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Official Dez Bryant (2 Viewers)

I cannot understand how or why they brought him back in Sunday night. 
agree, would guess they had no idea the extent of the injury even earlier this week until the MRI was complete. What worries me even more is how Jones has been a bit cryptic about the MRI itself, wondering if it's because they knew this was something more serious (translated long term bench time).

How long is he going to be out??
crystal ball says no idea until official injury list tomorrow.

 
If he has a stress fracture, I don't see how he plays. This sounds like a injury that will take weeks.  In general bone takes at least 4 weeks to heal.  There isn't a way to speed that up. Sorry everyone.

 
Brice Butler could be interesting... Dez's direct backup, and there were already calls for him to start playing more over Terrance Williams.

I don't see how you play with a bone crack... maybe I'm an idiot.  Seems like only the Cowboys would call a broken bone a day-to-day injury.

 
Who's a doctor in here? Don't broken bones take a minimum of 4 weeks to heal? Is that timeline different with hairline fractures?

 
Who's a doctor in here? Don't broken bones take a minimum of 4 weeks to heal? Is that timeline different with hairline fractures?
Not a doctor... I believe it's 6 weeks to fully harden. With a hairline fracture it's a roll of the dice. The best thing to do is rest and let it heal, but there's a chance you can play through it without any negative effects. There's also a chance you make it worse and wreck your season.

 
Not a doctor... I believe it's 6 weeks to fully harden. With a hairline fracture it's a roll of the dice. The best thing to do is rest and let it heal, but there's a chance you can play through it without any negative effects. There's also a chance you make it worse and wreck your season.
Anyone feel like the Cowboys are playing media games here and may know full well that Dez will be out multiple weeks?

Seems like any kind of bone fracture in the knee - regardless of how fine it is - is not something to risk serious injury over.

 
There are stages of bone healing... 

Inflammation stage (1 week)

Healing/Callus (3-4 weeks)
A callus is basically what I refer to as "sloppy" or "unorganized bone" just put down quickly to stop further damage. Think a piece of gum to stop a leak. Patients with a full break usually are toe touch or partial weight bearing. This will stop further damage but can be easily damaged/broken again or worse

Proliferation/Hard Callus (3-4 months)
The callus is replaced by woven bone. This is harder than callus bone and can withstand greater forces. It's not perfect, but this is when people can do a lot of full weight bearing

Remodeling (6-12+ months)
This is where the woven bone is replaced by lamellar bone, which is bascially what un-injured bone is.

All fractures heal differently. A small fracture like this would reasonably take less time. Depends what the actual fracture looks like (spiral vs linear) and how long it is. 
Also there's a risk of making the hairline fracture worse and then he would miss even more time. 
This is why I wasn't surprised at all when Rodgers missed almost 2 months with a fractured collar bone. Everyone was calling him a slow healer. False. 

My educated opinion... Dez may want to play and risk injury but chances are he may be done for a while or even the season... if it's not showing signs of healing after 2-3 weeks he will either need surgery to correct it or be in a boot partial or non weight bearing for months to allow it to heal. Again, depends on the size. Not knowing what his fracture looks like or what is going on, just guessing based off similar injuries, I'd be surprised if he played for 4-6 weeks. They're playing the "week by week" game right now probably because they don't know how it is healing, or it is worse than they originally thought and he may be done. Disclosure: I do not own Dez

Sorry Dez owners... wish I could give you better news but from a medical stand point it doesn't look good, but, again, I don't know his specific case. Take it for what it's worth, but I certainly didn't stay at a Holiday Inn Express last night

 
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There are stages of bone healing... 

Inflammation stage (1 week)

Healing/Callus (3-4 weeks)
A callus is basically what I refer to as "sloppy" or "unorganized bone" just put down quickly to stop further damage. Think a piece of gum to stop a leak. Patients usually are toe touch or partial weight bearing. This will stop further damage but can be easily damaged/broken again or worse

Proliferation/Hard Callus (3-4 months)
The callus is replaced by woven bone. This is harder than callus bone and can withstand greater forces. It's not perfect, but this is when people can do a lot of full weight bearing

Remodeling (6-12+ months)
This is where the woven bone is replaced by lamellar bone, which is bascially what un-injured bone is.

All fractures heal differently. A small fracture like this may take less time. Depends what the actual fracture looks like (spiral vs linear). 
Also there's a risk of making the hairline fracture worse and then he would miss even more time. 
This is why I wasn't surprised at all when Rodgers missed almost 2 months with a fractured collar bone. Everyone was calling him a slow healer. False. 
So we are looking at him coming back after the bye in 4-6 weeks and hoping he doesn't re-injure?  Is this something if he makes it the season without ruining it he can have surgery in the off-season?

 
So we are looking at him coming back after the bye in 4-6 weeks and hoping he doesn't re-injure?  Is this something if he makes it the season without ruining it he can have surgery in the off-season?
If he needs surgery he won't play the rest of the season; this isn't something you would play on all season and then fix in the offseason. If it's still fractured in 3-4 weeks with minimal healing he's done IMO. It would be odd if he needed surgery. Non-healing fractures are usually larger and are usually affected by other comorbidities.

I think it's reasonable he is either shut down or greatly limited until the bye week with hopes he is healed enough to play.

Again, it's a hairline fracture on the fibula, which is better than on the tibia. Should take less time to heal but at the end of the day will still take a very long time to fully heal strong like "regular bone." Also, it is still a broken bone that could result in a massive fracture that would require ORIF (surgery, plates/screws). IMO the risk of a massive fracture that would sit him out for 8 months is too great and not worth it to Dallas who pays him millions of dollars, which is why I think he sits for a while. 

Would you drive your Audi R8 on the freeway even though it had a slow tire leak, risking a potential blow out and totalling the car? I find car analogies work great when educating patients. 

 
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If he needs surgery he won't play the rest of the season; this isn't something you would play on all season and then fix in the offseason. If it's still fractured in 3-4 weeks with minimal healing he's done IMO. It would be odd if he needed surgery. Non-healing fractures are usually larger and are usually affected by other comorbidities.

I think it's reasonable he is either shut down or greatly limited until the bye week with hopes he is healed enough to play.

Again, it's a hairline fracture on the fibula, which is better than on the tibia. Should take less time to heal but at the end of the day will still take a very long time to fully heal strong like "regular bone." Also, it is still a broken bone that could result in a massive fracture that would require ORIF (surgery, plates/screws). IMO the risk of a massive fracture that would sit him out for 8 months is too great and not worth it to Dallas who pays him millions of dollars, which is why I think he sits for a while. 
Thank You - So for fantasy purposes if you were a playoff team or can manage without him we want him sitting for 6-8 weeks and be healthy and healed for 11/13?  If it's that long wouldn't they be able to put him on IR designated to return or do they already have players on that?

 
Thank You - So for fantasy purposes if you were a playoff team or can manage without him we want him sitting for 6-8 weeks and be healthy and healed for 11/13?  If it's that long wouldn't they be able to put him on IR designated to return or do they already have players on that?
Yeah if I owned him that's what I would be hoping for. I'm not sure I would want him playing with it. Unless it really is just a very tiny fracture and we are making a mountain out of a mole hill. MRI would really let you know more, but apparently he skipped his MRI today? 

Urlacher played a full season with a fracture in his back if I remember right, but I wonder if that was more of a spondylosis which you can play with that and it's not really fixable most of the time unless you get a fusion. But that's the only example I can think of where someone played with a fracture. 

Regarding IR designated to return, you can only do that once, so they probably don't want to in case someone else goes down. I don't think anyone else is on that currently for them. I wouldn't expect that to be his fate unless it doesn't show signs of healing and/or the MRI is bad news

 
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He knew it was bad and didnt want the test. The guy is emotional. Cant say i blame him. Maybe give him a cool off day rather than make him take a test
This is why I think he's done for a while. Throwing a tantrum, he knows he is probably out a month at least. I always tell patients, you can feel it. I can't. You know your body better than I do I just know how it functions.

He knows... Maybe it's not too late to sell him for an "IOU: 1 lawn mowing"

 
He knew it was bad and didnt want the test. The guy is emotional. Cant say i blame him. Maybe give him a cool off day rather than make him take a test
Sounds reasonable.

i just saw it last night and saw 30 seconds of NFL live a little while ago with Darren Woodson and others slamming his lack of professionalism.

Its Dez so things will be sensationalized. But he brings most of it on himself unfortunately.

 
This is why I think he's done for a while. Throwing a tantrum, he knows he is probably out a month at least. I always tell patients, you can feel it. I can't. You know your body better than I do I just know how it functions.

He knows... Maybe it's not too late to sell him for an "IOU: 1 lawn mowing"
He is such a child.  But in trying to read the tea leaves, this was my take-away as well.  If you're playing in deeper leagues and have room to clear your roster for him, I have added Brice Butler.  Dak Prescott seemed to have a rapport with him during the preseason and Terrance Williams can't keep getting playing time, can he?   :unsure:

 
If you're playing in deeper leagues and have room to clear your roster for him, I have added Brice Butler.  Dak Prescott seemed to have a rapport with him during the preseason and Terrance Williams can't keep getting playing time, can he?   :unsure:
This really feels like a dart throw for me. Butler, Williams and Beasley (he got dropped) are all on our waiver wire.  Beasley doesn't seem to get many RZ targets.  Butler is the play here?

 
wormburner said:
This really feels like a dart throw for me. Butler, Williams and Beasley (he got dropped) are all on our waiver wire.  Beasley doesn't seem to get many RZ targets.  Butler is the play here?
In PPR, if Beasley is there, go with him.  For deeper leagues, I assumed Beasley and Williams, even though I think he's garbage, would be taken.  Butler is someone I've liked what I've seen from recently, but I don't know if the opportunity will ever be there.  But, yeah, it's a dart throw.  In deeper leagues, you have to try to predict the future.  It doesn't always work out. 

 
If you can get anything for Dez right now (i.e. Rb2/TE1) now is the time to move him . This is going to get worse once the coaches actually start to be honest 

 
In PPR, if Beasley is there, go with him.  For deeper leagues, I assumed Beasley and Williams, even though I think he's garbage, would be taken.  Butler is someone I've liked what I've seen from recently, but I don't know if the opportunity will ever be there.  But, yeah, it's a dart throw.  In deeper leagues, you have to try to predict the future.  It doesn't always work out. 
Thanks, man.  Yeah, it seems like there's a great opportunity here to cash in on Dez's absence.  I've gobbled up D. Washington, Dixon, Smallwood and Crowder to try and stay ahead of the upside curve, but this is less obvious.  Non PPR, so I'll pass on Beasley.  Maybe it will become the Jason Witten show!

 
Yeah, it seems like there's a great opportunity here to cash in on Dez's absence. 
Well, hard to separate accuracy from smoke-screen and PR sometimes, but wonder now how long this absence will be.  This just in from Rotoworld~


Dez Bryant (knee) says he got "great feedback" on his knee injury from Dr. James Andrews.
Dr. Andrews is someone players never want to visit, but the best possible person to get good news from. Bryant is still expected to miss Sunday's game against the 49ers, but perhaps he'll be ready to roll for Week 5.

Source: Profootballtalk on NBCSports.com
Sep 29 - 5:24 PM


 
Dez Bryant is a man/child. Body of a man, brain like a child.

If I don't take the MRI, I won't find out I'm injured, is similar to if I close my eyes you can't see me. Very child-like thinking.

 
Well, hard to separate accuracy from smoke-screen and PR sometimes, but wonder now how long this absence will be.  This just in from Rotoworld~


Dez Bryant (knee) says he got "great feedback" on his knee injury from Dr. James Andrews.
Dr. Andrews is someone players never want to visit, but the best possible person to get good news from. Bryant is still expected to miss Sunday's game against the 49ers, but perhaps he'll be ready to roll for Week 5.

Source: Profootballtalk on NBCSports.com
Sep 29 - 5:24 PM
The feedback may have been "you don't need surgery and you will be good to go in about 6 week."  :shrug:

 
There are stages of bone healing... 

Inflammation stage (1 week)

Healing/Callus (3-4 weeks)
A callus is basically what I refer to as "sloppy" or "unorganized bone" just put down quickly to stop further damage. Think a piece of gum to stop a leak. Patients with a full break usually are toe touch or partial weight bearing. This will stop further damage but can be easily damaged/broken again or worse

Proliferation/Hard Callus (3-4 months)
The callus is replaced by woven bone. This is harder than callus bone and can withstand greater forces. It's not perfect, but this is when people can do a lot of full weight bearing

Remodeling (6-12+ months)
This is where the woven bone is replaced by lamellar bone, which is bascially what un-injured bone is.

All fractures heal differently. A small fracture like this would reasonably take less time. Depends what the actual fracture looks like (spiral vs linear) and how long it is. 
Also there's a risk of making the hairline fracture worse and then he would miss even more time. 
This is why I wasn't surprised at all when Rodgers missed almost 2 months with a fractured collar bone. Everyone was calling him a slow healer. False. 

My educated opinion... Dez may want to play and risk injury but chances are he may be done for a while or even the season... if it's not showing signs of healing after 2-3 weeks he will either need surgery to correct it or be in a boot partial or non weight bearing for months to allow it to heal. Again, depends on the size. Not knowing what his fracture looks like or what is going on, just guessing based off similar injuries, I'd be surprised if he played for 4-6 weeks. They're playing the "week by week" game right now probably because they don't know how it is healing, or it is worse than they originally thought and he may be done. Disclosure: I do not own Dez

Sorry Dez owners... wish I could give you better news but from a medical stand point it doesn't look good, but, again, I don't know his specific case. Take it for what it's worth, but I certainly didn't stay at a Holiday Inn Express last night
What are you some sort of sports medicine specialist? :banned:

 
I have not read through all the threads since his injury diagnosis was announced.  Although, I am surprised I have not read one "I had the same injury when I was (insert age), and I was laid up for (insert time frame)"  :D

 
What are you some sort of sports medicine specialist? :banned:
Yep. Physical Therapy. Our knowledge of the body, anatomy and kinesiology is documented to be second only to orthopedic surgeons. One reason why I love these forums is you get people from all walks of life. I don't mind sharing my educated opinions and specialties with folks around here because I get similar help from others. I had offered FBG in the past to give some voluntary/non compensated input on injuries/healing times/rehab etc and they put me in contact with Dr. Jene Bramel where I kind of got the brush off. No offense to Dr. Bramel but a pediatrician is not as educated as someone in my field on these types of things. I've treated family practice MDs/pediatricians and they don't even know where the hamstring starts/ends...  :wall:  

 
From PFT:

People involved with pro football teams who never take physical risks and who don’t have to perform while tolerating pain are sometimes quick to dismiss injuries as matters of pain tolerance, a not-so-subtle way of challenging a player to prove that he’s willing to endure the discomfort (or to take medications intended to numb it) in order to suit up and play. When it comes to any player who has a broken bone, the pain that naturally will flow from playing is secondary to the risk of the break getting worse.

“You can put any kind of fancy adjective up front, call it a hairline fracture or a stress fracture, it’s still a crack in the bone,” long-time NFL athletic trainer and current NBC Sports Medicine Analyst Mike Ryan said on Friday’s PFT Live. “So the concern here is the fact of the injury itself getting worse. A fracture can always get worse. And if the rumors are true that it is in the tibia plateau, that’s a weight-bearing surface. . . . The biggest concern here is more of the injury itself worsening, not necessarily pain management.”

So, yes, pain is part of it. However, playing with the fracture increases the risk that the fracture will get worse.

In other words, comments from Cowboys owner Jerry Jones regarding receiverDez Bryant do not accurately reflect the consequences of playing. It’s more than tolerating pain; it’s about preventing the injury from getting worse.

 

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