NBA: The best team doctor in history

Chapter 20: Strange Injury
You have to check it carefully!
"The calcification zone around the epiphysis is thicker and the image is more blurred, and even appears to be uneven and wavy, which shows that the osteogenesis of the epiphyseal cartilage is very active."

Just as Jiang Ming turned around and was about to "touch" Oden, Sean had already finished examining Oden's knee. He came over and saw the MR, pointing to the right knee image and said.

Jiang Ming nodded:

"Well, this is a special sign of cartilage damage. The cartilage is undoubtedly damaged. Which do you think is more serious, his knee or his ankle?"

Sean:

"It's definitely the knee. The ankle injury is 0 degrees and the knee is 3 degrees. It's a condition that must be treated."

Sean's sudden fluent and affirmative reply made Jiang Ming blush. He and I are about the same age, so why did I ask him in a teacher's tone? Only Sean didn't mind. If it were someone else, he would definitely have been angry.

Sean obviously knows much more about this than Jiang Ming.

This is called professional!

This classification based on the curved signals shown in imaging is exclusive to Western medicine and is also a course that medical students like Sean will learn from the very beginning.

Jiang Ming couldn't judge accurately now. He, a half-baked person, was asking questions to the real experts.
Thinking of this, Jiang Ming took out his mobile phone and searched it, because his understanding of 0-4 degrees had long been vague.

0 degree: normal articular cartilage. Through MRI, the local cartilage will show diffuse and uniform thinning, while the surface is smooth, and normal articular cartilage can still be observed.

And now this is the situation with Oden's right ankle.

Grade 1: Generally, MRI results will show that the cartilage layered structure disappears, focal low signal areas appear in the cartilage, and the cartilage surface is smooth. Generally, no special treatment is required.

Grade 2: MRI will show mild to moderate irregularity of the cartilage surface contour, and the depth of the cartilage defect does not reach 50% of the full thickness.

This may be caused by long-term weight bearing, trauma, etc. You can use cold compresses under the doctor's advice to relieve the discomfort.

This is what might happen to Yao's left knee if he doesn't apply cold compresses in the next few days. If Yao Ming had gone for an X-ray at that time with swelling, it would basically have been rated as a mild level 2.

Grade 3: Generally, the cartilage surface contour is severely irregular, and the depth of the cartilage defect has reached more than 50% of the full thickness, but it has not been completely peeled off. Patients can follow the doctor's advice to use drugs such as glucosamine sulfate capsules and diclofenac sodium sustained-release tablets, which can have a certain therapeutic effect.

Oden is in this situation now, but his temperature should have just reached 3 degrees. This is why he was able to play normally a few days ago, but was injured all of a sudden.

The instantaneous wear and tear from 49% to 50% will produce a qualitative change, and drug treatment is only useful for ordinary people who can rest for a long time.

For someone like Oden who makes a living by playing high-intensity basketball, there is no such thing as drug treatment, and he must cooperate with external treatment.

Grade 4: Mainly manifested by full-thickness cartilage defect and detachment, exposure of subchondral matrix, and possible changes in subchondral bone signal. Patients can undergo microfracture surgery under the doctor's advice.

This is also the surgery that the Trail Blazers media had previously reported Jensen wanted to have, in order to get rid of the problem once and for all before the fourth degree.

If it really reached 4 degrees, there would be no need for a consultation. Oden would not be able to lie here and pretend to sleep. He would have been holding his knee and groaning in pain with every step he took.

That surgery has its pros and cons, which is why the Trail Blazers held this consultation.

But also weird!!!
Jiang Ming thought about it, but he still couldn't understand one thing: Oden was only 19 years old. Without any serious injuries before, he would believe this level of wear and tear if you said that Oden had played in the NBA for 3 years.

How intense are the high school and college leagues? It's not enough to damage the body of a dominant player like Oden!

Thinking of this, Jiang Ming did not waste time and examined Oden. No, he did not ask. Didn't they say it was not allowed? Besides, there was no need to ask. Google knew all of Oden's previous injury history.

Jiang Ming didn't say anything, but Oden couldn't help but speak, because when Jiang Ming felt his pulse, he thought Jiang Ming was going to hold his hand, and he was so scared that he jumped up:

"Heiheihei, I'm not gay, please stay away from me!!"

Sean suddenly burst into laughter and explained with a harmless face:
"This is his Chinese medicine diagnosis method, don't be afraid."

Jiang Ming said with a mixture of laughter and tears:
"Gays don't look down on a rough guy like you. I just want to see if you have any internal injuries."

"Is there?" This was the first time Oden had seen and heard of this treatment, so he couldn't help but ask another question.

After all, this afternoon was so boring.

"My internal organs are in good health and I am full of energy."

"That's fine."

"Just keep lying down."

The place that Jiang Ming "touched" later was the right leg, which all the doctors had touched before. No matter what kind of doctor, when treating this kind of orthopedic disease, they would habitually observe the changes in the patient's expression through massage, and finally draw conclusions based on their own years of experience and MR.

Although he already knew that Oden's injury was on his right leg, that is, his right knee and right ankle, Jiang Ming also checked his left side.

"Strange, it's really serious."

Just like the conclusion drawn from the MRI, Oden, who had just entered the league and was considered to be a combination of Olajuwon and Duncan, had obvious loose tendons, ligaments, and joint capsules in his right knee under Jiang Ming's palpation.

The blood circulation in the right thigh from the knee to the ankle is completely abnormal, which will lead to localized muscle atrophy over time!
So it’s true that the Blazers’ consultation was very timely. If he had continued to take painkillers or painkillers, not to mention the 4th degree injury, his career might have been over!!!

But the strangest thing is that Jiang Ming can't figure out the reason at all.

Was it caused by the competition?

He didn't have any serious injuries in these games, nor did his bones get dislocated directly from collisions with others.

It just wore out like this???
According to Jiang Ming, Oden's knee was either seriously injured by a sudden external injury or caused by long-term wear and tear. It was not something that happened overnight.

But again, what in the previous games was worth this big center being worn out like this?

With Oden's physical talent, he could beat any opponent in junior high school, high school and college leagues without even jumping!

Garnett entered the league at such a young age, and his knees are so worn out that they are almost useless now. Young people are still very capable!

When Jiang Ming was 18 or 19 years old, he had no idea what injuries were. Only now when he plays basketball does he consider wearing knee pads or something for protection as he gets older.

Therefore, before leaving the room, Jiang Ming couldn't help but ask Oden one last question:
"Dude, have you offended any gang recently?"

"What???"

Please read it and add it to your bookshelf~
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(End of this chapter)