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ArmySportsDoc

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  1. Concern for COVID myocarditis which could hypothetically lead to dysrrhythmias and potentially sudden cardiac death. That is the big fear with college sports this season after some early research suggested that it was very common in older hospitalized patients. More recent research in collegiate athletes however, has shown that it is not as common in younger athletes as initially hypothesized that it could be (although it remains a major concern).
  2. More on how the NBA’s Undergraduate Advisory Committee works for those who are interested. https://www.ncaa.com/sites/default/files/public/files/NBA_UAC_Brochure (1).pdf
  3. No, the NBA has an undergraduate advisory committee that provides feedback on the anticipated draft range an athlete is expected to be taken in. In fact they’re currently accepting applications, and could probably use some good MBM talent evaluators. https://www.google.com/amp/s/therookiewire.usatoday.com/2020/03/17/nbas-undergraduate-advisory-committee-accepting-applications/amp/ Similarly, the NFL has a College Advisory Committee that serves the same purpose for athletes looking at declaring early. https://operations.nfl.com/the-players/development-pipeline/college-advisory-committee/
  4. Old Guy, Great question, and I’m not sure I can provide an equally astute answer on long term prognosis. Since I believe Foreman only has 2 years of eligibility left, however, I would expect his prognosis to be very good functionally while he is at SLU. FAI is still a fairly new concept. It’s only been widely studied for a little over a decade and there are still large gaps in the evidence. Additional factors include the type of FAI, as there are three subtypes. In CAM type FAI there is a bony overgrowth at the femoral head neck junction, pincer type involves an overgrowth of the superior rim of the acetabulum (socket), and mixed type involving both of the above (which is most common). Surgical treatment is usually arthroscopic and involves shaving the overgrowth back in order to remove the area of impingement and potentially repair of any additional damage (such as a labral year) that resulted from the excess friction the impingement caused. Purely anecdotally, I have seen people do quite well following these procedures in the short term, but unfortunately for DJ, I don’t think the long term outcomes are quite as good with early arthritis and additional labral pathology common. This is why Isaiah Thomas has opted for a non-surgical approach at present, but given that SLU treated aggressively and gave DJ the time needed to recover postoperatively, I’d expect him to do well for the remainder of his eligibility.
  5. Old Guy, Playing statistics I’d have to disagree. Impingement is FAI or femoroacetabular impingement, and this presentation is classic. There may or may not have been anything surgical to do earlier in his course, but he should have been seeing a physical therapist regardless, which I am unsure if he did. My suspicion is the torn “ligament” Stu references was actually the labrum. Both athletes and media frequently misinterpret what they are told by physicians due to a lack of understanding. This would make this case similar to that of Isaiah Thomas of the Celtics and now Cavs, which they have chosen to treat nonoperatively. If anyone wants a quick primer on FAI there is a Sports Medicine podcast called “The Break” on iTunes that just released an episode discussing this issue. These conclusions certainly involve a degree of speculation, but statistically this is by far the most likely scenario based upon the information we have.
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