Sports Medicine

2015 Einstein Injury Analysis Report: Week 6 Update

By on 10/19/2015

Einstein Orthopedics’ own Dr. Rosemarie Boehm tackles questions about injuries to Kiko Alonzo and more in this Einstein Injury Analysis Report update.

Linebacker Kiko Alonzo, who missed last season with a torn ACL, was feared to have reinjured the ACL. After an MRI and consultations with his doctors he said the ACL wasn’t injured, but admitted that he had arthroscopic knee surgery to “clean it out.” What does this mean, and how does it affect his recovery and availability to play this year?

Kiko Alonzo had an MRI after re-injuring his knee, fearing he re-tore his reconstructed ACL. MRIs are a good test but as with most tests, they are not 100 percent accurate. He underwent arthroscopic surgery most likely so they could get the best view of any injury he sustained.

While viewing the inside of his knee, they must have found his ACL to be intact because they did not do another reconstruction. Instead they “cleaned it out,” which means they may have found and debrided some tears in his meniscus, some scar tissue from previous surgery or even a Cyclops lesion, which is a painful mass in the front of the knee which may arise after an ACL reconstruction. In any case, with just a debridement, in best-case scenario he should be ready to return in a month with some rest and rehab.

Linebacker Mychal Kendricks has been out with a hamstring injury since week 2, but he says he feels great and is running at top speed. What does he need to do to prove that he’s ready to 
play?

Once Mychal Kendricks feels great and can run at full speed with no return of pain or re-injury, then he will be tested with a series of functional drills that will simulate the activities he needs to perform in game situations but in a more controlled environment. Once again if he does well, he will be returned to practice and eventually to full game participation.

Wide receiver Nelson Agholor left last week’s game early with a limp and had his lower leg and ankle taped. He says his ankle isn’t related and the injury is muscle related. What would typical treatment be for this type of injury?

Nelson Agholor is reported to have a shin injury. The shin is the front part of the leg below the knee and above the ankle, and most often the injury is a contusion, which is a bruise to the skin, tissue or bone in that area. Treatment would involve rest, ice, compression and elevation initially, progressing to alternating hot and cold, massage, stretching, followed by functional activities such as running, cutting, sprinting, etc, and eventually safe return to play.

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