00:00This is the Injury Report presented by NYU Langone Health.
00:05Yankees pitcher Max Freed is around the halfway point of a trip to the 15-day IL with a left
00:11bone bruise.
00:12When they land on the IL, we talk about them on IR.
00:16So in today's Injury Report, we have Dr. Daniel J. Kaplan, sports orthopedic surgeon at NYU Langone
00:22to talk about hashtag Free Freed from the IL.
00:26Well, Doc, appreciate you hopping on with this Happy Memorial Day weekend.
00:30Let's get straight to it.
00:32He had the MRI and a CT scan about eight days ago from this recording, and it was a bone
00:38bruise,
00:39but he detailed it as the banging of the two bones back there.
00:44Sounds like a bro to me.
00:46Why put him on the IL for a bone bruise, and what exactly is going on with that elbow?
00:52Yeah, so that's actually not a bad description, especially by a baseball player.
00:56So when you throw, your elbow whips at an incredible velocity.
01:01It's a really abnormal motion, and your elbow bone actually makes contact with your arm bone.
01:07So the tip of your elbow hits the back of your arm.
01:10And, you know, if you do that once or twice, it's not that big a deal.
01:13But if you do that a hundred times here, a hundred times there at the velocity that someone like
01:18Freed's throwing, that repetitive impaction can cause damage and a bruise of the bone,
01:23which you can see on something like an MRI where it lights up.
01:26So it can be really painful.
01:28Million dollar question here.
01:30Do your patients that are pro athletes, do they need a 15-day IL when they have a bone bruise?
01:36I don't know who has that many days of PTO saved up, but do you recommend the same treatment plan
01:42the Yankees are using for free?
01:45So, yeah, I mean, the short answer is yes, but this isn't a common one.
01:49So we love on, you know, this segment always talk about our everyday athletes, but this
01:53isn't one that an everyday athlete has an analogous injury for.
01:56This is pretty much unique to throwers because of that motion that they have.
02:01But yes, if they had, if I had a high school kid, a college kid or a pro athlete, you
02:05always,
02:05it's always the same treatment plan.
02:07You get the imaging, you shut them down, you gradually work them back.
02:10And then each step of the way, if they don't have pain, you can advance them to the next step.
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