revolutionary tools.  groundbreaking articles.  proven results.

Albert Wilson Injury Analysis

Orthopedic surgeon Dr. Jeffrey Budoff provides injury analysis for Albert Wilson. Wilson, a Miami Dolphins wide receiver, suffered a right hip subluxation Week 7. It was later reported that he also had a ‘significant injury’ to his hip’s labrum. So what does that mean?

The hip is a ball and socket joint, much like the shoulder. However, there are important differences between these two articulations. The shoulder relies mainly on soft tissues (ie. ligaments) for stability. In contrast, the hip relies far more on its larger bony socket. The femoral head (ball of the hip joint) is surrounded by bone much more than the humeral head (ball of the shoulder joint) is. In addition, the ligaments surrounding the femoral head are among the strongest in the human body. Hip Ligaments 2

Consequently, instability of the hip joint happens far less frequently than instability of the shoulder joint. Meaning that it takes a lot more force/violence to dislocate or subluxate (partially dislocate) a hip joint.Hip Sub 2

Therefore, hip subluxations are a potentially devastating injury, especially if associated with a fracture (just ask Dennis Pitta). Hip subluxations can also potentially injure the blood supply to the femoral head, leading to its avascular necrosis (death), with subsequent early arthritis.

I could find only one report on NFL players with hip subluxations, from 2003.1 All players also had a small fracture associated with the instability. Six of eight (75 percent) were eventually able to return to play. The other two (25 percent) suffered avascular necrosis of their femoral head, which was career-ending and led to early arthritis and a total hip replacement (see Bo Jackson). Fortunately, there’s been no report of a fracture for Wilson.

And while many players can play football following a shoulder dislocation, that’s far more difficult following an episode of hip instability. Anthony Miller dislocated his shoulder and now plays with a harness, preventing him from reaching up in the air too far. And while this does limit his ability as a wide receiver, he’s at least able to play somewhat until getting his shoulder surgically repaired.

On the other hand, hip subluxation is a multi-week injury. Ask Jack Doyle. The hip can’t really be braced to allow continued play, as another instability episode could easily create further, permanent, often life-changing damage. Following hip subluxation, previously recommended treatment was six weeks on crutches before returning to play. More recently, greater weight-bearing is often allowed, but six weeks before returning to play is not uncommon. Having said that, recommendations vary, by surgeon (it’s often much more of an art than a science) and by the degree of subluxation and injury the player suffered.

A hip subluxation with a labral injury is often season-ending. For purposes of this discussion, the labrum of the hip can be considered roughly similar to the meniscus of the knee. A significant labral lesion (ie. tear) often requires arthroscopic surgical treatment, either debridement (removal of the torn flap) or repair. The ability to play is compromised with a labral tear in the hip. The player can’t “sink his hips” to cut well, and trying to can damage the joint cartilage further, potentially leading to arthritis.

I would expect Wilson to miss at least six weeks and quite possibly the remainder of the season.

Reference

  1. Moorman CT 3rd, Warren RF, Hershman EB, Crowe JF, Potter HG, Barnes R, O’Brien SJ, Guettler JH. Traumatic posterior hip subluxation in American football. J Bone Joint Surg Am 85A:1190-6, 2003.

recent and related...

in case you missed it...

Week 10 Primetime Slate DFS Breakdown

Who are the best plays for the Week 10 DFS primetime slate on DraftKings and FanDuel? Tyler Loechner runs through notes on the primetime short slate featuring SNF/MNF games.1 DSF Week 10 Primetime Slate DFS Week 10 Primetime Slate theory thoughts: The games on this slate might not have “shootout”

Read More

Week 11 Waiver Wire Advice: Top Targets At Each Position

Looking for Week 10 waiver wire advice for fantasy football? You’ve come to the right place. We’ll give you some of the top targets at each position so that when you submit a waiver claim, you do it with confidence. This article will run through the top players available in

Read More

High Staked: What Went Wrong

Veteran high stakes fantasy football player Monty Phan chronicles his season. I can officially say things didn’t work out this season like we’d hoped. For the first time since 2014, none of the FFPC high-stakes teams I run with three friends are likely to advance to the league playoffs or

Read More

Nick Chubb Almost Destroys Week 10 and Christian McCaffrey Actually Destroys Everyone Else’s Fantasy Teams: What Expected Points Are Telling Us After Week 10

If you spend any time reading RotoViz, eventually you’ll hear us talking about expected points. Expected points (EP) are the number of fantasy points that a target or carry should score based on game situation — down, distance, and field position. In other words, expected points allow us to transform

Read More
Connect
Support

rotovizmain@gmail.com

Sign-up today for our free Premium Email subscription!

© 2019 RotoViz. All rights Reserved.