Ankle injuries (1 Viewer)

[C Diesel]

I am a Burress owner and appreciate that he is playing through the most severe ankle sprain possible.....however, I don't understand how he is able to go each week and DJ Hackett has an ankle sprain (I don't know how severe) and he has been out and will be out until about week 9.

What gives here?!

 

[Craig]

I am a Burress owner and appreciate that he is playing through the most severe ankle sprain possible.....however, I don't understand how he is able to go each week and DJ Hackett has an ankle sprain (I don't know how severe) and he has been out and will be out until about week 9.What gives here?!

Burress takes better drugs!

 

[shadyridr]

I am a Burress owner and appreciate that he is playing through the most severe ankle sprain possible.....however, I don't understand how he is able to go each week and DJ Hackett has an ankle sprain (I don't know how severe) and he has been out and will be out until about week 9.

What gives here?!

You answered your own question

 

[C Diesel]

Ok, but Burress has the most severe sprain possible....how could Hackett not be playing if it can't be any worse than his.

 

[shadyridr]

Ok, but Burress has the most severe sprain possible....how could Hackett not be playing if it can't be any worse than his.

where did u see this?

 

[W1cked]

I'm not a doctor and I didn't stay in a Holiday in Express last night... so I can't comment on how bad Burress' ankle injury is, but everything I heard he is not the biggest fan of practice... Maybe the Seahawks want him to practice and he close to full speed before playing on Sundays. I could very well be a coach's choice.

 

[Sack-Religious]

Ok, but Burress has the most severe sprain possible....how could Hackett not be playing if it can't be any worse than his.

The difference is that there are different kinds of ankle sprains.Burress has a "regular" ankle sprain that the renowned Dr. James Andrews has confirmed is the most severe kind of sprain.DJ Hackett has the dreaded "high ankle sprain" which, while a sprain, is a different kind of sprain which requires a much longer recovery time.I don't know the nitty gritty details of the difference between a regular sprain and a high ankle sprain, but I believe staff member Mark Wimer detailed it previously. Perhaps Dr. Bramel might also be able to shed some light on it.

 

[C Diesel]

Thanks for the info guys. I'm not a doctor or anything either but I was just curious!

 

[NoCheese]

Burress uses special purified ice that Hackett can't afford

 

[bizkliz]

Ok, but Burress has the most severe sprain possible....how could Hackett not be playing if it can't be any worse than his.

The difference is that there are different kinds of ankle sprains.DJ Hackett has the dreaded "high ankle sprain" which, while a sprain, is a different kind of sprain which requires a much longer recovery time.

ive had both. along w/ 2 ankle reconstructions on my left foot/ankle.best way to decribe high-ankle, is that the pain and discomfort is not isolated scrictly to your ankle regions. with mine, it effected my shins and moreso, my calves. VERY painful. i was actually casted for 4 weeks before we opted for the operation.

and as far a meds go, painkillers and cortisone work very well for a typical ankle sprain. but the high-ankle sprain, at least from my experience, was so severe that it hurt w/ NO mobility regardless of the meds (aside from diluadid, that worked). considering the way dilaudid makes you feel (great for laying on couch and watching TV & bad for playing pro football) i doubt they will bring hackett back anytime before he gets his full range of motion w/ tolerable discomfort.

-biz-

 

[ATC1]

Ok, but Burress has the most severe sprain possible....how could Hackett not be playing if it can't be any worse than his.

The difference is that there are different kinds of ankle sprains.Burress has a "regular" ankle sprain that the renowned Dr. James Andrews has confirmed is the most severe kind of sprain.DJ Hackett has the dreaded "high ankle sprain" which, while a sprain, is a different kind of sprain which requires a much longer recovery time.I don't know the nitty gritty details of the difference between a regular sprain and a high ankle sprain, but I believe staff member Mark Wimer detailed it previously. Perhaps Dr. Bramel might also be able to shed some light on it.

High ankle sprain involves the much larger ligament, called the syndesmosis or sydesmotic ligament, above the ankle that joins together the tibia and the fibula. Both these bones run from the knee to the ankle. I like to think because the ligament is larger, more dense and has to stabilize the larger bones it takes more time to heal than normal ankle sprain. The normal ankle sprain has 5 separate ligaments, so it's a group of smaller ligaments. Usually a minor ankle sprain will just involve one ligament, so the other ligaments can help stabilize the injured one while healing.There are a lot of factors that plays a role in a normal ankle injury between players. Their hate for practice, as someone mentioned, the severity, and has the player sprained the ankle more than once. Usually if a player is not held out in the proper amount of time to heal, then the ligament heals stretched out. This causes chronic problems in the future with ankle sprains. However, if the player does sprain the ankle again the pain is not as bad as the first time even though the laxity and instablity maybe worse. That is what we could be seeing in Buress since he has had a problem with the ankle before. Usually a well done tape job several times during the game will give the stability it needs, while the pain is not as bad.

 

[Jene Bramel]

I think Sack-Religious has the right answer.

It's impossible to get a straight answer about an injury out of a Tom Coughlin coached team; he fines players for discussing their injuries with the media. Still, every indication seems to be that Burress has a lower ankle sprain of a moderate degree. I suppose it's possible that Burress could play this effectively with torn ankle ligaments, which is what the most severe degree would imply, but it's doubtful. It's more likely that he has a serious sprain with some tearing and maybe some pain from bone spurs, which he's had in the past with his other ankle. He's risking a more serious injury (complete tear or other compensatory injury) by continuing to play, but playing is mostly a pain tolerance issue if his ankle joint has been deemed stable enough to run and cut.

DJ Hackett has been reported to have a high ankle sprain, which is entirely different than a lower ankle sprain. The "classic" ankle sprain affects the group of ligaments that hold your outside lower leg bone to the bones at the back of your foot and help to stabilize the ankle joint itself. A high ankle sprain involves some tearing of the wide ligament fibers that make up a joint between the two lower leg bones. Again, return to play depends on stability, and, since it involves a joint critical to weight-bearing, is often associated with more pain and longer healing times.

Although both injuries are referred to as ankle sprains, they are totally different types of sprains because of the types of "joints" involved.

If you can visualize injuries better with images, here's the difference in pictures:

Ligaments involved in lower ankle sprain

Ligaments involved in high ankle sprain

BTW, I don't get into as many SP threads during the season with my IDP responsibilities, so feel free to PM a link to the injury threads (or questions) if you think these kinds of posts are helpful. ATC1 and others (trainers, MDs, PTs, etc) are usually well on top of things, but I'm happy to throw my thoughts in, too.