InjuryMechanisms
@IMechanisms
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Informational. Own opinions. Speculative based on Mechanism of Injury & publicly observed on-field care. No advice. Mainly top 5 European ⚽️ leagues
Joined June 2018
Don't wanna be here?
Send us removal request.
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Pinned Tweet
We recently took a 2 week break
After hearing from others, we decided to get brutally honest on why we went silent - in hopes sharing our story will help others & bring about change
Stand w/ us & share that this behavior wont be tolerated
#DoYourOwnWork
#IntegrityMatters
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Luke Shaw rib fracture
♦️Suggests its non displaced (cracked). Painful but can play thru w/ pain injection (intercostal block). Usually also padded. This appears to be just taped
♦️Risk it becomes displaced, can injure internal organs
#EPL
#MUFC
@UtdDistrict
@utdarena
#ManUtd
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For those
#Liverpool
fans griping about the medical staff…
Appears 2 separate injuries for Luis
#Diaz
. Horrible luck!
Oct injury was medial (inner) knee & likely represented MCL tear. Now reportedly LCL - opposite side
💥 NOT the fault of
@LFC
medical staff. Apologies are needed
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Right knee injury for
#Liverpool
’s Virgil van Dijk. Overlapping mechanisms. Forced valgus stress (buckles in) ➡️ bit of hyperext/varus (out). Hope the 1st.
▪️If 1st: worry MCL. Hope ACL spared (never fully excluded by forced valgus)
▪️If 2nd: worry LCL/PLC
#EPL
#PremierLeague
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Left ankle injury for Man City’s Kyle
#Walker
.
External rotation/eversion mechanism typically results in varying degree of high/medial ankle sprain (with or without fracture).
Can sometimes also have assoc MCL injury
Needs xrays/MRI
#EPL
#MCI
#ChampionsLeague
#MCFC
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Why is this even allowed? If shinguards are considered required equipment, then why is size not standardized?
Unlikely to have made difference w/
#Keita
’s contusion (blow came from inside) but this ⬇️ is just useless.
Time to close the loophole
@premierleague
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Why we have concerns on Ricardo
#Pereira
injury:
🔹Forced valgus mechanism (knee buckles inward)
🔹Vulnerable position for ligamental injury
🔹Best case: MCL/bone bruise
🔹Hope avoids progressing to ACL/meniscus/fracture - but is a concern 🤞
#EPL
#LCFC
#LIVLEI
#CarabaoCup
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Sorry to say but unless this is some sort of deceptive tactic, Harry Maguire still in boot & on crutches is not a good sign....
#EPL
#MUFC
#PremierLeague
#MUNFUL
@utdreport
@UtdXclusive
Can Harry Maguire play in a European Final in 8 days time?
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May have been better for Marcus Rashford to skip the
#EURO2020
& had this shoulder tear addressed. 4-6 wks of valuable treatment/rehab time traded for limited game minutes. 🤔
#EPL
#MUFC
#PremierLeague
@UtdDistrict
@utdarena
@utdreport
@ChrisWheelerDM
@MailSport
🗞 Marcus Rashford will hold talks with
#mufc
on Tuesday before deciding whether to go ahead with shoulder surgery that will keep him out of action for up to three months. [Daily Mail]
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Right lower leg injury for Liverpool’s Naby
#Keita
. Foot not planted on impact. Hope for more contusion/cut from studs and avoids fracture. Stretchered off; not splinted. Xrays/good evaluation to also include knee. Watch compartments.
#EPL
#LIVMUN
#LiverpoolFC
#PremierLeague
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Gotten questions on this....
Harry Maguire ankle injury is not from overplaying.
Its a contact injury resulting in ankle rotation.
Unpredictable & could happen to anyone - regardless of game time.
#EPL
#MUFC
#PremierLeague
#mcguire
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Now disclosed Saudi Arabia’s Yasser Al Shahrani had surgery on his pancreas - suffered during that 1st match collision
Also had jaw/facial fractures.
Pancreatic trauma is quite rare & typically has other assoc injuries.
(Pictured here w/ stomach faded out)
#FIFAWorldCup
#KSA
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On Harry Maguire:
Eversion/external ankle rotation results in varying degree medial/high ankle sprain. Xrays to exclude fracture. Amount of swelling overnight will be key. Needs MRI.
#EPL
#MUFC
#PremierLeague
#AVLMUN
@sistoney67
@UtdXclusive
@FFScout
@lauriewhitwell
@SkySportsPL
OGS on Maguire: "Might be a few weeks might be a few days." Says he hopes Maguire fit for final but not sure. Is ankle problem.
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Right ankle injury for Newcastle’s Bruno
#Guimaraes
Inversion mechanism. Most common result: lateral ankle sprain of varied degree. Can look worse by video than ends up being.
Was able to carry on. Xrays to exclude any fracture - part of workup.
#EPL
#NUFC
#NEWFUL
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Marcus Rashford to have arthroscopic shoulder surgery for reported “muscle tear”, suggestive of rotator cuff injury
♦️If accurate, animation video links below on surgery
#EPL
#MUFC
@utdarena
@UtdDistrict
@utdreport
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⚠️ Warning: Bit Graphic ⚠️
Right ankle deformity/rotation for
#BurnleyFC
’s Ashley
#Westwood
.
External rotation mechanism
Highly concerning for ankle fracture-dislocation (+ likely ligament damage). Reduced on pitch/splinted & carted off
#WHUBUR
#twitterclarets
📷 Getty
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#AtleticoMadrid
’s Joao Felix had right ankle surgery reportedly for removal of bone spur(s). These can impinge/limit motion & cause pain. Common in footballers due to repetitive trauma/stress from kicking. Anterior impingement often termed “footballers ankle”
#LaLiga
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Bit on a concern w/ Chelsea’s Wesley
#Fofana
Non contact, right knee injury. Side-step/pivoting w/ inward buckling (valgus).
🔹Best case & hope for: MCL/Bone bruise
🔹Non contact injuries make us worry for ACL/meniscus injury
Hope for the best🤞🙏
#EPL
#CFC
#ChampionsLeague
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We take a deeper look into Marcus
#Rashford
playing thru injuries….
Insight ⬇️
#EPL
#MUFC
#PremierLeague
#ManUtd
@utdarena
@UtdDistrict
@utdreport
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We have questions
@premierleague
&
@SpursOfficial
Eric
#Dier
takes high velocity ball to face. Assessed in ~ 1 min & given what appears to be some medication - which could potentially mask any concussion symptoms - before being cleared to RTP
WHY??
#EPL
#TOTMUN
#COYS
#THFC
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Covered this before but seen some questions out there on it…
Virgil Van Dijk back in pre-season training.
Scars midline front & medial/inner knee. Evidence of 2 site surgery - patellar tendon autograft (ACL) & scar over MCL
#EPL
#LiverpoolFC
#LFC
#VVD
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Credit due here to Colombian national team staff for putting James Rodriguez health & safety first & taking decision out of players hands.
Time to get these calf issues addressed. 👏👏👍
#EFC
#EvertonFC
#EPL
#PremierLeague
James Rodriguez has been released from Colombia’s squad for the Copa America after fitness tests found he is “not at the optimal level”
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On Luke Shaw injury…
Explains the taping he was wearing. Not the only injury he had during the
#Euro
’s. We all knew about his left wrist ligament tear but also suffered what appeared to be a MCL sprain
#EPL
#MUFC
#PremierLeague
@UtdDistrict
@mcgrathmike
@utdarena
🗞️
#mufc
want to assess Luke Shaw’s fitness for the start of the season after he played at the Euros with broken ribs. He suffered the injury in the game against Germany but played through the pain barrier. [
@mcgrathmike
]
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On Dean Henderson…
Not the only
#PremierLeague
player to suffer from Covid-related fatigue. Shows variation in how infection can affect players. Some recover quickly w/o any deficits; others can take months.
Also recovered from left Glute tear.
#EPL
#MUFC
@UtdDistrict
@utdarena
Official
#mufc
statement: "Dean Henderson will miss Manchester United’s Scotland training camp while he continues his recovery from prolonged fatigue after contracting a COVID-19 infection three weeks ago. He is expected to be training again soon.”
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Per our pinned tweet, we are calling this out….
He originally claimed
#Timber
injury was a dead leg & still today said it occurred on the tackle
Only after we publicly posted our analysis does his position change 🤣
Why wont you still re-post or credit us?
@3cbPerformance
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On Virgil Van Dijk...
Here are the facts on ACL recovery:
▪️Takes time for graft to incorporate. Less time w/ bone blocks (patellar/quad tendon); longer if hamstring
▪️VVD is ~ 3 mths out. Graft most vulnerable to re-injury
▪️CANNOT rush this process!
#Liverpool
@RealKevinPalmer
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On Marcus Rashford...
🔺Key distinction is whether “soreness” is soft tissue or bony related. Either way, playing thru problems in weight bearing areas, can worsen or cause compensatory injuries
🔺Last year Rashford played thru lumbar stress reaction ➡️ stress fracture
#EPL
#MUFC
Solskjaer on Rashford and Pogba injury: “Marcus, as we spoke about, his foot is a bit sore. Paul had a bit of a niggle but we should be okay." [mutv]
#mufc
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@Jamie_Aaron10
@UtdDistrict
@utdarena
@utdreport
@ChrisWheelerDM
@MailSport
We base our position on medical opinion. Not win/loss record.
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Man Utd’s Alex Telles in CAM boot & crutches. Appears weight bearing. But still doesnt tell us much about injury itself
Lateral vs medial/high sprain? Assoc fracture?
Really need decent update from
@ManUtd
#EPL
#MUFC
#PremierLeague
@UtdDistrict
@utdarena
@utdreport
📸 Alex Telles was pictured on crutches when leaving a restaurant in Hale on Sunday evening. [MEN]
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Quick response & AEDs save lives. These units should be readily available throughout stadiums. Shouldnt need players to summon defibrillator from across the field.
Well done Reguillon, Dier, & Skipp. 👏
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A peek inside the
#FIFA
on-pitch medical bag…
Aside from usual supplies fans would expect (dressings, tape, scissors, sprays, etc), thought we’d highlight a few others
Arrowed: CPR mask, SAM splint, reflex hammer, cervical collar. Assuming BP kit in there too
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Another complete failure of the
@premierleague
concussion substitution protocol!
Sheffield Utd’s George Baldock’s head slams into turf but medically cleared to RTP. Subbed out 10 min later.
🔺Independent docs & temporary subs obviously needed
#EPL
#SUFC
@FA
@SheffieldUnited
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The hip injury that caused Man Utd GK Dean Henderson to withdraw from national team is reportedly a Glute tear. Probably referring to Glute medius/minimus (outer hip).
Surgery not needed; out 2-3 wks & expected for pre-season
#EPL
#MUFC
#PremierLeague
@utdreport
@utdarena
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A big worry for
#France
Right non contact knee injury for Lucas
#Hernandez
Decelerating, foot plant/pivot into valgus (knee inwards)
A concerning & suspicious mechanism for ACL (+/- meniscus) tear.
Best case: Bone bruise
#FIFAWorldCup
#FRAAUS
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Limited video on Liverpool’s Andy Robertson.
Right ankle/foot injury with inversion stress (rolled it).
Hopefully just a lateral ankle sprain (varied degree) & avoids fracture or tendon injury.
Xrays & MRI needed.
#EPL
#LFC
#LiverpoolFC
#PremierLeague
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On Marcus Rashford…
Will have arthroscopic shoulder surgery for “muscle tear”. If correct, still sounds like rotator cuff tear.
Also sounding like exact procedure still TBD - can include debridement (trimming) vs actual repair
#EPL
#MUFC
@UtdDistrict
@utdarena
@lauriewhitwell
🗞 The procedure [for Rashford's surgery] would be keyhole surgery, and until the surgeon goes under the skin, it is difficult to say exactly for how long he might be sidelined - but Rashford wants to take this step in a bid to regain maximum physicality. [
@lauriewhitwell
]
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Really hope to be wrong on Chelsea’s Ben
#Chilwell
injury.
Right knee non contact. Foot plants & appears to go into valgus (knee buckles) - limited angle. Immediate collapse.
A worry for ACL/meniscus injury.
Fingers crossed its not! 🤞
#EPL
#ChelseaJuve
#UCL
#CFC
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Wrong! He moved
#Araujo
without stabilizing the neck & put his safety at risk. Media needs to stop encouraging this behavior.
One day this will turn catastrophic.
Medical staff member reached him in 8 secs. Leave to them!
#FCBarcelona
@barcacentre
❗️ Eric García had been key for Ronald Araújo to continue breathing since he has placed him in the fetal position when the Uruguayan had lost consciousness. [tv3]
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Clubs need to crack down of this…
Teammates have NO business moving an unconscious player - who is assumed to have a spinal injury until proven otherwise.
Medical staff out quickly & are well trained to address any airway concerns while stabilizing neck.
@FCBarcelona
#Ara
újo
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"We have nothing to hide... more transparency would be helpful..."
🤨 Klopp isn't sure why other PL clubs aren't being transparent about their covid status, which players or how many are tested positive. Fair question.
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No mention from Arteta of Gabi Martinelli right ankle injury. Limped thru final minutes. By video, mild inversion (rolled).
Hopefully minor w/ quick recovery. But yet another blow to that area.
#EPL
#ARSNEW
#AFC
#ArsenalFC
#PremierLeague
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Brazil’s
#Neymar
off with right ankle injury.
By video, inversion (rolls it).
Typically results in lateral ankle sprain of varied degree
Swelling lateral/outer ankle supports that
Needs xrays/MRI
#FIFAWorldCup
#BRASER
📷 (on right)
@Ultra_Suristic
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Needs addressing…
Whether
#Timber
ACL tear was partial vs complete is irrelevant. Was unstable & surgical. Will be treated/rehabbed like any other ACLR & timeframe
@3cbPerformance
Please stop giving folks narratives of “quicker recovery”. It drives false hope of early RTP
#AFC
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Marcus
#Rashford
out with unspecified muscle strain.
Vague return timeframe of “we expect him soon”.
Sounds on the mild side if that’s accurate
Reminder: player exited Arsenal match rubbing right hamstring
@ManUtd
injury updates this season have been quite cagey
#EPL
#MUFC
🗣️ Erik ten Hag on Marcus Rashford: "He’s not available, a consequence after Arsenal. He has a muscle injury."
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Amad
#Diallo
Update:
“we had to bring him off b/c he didnt have rhythm the other players had”.
Left leg being examined on pitch….
Could be fatigue vs injury - something to watch as week progresses
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This has been a no-brainer. With the congested fixtures over the past few years & worries over injuries/overloading, its been baffling
@premierleague
clubs have been resistant to 5 subs.
#EPL
EXCL: Five substitutions in football set to become permanent - proposed at International FA Board panel meeting today and strongly supported. Will put renewed pressure on Premier League to follow the rest of football from next season. Story on
@TimesSport
shortly.
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An update ⬇️ & addressing questions we’ve recently received.
Appreciate everyone’s ongoing support & good wishes 🙂
#integritymatters
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On Benjamin Pavard…
Should be remembered in May 2019 Tottenham & a neurologist “cleared” Jan Vertonghen of a concussion.
In Dec 2020, Vertonghen admitted he did suffer a concussion & played with symptoms x 9 mths
#FRA
#EURO2020
#Pavard
@domfifield
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Hmmm! 🤔🤔
Did our watermark on
#Eriksen
injury just get covered up & uncredited?
@ManUtdInPidgin
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✅ Another step in recovery process for England’s Harry Maguire (left high ankle sprain).
🔺Good to see but controlled training environment very different than game setting (unpredictable)
🔺Slow but steady here!!
#Eng
#EURO2020
#MUFC
#EPL
@utdreport
@UtdDistrict
@utdarena
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Aston Villa’s Diego
#Carlos
becomes 2nd achilles tendon rupture in the
#EPL
this season.
ICYMI this w/ Pereira news, here is helpful video courtesy of 3D4Medical on the injury
🎥 3D4Medical.
#AVFC
#PremierLeague
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Agree with you. Athletes will always try to push thru injuries & run risk of worsening. Not sure if actually more occurring or we are just getting better window into what goes on behind closed doors.
Either way, troubling
@IMechanisms
@City_Xtra
I may be wrong here but it seems as if I'm reading more players playing through injury this season than I have previously.
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Jude
#Bellingham
latest example of ⚽️ failure to protect the 🧠.
We will continue to call out concerns as we see them, regardless of player/team until real changes made (independent docs & temporary subs). Resounding evidence its needed!
#BVB
@BlackYellow
#Bundesliga
Another shocking case of lack of brain safety in ⚽️. Head-to-head collision for Jude
#Bellingham
. No defensive bracing by video, unsteadiness/staggering. Why was he was able to talk his way back onto pitch?
@BlackYellow
#BVB
#Bundesliga
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Alex Telles Update:
▪️IF truly lateral ligament/sprain, timeframe suggests Gr 2-3
▪️”twisting” injury still potentially could include medial/high sprain
▪️No mention here of any associated fracture but certainly not fully excluded either
▪️Need more details
#EPL
#MUFC
#ManUtd
🗣 Solskjær: “Unfortunately, it’s worse news on Alex Telles than we hoped for, his ankle injury is a little bit more severe than we hoped and he’ll be out for a little spell at least, the whole of August I would think.” [MU]
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On Harry Maguire....
⬇️⬇️ As we’ve said from the beginning, difficult to play on high ankle injuries.
Trying to play thru makes player a target - risks further injury & longer recovery.
#EPL
#MUFC
#PremierLeague
#MUNFUL
#EuropaLeagueFinal
Solskjaer on Maguire’s chances of playing in the final:
“It looks difficult. Let’s put it that way.”
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This admission (“tear”) from Kevin De Bruyne suggests this medial/high ankle sprain was Gr 2 (& not mild sprain as previously reported).
Not in favor of playing thru these TBH. Lets hope no further damage done.
#BEL
#EURO2020
#MCI
#MCFC
#EPL
@City_Xtra
Kevin De Bruyne to Sporza: “This is a disappointment, but we have tried everything to win this game. For me personally it have been a strange 4-5 weeks with the injuries. I had a tear in my ankle ligament. But I have to thank the medical staff.”
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⚽️ Team injuries ahead of
#EURO2020
(Updated June 7th)
➡️ Quick & easy access for player status including injury forced withdrawals
➡️ Will be updated periodically throughout tournament
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Manchester Utd’s Luke Shaw suffered a left wrist ligament tear at seasons end. Didnt disclose which one.
Commonly injured in wrist is the scapholunate ligament - usually from fall on outstretched hand (FOOSH injury)
#EPL
#MUFC
@utdarena
#ManUtd
#PremierLeague
@utdreport
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Anyone else noticed there’s been a serious drop in quality & accurate injury analysis/reporting since we stopped posting?
Why is that?
@3cbperformance
@iesabah
@alsllmii
You just appeared so knowledgeable & detailed before…. 🤷♂️
IDK. Maybe questions should get asked!!
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On Mason Greenwood news…
❌ Would be nice to know from team & reporters what injury actually is & how close it was/is to becoming more significant & longer term!!
#EPL
#MUFC
#Greenwood
@henrywinter
@lauriewhitwell
@sistoney67
@utdreport
@UtdDistrict
@ManUtdMEN
@utdarena
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Ole walking back a bit of the optimism from yesterday on Harry Maguire. Boot/crutches says it all. As discussed yesterday, high ankle sprains are hard to play thru (joint stressed with rotation).
Also risk of worsening & could put Euro’s in jeopardy.
#EPL
#MUFC
#PremierLeague
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Glad to see someone else bring this up on dangers of second impact syndrome. Rare but has 50% mortality rate
The most important but not only concern. Brain injuries affect judgement & ill-timed tackles can lead to other significant injuries
#FRAGER
#SIS
#pavard
#FRA
#EURO2020
For anyone wondering why Pavard *has* to come off after getting hit that hard on the head - this is deadly serious:
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Pictured here is Manchester United’s new signing Raphaël Varane.
Great anatomy lesson & look at area where the semitendinosus, gracilis, & sartorius tendons insert onto front of shin (Pes anserinus)
#EPL
#MUFC
#PremierLeague
@utdarena
@UtdDistrict
#Varane
#ManUtd
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Seriously?
@fzt_berkay
Purposely removing our watermark to pass pictures off as your own is just dishonest & disrespectful. Expect more from a follower. 👎
Do better!
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Worrying injury for Southampton’s Tino
#Livramento
Non contact, foot planting, deceleration & directional change with immediate collapse. A concerning mechanism for left ACL/meniscal tear. Stretchered off. Hope to be wrong!
#EPL
#BHASOU
#SaintsFC
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Thomas Partey’s right ankle injury to be evaluated.
♦️Below is our injury “snap-shot”. Taking you thru the mechanism, expected & possible assoc injuries, next steps for imaging, & treatment.
#EPL
#ArsenalFC
#PremierLeague
@charles_watts
@afcstuff
@ChrisWheatley_
@AFTVMedia
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Another shocking case of lack of brain safety in ⚽️. Head-to-head collision for Jude
#Bellingham
. No defensive bracing by video, unsteadiness/staggering. Why was he was able to talk his way back onto pitch?
@BlackYellow
#BVB
#Bundesliga
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Left knee injury for Leverkusen’s Florian
#Wirtz
.
By video, concern for ACL injury (+/- meniscus)
Stretchered off. Hope video lies on this one!
#Bundesliga
#Bayer04
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Introducing our “Injury Snap-Shot”
A more detailed overview of Kieran Tierney’s knee injury in one simple document to keep you “in the know” while you’re on the go!
#EPL
#ArsenalFC
#PremierLeague
#Tierney
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Great news to see Christian Eriksen conscious after very serious medical emergency & cardiac event.
Actions of medical team & AED (defibrillator) saved his life.
🙏 & wishes for complete recovery
#DEN
#EURO2020
#Eriksen
Photo showing Eriksen alive and conscious when leaving the stadium🙏🏻 God is great, wishing him a fast recovery❤️
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Manchester United’s Harry Maguire suffered a left ankle injury on sunday.
Our latest “Injury Snap-Shot” provides a quick & easy to understand review of his injury & next steps.
#EPL
#MUFC
#PremierLeague
#ManUtd
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Concerned about this Donny van de Beek injury
Right knee hyperextension + forced valgus (knee buckles inward)
♦️Best case escapes w/ bone bruise/capsule sprain
♦️Concern/risk for cruciate injury (ACL/PCL), MCL, meniscus
Expect xrays to exclude fracture, then MRI
#EPL
#MUFC
#MUN
The nasty tackle on Donny van de Beek. VAR where are you?
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Another ⚽️ failure to protect players 🤯
Had temporary subs been a requirement, Wales Nico
#Williams
would have been removed & properly assessed to determine if ok to continue
Instead he was “cleared” in < 2 min & goes back down within 8 min.
#FIFAWorldCup
#ENGWAL
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Hoping this ⬇️ on
#ManUtd
’s Alex Telles “ankle twist” is referring to the common lateral ankle sprain. Managers have been known on occasion to use description for medial/high sprains
Out “a few wks” pretty vague & open ended
#EPL
#MUFC
@utdarena
@UtdDistrict
@StretfordPaddck
“Unfortunately, Alex [Telles] slipped and he twisted his ankle so he’ll be out for a few weeks. We’re hoping that it’s not going to be too bad but he’ll be out for a little while.” - OGS confirms Telles has suffered an injury, hence his exclusion from the squad.
#mufc
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Manchester City’s Jack
#Grealish
has picked up another “shin injury”.
🔹We dive into why this is a concern & what real questions need to be asked & explored
#EPL
#MCI
#MCFC
@cityreport_
@City_Xtra
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Left knee injury for Southampton’s Carlos
#Alcaraz
on a celebratory slide. By video, main concern for MCL sprain/bone bruise, +/- meniscus. PCL can also come under stress w/ these type sliding mechanisms. Taped but unable to play on.
#EPL
#SaintsFC
#SOULEI
📷
@markgwyatt
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Fully agree. Another failure of 🧠 safety in football.
WHY was Sadio
#Mane
allowed to play on?
No defensive bracing & face planting = concern for loss of consciousness. Removed several min later but should have gone off on initial incident. Shameful!
#AFCON2021
#EPL
#LiverpoolFC
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