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Zach Wilson: Bone Bruise AND Meniscal Tear (Out 2 to 4 Weeks)


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Had a relative go out on permanent disability after several meniscus 'scopes'. Bone on bone is the result when there is no cushioning - which is what I thought the meniscus provided.
Didn't know if it can be repaired. I hope they don't have to trim it because it doesn't grow back and Zach just might want to walk w/o a limp later in life. Lucky for him he rich as AF and doesn't need football.
Were they much older ??... only asking because several scopes would widdle down the meniscus plus natural atrophy.... they replace excised meniscus with tissue that does not continue to grow but serves to fill in ... and that is in more extreme cases.

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1 hour ago, JetsFanatic said:

Stop it!! It’s preseason. Half the starters didn’t play, no game planning, no blitzing, vanilla defense. It meant totally nothing. 

You know, we read this same post every August, season after season when the Jets look terrible in pre season (not necessarily from you). It's from the "Pre season means nothing" crowd.  Always say the same thing and then the reg. season starts and the Jets suck and finish with 3-5 wins.    Ravens always plan and win in the pre season and they are a much better team for it. JMO.

 

 

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14 hours ago, slats said:

I’m not going to pretend to be an expert, but repairs are apparently very much a thing, they just have a much longer recovery time. It would not surprise me if they were going for a band-aid type surgery now with plans for a full repair once the season is over. 

If I’m Zach’s people, I would not agree to do this. I’m getting my knee fixed.

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If I’m Zach’s people, I would not agree to do this. I’m getting my knee fixed.
Depends on risk for further injury ... this kind thing happens all the time.

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No two meniscus tears are the same, here's hoping Wilson'd damage is on the light end of the scale and the technology continues to improve.

Physical therapy will help but like others here who have gone through the surgery, I learned the pain/discomfort  is permanent.

Mekhi Beckton was quoted as suffering from "discomfort in his knee" this summer in camp after his meniscus tear surgery.

For some of us,  that discomfort never fully goes away.

Dwayne Robertson, Mr Bowling Balls with Butcher Knives.  He had meniscus  surgery with the Jets...

 

 

 

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Seems like there has been tremendous advances in the repair and replacement of the meniscus over the past 5-10 years.


FROM THE MAYO CLINIC


The Mayo team has pioneered new ways to restore and repair torn meniscus and improve outcomes. They have:

Developed new surgical techniques with improved healing rates.

Identified new specific tear types and techniques to repair them.

Repaired complex tears that would previously have resulted in meniscus removal.

Transplanted new meniscus in patients after a damaged meniscus has been removed. This procedure, called meniscus allograft transplantation, is usually performed in younger patients with severe injuries.

“In the past, if you tore your meniscus, it was removed,” says Aaron Krych, M.D., orthopedic surgeon and co-director of Mayo Clinic Orthopedics and Sport Medicine. “We’ve learned that removal almost guarantees that the knee has arthritis over time, which isn’t good for the short-term or long-term function in an athlete.”
“Now, we are repairing tears that even five years ago were beyond hope of repair because either we didn’t recognize the specific tear type, or we didn’t have a good technique to repair it,” he says.
Recovery from meniscus repair can take six to eight months. Athletes benefit from Mayo Clinic’s tailored rehabilitation protocols after the repair. “We’ve been able to help patients who feared they would not be able to bend their knees in a certain way or have full range of motion to return to their sports,” says Dr. Krych.
Mayo Clinic Orthopedics and Sports Medicine researchers have published studies that show outcomes after meniscus repair in specific sports. For example, a prospective study of young, competitive wrestlers showed that 89% of the wrestlers returned to sport and 65% returned to wrestling competition after meniscus repair.
“We have shown that younger athletes have a superior improvement with meniscus repair compared to removal, along with the suggestion of less arthritis,” says Dr. Krych. “In younger athletes, the sports medicine team can repair meniscus tears in most circumstances.”

Office procedures

Mayo Clinic is using more minimally invasive procedures to treat meniscus tears, which helps athletes return to activities they enjoy more quickly.
“Our sports medicine team includes experts dedicated to advancing the use of ultrasound in the diagnosis and treatment of musculoskeletal conditions,” says Jacob Sellon, M.D., sports medicine physician and co-director of Mayo Clinic Orthopedics and Sports Medicine. “We’re at this exciting phase where some treatments can be offered through minimally invasive, office-based procedures rather than traditional surgery in the operating room.”
Ultrasound-guided diagnosis: Ultrasound can be useful for identifying meniscus dysfunction in various knee positions or movements. For example, Mayo Clinic research has shown that ultrasound is helpful to diagnose extrusion, where the meniscus dislocates out of its normal shock-absorbing position while weight-bearing. Ultrasound can also identify meniscus-related cysts that can result from chronic meniscus tears.
Ultrasound-guided procedures: New ultrasound-guided meniscus procedures are being investigated and introduced into patient care. Mayo Clinic research has validated ultrasound-guided injection techniques to accurately target various areas of the meniscus.
Mayo Clinic physicians are also researching orthobiologic injection options for meniscus injury. Orthobiologics, such as platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC), are biologic substances used to treat a variety of orthopedic conditions. These injections can be done in conjunction with ultrasound-guided meniscus trephination (needling to promote healing).
“The use of orthobiologic injections is rapidly advancing, but more research is needed to understand and improve the application of these exciting treatments,” says Dr. Sellon. “We have multiple ongoing studies investigating various orthobiologics. This commitment shows how Mayo Clinic is advancing clinical care with research-driven innovation to improve the way we will take care of patients in the future.”

Coordinated care in the Knee Meniscus Clinic

Mayo Clinic Orthopedics and Sports Medicine includes a dedicated Knee Meniscus Clinic. Orthopedic surgeons, sports medicine physicians, physical therapists, and other specialists work together to diagnose and treat meniscus tears of all types, meniscus cysts and the absence of meniscus.
“There is great innovation in meniscus treatment,” says Dr. Krych. “Techniques and treatments continue to evolve quickly. Mayo Clinic Orthopedics and Sports Medicine is at the forefront in developing ways to improve care and results for our patients.”


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33 minutes ago, T0mShane said:

If I’m Zach’s people, I would not agree to do this. I’m getting my knee fixed.

I’m just speculating. I don’t know. But If Zach is part of Zach’s people, I doubt he’s interested in an option that sidelines him for the season, as long as he’s not putting himself at significant risk. 

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45 minutes ago, Dcat said:

You know, we read this same post every August, season after season when the Jets look terrible in pre season (not necessarily from you). It's from the "Pre season means nothing" crowd.  Always say the same thing and then the reg. season starts and the Jets suck and finish with 3-5 wins.    Ravens always plan and win in the pre season and they are a much better team for it. JMO.

 

 

I understand what you are saying because we sucked for so long.  However there is difference between preseason and regular season football

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good news on the injury.  the jets certainly didn't need to have another key player out for the season.  but it did happen at the beginning of pre-season so they'll be able to give white, flacco, and strezeler more reps.  it could be a blessing in disguise. 

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1 hour ago, T0mShane said:

If I’m Zach’s people, I would not agree to do this. I’m getting my knee fixed.

Do you think the Jets would sacrifice Zach's long-term health just to win this year?  It's certainly a consideration as JD and Saleh's jobs could hinge on it.  

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1 hour ago, Dcat said:

You know, we read this same post every August, season after season when the Jets look terrible in pre season (not necessarily from you). It's from the "Pre season means nothing" crowd.  Always say the same thing and then the reg. season starts and the Jets suck and finish with 3-5 wins.    Ravens always plan and win in the pre season and they are a much better team for it. JMO.

 

 

Your opinion and our experience with how the preseason translates to season are valid. 

But @JetsFanatic post is also valid.  Preseason is about shaping the 53 man and working out kinks.  The game planning is about your own team and not about beating an adversary. 

It just so also happens that we have had a history of starting with 90 man crap rosters that turn into crap 53 man rosters. 

Hopefully this year... our 53 man will look something more like a professional NFL team. 

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16 hours ago, Big_Slick said:

Didn't know if it can be repaired. I hope they don't have to trim it because it doesn't grow back and Zach just might want to walk w/o a limp later in life. Lucky for him he rich as AF and doesn't need football.

All football players basically retire with the loss of meniscus tissue in their knees.
It’s not the end of the world and no one’s retiring from it.  
How is ZW rich as F and doesn’t need football $?  Because if he washes out or quits his uncle is going to give it to him money just because? 

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I haven't learned much about meniscuses but this thread has taught me that [mention=5406]Jetsfan80[/mention] is a lying little whore, which is just as important. 
Did you not see my epic post above ... from the mayo clinic ? Overall very positive regarding meniscus tears.

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22 hours ago, Mogglez said:

Yup.  Happened to me.  As long as it didn’t “flip”, it’s just gonna be sore as sh*t.

I remember tearing my meniscus when I was 20 and I was able to leave to Air Force basic training 2 months later. He should be able to play relatively quickly, but I don't know how it will affect Wilson's mobility, which is an important part of his game. 

On the plus side, if it limits his mobility, maybe it will force him to stay in the pocket more and not start running around at the first sign of pressure. 

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22 hours ago, Mogglez said:

Unfortunately, there’s no running from my headache though 😂.

Some context:  I’m an Epileptic.  What I drank last night is the equivalent to a weekend bender for most because  my tolerance levels get brought down by my medicine, so Mr. Krabs is feeling it today.

 It’s my birthday on Sunday though, and I got to enjoy a 42 day dry aged ribeye last night with my boss, his wife, and the lady, so the red wine was flowing.

Congrats and happy birthday!

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22 hours ago, TheMo said:

The tear of the meniscus can lead to bone on bone contact that leads to a bruise. Sometimes pulling of the tendons really hard can also bruise the underlying bone. I'd have to see a scan to really guess any further as to etiology. 

Correct (as it should be because you might be the only actual MD on this thread). The meniscus is the padding between your femur (top bone) and tibia (bottom bone). Once it tears and you jump step, the top bone slams into the bottom bone without any padding, thus leading to the "bone bruise". 

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2 hours ago, T0mShane said:

If I’m Zach’s people, I would not agree to do this. I’m getting my knee fixed.

Wasn't this the same situation Tannehill was once in, and he declines surgery for the quick fix, then reinjured himself?  So my brother the Phins Fan tells me...

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Correct (as it should be because you might be the only actual MD on this thread). The meniscus is the padding between your femur (top bone) and tibia (bottom bone). Once it tears and you jump step, the top bone slams into the bottom bone without any padding, thus leading to the "bone bruise". 
And is generally repairable w a full recovery... please see my post above from the Mayo Clinic.

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2 hours ago, Dunnie said:

Were they much older ??... only asking because several scopes would widdle down the meniscus plus natural atrophy.... they replace excised meniscus with tissue that does not continue to grow but serves to fill in ... and that is in more extreme cases.

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He's 53 and has been told he needs a knee replacement.

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Its great news that it does not appear to be a season ending injury. I'm curious as to how the timing of the injury affects the return timetable. Because the Jets are midway through camp, I'm assuming Wilson is not 100% in football shape and he will miss parts of the install for the offense. Does that mean he has to wait a little longer to return so he can get in shape? I have no clue. 

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