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00:00This is the Injury Report, presented by NYU Langone Health.
00:05Giants linebacker Michael McFadden avoided the worst-case scenario
00:09when x-rays on Sunday ruled out the initial fear of a broken leg.
00:13You guys saw the play against the commanders,
00:15but he has been ruled out for a significant amount of time.
00:18In today's Injury Report, we're talking with Dr. Daniel Kaplan,
00:22legend, the greatest sports orthopedic surgeon.
00:25Are there any alternative treatments, I guess, that are non-surgical
00:29that could have been considered?
00:31And what's the risk that surgery doesn't get him back to playing
00:35like Michael McFadden, you know?
00:38Yeah, and like you said, it's hard.
00:39He's an explosive player, and all of that explosion starts
00:42with pushing off from the foot.
00:44So if that's not working, he's not going to be the type of player he was.
00:47In terms of the types of treatments, again, it kind of depends a little bit
00:50on what the nature of his specific injury is.
00:53When we have more information, I can give you a better answer.
00:56If it's that type of high ankle sprain, you know,
00:58there are non-operative treatments.
01:00It all comes down to, like most things, stability.
01:03So if some people have that same injury,
01:06but their bones are held together by some of the other soft tissue restraints,
01:10then you can treat that non-operatively
01:12and probably come back a lot sooner, closer to like four to six weeks.
01:15But if he has the type of injury where so much of what's holding the bones together
01:20is torn that he needs surgery,
01:22then it's the type of thing where only surgery could fix that.
01:24Okay, that brings us to our next question
01:27because that is Micah McFadden, pro NFL linebacker.
01:33Again, we don't know the exact diagnosis,
01:35but if a non-pro athlete was referred to your office,
01:39the greatest surgeon in NYU Langone history,
01:42with the same situation and type of injury,
01:45how would you handle it being the legend that you are,
01:48and what advice would you give to that patient?
01:50Just letting you know I'm recording all of this
01:53and putting it on every website that's ever existed.
01:55And LinkedIn. Throw it up on LinkedIn as well.
01:59I would treat them the same.
02:00So at NYU, of course, we treat everyone like our high elite level athletes,
02:05but it really comes down to that stability.
02:07So if someone comes in with this injury and on special x-rays where we literally,
02:11it's called a stress x-ray,
02:12where you push their foot in a certain direction
02:15to see if those bones move under an x-ray.
02:17If they do move, then I would fix that,
02:21whether they're a weekend warrior or elite athlete.
02:23But if it's stable, then that's the type of thing you can treat with a boot
02:26after non-operatively.
02:28So it always comes down to the patient and the severity of the injury
02:31more so necessarily than the level that they're trying to get back to.
02:36All right.
02:37All right.
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