Too many factors working against him (ie injuries, Cam TD vulturing, poor coaching staff, competition for touches). If you can get him late, I think it may be worth the risk in best ball formats, but he might get snagged earlier than his worth if you have JStew enthusiasts in your league. I’d rather take DeAngelo Williams at the end of the draft. Williams had some good games the last five games of 2012, and he’s been left for dead in most leagues.

  5. Broseph says:

    Good stuff indeed. I learn quite a bit when reading these, as anything that gives me an advantage over my peers in understanding injuries is a great way to buy low or sell fast. Dumped Stewart for a 2014 1st to an RB desperate team.

    Unfortunately he doesn’t know that he’s still RB desperate. :)

  6. Scott Peak says:

    Thanks for the kind words, Broseph. I love that trade for you. Strong work getting a 2014 1st for Stewart.

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