Brandon Ingram Goes Down In Pain After Knee Injury – Doctor Explains

Brandon Ingram Goes Down In Pain After Knee Injury – Doctor Explains

Brandon Ingram had to be helped off the coure tonight against the Orlando Magic after suffering a potentially serious looking left knee injury on this PL in this video go we’re going to take a closer look at the exact film with how this happened and what exact injury we

Could be dealing with welcome back everybody I’m Dr Brian suder and my goal on the channel is to help teach you about the medical side of the Sports World so sorry Pelicans fans this is going to be a tough one but let’s take a look at this injury here tonight with

Brandon Ingram now the mechanism is different than the actual injury so you’ll hear people call this a knee hyperextension and a hyper extension is not technically an injury a hyperextension is a description of the position of the knee or for that matter any joint but it’s not an actual injury

So when you hear hyperextension injury that can Encompass a wide variety of things everything is simple as a little bit of a mild bone bruise to a multi- ligament knee injury or something like a surgical ACL tear so let’s take a look here at how this happens and there’s

Contact that causes Ingram to react in a way that leads to the hyperextension so as Suggs is driving on him he gets bumped there’s contact he can’t help it he reaches out that left leg to try and stop himself support himself but because his trunk gets leaned forward over his

Leg and that left foot is extended out really far typically his momentum wants to carry him forward where that knee Falls in deflection to catch his momentum kind of catch that load as he’s going forward but because his trunk is tilted so far forward the leg is too far

Out in front of him to try and catch the stumble we see that severe amount of hyperextension so if you think of a normal joint right if we think of the knee for example going straight down the limb that’s going to be the normal range

Of motion what we call 0 degrees or in that neutral position so anything on this side of that line is going to be knee flexion so flexing the hamstring like we can see here with suggs’s left leg that knee is in a flexed position anything on the other side of this line

Is hyper extension hyper meaning excess or above so above the normal amount of extension this is quite a bit if we draw a 90° angle here this is maybe 45° of hyperextension which if we just look at the research we talk about the amount is a pretty significant amount of hyp

Extension which is part of what makes this potentially a concerning injury we can see too in this position not only does the knee get awkwardly bent and loaded you can actually see some of the hamstring coming around there the hip also gets really awkwardly jammed this

Is a similar position to how we saw Bo Jackson right injure his hip and suffer that kind of partial dislocation and so we also have to worry about potential hip injury in a case like this because of how much that load is going to be Jarred up into Ingram’s hip joint now

Another big question when we see a hyperextension is not just the degree the severity of hyperextension in this what we call sagittal plane so the sagital plane is looking at somebody from the side if you take a blind and kind of cut straight down the middle what we’re looking at here this degree

Of hyperextensions in that sagittal side plane we also have to look in the frontal plane so the frontal plane is looking straight on at him and this is going to tell us how much in or out movement there is in the knee so movement in is going to be called valgus

Movement out is going to be Varys and so this frontal plane looking front on tells us that Varys valgus movement and we really don’t see too much here for Ingram it looks like maybe a little bit of valgus but we’re not catching him quite Square on I don’t see a

Significant amount of knee falling inward or outward it looks pretty much like a pure hyperextension which is one hopeful prognostic good indicator for the rest of his knee we can see the kneecap there patella we see a little bit of his vastest medialis outline right there as he comes down forward and

Then obviously we see him go down clutching at that knee we don’t see any sort of shift here that can help us with things either so tough to say just from describing the hyperextension what exactly might have happened next we’re going to look at our biod digital

Anatomy tool and we’re going to start from the outside and work our way in so of course we’ve got all of our muscles here rounding a right knee now if we hide those muscles we’re going to be looking at the connective tissue the ligaments and so on the first thing that

We’re going to get to here around the knee is the capsule the capsule is kind of the bag the lining that goes around the entirety of the joint and so if you look at the knee from the side we’re here in that sagittal plane remember we’re looking from the side this

Remember is hyperextension and so when you hyperextend you put tension you stress everything on the back side of the knee so one of the first injuries that we’ll see is tearing of this capsule there’s also a ligament that sits here in the back of the knee called

The oblique poal ligament we don’t think of it as something that gets surgically repaired but it’s a structure in the back of the knee that whenever you have a hyperextension is often torn is often injured on the inside here we have the MCL on the outside we’re going to have

The LCL and then if we hide those capsules if we hide some of that ligament let’s hide the patella then we’re going to start to see the intraarticular injuries so first thing to think about is the bone we’re looking at the side of the knee this is the

Front whenever you hyperextend you put compression on the front of the knee so that’s going to cause micr fracture microt trauma bone bruising to the front of the knee and tension on the backs side from a ligament perspective the PCL is the main ligament that I would think

About first of all is potentially being injured but the ACL can also be injured here with these hyperextensions the PCL runs in the back of the knee and so if you think of this PCL like a rope and you take the tibia and you swing it far forward you’re stretching that rope and

So if you stretch it far enough you can tear that PCL can also tear the ACL and so any of those ligament injuries can be on the table here as well as the meniscus when you have a hyperextension as you’ve probably heard me say if you’ve been to this channel before

Hyperextensions are a very challenging injury to predict the severity of they can be anything from a season ending ACL tear or a season ending PCL tear to a bone bruise that only causes you to miss one or two weeks at a minimum I expect bone bruising I expect some capsular

Injury I would expect an absence of a couple of weeks minimum but this could be something that ends Ingram season it’s very hard to tell from the mechanism alone generally if it’s sort of a non-external force that tends to be better so we’ve seen some soccer injuries some football injuries where

There’s a hyperextension and a force from the inside or the outside an external load those are more concerning for cruciate ligament injuries unlike with Ingram we don’t see anybody hit his knee when it hyperextends and so that makes me a little bit more optimistic but I will be completely honest with you

Pelicans fans we could hear everything from he’s out for two weeks to we could hear that he’s got a season ending ligament injury by now the medical staff has some rough idea they’ve examined his ligaments they have a sense of what the injuries could be expect the MRI though

And we’ll hope for the best I think best case one to two weeks but this has the potential to be something season ending it’s extremely hard to predict just based on this mechanism alone that’s it for the video hope it was helpful to review some of the anatomy terms

Mechanisms and structures let me know as all questions or comments down below and until next time we’ll see see you later bye

Brandon Ingram of the New Orleans Pelicans left tonight’s game vs the Orlando Magic with a knee injury after a bad looking hyperextension.

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I’m a doctor and a sports fan and this channel is dedicated to exploring the unique medical side of the world of sports, including NBA, MLB, NFL, UFC, and many more! Breaking down the biggest what ifs, historical injuries and stories, and making learning about medicine fun and relevant for all sports fans!

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DISCLAIMER: Content not intended to be taken as medical advice. Opinions are my own and do not represent those of my employer. I have not personally treated or evaluated the individual(s) discussed in this video. Content used with educational and transformative intent within Fair Use Guidelines
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