Lies, Damned Lies, and Injury Prognoses
When the injury to Patrick Kane was announced, and surgery was conducted, everyone was all happy and relieved. “Good thing it won’t impact the season!”
I just kept my mouth shut. I knew that the official line was a load of bullshit, but I kept my mouth shut.
So then today…
Patrick Kane suggested on a Toronto-based radio program that he may not be ready to participate in on-ice drills at training camp, and his goal is to be ready to play by the regular season opener in October.
How many I-was-right-again posts is this?
Bow to me, for I am all-knowing.
I am not a doctor, nor do I play one on TV. Instead I have a daughter with a severe orthopedic condition, and I’ve spent more time in surgery waiting rooms than many people spend in school. Additionally, I broke 3 bones in my hand about 2 years ago, and I have first-hand (HA!) knowledge of the recovery process. This gives me a very good amount of insight into the injury Kane has sustained, and the nature of his recovery.
The wrist has 8 bones in it, all of which interact with the 2 bones in your forearm and 19 bones in your hand, to create the most extensive and complicated orthopedic region of the human body — arguably in nature. Any one of those puzzle pieces gets damaged, the whole thing gets out of whack. Essentially, if all of those bones and the soft tissue that connects them aren’t in 100% perfect condition, you’re going to have at least some trouble performing routine tasks.
When you break bones, or those bones are surgically broken/repaired/reinforced/whatever, you have to keep that area immobile for some weeks thereafter to allow bone matter to build up and the bones to heal. During the time that area is immobilized, the soft tissue (muscle, ligaments, tendons, etc.) becomes stiff. In the case of your hand/wrist area, REALLY stiff. Re-gaining 100% flexibility and range of motion in that area is a tremendously painful and time-consuming process — as I found out.
Understand that I was not in the shape that Patrick Kane was when he sustained his injury. Understand also that I do not have 24/7 access to world-class sports medicine, rehabilitation, occupational therapy and orthopedic personnel like he does. But to give you at least a worst-case scenario estimate: after the bones were properly set and healed, my hand was still not at full capacity for an additional SIX MONTHS.
A hockey player’s hands work in concert to provide the power and precision required where the stick meets the puck. The injury to Kane’s wrist will, necessarily, affect his shot, his passing accuracy and his stick-handling. Put another way, Patrick Kane will be unable to do the things that make him Patrick Kane!
Kane indicated in the radio interview that he still wears a removable cast on his wrist. You wear a cast to immobilize the bones, not protect the soft tissue. This suggests that his wrist bones are not healing as well as originally predicted. This is very bad news.
And if the bones aren’t healing, proper rehabilitation on that area can’t being in earnest. Assuming a training-camp timeline, that soft tissue needs to be in daily rehab by this point to ensure proper strength and flexibility. No, sorry folks: a training camp return is off the table, period.
Biologically speaking, Kane is a human being. From an occupational perspective, Kane is an athlete. But to the Chicago Blackhawks, Patrick Kane is an investment. They have leased him for this season and the subsequent 3 years remaining on his contract. It is incumbent upon the team to properly take care of that investment. From an athletic point of view at least. I don’t think he necessarily needs to be tucked into bed with a glass of warm milk every night.
Although maybe that would keep him away from the bar skanks.
My point is, bluntly, the handling of Kane’s injury was fucked up. He knew his wrist was injured before the end of the regular season. But not only did he continue to play with it injured through the playoffs, he had begun his off-season training routine before team doctors decided that it needed surgery. This is akin to buying a Ferrari, discovering a leak in the oil pan, then driving it at top speed anyway hoping everything works out.
Despite the pickle the Blackhawks were in last April trying to fight for a playoff spot, team doctors should have never cleared Kane to get back on the ice. Risking further injury to a player of that caliber, regardless of the immediate needs of the team, is reckless and short-sighted — not to mention jeopardizes the career of a talented player. And if they had done that, and conducted surgery to Kane’s wrist right away, he would be fully healed by now and ready to go on the ice in three weeks! No, it’s very clear that everyone involved in this mess, from Kane to the coaches to the medical personnel, handled this like idiots.
So now that I’ve reamed everyone a new asshole, I’m going to tell you what will REALLY happen here. Patrick Kane will spend training camp riding a stationary bike. He will not be in shape for the season opener, and he will miss at least 10 games of the regular season. When he does come back, he’s not going to be the same player for a while. He will bobble pucks, he will miss the net and shoot straight into goaltenders’ chests, and he will muff simple passes.
And all this because we wanted to make the playoffs. Wonder if we will this year?
Jeremy Morin may get more time on the top line after all. You heard it here first.
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| Print article | This entry was posted by Tim Currell on August 23, 2011 at 1:50 pm, and is filed under 2010-11 Offseason, 2011 Off-Season, 2011 Pre-Season, Blackhawks, Chicago Blackhawks. Follow any responses to this post through RSS 2.0. You can leave a response or trackback from your own site. |
I worked six years for a couple of orthopedic surgeons, one who happened to be the team doctor for the local college athletic teams and another who did a stint with the Minnesota Wild, not to mention the Vikings, Twins and Wolves. I actually had lunch with them yesterday and raised the question on Kane's injury; inquiring what their speculation on recovery even though they know nothing about his specific case. Since his surgery was 5 weeks ago, July 19th, he's right on schedule to get his hard/long cast removed and placed in a splint. Most people wear casts for at least 5-6 weeks after surgery to repair a fracture. And you were so kind to point out that Kane had the best doctors at his availability and also the best physical therapists. If you think that he's been sitting around, doing nothing these past 5 weeks, then you're crazy. My guess is, he's been working on his endurance and his strength training for everything but his left arm. And as soon as that short cast comes off, he'll work non-stop to get the mobility and strength back in his wrist as quickly as possible. Plus, you're also forgetting that Kane is a professional athlete who might be in the best physical condition of his life. He is going to heal quicker than most people because of it. The college athletes that we saw always healed quicker and came back earlier than most because they were young and in great shape. And these were just Division III athletes not a guy getting paid millions to do what Kane does. And your comment that the handling of Kane's injury was "fucked up" is insane. Kane and the team doctors wouldn't risk his long term health if they thought there was something wrong. Did you really expect them to take a hundred xrays when they were all coming back negative? The xrays after the original injury were negative. The xrays after the series against the Canucks came back negative. They only came back positive after Kane had been doing some serious weight training in the off season. So if anything, maybe Kane should have taken a little more time off but why would he have thought he needed to. Everything up to that point was showing him that he was ok. If he wouldn't have been working out and nothing came of the wrist injury he would have gotten shit for not focusing enough and coming back to camp out of shape. I love the fact that he was working out hard this summer. It tells me that he's approaching this season with a renewed focus and dedication! Although this is not a best case scenario for Kane and the Blackhawks, it's hardly the doom and gloom that you're predicting. I'm guessing that he'll participate in camp and he'll be ready to go for opener. And if he's slowed down at all, it'll be 2-3 games to shake the rust off. He'll be fine and I'm predicting a huge year from Kane. He'll be ready and re-focused and ready to prove all you doubters wrong, again.
Funny, but I read this on the Hawks website today. "Kane's wrist still on track: Bowman said star forward Patrick Kane is making good progress in his recovery from a July surgery to repair a scaphoid fracture in his left wrist. Kane isn't able to do on-ice work, but is doing a cardiovascular training regimen. He'll have the wrist re-examined as the start of training camp nears, but for now he remains on par to particpate in camp. "He's doing great," Bowman said. "He's right on schedule. I don't expect any difficulties. I think we'll have him checked once we get closer to the actual start of camp, but so far it's routine and no problems expected. He's doing a lot of cardio-type stuff, so he's staying in shape and he's excited." Kane isn't sure exactly when the injury occured, but said his off-season weight training routine might've led to the need for surgery." I'm gonna tend to listen to the GM over the blogger.
I just kept my mouth shut. I knew that most of what you spewed was a load of bullshit, but I kept my mouth shut. So then today… I'll put this one right next to the "Leddy will play 6 to 10 minutes" prediction. So basically EVERY TIME Kane misses the net ORRRRRRR (at the extreme opposite end of the spectrum) hits the goalie in the chest, you're gonna be telling the world "I TOLD YOU SO!!!" Gotcha. Fucking Brilliant. And regarding your conspiracy theory that all these experts fucked up and the all-knowing YOU knows what truly occurred, scaphoid fractures get overlooked all the time. How do scaphoid fractures occur? Fractures of the scaphoid occur most commonly from a fall on the outstretched hand. Usually it hurts at first, but the pain may improve quickly, over the course of days or weeks. Bruising is rare, and there is usually no visible deformity and only minimal swelling. SINCE THERE IS NO DEFORMITY, MANY PEOPLE WITH THIS INJURY MISTAKENLY ASSUME THAT THEY HAVE JUST SPRAINED THEIR WRIST, LEADING TO A DELAY IN SEEKING EVALUATION. IT IS COMMON FOR PEOPLE WHO HAVE FRACTURED THIS BONE TO NOT BECOME AWARE OF IT UNTIL MONTHS OR YEARS AFTER THE EVENT. Diagnosis of scaphoid fractures Scaphoid fractures are most commonly diagnosed by x-rays of the wrist. HOWEVER, WHEN THE FRACTURE IS NOT DISPLACED, X-RAYS TAKEN EARLY MAY APPEAR NEGATIVE. A NON-DISPLACED SCAPHOID FRACTURE COULD THUS BE INCORRECTLY DIAGNOSED AS A "SPRAIN." Source: American Society for Surgery of the Hand http://www.assh.org/Public/HandConditions/Pages/ScaphoidFractures.aspx Maybe you write this way to get hits. Maybe you truly believe in what you write. But while a majority of the blogosphere attempts to educate their readers, you, like a chimp in 2001 A Space Odyssey, and in spite of available information, bang 'em over the head with the bone of an ass.
"Many people with this injury" does *not* apply to million-dollar athletes with entire teams of sports-medicine specialists and infinite technological resources at their disposal. Your argument is moot. With somebody like Kane, on a team like the Blackhawks, you err on the side of caution. You take 100 x-rays if you have to -- obviously they didn't. I stand by my comments. This was bungled, period. I held back my comments then, but not anymore.
So what did you think of Seabrook returning in the playoffs? I *KNEW* he was concussed. He was surrounded by these same "teams of sports-medicine specialists," yet he still played. In fact, YOU wrote that he was concussed, but I didn't see you raise a stink over him returning to the lineup. But Kane, oh that naughty party-happy Kaner, he a different story and an easy target. News flash: Players play through injuries in the playoffs. If Kaner says to the trainer "Hey, my wrist hurts" and they check it out, the X-ray is negative, and it doesn't hurt much at the time, they're not going to check it 100x. If he knew, and the trainers knew, and the organization knew that it was indeed broken, do you really think he would have been lifting weights? That alone renders your "infinite wisdom of the situation" moot. "I held back my comments then, but not anymore." Way to go after the low-hanging fruit - when it was already laying on the ground - passed out drunk in some Betty's apartment obviously.




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