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Transcript
00:00How about we diagnose some soccer injuries?
00:03Or football, depending on where you're from.
00:05Let's get started.
00:06Be-woop!
00:07By the way, growing up as a soccer fan,
00:09because I came from Russia and that was my first sport,
00:12I was captain of my high school soccer team, Subtleflex.
00:15I actually loved the French national team,
00:18Thierry Henry, Zinedine Zidane.
00:20These were people that I really looked up to growing up.
00:23Patrick Batiston found himself through on goal.
00:26Oh, did he just lay him out?
00:29He was playing the wrong kind of football.
00:31Let's have another look at this.
00:33Oh!
00:34His hip bone hit him directly in the temple.
00:37He lost two teeth, broke three ribs,
00:39and sustained lifelong damage to his vertebrae.
00:42When you're traveling at that rate of speed
00:44and you bump into something as hard as a femur,
00:47remember, the femur is one of the strongest bones
00:49in the human body.
00:50It has the tensile strength of steel,
00:52stronger than concrete.
00:53Like, this thing is tough.
00:55I'm not saying test it, but I'm saying it's tough.
00:59Oh.
01:00Oh!
01:01See, that's a really unfortunate injury
01:04because getting a patella, the kneecap,
01:06directly into the vertebrae of your spine
01:10can be so, so painful.
01:12Remember, the vertebrae are bones
01:14that stack on top of one another
01:16that protect your spinal cord.
01:18But then from your spinal cord are spinal nerves
01:21that then go out and become your peripheral nerves.
01:23So if you get a really hard knock onto your vertebrae,
01:26obviously you could risk fracturing it.
01:28That's incredibly painful.
01:29But you could also damage those nerves.
01:32And when you damage nerves,
01:33that's not like symptoms that go away in a few minutes.
01:35They're lingering, they're numbing, they're tingling.
01:38They cause what's known as paresthesias,
01:40which are abnormal sensations in your hands and your legs.
01:43So this type of injury is very, very devastating.
01:46The official diagnosis was a lumbar vertebrae fracture.
01:49Shortly after he took the hit, he said in an interview
01:51he could be in a wheelchair
01:53had the knee come a little to the left.
01:55I've had patients with compression fractures
01:57that have just absolutely debilitating pain.
01:59Pretty much we ended up having to resort to opioids
02:02because it's that bad.
02:03There are unique situations with compression fractures
02:06where we actually can use some nasal sprays
02:08known as calcitonin, which can help with pain.
02:11Kind of unusual,
02:11because that's not typically a pain relieving spray.
02:14But the mechanism behind that is quite interesting.
02:16Oh, Cristiano Ronaldo.
02:19Oh, God.
02:21That was a heavy hit.
02:24He's grabbing the knee.
02:26Now, a lot of times when you're an athletic trainer
02:29or a sports medicine doc,
02:30when you're on the field or right off the field
02:32and you try and do a knee exam,
02:34if there's a tear, there's so much global swelling,
02:37especially if you tear like the ACL.
02:39Because essentially when you tear a ligament,
02:41there's bleeding that happens there.
02:42And that's where a lot of the swelling comes from.
02:44Then the inflammatory cells.
02:45That it's very hard to do a special test
02:48and hope to get an accurate result.
02:49Because everything hurts.
02:51Everything seems like it's a positive result.
02:53You really gotta wait for the inflammation
02:55to come down and get some imaging.
02:56Ronaldo was involved in a collision in the ninth minute,
02:59and he suffered a grade one ACL ligament sprain
03:03in his left knee.
03:04Xabi Alonso.
03:06Oh, what happened there?
03:07Oh, this is Spain, Holland.
03:11Oh my God.
03:13Okay, so for those who don't know,
03:14one of the worst things you can do
03:16that should be an automatic red card
03:18is flying at another player through the air
03:21with an outstretched leg and a locked knee,
03:25meaning the spikes of the cleat up.
03:27Now, when we play in high school,
03:28we usually use something known as FG cleats,
03:31which are firm ground cleats.
03:33So they're like plasticky.
03:34But then in professional soccer,
03:36they usually use SG cleats,
03:38which are called soft ground cleats.
03:39And these are metal sharp cleats.
03:41So imagine you're flying at a high rate of speed
03:44with a locked knee.
03:45That means there's no give once you make contact.
03:47And you hit someone with metal object
03:50directly into their chest,
03:52where their ribs are, their heart is,
03:53vital organs.
03:54Oh my God.
03:55We've seen even what happened in American football
03:58when someone gets hit directly into the chest.
04:00And we don't know that's exactly what happened
04:01with the Buffalo Bills.
04:03But we know in baseball, for example,
04:04if the baseball hits you in the right time
04:07of your electrical conductivity of your heart,
04:09it could stop the heart.
04:10The same thing could have easily happened here.
04:12Tonight, one of the world's leading soccer stars
04:14collapsing at the Euro 2020 tournament.
04:17Our player is going to be.
04:18Yeah, he fell on his own without anyone hitting him.
04:21His heart just suddenly stopped.
04:24His teammates forming a protective circle
04:25around the midfielder.
04:27And then they started chest compressions,
04:29chest compressions, chest compressions.
04:30Because when someone is pulse-less,
04:32that's what you do until help arrives.
04:34Erickson is now awake and stabilized in the hospital.
04:37And he'll be staying there for further examination.
04:40They likely got ROSC,
04:41which is return of spontaneous circulation.
04:44This can happen from just doing chest compressions.
04:46It can happen from giving medications.
04:48If he had a shockable rhythm,
04:50which is a type of heart rhythm
04:51that would respond to one of those defibrillators,
04:54you can shock the patient
04:55and actually shock them back into the correct rhythm,
04:58establishing a pulse.
04:59So unclear what happened with him,
05:01but the fact that they acted quickly,
05:03did the chest compressions right away,
05:04that bought them time to do medical interventions.
05:07That's what the purpose of CPR is.
05:09An implanted cardioverter defibrillator was soon fitted
05:13as a countermeasure for any rhythmic disturbances.
05:16But the device fell outside of SETI-AS medical regulations.
05:19And by October,
05:20Erickson found himself suspended from action
05:23for InterMilan.
05:23Wow.
05:24So the implantable defibrillator that they're talking about
05:27is one that you basically put underneath the skin
05:30and you put some wires directly
05:32into the chambers of the heart.
05:33If the monitor detects an abnormal heart rhythm
05:36that is shockable,
05:38meaning just like the defibrillator
05:40that we keep on the outside,
05:41that we keep at Little League games,
05:43it will actually act and shock right in that moment.
05:45Now I'm not sure what are the medical legal regulations
05:50that prevented him from playing at InterMilan,
05:51but it couldn't be as simple as their insurance
05:53did not cover a person playing on their team
05:56with this significant of a risk.
05:58It's really more so about the risk that he's facing
06:01rather than his ability.
06:05Oh, did he pop his Achilles?
06:08To me, this looks like an Achilles injury.
06:10Yep.
06:11He's grabbing at the Achilles.
06:12And for those who don't know,
06:13the Achilles tendon is the one that attaches
06:15the calf muscle to the back of your foot,
06:17the heel, the calcaneal bone.
06:19The gastroc muscle is so strong
06:21that it actually needs to be able to propel
06:23your full body weight up at any given moment.
06:25So it's very explosive.
06:26The Achilles tendon is very strong,
06:28but if it's ever injured due to tendonitis
06:30or some kind of other injury, it can snap.
06:33And one of the tests we do in the medical office
06:35is called the Thompson test,
06:36where we actually have the patient lay face down,
06:38squeeze their calf,
06:39and actually see their foot move forward.
06:42Now, if that action's not happening with the foot,
06:44we know that there's probably a disconnect
06:46with the Achilles tendon.
06:46We can do a musculoskeletal ultrasound to confirm this.
06:49And the reason why we're seeing Beckham stumble here
06:52is because he's not able to plantar flex his foot
06:56because of the lack of connection to his calf muscle.
06:58A lot of times from the Achilles tendon being so strong
07:01and constantly pulling on that calcaneal bone in the back,
07:04it can actually create a deformity in the bone
07:06known as a Haglund deformity.
07:08And it creates like this bump on the back of your foot.
07:10So much so that these days,
07:13some soccer players are actually cutting out a square
07:16of their soccer boot to allow room
07:18for that little bony deformity.
07:20Zidane jogs past Matarazzi.
07:23Words are exchanged.
07:25And then...
07:26Oh, it's incredible how strong Zidane is
07:29that from a shot like that,
07:31he made the other player go parallel to the ground.
07:35You gotta be strong to do that.
07:36And you could break a sternum.
07:38You know what's interesting is I don't think by rules,
07:41the referee's allowed to look at replay at that moment.
07:44So the referee didn't see that happen,
07:46but then they kept replaying it in the stadium.
07:48And I think that's what led the referee
07:50to actually issue the red card.
07:52And it actually sucked because Zidane
07:53is one of France's best penalty kickers.
07:56And then they ended up needing to go to penalties
07:59and Trezeguet, I believe, missed the penalty.
08:03Had Zidane been there, it might've been a different story.
08:06Zidane paid the price.
08:07Yeah, that was Trezeguet missing a penalty kick.
08:12Left is your opponent.
08:13Oh yeah, this is a biter.
08:14Clutching his face.
08:15It's incredible how many times
08:17he's been caught on camera biting people.
08:18Like there's cameras everywhere.
08:20My guy, how do you know you're not gonna get caught?
08:22And by the way, getting bitten by a human
08:24is probably worse than getting bitten by a dog,
08:26unless the dog is like rabbit.
08:27The human mouth has so many different types of bacteria
08:30that you need broad antibiotic coverage for it.
08:33There I say it, that he's had a little bite at Kielini.
08:36A little bite.
08:37And you know what's funny?
08:37This isn't the only time he's done this.
08:39He's done this like three times.
08:41Yeah, there was like memes of him looking like a rat.
08:44Because he's constantly biting people.
08:49Oh my God.
08:52That's so dangerous.
08:54Oh my, but I mean, that's not Cristiano's fault,
08:56but oh my God, the fact that he landed like that.
08:59You know what's a common injury in soccer,
09:01which could have been here, is a clavicle fracture.
09:05Falling on a shoulder on an outstretched arm
09:07is kind of common.
09:08And you know that to prevent injury,
09:10FIFA actually released a program called the FIFA 11 Plus,
09:14which literally dictates the warmup you should do
09:17in order to reduce injuries by as much as like 50%.
09:20I think that's what the program claimed.
09:22They did the research showing that by doing this program,
09:24you decrease like ACL injuries and all these other ones.
09:27It's pretty incredible
09:28that now all the teams started doing that.
09:30In the round of 16 of the Champions League,
09:33Leo impressed everyone against Chelsea at Stamford Bridge.
09:37The dream shattered.
09:39In the 22nd minute, Messi ran after a loose ball
09:43and suddenly stopped in his tracks.
09:45He collapsed on the floor.
09:48You could see the pain in his face, the tears in his eyes.
09:51He had torn his right leg hamstring.
09:54Oh, that's one of the most painful injuries.
09:58Oh my God, especially if it pulls off completely in tears.
10:01Oh my God.
10:01A hamstring injury is so hard to recover from.
10:04Wide receivers in the NFL, soccer players,
10:07anytime you have to sprint,
10:08especially on a fatigued hamstring, oof.
10:10The nasty incident involving Firmino
10:12took place during a Premier League game
10:14when Liverpool played against Spurs at Wembley Stadium.
10:17Oh!
10:19With the Belgian accidentally poking Firmino's eye
10:21with his finger.
10:22Initially, things looked really bad,
10:25but following a quick medical intervention,
10:27any severe complications were prevented.
10:29Oh, that's very lucky.
10:30You can get into a lot of trouble.
10:32I mean, even minor things like a corneal abrasion
10:35require antibiotics, anti-inflammatories,
10:38especially if you wear contacts
10:40that can predispose you to all sorts of issues.
10:42So don't get poked in the eye, folks.
10:45Running around the streets of New York City
10:47answering people's questions,
10:48click here to check that out,
10:49to enjoy New York City and learn a little something
10:52and have fun.
10:53As always, stay happy and healthy.