Here's what I sent our guys:
Hi Folks,
More info on Clinton Portis and his shoulder. The MRI results showed a subluxation
separation. Meaning the shoulder came out and went back in by itself. He'll be
evaluated futher Monday. More info on shoulder injuries is below.
If Portis were to miss time, Ladell Betts would be the guy to grab. He's entering
his 5th year and is a solid player. He's 5' 10" and 224 so he's plenty big enough.
You guys that are regular readers of the Daily Email Update know that new offensive
coordinator Al Saunders likes Betts a lot. Back on August 3rd, we brought you this
quote from Saunders:
"RB Ladell Betts is better than a lot of people think," OC Al Saunders said. "RB
Clinton Portis is more like RB Larry Johnson, where Ladell is more like RB Priest
Holmes. It will be fun to mix and match those guys….They'll be on the field at
the same time. Sure, there are times they won't be, but there will be some
down-and-distance circumstances where our best players are those two guys.
Both are accomplished receivers and excellent blockers. It adds another dimension
to the utilization of our personnel."
We'll know more on Portis Monday. For now, Betts' stock just took a bump at least
until we know more about Portis. If you can do it cheaply, grab him now to see how
it plays out.
For you guys that want to know everything, here is a clip from the article I wrote
for the Footballguys Strategy guide along with my friend, Dr. David Hovis, M.D.
Dr. Hovis is an orthopedic surgeon specializing in sports medicine. He's also a
team physician for the U.S. Alpine Ski Team and served as an Assistant Team
Physician for the Denver Broncos.
Here's a clip from the shoulder section:
Shoulder injuries:
Acromioclavicular joint (AC) shoulder separation. This is also known as a
separated shoulder. This injury occurs as a result of a hit or blow to the top
part of the shoulder, depressing the scapula (shoulder blade) and tearing the
ligaments between the scapula and clavicle (collar bone). The classic case where
you see this injury is when a QB is sacked and driven to the turf shoulder first.
These don’t usually require surgery, and length of rehab depends upon severity and
player position. For example, a quarterback with an AC separation on his throwing
shoulder will obviously be more serious than a similar injury to a wide receiver.
Treatment and Return to play: For less severe grade 1 injuries, return to play
may be immediate (especially with a pain killing injection). More severe injuries
with grade 2 or grade 3 damage may take six weeks or even more.
Dislocated shoulder with anterior instability. (Note - this is NOT what Clinton
Portis appears to have. At least from what we know Sunday night) The most common
shoulder dislocation in football is out the front or anterior. Dislocations
occurring traumatically in this direction often tear the labrum in the front
part of the shoulder, leaving the shoulder at risk for recurrent dislocations.
Treatment and Return to play: For return to play, surgery is usually required
to repair the torn labrum. The subsequent rehab is about 4 months, which means
these are often season ending injuries.
Here is a link to more information including some handy illustrations:
http://www.sportsmed.buffalo.edu/info/subluxation.html
Note the big difference between a shoulder separation and a shoulder dislocation.
At this point, it's believed that Portis has a shoulder separation and not a
dislocation.
As we describe in the article, ligament and tendon sprains are graded as 1 being a
stretch. 2 being a partial tear and 3 being a complete tear. So when you hear the
reports on Portis' shoulder, what you want to hear is a grade 1 AC joint sprain. If
grade 2 or grade 3 are mentioned, that's definitely a red flag. Stay tuned. We'll
be right here to help.
J
******************