#we suspected a cruciate ligament tear

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I think my lizard is going to die :(

Hey guys, my pet lizard is pretty sick, and I cannot afford to take her to a vet because my dog has also recently been sick and all of my money has gone to his vet bills. My dog is fine for right now, but the lizard is not.

She is open mouth breathing (really bad sign), has been refusing food, and thus has lost weight. I suspect she has a respiratory infection. If I were to be able to take her to a vet, I believe they would prescribe her Baytril (antibiotic to fight the infection) and Critical Care to increase her weight, and maybe also something special to soak her in rather than just warm water, just to help keep her hydrated as she is also looking dehydrated. With all of this, I imagine I would be looking at a bill of around $150-$200, or maybe even a little bit more, which i simply do not have right now, especially since I cannot work for the next 4 weeks.

I really don't want to lose her. So I am asking for money to take her to a vet. If I can raise at least $150-$175, I can find a way to cover the rest if it ends up being a bit more than that.

I started a fundraiser on paypal, so if y'all could please consider helping her, or sharing/boosting this post, I would really appreciate it. https://www.paypal.com/pools/c/8Rv9LhIQz9

In the meantime, my plan for her care is twice daily soaks in warm water to keep her hydrated, keeping her in a smaller quarantine tank so I can easily monitor her health as right now she is in a larger one with a mate. She might be eating, but i can't really tell since the other one may be the one getting the food, but I've just moved her to the smaller tank, so I will try to give her some food. If she doesn't eat over the weekend, I have some liquid meal that I can syringe feed to her, but she hates being handled like that. But keeping her fed and hydrated is really all I can do to help make her more comfortable while she tries to fight the infection. There is nothing I can do for her respiratory infection without medical treatment. If any reptile owners out there have any advice for me, i'd appreciate it.

This is her:

[radioactiveradley]

Hi! I have a question: can broken or fractured bones be seen in MRI scans and CT scans?

Also, when and how do doctors determine whether an MRI or CT scan is needed after an x-ray (in case they didn’t see a problem in the x-ray or unsure if there’s a pathology or not on the x-ray scan)?

Thank you!

Hello!

You can absolutely see broken/fractured bones on both MRI and CT. If we're specifically looking for bony damage, we're more likely to use CT - MRI is the best modality for looking at soft tissue injury, but is far more expensive than CT, so we're not going to use it for any old break!

We use CT to look at complex, 'comminuted' fractures, where the bone has split into multiple fragments, or in other cases where surgeons really need a clear three-dimensional view of the break.

If it's a clean transverse fracture (horizontal snap of a long bone) you probably won't need CT.

However, if you have this shit going on...

(unstable comminuted fracture of left femur due to gunshot wound, courtesy of radiopedia)

Yeah, it's probably CT time.

Similarly, some fractures can be hidden when using X-ray - particularly intra-articular fractures (breaks within a joint).

Intercondylar fractures of the humerus or fractures of the radial head are a classic example. In these cases, we look at the plain radiograph for other markers - particularly signs of haemarthrosis (bleeding into a joint).

Fat pad sign, on a non-displaced radial head fracture that is otherwise invisible on this elbow radiograph - courtesy of wiki

Can you see the slightly darker, raised areas that the red arrows are pointing to? Those are pads of fat around your elbow joint, which usually aren't nearly so obvious on a radiograph. They've been pushed outwards by soft-tissue swelling and bleeding around the break. If we see these two little 'dark flags', it means there's an injury hidden within the elbow joint itself, which we can't see. So, away to CT the patient goes!

Then we have the fabulous lipohaemarthrosis (the word every first-year student dreads having to say out loud in front of qualified staff). Check this baby out!

Lipohaemarthrosis of the left knee due to a hidden tibial plateau fracture, courtesy of radiopaedia

Look on either side of the patella. See those dark blobs? They're fat. As shown on the elbow image, fat is radiolucent (appears dark on X-ray) in comparison to other soft tissue. Fat also floats on top of blood.

This means, if we lay you down with your knee pointing up, and you happen to have free-floating fat and blood around your joint... the fat bloops up to the top, and you get a clear line between the fat and the blood. This is a very clear sign of intra-articular damage - and, again, you'll be heading to CT to get a three-dimensional look at that hidden fracture.

As for when we would use MRI... If we suspect that you have a serious soft-tissue injury that requires surgery (tears to the anterior cruciate ligament in the knee being the classic example!) that's when you'll get a trip to my favourite magnetic man, Big Boomy Chungus. I can go more into that if you want, but it would probably need its own separate post!

Hope that helps! x

[moonlight26posts-blog]

FINAL PLEA!! BCAS DOESN'T USUALLY GIVE A FINAL DATE, BUT IT COULD VERY WELL BE TODAY OR TOMORROW!

In Baltimore County, MD: URGENT: Mastiff mix with Leg Injury Seeking Rescue.

If you can foster Goliath, we can contact local rescues to ask for help, please email foster@charlietotherescue.org

Baltimore County Animal Services is urgently seeking rescue placement for Goliath. Goliath arrived to us as a scared stray. After some time here, Goliath warmed up and has shown social behavior with people and is very interested in making friends with other dogs. Unfortunately, Goliath seems to have an injury to his left hind leg making him only available to a 501c3 rescue group. If you are interested in pulling Goliath, or have any questions, please let us know!

Name: Goliath

Age: 1 year

Gender: Male Neutered

Weight: 95 pounds

Breed: Mastiff mix

Reason for Rescue: Medical Transfer

Health Concerns: Goliath demonstrated a toe-touching lameness of his left hind leg. No obvious fractures or dislocations have been palpated. He has been given pain medication and is on strict cage rest for the next 7 days. If no improvement, or the lameness worsens, radiographs may be necessary to diagnose the cause. One suspected condition is a cranial cruciate ligament tear or strain (similar to an ACL injury in people). Please follow up with your primary veterinarian for further diagnostic and treatment recommendations. An orthopedic specialist may need to be consulted if there is cruciate ligament damage. (full health summary attached)

Behavior Concerns: stranger weariness upon impoundment (behavior notes attached)

Intake Reason: Stray

Available for Adoption through BCAS: No

Available for Foster through BCAS: No

Thank you,

BCAS Rescue Team

Baltimore County Animal Services

13800 Manor Road

Baldwin, MD 21013

bcasrescue@baltimorecountymd.gov

410-887-7297

[vitruvianphysiocenter]

ACL Tear: Signs You Need Immediate Medical Attention

An Anterior Cruciate Ligament (ACL) tear is a common and serious injury, especially among athletes and active individuals. Understanding the signs that indicate you need immediate medical attention is crucial to prevent further damage and to ensure proper healing. The Vitruvian Italian Physiotherapy Center specializes in the treatment of ACL ligament tears, providing expert care and rehabilitation to help you recover effectively. This article highlights the key signs of an ACL tear and the essential steps to take when you suspect an injury.

Understanding ACL Tears

The ACL is a vital ligament that stabilizes the knee joint, connecting the femur (thigh bone) to the tibia (shin bone). An ACL tear typically occurs due to sudden stops, changes in direction, or direct impact to the knee. This injury is prevalent in sports such as soccer, basketball, and skiing.

Types of ACL Tears

ACL tears can be classified into three grades:

Grade 1: A mild sprain where the ligament is stretched but not torn.

Grade 2: A partial tear where the ligament is partially ruptured.

Grade 3: A complete tear where the ligament is entirely torn, leading to significant instability.

Signs You Need Immediate Medical Attention

Recognizing the symptoms of an ACL tear is essential for prompt treatment. Here are the key signs that you need immediate medical attention:

1. Loud Popping Sound

A loud popping sound at the moment of injury is often a telltale sign of an ACL tear. This sound is usually followed by intense pain and immediate swelling.

2. Severe Pain

Severe pain in the knee is a common symptom of an ACL tear. The pain is often immediate and intense, making it difficult to continue with any physical activity.

3. Rapid Swelling

Rapid swelling of the knee within the first few hours of the injury indicates significant internal bleeding and damage to the ligament. This swelling is a critical sign that medical attention is needed.

4. Knee Instability

A feeling of instability or "giving way" in the knee is a strong indicator of an ACL tear. This instability occurs because the torn ligament can no longer provide the necessary support to the knee joint.

5. Limited Range of Motion

Difficulty in fully extending or bending the knee is another symptom of an ACL tear. The pain and swelling can restrict your ability to move the knee freely.

6. Difficulty Walking

Walking may become difficult or impossible immediately after the injury due to pain, swelling, and instability. If you are unable to bear weight on the affected leg, seek medical attention promptly.

Immediate Steps to Take After an ACL Injury

If you suspect an ACL tear, taking the following steps can help manage the injury before you receive professional medical care:

1. Rest and Immobilize the Knee

Avoid putting weight on the injured leg and keep the knee as immobile as possible. Use crutches if necessary to prevent further damage.

2. Apply Ice

Apply ice to the affected area for 20-minute intervals to reduce swelling and alleviate pain. Ensure you wrap the ice pack in a cloth to prevent frostbite.

3. Compression

Use a compression bandage to help control swelling. Ensure the bandage is snug but not too tight to avoid restricting blood flow.

4. Elevation

Elevate the injured leg above heart level to reduce swelling. Use pillows or cushions to support the leg while resting.

5. Seek Medical Attention

Contact a healthcare professional immediately for an accurate diagnosis and appropriate treatment plan. Delaying medical attention can lead to further complications and prolonged recovery.

Diagnosis and Treatment at Vitruvian Italian Physiotherapy Center

At the Vitruvian Italian Physiotherapy Center, we provide comprehensive care for ACL tears, from diagnosis to rehabilitation. Our team of experienced physiotherapists uses advanced techniques to ensure a swift and effective recovery.

Accurate Diagnosis

Our diagnostic process includes a thorough physical examination and imaging tests such as MRI or X-rays to assess the extent of the injury. Accurate diagnosis is essential for determining the appropriate Treatment for ACL Ligament Tear plan.

Personalized Treatment Plans

We develop personalized treatment plans tailored to each patient's specific needs. Treatment options may include:

Physical Therapy: Focused on strengthening the muscles around the knee, improving range of motion, and restoring stability.

Surgical Intervention: In cases of severe ACL tears, surgical reconstruction may be necessary. Our skilled surgeons perform minimally invasive procedures to repair the damaged ligament.

Post-Surgical Rehabilitation: Following surgery, a structured rehabilitation program is crucial for regaining full knee function. Our physiotherapists guide patients through exercises designed to rebuild strength and flexibility.

Preventive Care

In addition to treatment, we emphasize preventive care to reduce the risk of future ACL injuries. This includes educating patients on proper techniques for sports activities, strength training, and flexibility exercises.

An ACL tear is a serious injury that requires immediate medical attention to prevent long-term damage and ensure optimal recovery. Recognizing the signs and taking prompt action can make a significant difference in your healing process. At the Vitruvian Italian Physiotherapy Center, we are dedicated to providing expert care and rehabilitation for ACL injuries, helping you return to your active lifestyle with confidence.

[surgicaltreatmentsinnyc]

Sports Injuries Treatment by the Sports Medicine Specialist in NYC - Dr. Alexandre M. Scheer, MD

We realize that to recover from injuries properly, we have to take a gander at why they occurred. So, notwithstanding customary evaluation measures, our assessment includes careful survey of preparing techniques, and inspection of equipment. Some of the Common Injuries as per the Sports Medicine Specialist in NYC - Dr. Alexandre M. Scheer, MD at NY Stem Cell Institute, are explained below:

Tendon Injuries

Ligaments are the tough, adaptable tissues that interface two bones or cartilages or hold together a joint. The knee has four primary ligaments: the front and posterior cruciate ligaments and the average and parallel security ligaments. At the point when the knee is suddenly twisted or straightforwardly sway, these ligaments can be injured.

Cruciate tendon injuries may respond to conservative treatment; nonetheless, most require surgery. The sports medicine surgeons at NY Stem Cell Institute have significant experience and expertise in a number of surgical options and will discuss the best treatment choices with you.

Guarantee tendon injuries are bound to respond to nonsurgical treatments; in any case, severe injuries or ones that also include the cruciate ligaments usually require surgery.

 ACL (Anterior Cruciate Ligament) Injuries

The most regularly injured of the ligaments is the ACL, and not just by athletes—more than 250,000 ACL injuries occur annually inside the overall public. ACL tears for the most part result in surgery, extensive physical treatment, significant time far from recreational activities, and a probability of arthritis inside 10 years.

Ligament Conditions

The tissues that join your bones to your muscles are called tendons. At the point when your muscles flex, tendons spring enthusiastically, moving your bones.

 Sports-Related Concussions

A concussion is a kind of cerebrum injury caused by a bump, blow, or shock to the head that can change the manner in which the mind ordinarily functions. Concussions can occur in any athletic action. NY Stem Cell Institute’s orthopedic and sports medicine specialists with expertise in concussion the executives urge you to have every single suspected concussion evaluated—the essential risks of not getting a restorative evaluation may include:

Increased risk for severe cerebrum injury or even passing

Delayed symptoms

Difficulties with schoolwork and different activities.

If you've suffered any of the sports injury, NY Stem Cell Institute offers you to call for FREE Consultation at: (646) 762-9499

[anayajain]

List Of Some Popular Orthopedic Surgeries

Orthopedics is one of the most popular branches of medical science. It deals with the diagnosis, prevention, and treatment of the musculoskeletal system. Our musculoskeletal system involves muscles, bones, tendons, ligaments, and soft tissues. There can be an issue related to these important components of the body. If you suspect something unpleasant with them, you can talk to an orthopedic surgeon or an orthopedist. He will be there to assist you with different treatment options. After diagnosing the condition, he may prescribe medications, injections, or physical therapies. Many people obtain relief from such measures. But when these things aren't capable of benefiting the patient, there can be a need for orthopedic surgery. A lot of surgical implementations are available in the field of orthopedics. We will make you aware of some popular ones.

1. Knee Replacement Surgery

Our knee joint is regarded as one of the most important and strongest joints in the body. It is also the largest joint among all that helps us in different activities. This major joint of the body can be at a risk of facing an injury. Due to certain conditions, the health of the knee can affect severely. Therefore, the surgeon guides for orthopedic surgery especially when the knee joint is damaged and non-surgical methods fail. This surgical method involves eliminating the damaged knee joint and cartilage and then replacing with an artificial material called prosthesis. With the help of this surgery, a person obtains relief from pain as well as restricted motion.

2. Hip Replacement Surgery

Our hip joint is also one of the most important joints of the body. It can also be at a risk due to conditions like arthritis. When the condition is supposed to be severe, the surgeon decides to go for hip replacement surgery. Our hip refers to the largest weight-bearing joint of the body. It is a ball and socket synovial joint in which the ball stands as the femoral head and the socket is known to be the acetabulum. During hip replacement surgery, the original ball and socket are replaced with artificial stuff made of different elements.

3. Arthroscopy

This is a widely used orthopedic surgery treatment that helps to diagnose and sometimes treat problems linked to the joint. It is a minimally invasive procedure in which a small cut is made near the joint side and a tube is inserted with a tiny camera. That camera permits the surgeon to view the inside of the joint. Arthroscopic surgery is not as big as some kinds of joint replacement surgery and the person can go home the same day after having it.

4. ACL Surgery

The full name of ACL is the anterior cruciate ligament. It stands as one of the major ligaments present in the knee. One of its major works is to assist a person in keeping stable at the time of rotating on the leg. This ligament can tear due to some conditions and mainly occurs with persons who involve in sports activities like basketball, football, volleyball, soccer, etc. When ACL is completely torn, it requires surgical help. So, in this orthopedic surgery treatment, the surgeon takes out the damaged ligament and inserts a part of the tendon in its place. That tendon can be taken from another part of the body. Sometimes a tendon can also be taken from the departed donor. Like arthroscopy, ACL reconstruction surgery is not as major as other orthopedic surgeries and the person can go home the same day.

5. Shoulder Replacement Surgery

This is yet another popular kind of joint replacement surgery that comes into use when the shoulder joint is damaged. We take help from our shoulder joint to perform several kinds of activities throughout the day. Sometimes, due to some occurrences, the condition of our shoulder joint can impact negatively. Thus, taking help from a replacement surgery becomes important. So, during this kind of surgical procedure, the damaged joint ball known as the humeral head achieves a replacement with a metal ball. However, shoulder replacement along with the two other mentioned kinds of joint replacement surgeries can also be performed with different approaches.

6. Pediatric Orthopedic Surgery

If a child suffers from any issue linked to the musculoskeletal system, you will need to consult a pediatric orthopedic surgeon. They are expert professionals who can understand the musculoskeletal issues better than the others in a child and recommend relevant treatment options, both surgical and non-surgical. From newborns to teenagers, if there is something wrong with the child, you should consider visiting a pediatric orthopedic surgeon. So he or she could assist you better and may save your child from a futuristic problem.

[mastcomm]

Juventus On Top Of Serie A At Halfway Stage

The perennial champions once again sit atop the tree in Italy.

Paddy Agnew’s Notes From Italy: Juventus On Top Of Serie A At Halfway Stage

The Italian title, “Campione D’Inverno” (Winter Champions), awarded to the team which is top of Serie A at the exact halfway point in the season, is of course simply a media fantasy rather than a concrete reality. Much loved by headline writers, however, this media fantasy bears a heavy symbolism.

Just to make the point – six times in the last eight years, Juventus have been winter champions and six times they have gone on to win the scudetto. Being Juventus, they also went on to win the title in the two other years, 2015-2016 and 2017-2018, when they were NOT winter champions.

In that context, Juve’s 2-1 Sack of Roma on Sunday night has a look of déjà vu about it. With 19 of the 38 Serie A games played, Juventus are back on top of the table, two points clear of Inter and six clear of third-placed Lazio. Plus ca change, plus…?

What was stunning about Sunday night’s game is that, for all practical purposes, it was all over after just 10 minutes. Juventus, the team that twice lost to Lazio, first in Serie A and then in the SuperCoppa final, in the last weeks of December, would appear to have left those hiccups far behind. Or have they?

The thing is that no team concedes two goals to Juventus in the first ten  minutes and then lives to tell the tale. This was a night of untold misery  for Roma. Firstly, two outstanding defenders in Serb Aleksandr Kolarov and Englishman Chris Smalling failed to clear a third minute free kick from Argentine Paulo Dybala to allow Turkish defender Merih Demiral a free shot on goal from the six yard line. 0-1 down.

Six minutes later, the Roma defence compounded the misery. Opting to play his way out of defence, Roma goalkeeper Pau Lopez passed to French midfielder Jordan Veretout, right on the edge of the penalty area. It was, to say the least, a debatable pass since Dybala, who was lurking close by, promptly caught Veretout off guard, challenged him and forced the Frenchman to foul him, thus conceding a penalty. The boy Ronaldo promptly slotted that one home for his 14th goal of the season. Ten minutes gone, 0-2 down and it was “Game Over” for Roma.

From then on, Juve understandably administered the game to a large extent, giving the impression however that if they really wanted to, then they could easily score a third goal. Indeed, they did score that third goal through Argentine Gonzalo Higuain, only for it to be overruled for an offside.

Roma’s first half misery had been further compounded just after the half hour point when Nicolo Zaniolo, not only Roma’s best player on the night but also one of the most talented players in Roberto Mancini’s Euro2020 Italy squad, fell awkwardly after an inspired slalom run through the Juventus midfield. Zaniolo’s howl of pain could be heard on the stands of the 60,000 plus packed Olimpico.

From the moment he fell, it was obvious that this was a bad injury. Zaniolo’s desperation, the sick, worried look of the other players and the seemingly useless attempts of the Roma staff to ease his pain all pointed only one way. Before the match was over, we were informed that, as many had suspected, he had torn his right cruciate knee ligament.

Zaniolo is now almost certainly out for the rest of the season. He will be badly missed not only by Roma but arguably even more by Italy at Euro2020. Nor did the Sporting Gods finish their dastardly deeds there.

Ten minutes before Zaniolo was stretchered off, Demiral, scorer, of the first goal had also limped off with a serious looking knee injury which on Monday morning was confirmed as another cruciate ligament tear. For Demiral, as for Zaniolo, this season ended at the Olimpico on Sunday night with both players now facing surgery and a four to six months rehabilitation period.

The match, however, was not yet over. Against all the odds, Roma got back into the game for the last 20 minutes, following a 68th minute penalty scored by Argentine forward, Diego Perotti. What was surprising about this period of the game was that in re-finding their courage, in taking the game to Juventus, Roma appeared to cause Juventus some bother.

Indeed, the champions, who for long had appeared totally dominant, spent the final five minutes of time added-on, hanging on anxiously for the final whistle. That little moment of apparent frailty may yet give some courage to those who think that the title contest is not yet over and decided.

The anti-Juve camp, though, has to process some pretty intimidating information. Firstly, as we move towards the spring and the resumption of the Champions League, Juve, who face Lyon in the second round, are gearing up.

Secondly, their main man, Cristiano Ronaldo is looking very perky indeed. He has now scored nine goals in his last six games. He remains a phenomenally self-centred but absurdly talented player capable of producing moments of pure magic such as he did when drifting past Chris Smalling, no defensive sluggard, with mesmerising footwork, halfway through Juve’s stunning first half.

Whilst coach Maurizio Sarri continues to rotate his attack, sometimes lining out with the terrible three, Ronaldo, Dybala and Higuain or sometimes just Ronaldo and Dybala plus an attacking midfielder such as Aaron Ramsey, one thing remains clear. The one player whose name will always be in the team sheet is that of Ronaldo.

Thirdly, the anti-Juve camp have taken plenty of courage in the last month from the rise of and rise, not only of Inter but also of Lazio.  Inter’s 1-1 Saturday night draw at home to Atalanta, however, showed that they are feeling the pressure of matching strides with Juventus. Admittedly, Atalanta are an excellent side, capable of playing high quality, intensive football. Had they beaten Inter, who opened the scoring with a 4th minute goal from Argentine Lautaro Martinez, Atalanta would have stolen nothing.

Those who believe in destiny might argue that Juve’s only other serious rivals, namely 3rd placed Lazio, could end up becoming bigger obstacles to the Old Lady than Inter. Last Saturday, Lazio, continued their magical moment winning their 10th consecutive league game 1-0 at home to Napoli 1-0.

Here again, the Sporting Gods had a heavy say. With the game evenly balanced on 0-0, Napoli goalkeeper Colombian David Ospina, in the 82nd minute unwisely attempted to dribble his way past Serie A’s leading goalscorer, Ciro Immobile, rather than pass to one of two defenders or to just blast it upfield. Immobile predictably took the candy from the baby to slot home his 20th goal of the season, despite the frantic clearance efforts of defender Giovanni Di Lorenzo who only managed to knock the ball into his own, unguarded goal.

In this, the year when Lazio celebrate their 120th anniversary, this is the first time ever that they have won 10 Serie A games in a row. There are those tempted to think that Immobile’s goal is a sign of destiny for Lazio in this special year. That could be but World Soccer remains unconvinced by Lazio’s comparatively weaker overall squad strength

For the time being, we can be grateful that this year at least, the Old Lady is not running away with the title, without at least a struggle on the road to the scudetto. She might be “campione d’inverno” but she still has to win the real title.

Don’t forget to follow World Soccer on Facebook and Twitter.

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[todaynewsstories]

NFL notebook: ‘No decision’ on Rodgers’ Week 2 availability

Green Bay Packers coach Mike McCarthy said Monday “no decision has been made” about whether quarterback Aaron Rodgers will be able to play Week 2 against the Minnesota Vikings.

Sept 9, 2018; Green Bay, WI, USA; Green Bay Packers quarterback Aaron Rodgers argues a call in the first half against the Chicago Bears at Lambeau Field. Mandatory credit: William Glasheen/USA TODAY NETWORK-Wisconsin via USA TODAY NETWORK

“We’re still collecting all the information on his specific situation,” McCarthy told reporters. “I know Aaron wants to play and is always driven to play, but that’s all I have for right now.”

Rodgers said in his postgame interview Sunday night on NBC that he would play against the Vikings, against whom he broke his collarbone last year.

Rodgers was carted to the locker room in the second quarter of the Packers’ Sunday night opener against the Chicago Bears with a left knee injury, but he returned after halftime to lead a 20-point comeback victory, despite putting little weight on his left leg. He closed the game with four consecutive scoring drives, completing the largest fourth-quarter comeback (17 points) in franchise history.

—The Tennessee Titans placed three-time Pro Bowl tight end Delanie Walker on injured reserve following an ankle injury sustained Sunday in a season-opening loss to the Miami Dolphins.

Walker’s right ankle was fractured and dislocated when a defender rolled up his leg while making a tackle late in the fourth quarter. Walker, 34, was carted off the field, ending his 13th NFL season after tallying four catches for 52 yards.

Walker was named to the Pro Bowl in each of the past three seasons, and he has missed just eight total games in the past 11 years. He set career highs in 2015 with 94 receptions for 1,088 yards.

—After a season opener in which both of the Bills’ quarterbacks struggled, Buffalo coach Sean McDermott was not ready to name a Week 2 starter.

Nathan Peterman was benched during the Bills’ 47-3 road loss to Baltimore Ravens on Sunday, and rookie replacement Josh Allen wasn’t much better. The Bills play host to the Los Angeles Chargers this Sunday.

“Still going to evaluate where we are, dotting the i’s, crossing the t’s,” McDermott said. “Take one step at a time. When you look at the tape, I’ve been through it a couple times already, we all have to do our job better. You can go around the team, in all three phases we didn’t play well enough to win the football game.”

—Jacksonville Jaguars running back Leonard Fournette is dealing with a right hamstring injury and his status for the AFC Championship Game rematch with the New England Patriots on Sunday likely will be determined late in the week.

Fournette sustained the injury during the Jaguars’ season-opening win against the New York Giants.

“I talked to (the doctors) and they said it was a minor hamstring injury,” Jacksonville coach Doug Marrone said. “We have a lot of time and we will see where it is. If he is ready to go, we will ease him back in there. We will see how he feels. I think a lot of it depends on that.”

—Carolina Panthers coach Ron Rivera said he would not have an update on the condition of tight end Greg Olsen, who left the Sunday opener with a foot injury.

Rivera said the timing of his media session made it impossible to discuss injuries with the Panthers’ medical staff on Monday morning, but he said the Panthers are prepared to execute without Olsen if he is out any length of time.

Linebacker Luke Kuechly appears to have escaped a scare with his lower leg. Kuechly left the game in the second half but was able to walk around after a brief chat with trainers.

—Seattle Seahawks wide receiver Doug Baldwin sustained a Grade 2 partial tear of the medial collateral ligament in his right knee on Sunday, according to an ESPN report.

The timetable for Baldwin to return remains unclear. He got rolled up on against the Denver Broncos in the second quarter and limped off the field after getting treated by trainers. He returned briefly before the Seahawks deemed him out just after halftime. He did not catch his only target in the game.

Baldwin, who turns 30 later this month, missed all of the preseason with soreness in his left knee, telling reporters in late August he was “about 80 to 85 percent” and would probably deal with the issue for the rest of the season.

—Patriots running back Jeremy Hill’s first season with the team is over after one game, as New England placed him on injured reserve.

Hill left the Sunday game with a knee injury, and multiple reports indicate he sustained a torn ACL in his right knee while in pursuit on a change of possession against the Houston Texans. Patriots fullback James Develin delivered an inadvertent shot to Hill’s knee as both pursued the ball after a turnover.

Sep 9, 2018; Miami Gardens, FL, USA; Tennessee Titans tight end Delanie Walker (82) is carted off the field after being injured during the second half against the Miami Dolphins at Hard Rock Stadium. Mandatory Credit: Jasen Vinlove-USA TODAY Sports

New England’s depth at running back would be suspect entering Week 2 against the Jaguars unless rookie Sony Michel can return. Michel was inactive Sunday due to a knee issue.

—The Patriots worked out former Cleveland Browns wideout Corey Coleman, according to an NFL Network report.

Coleman was also scheduled to visit the Eagles on Tuesday, per NFL Network.

Coleman was the 15th overall pick in 2016, but he was dealt to the Bills in August for a seventh-round pick and failed to make Buffalo’s roster. The Patriots released wideouts Chad Hansen and Riley McCarron on Monday, leaving them with just three true wideouts on the roster with Julian Edelman suspended.

—The Bills released defensive tackle Adolphus Washington and signed former Browns defensive end Nate Orchard.

Washington, 23, was a third-round pick in 2016 and started 21 games over his first two seasons, but he lost his starting job this offseason with the arrival of Star Lotulelei via free agency and Harrison Phillips via the draft.

Orchard, 25, was a second-round pick in 2015 and was featured in detail on HBO’s “Hard Knocks” this August before being released by the Browns during final cuts. He has 5.0 sacks in 34 career games (13 starts), including 2.0 sacks last year.

—Texans cornerback Kevin Johnson could miss several weeks after being diagnosed with a concussion Sunday in his first game back from a head injury.

Coach Bill O’Brien said Monday that Johnson would likely miss significant time with a second concussion in less than four weeks. NFL Network reported Johnson’s absence will likely be at least four weeks and perhaps six, making him a candidate to go on injured reserve and be recalled later this season.

Johnson had cleared concussion protocol in time to play at Foxborough, Mass., in the season-opening loss to the Patriots.

—San Francisco 49ers wideout Marquise Goodwin is day-to-day with a bruised thigh, and guards Mike Person (strained foot) and Joshua Garnett (dislocated toe) are week-to-week, Kyle Shanahan said.

Goodwin missed much of the Sunday game against the Minnesota Vikings with what was called a quad issue, finishing without a catch on one target in 17 snaps. He appears to have a good chance of playing in Week 2.

Person went down after 20 snaps and was replaced by Garnett, who played 14. Garry Gilliam came in at right tackle and Mike McGlinchey kicked inside to guard with both players out.

—Pittsburgh Steelers cornerback Joe Haden sustained a Grade 1 hamstring strain against the Browns, according to an ESPN report.

It’s the mildest level of hamstring strains, but Haden’s status for Week 2 against the Chiefs is uncertain as the Steelers won’t rush him, per ESPN.

Haden, 29, played 58 of 89 snaps (65 percent) against his former team in the Steelers’ draw with Cleveland. He has missed 19 games due to injury over the past three seasons, including five last year.

—Browns defensive end Emmanuel Ogbah might miss some time with an ankle injury sustained Sunday, coach Hue Jackson told reporters.

Jackson said he believes Ogbah avoided a high ankle sprain, but it’s unclear how long the 24-year-old will be out. Free agent signee Chris Smith is next in line for snaps opposite Myles Garrett.

A 2016 second-round pick, Ogbah missed six games last season with a broken foot. He played 27 snaps against the Steelers before leaving, assisting on one tackle.

—Ravens running back Kenneth Dixon is expected to “miss some time” with a knee injury sustained Sunday, according to the Baltimore Sun.

Dixon, who missed all of 2017 with a torn meniscus, led the Ravens in carries (13) and rushing yards (44) while finding the end zone once in the Ravens’ 47-3 drubbing of the Bills, but he limped off in the final minutes.

A 2016 fourth-round pick, Dixon also missed four games as a rookie due to injury.

Sep 9, 2018; Charlotte, NC, USA; Carolina Panthers tight end Greg Olsen (88) stands on the sidelines on crutches during the fourth quarter against the Dallas Cowboys at Bank of America Stadium. Mandatory Credit: Jeremy Brevard-USA TODAY Sports

—Defensive end Steven Means signed with the Atlanta Falcons to fill the roster spot created when safety Keanu Neal was placed on injured reserve.

The Falcons also signed linebacker Corey Nelson — as Deion Jones is dealing with a foot injury — and safety Keith Tandy. Atlanta released cornerback Deante Burton and long snapper Jeff Overbaugh to make room.

Neal sustained a torn anterior cruciate ligament in his left knee in the Sept. 6 season opener at Philadelphia. Means and Nelson were among the final players cut by the Eagles.

—Los Angeles Chargers right tackle Joe Barksdale was still being evaluated after leaving the Sunday game due to a right knee injury.

Coach Anthony Lynn declined to provide further updates on Barksdale on Monday but did say that swing tackle Sam Tevi “is our starter, as of right now.”

Barksdale played 15 snaps against the Chiefs before leaving. He was announced as questionable to return but never did. Tevi, a 2017 sixth-round pick, started one game as a rookie.

—The Dolphins re-signed center Travis Swanson for the second time in a week, according to an NFL Network report.

Swanson was signed last Monday — after he was among the Jets’ final cuts — before being released a day later. Per NFL Network, the Dolphins will release tight end Gavin Escobar to make room for Swanson on the roster.

Escobar was signed last week after the team placed tight end MarQueis Gray on injured reserve because of a torn Achilles.

—The Dallas Cowboys signed guard Xavier Su’a-Filo, who worked out for the team last week, according to Su’a-Filo’s agent.

Su’a-Filo started 40 games over the past three seasons for the Texans, but he signed a one-year deal with Tennessee in free agency and didn’t make the team out of training camp.

The Cowboys need depth on the interior with center Travis Frederick out while battling Guillain-Barre syndrome. Parker Ehinger, who was acquired in late August from the Kansas City Chiefs, was placed on injured reserve last week.

—Washington Redskins wideouts Trey Quinn and Cam Sims each sustained high ankle sprains Sunday, coach Jay Gruden said.

Gruden said it’s unclear if either player will need surgery, but it appears both will be out for a significant stretch.

Quinn, the final pick of the 2018 draft, and Sims, an undrafted rookie, make up a third of Washington’s depth chart at the position and are key pieces on special teams. Quinn had two punt returns for 12 yards on Sunday and also played eight offensive snaps, going without a target.

—The Broncos released wideout Isaiah McKenzie and, per ESPN, are expected to re-sign veteran safety Shamarko Thomas.

Both players were among the team’s final cuts at the end of the preseason, but McKenzie was re-signed to the roster after Su’a Cravens was placed on injured reserve. McKenzie was inactive on Sunday, however, as Adam Jones has assumed the Broncos’ punt-return job, and Tim Patrick is locked in as the team’s fifth wide receiver. Thomas is expected to help on special teams while Cravens is on IR.

The team also released wideout River Cracraft from the practice squad and reinstated suspended wideout Carlos Henderson to take Cracraft’s place. Henderson, a 2017 third-round pick, missed all of camp after not reporting due to a personal issue, but he returned to the team in late August.

—Former Texans wide receiver Braxton Miller joined the Philadelphia Eagles as one of three wide receivers signed to the practice squad. Tight end Billy Brown was released from the practice squad.

Miller, a third-round pick in 2016, was converted from quarterback at Ohio State to slot receiver with Houston. The 25-year-old had nine starts in 21 career games with the Texans and caught 34 passes for 261 yards and two touchdowns.

The Eagles are also hosting former Baltimore first-round pick Breshad Perriman, according to multiple reports. Perriman battled injuries and was released by the Ravens, who selected him in the first round of the 2015 draft.

—Field Level Media

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[muruganpandian]

This past Monday we admitted our beagle, Molly, at Cornell University Hospital for Animals. As suspected, her diagnosis was bilateral cranial cruciate disease (CCL) on her left, rear knee. This ligament is the same as the "ACL" in humans. She had a partial incompetent left cranial cruciate ligament tear with bucket handle meniscus tear. Based on our research and their recommendation, we decided to have the tibial plateau leveling osteotomy (TPLO) performed on her knee. #beagle #ccl #tplo #cornell #Ithaca #veterinary #animalhospital #ligament #meniscus #canine #cornellvet #university @cornellvet (at Cornell University Companion Animal Hospital)

[aliceonlinegame-blog]

Edelman injured leave, the Patriots fear a generous

In the third week of the preseason Detroit Lions on the New England Patriots in the game, the Patriots outside the Julian - Edelman knee injury left the stadium, the Super Bowl hero injury so numerous fans worried. According to informed people after the end of the game (click LOLGA) , Edelman's injury is not optimistic, his right leg suspected to encounter ACL (cruciate ligament tear), if diagnosed as ACL, then means that his season is over.

The first section of the game began just two minutes, Edelman finished three times to catch the ball to promote the 52-bit status is good, but that is more than three times in the ball, he first throw off the lion line David Jarrad - Davis in The other 29 yards line to complete the ball, with their own smart body to move forward 17 yards, and finally came to the security tower Feng - Wilson to a conventional grappling action down to the ground, the physical contact does not look Big and very normal, but may be in the air landing that moment hurt the knee. Edelman then limped out of the border, in the temporary construction of a small tent in the simple handling of the trailer was dragged to the locker room for a comprehensive inspection, after the game he never went to the sidelines. Tony Jefferson, as the last year the best performance of the Cardinals defensive player, whether it is air interception or road raids, Tony - Jefferson's play are impeccable, his joining is to further enhance the crow After the field of security capabilities. Partner beard Weidel has formed a pair of fantastic security guards, and the team also reorganized the Ladalius - Weibu's contract, so that the team's salary is more reasonable.

According to the staff responsible for the broadcast, Edelman has been on the bruise, he claimed to feel like a cruciate ligament tear. Then the team will return to Boston overnight, the specific results of nuclear magnetic resonance examination will be announced later (visit LOLGA.INC) , we also hope that after the hospital check to determine Edelman's injury is not so serious, affecting too much playing time.

Edelman's injury affects many people's hearts. After the game at the end of the conference, Brady in the answer to reporters, said the hope that the results quickly come out early recovery, if the injury seriously Brady will lose their most trusted goal. In addition, the Patriots old Lagarde - Blanc on the TV to see Edelman after the end, but also the first time to send condolences to pray for the former teammates, we can see brother love.

[corneliussteinbeck]

All About ACL Injuries

If I had a dollar — scratch that, just a dime — for every time I have heard a patient, a friend, or some random person my mother gave my number to say, “So-and-So said I tore my ACL. Please tell me it’s not my ACL!” all my medical school loans would be paid off by now.

The anterior cruciate ligament, or ACL, sure gets a lot of attention, but most people have little or no idea what it is, how it’s injured, or how to treat it. Worst of all, most people don’t realize that women are two to eight times more likely to tear this ligament than men!

What is the ACL and how is it injured?

The ACL, is one of four ligaments connecting the bones of the knee together. It is centered in the middle of the knee, behind the kneecap. The knee joint acts like a hinge. It has some involvement in side-to-side movement and rotation, but the ACL primarily exists to prevent and protect our knees from the extremes of these movements. It provides a significant amount of stability so that we can do more than just run in a straight line. The ACL makes jumping, pivoting, turning, and spinning possible.

Most people might imagine two soccer players colliding or a football player getting tackled when they think of ACL injuries, when on the contrary, often all that’s needed to cause a tear to this ligament is slowing down and changing directions. In fact, nearly 70 percent of ACL injuries are noncontact injury. It can happen during a plyometric workout, jumping down from a pull-up bar, getting a ski caught in the snow or even during a co-ed kickball homerun celebration (don’t ask) — and those are just a few scenarios.

What are the risk factors for tearing the ACL?

There is a lot of research dedicated to testing theories and ideas related to ACL injury risk factors, and for this article I will divide the findings into two categories: external factors (outside our bodies) and internal factors (within our bodies).

The proven external factors, for men and women — that is, factors that we can technically change or avoid — include:

Artificial flooring or turf (instead of natural hard floors)

Number or type of cleats

Dry outdoor climates

The internal risk factors are what put women at an increased risk of a tear.

The proven internal risk factors — that is, structural aspects of our bodies that we can’t change — include:

Q angle: a measurement from hip to knee (Figure 01)

Variations in the anatomy of the bones that make up the knee, the femur and tibia.

The proven internal risk factors that we can change:

The way we jump or land, all the time or after fatigue sets in. See the following three videos for examples:

Video 1: Male vs Female Typical Landing Pattern

Video 2: Side by Side Jump

Video 3: Female Original and Corrected Landing)

Neuromuscular control and reactions, specifically the ratio of the strength of and contractions in the muscle groups of our legs (quadriceps and hamstrings)

One thing that has yet to be proven is whether or not the menstrual cycle and female hormones play any role. 1,2,3 Some experts say yes, some say no. Although theories abound, reliable research is hard to produce. There are too many variables in our bodies and lives that make it difficult to link one specific thing, like our cyclic estrogen and progesterone levels, to why we, as women, tear ACLs at a higher rate.

What can you do to prevent an ACL tear?

Many studies have shown that females placed in a preventive or corrective exercise program greatly decrease their risk of tearing an ACL when compared to women following a training program without preventive or corrective elements. In some studies, the decrease was as much as 75 percent! 4,5,6,7

Programs like the ones in these studies emphasize improving strength, balance, plyometrics, and agility exercises with regular warm-ups and cool-downs. The main focus of correction in these programs has been the “knee over toe” position when cutting and landing while keeping the knees and hips in a flexed position. Results can usually be observed after six to eight weeks of consistently performing the corrective exercises for 15 minutes a day, three days a week. A refresher course now and then seems to help, too!

Variations of these programs are readily available, and many trainers, coaches, and active females implement them into their routines. 8,9,10

How are ACL tears treated?

I may be a surgeon, but contrary to popular belief about surgeons, I love preventing surgeries! I love taking care of active people. That’s why educating women on ways to avoid ACL tears and other injuries is so important to me. However, if I didn’t mention ACL treatment, surgery, and recovery, it would leave some folks with a lot of questions.

Rather than diving into the nerdy details of ACL repair surgery, instead I am going to clarify why most ACL tears end up on the operating table, explain some of my decisions as a surgeon (usually based on the individual patient), and provide a few key points on recovery and rehabilitation after the surgery.

Some of the most common questions I get are:

Do ACLs repair themselves after a tear? Short answer: No

Do ACL tears have to be operated on? Short answer: No.

Should ACL tears be operated on? Short answer: It depends.

Now, the long answers.

An ACL is not a heart attack or a brain tumor. Having ACL surgery will not literally save your life. The treatment is about quality of life, and a lot of things have to be considered. It helps to make a pros and cons list.

The ACL does not have a good blood supply, so it can’t receive essential nutrients for optimal healing from the blood that would repair and heal the tear.

When I said that an ACL helps with stability of the knee, it’s not just so that we can stay active and keep moving our bodies. The ACL also prevents stress on other structural elements within the knee, like the cartilage.

The most basic definition of arthritis is loss of cartilage. It has been proven, over and over again, that a knee without an ACL will develop arthritis much faster than a knee with an ACL.11 The arthritis can show up as soon as a couple years after a tear.

The same thing is true of a meniscus tear. Tearing an ACL puts more stress on these structures, and that added stress causes them to wear out more quickly. Arthritis and meniscus tears can hurt, with activity or all the time. So, even if you don’t jump, skip, pivot or dance, getting an ACL tear treated with surgery can possibly prevent pain in the future.

With all that said, this is real life we are talking about here.

What if you are not ‘super-active’?

What if you already have arthritis?

What if you are scared to death of surgery?

Do you have a medical condition that might make surgery unsafe?

Are you unable to have surgery because you could lose your job, or because you are the primary or sole caretaker of a child or a aging loved one?

These are all very important things to consider. This is why I say no or it depends when asked whether you should have surgery.

Recovery and rehabilitation are a lot more straightforward! Some of the steps overlap, especially in the beginning, but most surgeons follow the same plan with just a few personal touches. This plan typically moves through the following phases:

Recover from the actual surgery, managing pain, swelling, and incision healing.

Get full range of motion back.

Start building muscles back up. (emphasis placed on quad)

Gradually increase in-line activity (elliptical, jogging).

Start and gradually progress exercises that will stress the new ACL (plyometrics, pivoting, jumping, shuffling)

Start sport-specific training.

On average it takes about nine months after surgery to return to full activity without any restrictions. The range is six to 12 months. This might sound like a long time, but ACL surgery gives you a new ACL so it takes time to fully heal. You can’t safely stress that new ACL until it’s ready to accept that stress. Sure, you can build muscles that stabilize the knee, you can start in-line running, but the other stuff will need to wait until the ACL is completely healed. The hardest part for most ACL surgery patients is that the knee often feels amazing long before it has completely healed, making it hard (but not impossible!) to resist the urge to try activities that are deemed unsafe before the knee is ready. Sadly, some people figure this out the hard way, by re-tearing the new ACL.

This may feel like information overload, all for one little knee ligament, but it is for good reason. The ACL is responsible for so much, and women are more likely to tear it! Though we’re still learning a lot about the ACL, knowing the risk factors that you can control and being aware of ways to protect yourself from an ACL tear is valuable knowledge that can help you optimize your quality of life.

Coaches’ Corner

Coaches and trainers can be incredibly helpful not only as a first line of defense when it comes to reducing the risk of ACL injuries, but also in ensuring the client gets a proper diagnosis and treatment from a medical professional.

Risk Reduction

The Santa Monica Sports Medicine Foundation offers an outline of a program that has been shown to decrease the risk of ACL tears in females. Little to no equipment is required, it can be performed in many different environments.

Identifying An ACL Tear

While diagnosing is best left to a medical professional, as a coach or trainer it’s important to know the signs of a torn ACL in order to help your client or athlete get immediate and optimal care. Things to listen and look for if you suspect a torn ACL:

Did they feel a pop?

Is there pain deep in the knee?

Was there immediate swelling? (This happens 70 percent of the time.)

Are they avoiding fully straightening the knee?

If you suspect an ACL tear, the two most important things to do are discontinue all activity and strongly recommend scheduling an appointment to see a doctor right away.

Treatment

After your athlete or client has been diagnosed and treated by a physician for an ACL tear, your help and influence can make a huge difference. An ACL tear and treatment (surgery or no surgery) can have major psychological effects. Keeping the conversation open and encouraging compliance with the rehabilitation plans helps immensely! You’ve already gained their trust, so your advice and support go a long way.

Your client will most likely still be able to do isolated upper body workouts and certain lower body and core workouts early on in the rehabilitation process. Most surgeons prescribe regimens that can be done outside of formal physical therapy to help in the rehabilitation process. Having a trusted, educated trainer who can help them maintain their fitness and prevent significant loss during this process is an added benefit.

References

Zazulak BT, Paterno M, Myer GD, Romani WA, Hewett TE. The effects of the menstrual cycle on anterior knee laxity: A systematic review. Sports Med. 2006;36(10):847-862.

Beynnon BD, Johnson RJ, Braun S, et al. The relationship between menstrual cycle phase and anterior cruciate ligament injury: A case-control study of recreational alpine skiers. Am J Sports Med 2006;34(5):757-764.

Griffin LY, Albohm MJ, Arendt EA,et al. Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the Hunt Valley II meeting, January 2005. Am J Sports Med 2006;34(9):1512-1532.

Mandelbaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 2005;33(7):1003-1010.

Hewett TE, Ford KR, Myer GD: Anterior cruciate ligament injuries in female athletes: Part 2. A meta-analysis of neuromuscular interventions aimed at injury prevention. Am J Sports Med 2006;34(3):490-498.

Sadoghi P, von Keudell A, Vavken P. Effectiveness of anterior cruciate ligament injury prevention training programs. J Bone Joint Surg Am 2012; 94(9):769-776.

Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes: A prospective study. Am J Sports Med 1999; 27(6):699-706.

Bien DP. Rationale and implementation of anterior cruciate ligament injury prevention warm-up programs in female athletes. J Strength Cond Res 2011; 25(1):271-285.

Renstrom P, Ljungqvist A, Arendt E, et al. Non-contact ACL injuries in female athletes: An International Olympic Committee current concepts statement. Br J Sports Med 2008; 42(6):394-412.

Pep Program, Santa Monica Sports Medicine Research Foundation. http://smsmf.org/smsf-programs/pep-program

Lohmander LS, Englund PM, Dahl LL, Roos EM. The Long-term Consequence of Anterior Cruciate Ligament and Meniscus Injuries. Am J Sports Med 2007; 35 (10):1756-69.

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[footyplusau]

Injury wrap: Dogs sweat on veteran, Eagle hurt

Josh Kennedy suffered a suspected calf injury in the loss to the Giants on Sunday

WESTERN Bulldogs captain Bob Murphy will on Monday learn the full extent of the left hamstring injury that will keep him sidelined for “some weeks”.

In the dying minutes against St Kilda, the 34-year-old pulled up and immediately reached for his left leg as he attempted to stop Saints midfielder Jade Gresham, who was running in his direction in the centre square.

Murphy received an encouraging pat on the head from club doctor Gary Zimmerman and finished the match on the bench.

“I’d imagine he’d probably miss some weeks,” Bulldogs coach Luke Beveridge said on Murphy.

“Even though we’ve got a bye (this week) I wouldn’t think he’d be available for the Sydney game (in round 12).”

Murphy missed the Bulldogs’ drought-breaking premiership last year after tearing the anterior cruciate ligament in his left knee against Hawthorn in round three.

West Coast key forward Josh Kennedy also faces a nervous wait to discover the severity of the right calf injury he suffered in the final quarter against Greater Western Sydney.

The 29-year-old felt a sharp pain while changing direction as he ran into a vacant forward 50, forcing him to collapse to the ground.

Kennedy was helped from the field and had ice strapped around his lower leg following a brief assessment on the bench.

Eagles coach Adam Simpson said the star goalkicker heard a “pop” in the off-the-ball incident.

“The diagnosis at the moment is it’s a calf (injury), but it’s early on so we’ll see how he pulls up (and) get a scan,” Simpson said.

Sydney midfielder Jake Lloyd‘s night ended in the opening minute of the match against Hawthorn, leaving the Swans one rotation short from the outset.

Lloyd’s head accidentally collided into Hawk Liam Shiels’ knee while being swung in a tackle by former Swan Tom Mitchell.

The 23-year-old was noticeably groggy as he left the ground with trainers nearby, taking no further part after failing a concussion test.

Sydney was down another man after the main break, with forward Sam Reid also going down with concussion.

The 25-year-old’s head hit the turf in a tackle from Hawks veteran Shaun Burgoyne near the boundary line in the second quarter.

A clearly dazed Reid remained on the ground, at least initially, and then went off for assessment during a short stint on the bench.

He was cleared to return for the closing two minutes before half time, but was forced to sit out the second half after experiencing concussion symptoms.

“We were just about to run out at half time and (Reid) couldn’t see the screen, I think, so he was ruled out,” Swans coach John Longmire said post-match.

Reid emerged from the rooms well into the third quarter, walking to the bench to join Lloyd as a spectator.

In other injury concerns in round 10:

– Western Bulldogs forward Clay Smith was a late withdrawal against St Kilda due to a calf injury he sustained at the captain’s run session. “He’s tweaked that calf. (I’m) not sure how long he’ll be out … he’s missed today so hopefully it’s not too bad,” Bulldogs coach Luke Beveridge said post-match.

– Collingwood forward Darcy Moore went off the ground in the third quarter against the Brisbane Lions with a right shin complaint, but came back to see out the game.

– North Melbourne midfielder Trent Dumont was left a little dazed in the final quarter after colliding with Carlton midfielder David Cuningham in a tackle. “He was fine to come back on so … he’s no worries,” Kangaroos coach Brad Scott said post-match.

– North Melbourne defender Aaron Mullett needed medical attention midway through the second quarter after picking up an accidental knee to his right cheek from Carlton captain Marc Murphy. Mullett returned and finished the game.

– Western Bulldogs midfielder Lin Jong went down the race after the game against St Kilda holding an ice pack to his forehead. The 23-year-old received an inadvertent elbow while tackling Saints onballer Blake Acres in the closing seconds.

– Western Bulldogs midfielder Lachie Hunter rolled his left ankle after standing on Saint Jack Steven’s foot in the final term. Hunter walked off gingerly but returned after a short rest on the bench.

– Geelong swingman Harry Taylor left the field briefly after being accidentally poked in the eye by Port Adelaide defender Tom Clurey during the final quarter.

– Geelong defender Jed Bews needed attention for a corked left quad he suffered in the third quarter against Port Adelaide. The 23-year-old had his leg strapped and hopped on an exercise bike at the interchange area before returning. “(It’s) nothing significant enough to suggest he’s in doubt for next week,” Cats coach Chris Scott said post-match.

The post Injury wrap: Dogs sweat on veteran, Eagle hurt appeared first on Footy Plus.

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[ryangraney]

#Nashville, let's get this girl a home! #Repost @susiesseniordogs (@get_repost) ・・・ NASHVILLE, TN: 8 year old Sally Ann is a nice southern girl who is sweeter than sweet tea. She loves head rubs and scratches from humans. And hanging out with other dogs at the shelter in the Seniors Club. She gets a lot of compliments but nobody ever commits. She's been featured several times at on her shelter's social media pages, but still no lucky lover for miss Sally Ann can be found. PLEASE SHARE to make her SSD debut her only needed feature to find her forever home! 🐶🏡 The shelter wrote, "Eight is great! Say hello to Sally Ann! She is a #LabradorRetriever and #GreatPyrenees mix. Sally Ann has been at the shelter for over 60 days with not a glance from potential adopters. She is an absolute sweetheart and would be a great addition to almost any family. Sally Ann loves head scritches-and-scratches, leisurely sniff time and then more scritiches-and-scratches. She did great on her behavior assessment and she has done well in our senior dog 'playgroup.' Sally Ann was a stray so we only know what we have learned about her in the shelter. But she is a real sweetheart. She does have suspected cruciate ligament tear in her left rear leg, but she gets along great!" All adopters MUST meet Sally Ann at her shelter in-person. To adopt Sally Ann, please email the shelter at macc.news@nashville.gov with animal ID# A145191. Metro Nashville Animal Care and Control is located at 5125 Harding Place, #Nashville, #TN. ❤️ #seniordog #animalshelter #southerngirl #southerncharm #tennessee #adoptme #adoptdontshop via Instagram http://ift.tt/2qIZxaf

[drferox]

BORDER COLLIES! Because I love them but recognize they got them problems (also they everywhere). Came for the tonnes of vet stuff, stayed for the tonnes of vet stuff... and the sassyness ;)

Ah, the Border Collie. Shot to fame by certain celebrity vets and movies like Babe. They are certainly very common pets, but very uncommon working dogs around here (Australia).

Please note the disclaimer that these posts are about the breed from a veterinary viewpoint as seen in clinical practice, i.e. the problems we are faced with. It’s not the be-all and end-all of the breed and is not to make a judgement about whether the breed is right for you. If you are asking for an opinion about these animals in a veterinary setting, that is what you will get. It’s not going to be all sunshine and cupcakes, and is not intended as a personal insult against your favorite breed. This is general advice for what is common, often with a scientific consensus but sometimes based on personal experiences, and is not a guarantee of what your dog is going to encounter in their life.

There are a number of likely inherited problems present in this breed, as well as a few concerns which are likely more to do with environment than anything else.

They are collies, so it;s not entirely unexpected that they can get Collie Eye Abnormality (CEA) and several other eye conditions. Overall they don’t seem to be too severe, but it’s not uncommon for these dogs to go blind in their later life. Blindness is not necessarily the end of the road for a dog in a stable environment though.

Some of these dogs will also have a mutation in the MDR1 gene, which is best known for producing a sensitivity to ivermectin. This is the reason some border collie people say not to use certain parasite products on border collies. This risk is probably overblown because the mutation is not all that common, and not every active ingredient in parasite products is going to be an issue for affected dogs anyway. There are genetic tests available these days, and I think they often are worth doing because there are other drugs, not just ivermectin, that dogs with this mutation are extra sensitive to.

And while you’re getting that genetic screen done, you’ll find out whether the dog has or carries cerebellar abiotrophy, a rapidly degenerative brain disorder. It’s rare, and should be being bred against, but still exists.

Epilepsy might, possibly, be inherited in this breed. It’s hard to pin this down though because there are multiple different types and patterns of epilepsy which are not as well understood in dogs as they can be in humans, because I can’t ask a dog what’s going on in their head before or after, I can only observe.

In terms of the environment, I’ve spent several Summers pulling grass seeds out of these dogs. They especially hate them in their feet, and they don’t forget what’s done without sedation.

Cruciate ligament tears are the most common orthopedic injury I see. Active dogs, running and twisting, jumping off things is a common way to teat them. Another common presentation is older dogs who used to be active, but are now much heavier than they should be, and the extra strain on the ligaments can cause them to tear with relatively little effort.

Adult Onset Demodex Mange is an odd condition that for some reason I have encountered most in border collies. It’s not all that common overall, but I seem to see it in this breed in particular. While juvenile demodex is relatively common, adult onset demodex is rate because it occurs when a dog previously had a healthy immune system, but now does not. The classic reasons being extended high doses of cortisone or lymphoma. In short if a dog develops demodex mange as an adult, something is probably very bad.

This breed benefits from lots of exercise and mental stimulation. They are still a working breed, even if they are popular pets.

The Mental health aspect of this breed shouldn’t be ignored either. While they’re characterized and popularized as intelligent, willing dogs they can also become neurotic and fearful. This can happen even with ideal upbringing situations and I haven’t met many border collies that seem to completely relax like other breeds can. My worst anxiety patient is a border collie, you can’t even stand in a closed room with him without freaking out and we’ve had to reschedule many appointments due to the dog’s sheer panic. He’s lucky to have willing owners that are prepared to work around his problems, otherwise I suspect he would have either been put to sleep long ago or had a substandard quality of life.

I think the possible unstable temperament is a result of the breed having a surge in popularity and a period of being indiscriminately bred to meet demand, as I think has also happened with German Shepherds, Dalmatians and Cocker Spaniels, for example.

[drferox]

20 questions with Dr Ferox #2

 Greetings Vetlings! Ready for a second round of 20 questions (and answers) as I work through my inbox? If you’re not sitting comfortably, doing so now would be a good idea. these are in no particular order. If you’ve asked on anonymous, see if you’ve been answered below.

@sckoviaaccords​ asked: My cat had bladder stones, the dissolvable kind with medicine and proper food fortunately, but she got in the habit of peeing everywhere because it hurt her. The stones are gone, but she's still peeing inside, when she used to use the doggy door. My mom keeps saying that we'll have to get rid of her if she keeps peeing on the carpet. How do I stop her from doing this?             

First make sure the stones are actually gone, and that there are no crystals remaining, or residual pain. Contact your vet about this. Cats may avoid where they used to toilet if they have associated that place with pain. Then consider using litter trays inside, especially if there is a particular spot the cat is already frequently urinating. Different cats may prefer different styles of litter tray, or different types of litter, so use one she prefers (offer her two, then stick with the one she chooses). If she will use a litter tray inside, you can then slowly move it a foot or so each week closer to a more appropriate location. As a cheap trick you can also put down tin foil (aluminium foil) where she is urinating. You can also make decoy food plated by gluing some dry food to a paper plate, adding some loose food and leaving them where the cat is urinating. Most cats only urinate where they can get food, but this may only deflect her to another inappropriate location on its own.

@in-a-drought-lioness asked: What kind of bladder stones are there? I've heard there are up to 6 different types? I answered the last question tax but I think there was an old one about pokemon? I would say you remind me of Tauros, because in the latest game they seem to be protector pokemon and you are a protector of animals.

There can be several different types, and it’s not impossible to get a mix of two. the most common ones are struvite and calcium oxalate. Urate, cystine, calcium phosphate, sillicate or drug residue stones/crystals (looking at you trimethoprim sulphonamides!) can also occur, but are less common. 

@rarmeowz​ asked: Do lungworms cause any long term damage in cats? My cat was a stray, and when we took her in she had lungworms. She was quickly and successfully treated and has been worm free for over a year, but I'd like to know if there's anything I should look out for, or if her lungs could be potentially damaged somehow

Aelurostrongylus abstrusus is the species usually referred to as cat lungworm, though other parasitic worm species exist which live in the lung. They don’t seem to cause long term damage in my experience, though incompletely treated infections can predispose to chronic bronchitis. Affected cats often have an elevated eosinophil count on hematology. This parasite is not always detected with faecal flotation, you often need a Baermann technique.  

@thehollowedangel​ said: Hi! I love your blog and was wondering if you had any other veterinary blogs to recommend? Thank you, hope your doing well!

Confession. I don’t actually...follow...any...veterinary blogs. They are just too reminiscent of work and don’t let my brain switch off and relax. i pop in on some sometimes when I’m in the mood, but don’t want unexpected random rants or clinical pictures popping up on my feed and forcing me to think. I do try to relax in my downtime

One place I do recommend checking out though is Dean Scott’s FunnyVet.com as the cartoons are funny, but very accurate.

Anonymous asked: Do you find that any dog sports are more dangerous to dogs than others? Thank you for the wonderful blog, since I'm curious, do you play D&D currently?

Not particularly if you’re talking about endangering their life. Anything that involved jumping or sudden turns if you’re talking about injuries. But in perspective, more dogs tear their cruciate ligaments around the home than they do at an event. Racing greyhounds are an entirely different topic.

And unfortunately no, I’m not playing D&D at the moment. But I am being involved in a sci-fi podcast.

@mygearsarestartingtotremble​ asked: I started getting curious about heartworm in Australia and if you guys had it and you do! Which surprised me. How big is preventive care in your hospital?             

Why would it surprise you? Lots of things try to kill things down here, and we most certainly have the mosquitoes! Prevention is very big in more northern states, but down here it’s not as big. There is even one local clinic who actively claims other vets that push heartworm prevention are ripping you off! I always advise people that prevention is so easy, and while the risks may be low locally, the consequences of infection can be catastrophic. I suspect it will be more common here with climate change, the disease already seems to be moving south.

Understandably Anonymous asked: (cw: animal death, uh... taxidermy?) When my cat dies, I think I want to keep his pelt (in the least creepy way possible - of course I would get a professional to do it). Is this Too Weird to talk to a vet about, and I should make some vague noises about taking the body home to bury if we ever have to put him down, or are the odds high that my vet has Seen Everything and won't be fazed by That Weirdo Who Wants to Skin Their Cat? I don't anticipate this being relevant soon, he's only 11ish.            

That is certainly a weird one, but not that extra weird. I don’t know whether your vet would be fazed with this knowledge at all, but you are certainly within your rights to take a deceased pet home, usually for burial. Most vets will shave a patch of fur on a leg for catheter placement or intravenous access though, you might have to address this if you’re not okay with that.

@vantastrophe asked: Anything cool happen to you this week? :) Hope you have a good day!             

I had a public holiday last Monday and discovered red velvet ice cream. That’s pretty cool.

@lapras-defense-squad asked: Hello Dr. Ferox :) I was wondering if you could please provide some advice on how to approach vet clinics in order to get a volunteer position. I am an undergraduate with no clinic experience, so I am really nervous about calling. Would asking for a volunteer position immediately (after submitting a resume and cover letter though) be too ambitious? Should I ask to shadow first? Thank you!            

I suspect things work a little differently where you are, but generally in Australia we have students for work experience, which is unpaid. There’s a relevant post here. Asking to shadow before asking for a volunteer position is probably prudent.

Anonymous asked: Have you done anything on harpy or half-human/half-bird biology?

No I have not. I don’t know when I might either, that will depend on my Patreon supporters asking or voting for it.

@a-floral-ghost asked: Is it true that when a dog or cat has an upset stomach it'll eat grass? Or is that just a weird myth

It’s half true. Some dogs and cats will eat grass just because it’s there, at a chewable height, or because they investigate the world with their mouths. Some will chew grass when they feel nauseous. It’s not so much a matter of eating grass makes them vomit, but more they felt like vomiting anyway so ate grass.

Anonymous asked: Could I ask you about cats that have shorter limbs? More specifically, the issues that you commonly see in cat breeds that have shorter limbs (those munchkins cats) and those that "naturally" have a larger torso to limb length ratio". (Question tax: Came for animal facts. Stayed for Sass and "WTH does that happen in Aussie?!") Thanks for taking the time to answer~

I’m not sure what you mean by the ‘natural’ cats, but I’ve written about Munchkin cats here.

Anonymous asked: In your hospital (is a vet's office called a hospital) have you encountered any amazing dog rescues and recoveries? They're just so heartwarming to see

Not much from the dog rescues here, but I was involved with more in Tasmania. My favorite animal sanctuary is Big Ears, and I heartily recommend everyone check them out.

@gram-stained-paws asked: In what dilution do you use salty water for wound flushing?

In the clinic I use sterile saline. For at home I tell people to use a teaspoon of salt to a cup of water (ideally pre-boiled). It’s easy for them to remember that way.

@bi-furiosa said: Hi! I wanted to recommend, if you haven't already seen it, a channel on YouTube called VetRanch. They're a charity of sorts that pull unwanted dogs in need of medical attention from local shelters, help rehabilitate them, and then work to get then adopted. They video the full process, including surgeries. They also frequently feature animals with demodex, and since that's what you're favorite parasite is, I thought you might be interested. Love your blog, and your patience with asks!

I’m sure that will appeal to a lot of people, but it doesn’t appeal to me at all. It’s work, and I get enough of it at work. I don’t need to be watching more veterinary cases, exposed to the compassion fatigue that’s likely to generate, and assess or critique everything that’s done or said. It’s just not going to be relaxing, but that you for thinking of me.

Another Anonymous asked: Okay! You're a vet so you obviously talk about living animals a lot, but if you could chose one extinct species to bring back, which one would it be??

I would have to say thylacine. They’re pretty special to me, unlikely to be a threat to humans, and only went extinct recently so their habitat would probably still support them if they were to be released. It’s also entirely our fault they went extinct, so I feel it’s only fair if we were to bring them back.

Anonymous asked: Kind of a stupid question but is it possible for a lizard to be warm blooded? Also, what is the difference between red and blue blood and can a mammal evolve with blue blood?

Warm and cold blooded are a bit of a misnomer. Ectothermic animals, like reptiles, are dependent on external heat to maintain their body temperature. They can get quite warm! It’s certainly possible for a lizard to evolve endothermic capabilities, if that’s what you’re asking.

The difference between red or blue blood is the metal ion in the oxygen carrying molecule. Mammals have haemoglobin which contains iron, producing the red color. Some insects and molluscs have haemocyanin which contains copper, causing the blue-green color. Haemocyanin is not present in mammals, and if a mammal-like creature did evolve it, I would question whether it truly was a mammal.

Anonymous asked: One of my rats is rather fat, and also blind. This is a problem, because it seems she doesnt use the enrichment i have for the rats as much (especially the wheel) maybe because she is blind? All the rats get is a constantly full bowl of oxbow rat food and occasional treats of plain cheerios and very rarely (maybe once a month) chickpeas. I give two of my rats other, higher calorie treats because they are so active they have problems being too skinny. Is there anything i can do to help my fatrat?

I really don’t see a huge number of rats to be able to offer you advice. If she’s blind she may not be able to use enrichment objects that require movement, but may still be able to enjoy enrichment objects with different textures or smells to explore. There’s bound to be better ratty folks to ask than me though.

@und1ne-prince asked: What/which is your favorite dog and cat breeds?

There are lots of dogs I like, including greyhounds, JRTs, Dobermans, and Swedish Valhunds. For cats it’s the humble moggy.

The last Anonymous said: Wait, what? There are people who think vets should work free? Why? It should be obvious that you're practicing actual medicine, not just randomly pulling diagnoses and treatments out of your ass.

Ah, but they say that if we really cared about animals we’d treat them for free.