McDavid Injury Thread

rboomercat90

Registered User
Mar 24, 2013
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Edmonton
It sounds like we dodged a bullet here even though he definitely didn't come out of this unscathed. If our management had any balls they would send a tape into the NHL showing all of the liberties that get taken with McDavid and then ask those stupid ****ers if they want to see the best player on the planet have a Bobby Orr like career or if they want to see him be among the greatest the game has ever seen.

I also cannot believe that Kassian went full chicken**** and didn't start feeding Gio or running at Gaudreau. Remember in game 1 when Lucic first got here? Engelland threw a hit at McDavid and Lucic sent a message. Now we are right back to the bus stop days. Nurse is getting too valuable to have him fight unless necessary (that would've been a good game to send a message to Gio), Kassian thinks that he's a ****ing star after scoring a few goals, Lucic is a guy that few players in the league are willing to go with (in that case he shouldn't be giving anyone an option, it's go time). This team needs to play for each other and get their ****ing balls back.
Not trying to defend players that didn’t look for a pound of flesh but there’s no denying the league comes down hard these days on vigilante justice. Lucic got fined for trying to protect a teammate earlier in the year and he made no attempt to hurt the guy he went after. I think the players are confused as hell on what to do in these situations. The league insists on being the only enforcers of justice and most of the time they do nothing.
 

guymez

The Seldom Seen Kid
Mar 3, 2004
32,976
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They keep them where management keeps their brains.

tenor.gif
 
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DrDrai

The OG
Jan 28, 2007
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Edmonton
I had a minor PCL tear a few years ago playing soccer. Didn’t require any surgery or a brace (maybe not as bad as connors or I’m just a normal guy that doesn’t warrant the protection of a brace) but I was back to full speed in about 3 months, did my own “rehab” of basic exercises set out by the orthopedic doc. One thing that did linger was a dull pain when I knelt down on the one knee which put extra pressure on the ligament, that took longer to go away but never hampered my performance.
 

Hitman77

Registered User
May 6, 2015
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Anyone know if a PCL tear ever fully heals itself without surgery?

Will it tear more if it's not fixed?
 

nabob

Big Daddy Kane
Aug 3, 2005
34,331
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That is the concern obviously. The fact that they had to go to 2 or 3 different specialists to determine if surgery was needed or not means that it was a "close call", and his injury was right on the cusp of needing surgery. It could very well be that he doesn't respond well to treatment, and surgery is needed after a couple months of monitoring. Or it could just heal perfectly fine by August, and he scores 120 points next year. We'll just have to wait and see.

Except that it doesn’t actually mean any of that.
 

MaxR11

Registered User
Mar 28, 2017
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Anyone know if a PCL tear ever fully heals itself without surgery?

Will it tear more if it's not fixed?

absolutely it might be more prone to re-tearing. ligamentous healing can be dicey as it doesn't get the best blood supply but i'm sure with the medical care he's getting and his young age it will probably be as good as it can get. if it doesn't heal completely or properly it can be a danger in the future. immediate treatment will hopefully reduce scar tissue on the ligament because i think the scar tissue will make the ligament less pliable and more prone to tearing.
 

McFlyingV

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Feb 22, 2013
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Edmonton, Alberta
absolutely it might be more prone to re-tearing. ligamentous healing can be dicey as it doesn't get the best blood supply but i'm sure with the medical care he's getting and his young age it will probably be as good as it can get. if it doesn't heal completely or properly it can be a danger in the future. immediate treatment will hopefully reduce scar tissue on the ligament because i think the scar tissue will make the ligament less pliable and more prone to tearing.
Scar tissue is required for the ligament to heal. The scar tissue that forms the repaired portion of the ligament will always be scar tissue, but with proper rehab it will become much more functional and much more characteristic of ligamentous tissue. It will never be 100% as strong as the original ligament tissue, but you can expect the repaired tissue to regain 75-80% of its original strength. Obviously yes, that means it is not as strong as the original, and at an increased risk of re-injury, but if you look at the mechanism of injury for a PCL tear it is not something that commonly occurs in hockey.

As I mentioned previously in this thread, a PCL injury is best case scenario for Connor if he was going to injury any of the 4 main ligaments of the knee. Its role in the sport demands of ice hockey is far less important than the ACL or MCL, and probably even the LCL. This isn't something where you're going to see Connor skating or cutting up the ice and it's just going to rupture. He's going to need to have a guy clip him below the knee at high speed or crash into something/fall on it in just the right way like he did with the post.

Could he injure it again? Sure. Is it likely? No more likely than him breaking a bone in his leg.
 
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MaxR11

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Mar 28, 2017
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Scar tissue is required for the ligament to heal. The scar tissue that forms the repaired portion of the ligament will always be scar tissue, but with proper rehab it will become much more functional and much more characteristic of ligamentous tissue. It will never be 100% as strong as the original ligament tissue, but you can expect the repaired tissue to regain 75-80% of its original strength. Obviously yes, that means it is not as strong as the original, and at an increased risk of re-injury, but if you look at the mechanism of injury for a PCL tear it is not something that commonly occurs in hockey.

As I mentioned previously in this thread, a PCL injury is best case scenario for Connor if he was going to injury any of the 4 main ligaments of the knee. Its role in the sport demands of ice hockey is far less important than the ACL or MCL, and probably even the LCL. This isn't something where you're going to see Connor skating or cutting up the ice and it's just going to rupture. He's going to need to have a guy clip him below the knee at high speed or crash into something/fall on it in just the right way like he did with the post.

Could he injure it again? Sure. Is it likely? No more likely than him breaking a bone in his leg.

ya but i think with better care you will have more ligamentous tissue grow back and less scar tissue? Scar tissue is way less "pliable" and much more easy to tear than ligamentous tissue. but you're right, the ligament will not be the same strength as before that's fairly certain.

i knew someone who had a pcl injury that said it felt funny and not right for a fair amount of time. though i think he tore it worse than Connor.
 

McFlyingV

Registered User
Feb 22, 2013
22,679
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Edmonton, Alberta
ya but i think with better care you will have more ligamentous tissue grow back and less scar tissue? Scar tissue is way less "pliable" and much more easy to tear than ligamentous tissue. but you're right, the ligament will not be the same strength as before that's fairly certain.

i knew someone who had a pcl injury that said it felt funny and not right for a fair amount of time. though i think he tore it worse than Connor.
Ligamentous tissue doesn't grow back. The body lays down scar tissue which is then converted into more functional tissue through cellular processes and stress placed on it(rehab)so that it can act in a similar manner as the original ligament.

The scar essentially becomes your new ligament for the damaged portion, but it is remarkably functional, albeit not as functional as the original ligament.
 
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Cypress

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Mar 4, 2018
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Ligamentous tissue doesn't grow back. The body lays down scar tissue which is then converted into more functional tissue through cellular processes and stress placed on it(rehab)so that it can act in a similar manner as the original ligament.

The scar essentially becomes your new ligament for the damaged portion, but it is remarkably functional, albeit not as functional as the original ligament.
You clearly know way more about this than me, but stem cells should be able to turn into ligament tissue.
wouldn't this be the cause of the scar tissue becoming "remarkably functional"?
 

McFlyingV

Registered User
Feb 22, 2013
22,679
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Edmonton, Alberta
You clearly know way more about this than me, but stem cells should be able to turn into ligament tissue.
wouldn't this be the cause of the scar tissue becoming "remarkably functional"?
Not much blood flow to those ligaments. Not entirely sure on the micro level what stem cells are capable of and it's a big area where research is headed. The improving function of the ligament is from realigning the collagen fibres in the appropriate orientation and the metabolic changes causes conversion of the tissue to a different collagen type making the new tissue more similar to ligamentous tissue.

This isn't really important though, what is important is that the ligament will heal and it will be strong albeit not as strong as it was. What is truly important is that the PCL is not that important and being that it is only a partial tear is very good news for Mcdavids future performance. I don't expect it to hamper him at all next season.
 
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