Dr. Harjas Grewal
@Harjas_Grewal
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Family Doctor | UofM, UBC, UNBC and Cariboo Cougars alumni | Tweet about NHL injuries #HarjasGrewalOvertimeChallenge
British Columbia, Canada
Joined June 2009
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Hey guys I’m going to try a new project during the NHL season this year by providing injury info on players.
#NHL
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The lyrics were not changed
The meaning was not changed
The values, pride, emotions or whatever else you associate with the anthem was not changed one bit
Be happy that another culture embraced you, they are not trying to replace you or change you or any other BS
Winnipeg makes history by performing Canada’s national anthem in Punjabi for the first time in the NHL.
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The Venn diagram of NFL fans who hate “cancel culture”, also hate Cam Newton’s celebrations, and hated Kaepernick kneeling
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Hahaha man I can’t wait for Ron McLean’s poem tonight
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Only one limited angle but I think Sandin got his skate off the ice before contact so main concern is a dead leg/contusion (usually day-to-day)
Less likely but possible: ACL, PCL, MCL and/or bone bruise but having his skate off the ice reduces risk of those
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Unfortunately was expected after Hughes dislocated his shoulder again and so easily the last time
Will have his labrum (suction cup which helps keep your arm in the socket) repaired and timeline would be around 4-6 months barring any setbacks during rehab
#NEWS
: In recent conversations with Jack, his family and representatives, and the Devils’ athlete care staff, it was determined that Jack should be held out of game action for the rest of this season and proceed with shoulder surgery.
He will undergo the surgery on April 10 and
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Concern is for damage to an artery, vein, tendon and/or even nerve for Kane
With that much blood you presume an artery was involved and if so, will need relatively urgent repair
Mikheyev had similar injury in 2019 with artery and tendons cut and was out 3+ months
// content, blood warning //
scary moment in tampa bay as evander kane has had his wrist accidentally cut on the ice. paramedics and team staff immediately down the tunnel with him.
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Broken jaw and/or concussion possible for Barkov
If a broken jaw, could play with a cage like Chara in 2019
If in concussion protocol, assume Panthers will label Barkov day-to-day
Draisaitl receives a two minute minor for roughing Barkov on this play after a review.
Thoughts on the call?
(🎥:
@BR_OpenIce
)
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Not much there
Possibly a cramp for Woll?
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And thank you to the Jets for allowing this to be shared and for embracing the Punjabi community
I lived in Winnipeg and was shocked at the lack of diversity at Jets games (considering how diverse the city is + how diverse a Canucks game crowd is comparatively) so this is nice
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Worry about a medial/high ankle sprain for Kucherov
Luckily though his ankle was not stressed as much as most are so I expect a grade 1 injury at worst and I don’t think he’ll miss any SCF games
Mechanism also stresses knee MCL, but again not as severe as most so should be ok
Nikita Kucherov to the locker room after this cross-check by Devon Toews
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Assuming this is a blood clot in his arm or leg. Concern is these can travel to your lungs and cause a pulmonary embolism which is a life-threatening issue
Long list of possible causes but most likely would be some sort of trauma to the area and then a clot forming (1/4)
Yes, it’s a blood clotting issue. Again, this is not career or life-threatening, thankfully. They are going to take it slow and see how Brock progresses.
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For those who don’t know the reference “hand out sweets” in relation to Kuzmenko’s first goal
Indians (specifically Punjabi/Sikh people) hand out sweets when they have a child, give wedding invites and at other celebratory times
@IceSinghHNIC
always adds nice cultural touches
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Random thought
If you are building a true practice rink, why not modify the ice surface in some way or build a second sheet with extra nets on it like how basketball teams have courts with 6 backboards
Create some extra zones for guys to shoot, work on PP, draws etc
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McDavid’s Hall-of-Fame plaque should have a mention of how he turned Hyman into a 50 goal scorer and made media members think Ken Holland and Peter Chiarelli did a good job in Edmonton
As Edmonton advances to the Stanley Cup Final, Oiler GM Ken Holland is deservedly getting credit for his excellent moves (signing Zach Hyman, trading for Mattias Ekholm, the early season coaching change) but his much-maligned predecessor Peter Chiarelli deserves credit as well.
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Looks like an elbow sprain for Stützle (similar mechanism to Laine’s injury earlier this season)
Time off depends on grade of injury and how many ligaments involved but most likely to be minimum 2-3 weeks to max 6 weeks
Here’s the Stützle injury. Immediate flashback to the Norris and Pinto shoulder injuries.
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Likely a labral tear for Caufield
There are likely numerous players playing through a similar injury currently
Once he has surgery, timeline will likely be 5-6+ months which allows a full off season program and healthy start to the 23/24 season
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Mechanism can lead to a separated shoulder (time off depends on grade but worst case week-to-week and often day-to-day timelines) or broken collarbone (8-12+ weeks)
Also could be a concussion for Jack Hughes (cannot put a timeline on but often start out day-to-day)
Jack Hughes has gone down the Devils tunnel after this play earlier in the first
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Worry about a medial/high ankle sprain for Kakko. Time off depends on grade but these are often in the 4-6 week range
Mechanism can also stress MCL of knee. Again, time off depends on grade
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Arguably for both Karlsson and Hoffman
What’s the biggest “I’m Him” moment from an NHL player in playoff history?
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Laine’s elbow appears to hyperextend
Mechanism can damage structures at the front of the elbow (joint capsule, annular ligament etc)
No prognosis tonight as needs MRI to determine severity
Best case: non-surgical, low grade injury and is out day-to-day to few weeks
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Oilers announcer saying they are flying back tonight after the game with an ETA of 4am (plus drive home from YEG)
Next game Thursday night
There’s published literature to support this but also common sense to support that you should get a proper sleep in LA and fly out tomorrow
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If the common reason for Chicago covering up the sexual assault was that winning the Stanley Cup was more important (as per Beach, Quenville and loosely Toews today), should the punishment not attack that very thing?
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Would anticipate more of a contusion/bruise here for Malkin and think a broken bone would be really unlikely
Likely will be day-to-day if he does not return tonight
Sidney Crosby's hammer drive deflects into the net off of Evgeni Malkin, injuring Malkin in the process
#LetsGoPens
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Likely MCL injury (time off depends on grade) for Soucy but can have associated torn ACL (6+ months) and/or meniscus (4-6 weeks if trimmed, 4+ months if repaired)
Some stress to medial ankle so cannot rule out a high ankle sprain
Likely no clarity until MRI tomorrow
Carson Soucy gets his leg caught underneath Yegor Sharangovich. Soucy went to the dressing room after this play.
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I was dumb enough to comment on the performance of the Canadian national anthem in Punjabi and so now my notifications are a mess
If you have injury questions or video, just DM me
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Appears to be a separated shoulder for Jack Hughes
Depends on grade but typically NHLers miss 7-10 days if grade 1, 2-3 weeks for grade 2 and up from there
Also possible but less likely is a broken collarbone and would want to rule out concussion also
#NJDevils
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Did Kane try to kick Zadorov?
Nikita Zadorov gets two minutes for roughing after putting Evander Kane into the Oilers' bench 😮
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Most likely a torn MCL for Connor
Time off depends on grade but roughly grade 1 is more day-to-day, grade 2 week-to-week and grade 3 months out
Unlikely but possible is a torn ACL (5+ months out)
Likely no update tonight but should have one tomorrow after his MRI
Kyle Connor has gone to the dressing room and won't return after this collision with Ryan Strome, who has been given a game-misconduct.
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Worry about a groin strain for Blackwood
Time off as always depends on grade of injury
Best case he’s day-to-day but could easily be like Matt Murray and more in the week-to-week range and push 4+ weeks
oh no. devils goaltender mackenzie blackwood is hurt after sliding across in his crease. vitek vanecek comes in.
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Worry about a shoulder dislocation for Bastian
If has good stability and MRI shows minimal damage, can attempt to rehab and return (would be out week-to-week)
If needs surgery, would be out 5+ months
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Concern is a left shoulder dislocation for Jack Hughes
Concerning as recurrent instability in that shoulder
Depending on his exam, symptoms and MRI findings, could pursue rehab and be more week-to-week or require surgery and be out for the season
The apparent play where Jack Hughes suffered an injury tonight late in the 3rd period & did not return. Wrist? Knee? We’ll have to see, but he was in some discomfort for sure in the non-contact play.
#NJDevils
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Some mild valgus stress so some concern for an MCL injury but I doubt it would lead to much time off
Difference between this and Kotkaniemi injury is that Hughes’ skate not planted
Also could have a contusion (day-to-day)
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Fortunately the pegs did their job on this and gave way when McDavid slid into them
Probably a good bruise/contusion and may have some lingering pain but don’t think McDavid will be hampered or miss any game action due to this
oh no. connor mcdavid is hurt. he crashes hard into the post and is forced out of the game.
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Article states Eberle is having an MRI to ensure his quad tendon is intact. Presume blood vessels, nerves etc are ok
If tendon is cut, most likely will require surgery to repair and would be out 4-6+ months
If tendon ok, timeline will depend on extent of muscle tears
BREAKING: Jordan Eberle injured by skate blade cut to his leg in practice; Shane Wright and Ryan Winterton up from AHL team.
#SEAKraken
#NHL
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How does this guy still have a job
@oclam3
Perfect coach for that team.
Miller excellent leader. Hughes will grow. Good D.
Many skill guys either small or perimeter guys. Got pushed out - EL40 esp.
Depth can't all be Euro skill guys. Some? Sure - not all.
Need more Saskatchewan, less Stockholm.
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Timeline will likely be 4-6+ months for Pelletier
#Flames
Injury Update: Jakob Pelletier sustained an injury to his left shoulder in the pre-season that will require surgery next week and will be out indefinitely.
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O’Reilly’s left 2nd finger in a splint
Can be used for a multitude of reasons but yesterday I only touched on fracture. He could also have a tendon and/or ligament injury
MRI next to assess his finger tendons and ligaments and then determine if he needs surgery or not
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Appears to be either a high ankle sprain or sprained MCL for Nazem Kadri
Typical timeline is 4-6 weeks for these injuries but it doesn’t appear as severe as some we’ve seen this season. I’d put his timeline closer to 1-2 weeks, considering he came out for another shift too
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Considering the history + video, worry is a left shoulder dislocation for Drysdale
Timeline will depend on stability, exam and imaging findings. Hopefully can rehab and return on a week-to-week timeline
If surgery necessary, season over but back in team for 24/25
Jamie Drysdale immediately went to the locker room after this hit from Jansen Harkins
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Hockey gear obscures the fine detail but concerns are a torn ACL (6+ months), MCL (depends on grade) and/or meniscus (4-6 weeks if trimmed, 4+ months if repaired) along with bone bruise for Josh Anderson
Likely an update tomorrow after MRI
Josh Anderson gets his skate caught awkwardly, needs a lot of help getting to the locker room after
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Hahahahahaha Leafs fans are tops of my power rankings now
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Scary situation tonight
I don’t think there’s concern for a neck injury or other reason for a stretcher
Likely will get emergency evaluation, brain imaging and maybe even an EEG
I presume tests will be normal and Podkolzin will enter into concussion protocol
Very scary situation. Middleton hit Podkolzin and he landed very awkwardly. Stretcher on the ice, it looked like Podkolzin was convulsing. Yikes
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We have a diagnosis now for Blackwood but don’t know grade so no firm timeline
In a general sense it’s as follows:
Grade 1: day-to-day to 2-3 weeks
Grade 2: 4-6 weeks
Grade 3: months and sometimes surgery
I do find that when teams disclose the injury, it’s typically grade 2+
Mackenzie Blackwood has been diagnosed with a knee injury, a sprained MCL,
#NJDevils
Lindy Ruff announces.
Blackwood will meet with doctors tomorrow.
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I don’t want to be overly pessimistic with Brock Boeser but rib cartilage injuries can take months to heal. The team, medical staff and player will have to sit down and figure out what sort of risk/pain Boeser will play through if he is able to come back before he is 100% healed
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Thank you to
@DevilsInsiders
for the video and to all the devils fans asking for an update
Concern is an MCL injury for Meier
Time off depends on grade but considering no external force, would be surprised if a higher grade injury
Grade 1 would be day-to-day to 2-3 weeks
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Greig out for the rest of the game
Likely a separated shoulder. Time off depends on grade of injury, if lower grade could play semi or final with tape/support and pain management
Mechanism can also cause a broken collarbone (8-12+ weeks) but I think that’s less likely
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In order of likelihood for Barkov:
Bone bruise/capsular injury (usually shorter term, max 1-2 weeks in NHLers)
PCL injury (time off depends on grade)
Have seen MCL injuries and torn meniscus with this too but unlikely
Last, torn ACL possible but highly unlikely in this case
Barkov has gone to the locker room after a knee-to-knee collision with LaCombe
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Difficult to pin a timeline as we were not given the exact diagnosis and surgery
Dr Meyers does do a lot of core muscle/sports hernia surgeries so if that’s what Palat had his timeline would be 8-12 weeks as long as rehab goes well
(1/2)
#NEWS
: This morning, Ondrej Palat underwent successful groin surgery, following recommendations after meeting with doctors.
He is expected to make a full recovery, & details regarding his return to play timeline will be provided as they become available.
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Appears to be a separated shoulder for Brock Boeser. There are varying degrees of the injury but I’m going to think that this is more minor and put his timeline around 10-14 days but it can be 3 weeks easily
#Canucks
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Is it possible he leaned his trunk left and stressed his MCL? I guess it’s possible but would be unlikely imo
Hopefully leafs give an update post game
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Harsher punishment than what Chicago got for sexual assault
The Senators are forced to give up a first round pick for their role in Evgeni Dadonov botched trade.
Wow.
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Scary scene as his femoral artery was likely damaged. Great work by all of the medical staff to stabilize him and get him to the operating room quickly. I would anticipate positive news once he is out of surgery but still thoughts and prayers with Tucker Tynan and his family
#OHL
Tucker is in stable condition and in surgery now.
We will update further once he is out of surgery.
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Concern is for a high ankle sprain and/or MCL injury for Guhle
Time off depends on grade but often we see grade 2 injuries and 4-6 weeks off
And that's likely the end of Kaiden Guhle's night as his leg and knee bend awkwardly on a hit with Barkov
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Fencing response (which is indicative of a brain injury) by Tavares after taking an inadvertent knee to the head
Next step will be a CT scan of his head
Very unlikely to have a neck injury but removal with stretcher and collar is appropriate
Hoping for the best
#LeafsForever
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Great news that Cody Glass hasn’t torn his ACL but a bone bruise still takes a long time. Would not surprise me if he was still out around 4 weeks
#VegasBorn
Gallant injury updates:
Cody Eakin- "He's a lot closer. It was a good day for him today. He's real close."
Marchessault- "Had a good, full practice so that's a good sign. I'm not sure. He's day-to-day still."
Cody Glass- "Week-to-week, lower body" (See my tweet yesterday)
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Concern for Vesey is a torn ACL (6+ month recovery)
Less likely but possible is an associated torn MCL and/or meniscus
2nd pic shows typical position leading to torn ACLs and I tried lining up the Vesey still with that one
2nd tweet has full video if anyone wants to watch
Oh boy.
#NJDevils
Jimmy Vesey is injured and he cannot get up off the ice. I'm not sure what happened there but he is in considerable pain.
He is being helped off by a trainer and teammate, not putting any weight on his left leg.
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Not familiar with this mechanism so not sure
If Graves injury was before fall, meniscus is concern due to knee twist (4-6 weeks if trimmed, 4+ months if repaired)
If after fall, worst case is patella fracture (season ending) but most likely a contusion (day-to-day)
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Concern is a shoulder dislocation/subluxation for Xhekaj
Depending on stability and imaging findings, can pursue rehab and return (week-to-week) or can require surgery (5+ months out)
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Worry is a broken ankle (8+ weeks out) for Anderson
Some ligament stress so could be a high ankle sprain as well (time off depends on grade)
When it’s the net versus the boards, have seen players come out ok with no fracture and day-to-day timelines so some optimism still
Josh Anderson leaves the game late after Mikhail Sergachev pushes him into the empty net.
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If ruled out this quickly, in-arena x-Ray likely confirmed broken bone for Horvat
Further imaging and likely surgical consultation tomorrow
As
@fr_aquilini
says: Injuries!
Injury Update: Bo Horvat will not return to tonight's game.
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Unfortunately this thought becomes relevant again today
Last year Khaira was knocked out in a fight, came back after only 4 days, and then 30 days after that he suffered another concussion
Really hoping for a full recovery, appropriate time off, and no pressure to return early
Khaira is indeed back tonight
Don’t blame the Oilers medical staff or anybody really
But I do think the NHL and NHLPA should sit down and evaluate how long players should be out after clearly losing consciousness; because 4 days off makes me uncomfortable
#LetsGoOilers
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I am worried about a torn ACL for Alexis Lafrenière after watching this but fingers crossed it’s not and only a sprained MCL
Regardless, I think his tournament is over
#WorldJuniors
#WorldJuniors2020
#WJC2020
Alexis Lafrenière goes down after a scary collision with the Russian goaltender.
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Concern is a torn ACL (see pics of ACL tear mechanism and position of Pesce)
Joe Thornton played on a torn ACL in the playoffs (as skating is not an ACL dependent task) but hard to expect that of everyone
Can have associated bone bruise, torn MCL and/or torn meniscus
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Indo-Canadian coaching in the NHL
Indo-Canadian playing in the NHL
Indo-Canadian doing play-by-play for a nationally televised NHL game
Pretty good night for Indo-Canadians 🇮🇳🇨🇦
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Report today Matt Martin is out 4-6 weeks
Only thing I can think of that fits that timeline and is possible from what we can see is this 1 angle is a torn meniscus
Could be a patella fracture but that timeline is usually longer than 4-6 weeks, see Bruins Kevan Miller
#Isles
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If anyone is more interested in this, CBC did a good article a few years ago when Stamkos and Chris Bosh had their blood clot issues (4/4)
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Calling embellishment and a penalty on the same play is a prime example of how dumb hockey officiating is
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@AGrossNewsday
Obstructed video so cannot assess a potential left leg injury but seems like potential right MCL injury for Anders Lee
I usually list grades but this one does seem milder than most so hopefully more day-to-day to 2 weeks range
Also possible is a groin strain
#Isles
@tfdnhl
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Dear
@NHL
I’m a loser with nothing better to do on my Friday nights, please schedule at least 1 game that starts at 7 PST
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Mechanism is consistent with collarbone injury; either broken collarbone (8-12+ weeks) or separated shoulder (depends on grade but typically max 2-3 weeks for NHLers)
Lindgren did react like someone who dislocated their shoulder (week-to-week if can rehab, 5+ months if surgery)
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Initially thought concussion but Kotkaniemi limped off
Additional angles raise concern for a torn MCL (depends on grade), torn meniscus (4-6 weeks if trimmed, 4+ months if repaired) and/or torn ACL (6+ months)
Concern is fact skate was planted and torque applied through knee
Rod Brind'Amour said that he's talked to Jesperi Kotkaniemi post-game and that he's "not doing great" after the hit.
"I don't know the extent, but it's not good."
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Concern is a quad contusion for Pierre-Luc Dubois and likely a day-to-day timeline
I don’t think there’s enough force for a fracture despite the post not giving out
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Treatment will likely be with blood thinners which carry a bleed risk and thus making playing hockey high risk (ex. Head trauma causing a brain bleed because on a blood thinner)
Generally people are on blood thinners for at least 3 months so I think Boeser’s season is over (3/4)
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Unfortunately that’s a broken ankle for Sergachev
Easily 8+ and likely 12+ weeks out
To me it looks like Lafreniere’s right skate blade catches Sergachev in the back of the leg on the reverse hit.
Scary site.
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NHL Salary Caps after GMs buy their way out of expensive contracts just to go out and sign those same contracts tomorrow
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I’m excited to announce I am joining the
@TheFantasyDRS
team with
@DrJesseMorse
@seleneparekhmd
and many more great people
I’ll still be focusing on NHL injuries via Twitter but will be adding some YouTube videos to my repertoire now
And so, any suggestions for the 1st video?
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Wonder if it’s an MCL injury for Barzal after rewatching clip. Again thought he’d be ok since his skate wasn’t on the ice but clearly I was wrong
Week-to-week often translates to a grade 2+ injury in NHL-speak
If grade 2 likely will be out 4-6 weeks
The Islanders just sent out a clarification saying Barzal is week-to-week and the plan is for him to be back by the end of the season.
Obviously much better than was implied earlier.
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Timing makes sense since Devils eliminated from playoffs and allows him to be ready for game 1 next year
Questions about why and how he was playing
Likely wore a harness to support shoulder and doing so likely did not cause further damage, allowing a delay in surgery
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I think the puck caught Tanev just above the skate boot and then clipped his shot blocker’s strap after
Concern would be a fibula fracture just above the lateral malleolus (the lateral malleolus is inside the boot) which can take 6-8+ weeks to heal or a bone bruise (day-to-day)
Tanev hobbles down the tunnel after blocking a shot off his foot 😳
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Thanks to the Isles fans for the video
Looks like a possible hip pointer for Pelech
A hip pointer is like a bruise over the upper pelvis area. Pain is the issue with this injury but can be played through if the pain is well managed
Presume he will be on a day-to-day timeline
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All 6 Canucks D men had great games (maybe Zadorov’s best game as a Canuck)
Love Lindholm and Miller going undefeated in the circle in the last 5 mins
Hopefully EP40s line gets going a bit
Josi is amazing
I left my voice at Rogers Arena
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These 2 could be the second pairing on the Canucks right now
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People asking me timelines for Hughes
I can’t find NHL data
NFL study () had average return to play at 3 weeks for non-surgical
NBA study () had an average return to play at 7.6 weeks for non-surgical
Would expect at least 2 weeks
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Wonder if MacKinnon has an abdominal muscle, oblique or latissimus dorsi strain
If that’s the case, will need exam and MRI to determine grade of injury and time out. Could be as little as day-to-day up to 6+ weeks
Unlikely but would want to rule out broken ribs (4+ weeks out)
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Had some people send me further video, Woll stretched his left leg on the play prior apparently which would raise concern for a groin strain
Time off depends on grade
Grade 1: day-to-day to 2-3 weeks
Grade 2: 4-6 weeks
Grade 3: months and potentially surgery if tendon involved
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“…the LGBTQIA+ community, like all others, should be welcomed in all aspects of the game of hockey”
Then wear the damn jersey; because otherwise that’s just a blatant lie
There’s a part of our society which is unjustly discriminated and you can’t wear a jersey to try and help?
James Reimer, Logan Couture and David Quinn all spoke with the media. Here is Reimer's official statement about declining to wear a Pride jersey tonight ...
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I’m thinking meniscus tear for Bichette
If it’s repaired he’s done for the season
If it can’t be repaired, it will be trimmed out and then it’s 4-6 weeks off
Can’t rule out a torn ACL but doesn’t look like the traditional mechanism
Bo Bichette has left the game with an apparent leg injury after rounding first base.
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9
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Now you can understand why we have such big weddings
Arshdeep Bains's dad Kuldip tells me about 100 family and friends will be in attendance at the Canucks-Bruins game today
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1
0
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Hoping for the best
Namestnikov likely will get a brain and facial bone scan to assess for broken bone(s) and rule out a brain bleed
Will also need thorough evaluation of his eye and ear
Wide range of outcomes but even best case his series is over
Scary moment as Vlad Namestnikov is struck in the head by a slap shot and exits the game
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You have to find the 3 people who gave Benning a first place vote and sell them on one of these players
This is the voting breakdown for the Jim Gregory General Manager of the Year Award. Voting is conducted among NHL GMs and a panel of NHL executives, print and broadcast media at the conclusion of the second round.
4
3
18
4
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