INJURED AGAIN!? Doctor Reviews Joel Embiid Shoulder Injury


JoEllen beat is unfortunately once again
injured this time suffering a left shoulder sprain against the Cleveland
Cavaliers earlier this evening welcome back everyone to your number one source
for everything related to sports injuries in sports medicine news tonight
we’re gonna be talking about JoEllen beads a left shoulder sprain
as usual we’ll take a look at the footage of the injury and go through the
mechanisms of what might have happened here we’ll talk about the relevant
anatomy and then some general characteristics of shoulder sprains and
talked a little bit about general return-to-play guidelines please go
subscribe if you guys like learning about this type of content in one a
stable date with my future videos and let’s jump right to the footage of Joel
embiids injury the play occurred here towards the end of the first quarter
when embiid was getting ready to receive an entry pass trying to post up down low
it doesn’t look like much right away but we can tell embiid is in pretty
significant pain grabbing at that left shoulder going through this step by step
we can see him bead getting ready to position himself to receive an entry
pass down low on the block and as he’s coming through he extends out that left
arm here like he’s getting ready to sort of get that post position and kind of
wrap around the defender but then as the defender comes in you can see he makes
contact directly right here into the side of joel embiids left shoulder as
we’ll talk about later on that specific mechanism is a lot of what relates here
to the risk of a shoulder sprain in this specific frame we can see in beads left
arm is kind of tucked in and the defender is applying that axial load
directly into his left shoulder which is going to put him at risk of these
shoulder sprains the official word from the 76ers at the time of posting this is
it’s a left shoulder sprain remember that sprains involve injuries
to the ligaments whereas strains involve injuries to the muscles or the tendons
so this tells us that the 76ers suspect he has an injury to some of the
ligaments in his shoulder as you might expect there’s quite a few different
ligaments that we can see in the shoulder ligaments are named for the
bones they connect and so here in the shoulder we have a lot of different bony
structures that are supported by the ligaments what’s more relevant to this
particular case are the ligaments that we see around the AC joint a C stands
for acromioclavicular so it’s the joint here between the acromion which is part
of the scapula and the clavicle which is that collarbone here in the front of the
chest there are also some sternoclavicular
ligaments where the clavicle attaches over closer to the sternum and so we
always have to think about those as being potential sites of injury when
someone has a shoulder spray we’ve caught
wouldn’t think of the joint right here by the breastbone being part of the
shoulder but a shoulder sprain could also be an injury to these ligaments
this is like what we saw happen with Tyriq Hill earlier in this NFL season by
far and away the majority of time when someone says shoulder sprain they’re
talking about an injury to the AC joint ligaments this would also be called an
AC separation or a shoulder separation there’s three ligaments here around the
AC joint we have the acromioclavicular ligament between the acromion and the
clavicle and then have the coracoacromial ligament in the coracle
clavicular ligament all three of these ligaments are really important in
maintaining the different stability patterns within that joint between the
clavicle and the acromion most common mechanism in which we see injuries to
the AC joint ligaments is when someone has what we call an axial load directed
right into the shoulder this commonly happens when someone falls on the ground
with their arm tucked up underneath them or happens when like a hockey player
gets checked into the boards with their shoulder leading into that contact
whenever that load comes in from the side and hits the shoulder it directs
all of that force in through that AC joint and just like you can Jam your
finger you can essentially Jam that AC joint where you get damage and
separation of those ligaments because of that force that’s coming into the
shoulder from the side if we go back to the play here within beed we can see
that that’s basically what happens he’s got his arm tucked in as he’s trying to
reach around to get positioned on the low block and the defenders force goes
directly into his shoulder applying that axial load that would stress his AC
joint now watching this mechanism there are other things we have to consider and
other things that the 76ers will evaluate for a shoulder sprain can also
mean injury to those ligaments between the humerus and the glenoid but that
would be much less common as I said you can also have injury to this
sternoclavicular joint where the collarbone comes over to the breastbone
but just based on what’s more common and where we saw in bead grabbing at the top
of his shoulder I would have that lower on the list this type of mechanism can
also concern us for a possible shoulder subluxation or any injury to the labrum
if you think of how an bead has his arm kind of outstretched and then gets hit
from behind and kind of inward that can put a little bit of posterior back to
front-load on the humerus which can cause some shearing within the shoulder
joint and a potential injury to the other soft tissue
but since an icy sprain is the most common scenario here let’s talk through
how we classify them and what the sort of return-to-play guidelines might be
there are six specific types of AC separations but for practicality
purposes we really often just think of the first three type four five and six
are much more severe injuries that always require some sort of surgery and
are a lot more rare to occur especially in something low-impact like what
happened with in be a type 1 AC joint injury is whenever there’s just been
some microscopic sort of tearing and smaller injury to the acromioclavicular
ligament but no real tearing or separation where we can see displacement
of those structures type 2 is when there’s been complete rupture of that AC
ligament and now we do start to see some widening of that AC separation space
type 3 is now when there’s also been complete tearing of the core Co
clavicular ligament so now you can see in this situation how unstable the
clavicle is going to be there’s no attachment out there at the end by the
shoulder and so it’s a lot more unstable and it’s a lot more serious type 1 and
type 2 injuries are treated non-operatively with just rehabilitation
their return to play in these injuries is often on the order of just a week to
a few weeks and then when you get into type three injuries it’s a little bit
more of a gray zone in terms of whether or not surgery is needed or if you just
go a conservative route these injuries are more severe and their absence is
usually longer than a few weeks and can stand over a month we’ll often try to
treat these type three injuries without surgery but if they fail conservative
management then you’ll have to go on to have surgery by now the 76ers have done
x-rays and so they have a rough idea of if there’s any severe displacement
between the clavicle and the shoulder blade that could signify a more severe
injury keep in mind too that there are other less common things that could be
defined as a shoulder sprain and so we’ll have to await more information
from the 76 wheres medical staff before we have a full idea of just how long
embiid might be out if this is a simple type 1 AC sprain and I won’t expect him
to be out for somewhere around 1 week 2 3 maybe forward the most thank you as
always for watching the video everybody let me know any questions or comments
you have below and I’ll see you in the next one bye

69 Comments

  1. Can wait in a hospital waiting room for hours, yet this man gives his diagnosis before the player even gets to the hospital.

  2. i hate to see the Sixes having such an awful year ( im a bucks fan btw). They were everyone's pick but they just didn't live up to the hype. one thing is for sure either Bret brown or joel embiid is out after this year.

  3. I think the Sixers are about to lose a lot of games with Ben and Joel out. Maybe even dropping down to the 6th spot in the East.

  4. Imagine thinking Embiid is ever gonna be a superstar. His fatass wont even lose some wait. Those knees are gonna go before he hits 30

  5. About to pour hot water into my coffe mug, embiid got shoulder injury.
    The hot water made contact with the coffe powder, this video got uploaded.

  6. A video on Jeremy Lamb could be interesting; ACL tear is common, but with the MCL tear and fracture I'm curious about recovery.

  7. I'm convinced Doc recorded this with a shirt and tie on and pajama bottoms lol…thanks for the quick upload as always Doc 💯

  8. If we're talking injured AGAIN we should be talking about Marvin Bagley. But maybe that's just the forever salty kings fan in me.

  9. Since so many athletes get injuries over and over who have you done the most videos of so far? And who do you think will be the first person you do 10 videos of?

  10. Literally every Raptors starter has been injured this season, Marc Gasol is still out. I wonder why you have never done any video on any of these injuries.

  11. 2 Theories:

    1) Joel Embiid is made out of tissue paper
    2) Joel Embiid gives 0 shits about basketball and would rather be sidelined eating cheeseburgers while collecting game checks then actually playing.

  12. "It doesn't look like much" because it wasn't. BULLSHIT!
    He's not njured. That's game. The Sixers may have decided to tank for a good pick. They've given up on this season.

  13. I remember back in highschool running 400m in 35°C (110°F i think I'm not American) and close to the finish line my bones felt like they were bending from my body weight. Now imagine getting tackled in the process that's why injuries are so common

  14. Hey just f**** love you dr. Brian ,
    I'm a student for biology and a big basketball fan you really helped me to combine these two interest together you are like my ESPN for injury's
    #fan form Israel

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