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My Confidence in Dolphins Medical Staff is Rattled

PROUDMONKEY

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Last year the Dolphins medical staff and Nick Saban misdiagnosed Drew Brees shoulder injury and the recovery time of Daunte Culpeppers knee rehabilitation. Had this not occurred, Brees would be a Dolphin now and for the time being, our quarterback issues resolved. Hopefully the medical staff is 100% accurate in their initial assessment of Ted Ginn and the recovery schedule of the Lisfranc injury in his right foot.

The Lisfranc joint, or tarsometatarsal articulation of the foot, is named for Jacques Lisfranc (1790-1847), a field surgeon in Napoleon's army. Lisfranc described an amputation performed through this joint because of gangrene that developed after an injury incurred when a soldier fell off a horse with his foot caught in the stirrup.
The incidence of Lisfranc joint fracture­ dislocations is one case per 55,000 persons each year. Thus, these injuries account for less than 1 percent of all fractures. As many as 20 percent of Lisfranc joint injuries are missed on initial anteroposterior and oblique radiographs.
With 26 bones in the human foot, damage can be hard to determine and correct. The Lisfranc joint, where the metatarsal bones attach to the rest of the foot, is a complicated joint involving numerous bones.
Physicians often differentiate Lisfranc injuries as sprains, fractures or dislocations. But injuries in the Lisfranc joint are often subtle and difficult to assess. The metatarsal bones tend to move as a unit. When they do, it can create tears in multiple ligaments across a wider area of the foot. Such injuries can drag on and on. Sometimes they require surgery but then might never heal perfectly, especially if not addressed early. Lisfranc injuries can be hard to realign perfectly and also can result in arthritis, further complicating recovery.
Lisfranc injuries appear quite common in the NFL. When they occur, the result often results in the player being put on IR for the remainder of the year. Examples include Phillys RB Brian Westbrook who had his season end on a Lisfranc sprain on December 5th, 2005. Westbrook missed the last 5 games of the season because of this injury. Another Eagle player who has endured a Lisfranc sprain is safety Brian Dawkins. Dawkins missed much of the 2003 NFL season because of the injury. Both Dawkins and Westbrook recovered and returned the following season to start for the Eagles.
Most notable from this past NFL season, RB Kevin Jones had his season cut short on Dec 13th, and later had surgery to recover from a similar Lisfranc injury to Ted Ginn. According to NFL.com On Feb 11th, 2007, Lions sources said that they expect Kevin Jones will miss at least half of the 2007 NFL season as he recovers from surgery on his left foot.This would certainly explain why the Lions felt the need to sign RB Tatum Bell and TJ Duckett this off season. The last news heard on Jones is last month, where he began running 10-12 minutes on a treadmill. Sound like he has a long way to go to recover.
WR Brian Ferguson was placed on IR on Oct 24, 2006 due to a Lisfranc injury that will not require surgery. He played only 2 games in 2006, but as of today he is listed as the #3 WR on the Packers current depth chart. Another Packer that went down last year and placed on IR was DT Kenderick Allen who injured his foot on Sept 24th against Detroit was placed on IR on Oct 4th.
There are obviously many more cases in the NFL, but I wanted to look at Jones and Ferguson from last year because their names are recognizable and one had surgery and the other did not. Lisfranc injuries that require surgery as part of the recovery process have a much longer recovery time than Lisfranc injuries that do not require surgery. RB Kevin Jones, who had the surgery, may not play the entire season this upcoming year, but WR Ferguson who did not have surgery will be ready to go come July training camp.
Everything I have read and heard about Ted Ginns Lisfranc foot injury clearly indicates that his foot will NOT require surgery. This means he should be ready to go this coming training camp. If for some reason it will require surgery however, Ginn would not play this year at all. I have no reason at all to believe that his foot WILL require surgery other than my own paranoid conspiracy theory. The Dolphins Medical staff made two major mistakes last year and the 2006 season was dramatically influenced. The Dolphins medical staff misdiagnosed both Drew Brees shoulder and misdiagnosed Culpeppers knee. Had the medical staff correctly assessed these two players, Brees would have been a Dolphin last year.
Because what I have read about Lisfrancs being terribly difficult to treat and correctly diagnosis the appropriate treatment, and the Dolphins medical staffs recent track record, I would not be shocked at all if three months from now I start hearing talk about Ginn and the word surgery. So excuse me if my confidence in the Dolphins medical staff is a little rattled. Ted Ginn can be a tremendous play maker for the 2007 Dolphins and I am looking forward to seeing him this fall.
So have at it dolphans please reassure me I have nothing to worry about becuase I prefer not to worry
 
Well said man. I looked up the same stuff you did, and we are definitely gambling by picking Ted Ginn. Gotta keep our fingers crossed on this one, and if Ginn does not fully recover, we need to fire every everybody on the medical staff and Randy Mueller.
 
Even though you really didn't use pargraphs which makes this a tough read, I think this a is a very good post and raises valid points.

Last year we were all raving about DC's "miracle recovery". Turns out all the critics were right about Pep not being ready..besides our doctors.
 
sorry about the no paragraphs, I failed to take the time to make it a little easier on the eyes
 
If our medical staff got everything right,we still might have Saban as our head coach. I will consider this a blessing in disguise.
 
That's why the selection of Ginn is the consensus worst pick of the draft. Before the injury, Ginn was considered top ten, after the injury: freefall.
His senior stats were ok but nothing special: 59 catches 13.2 yards per catch. His teammate Anthony Gonsales had 51 catches 14.4 yards per catch and he was taken at 32 by the Colts. Marty Booker had a better year with the Dolphins: 13.6 yards per catch and he's certainly no deep threat. Yes Ginn is also a return guy but his stats were just OK 1 td on punt 1 td on kickoff. Ginn lovers keep chanting: "his speed, his speed", and keep running the YouTube video highlights over and over but for all his speed, his college production was "just OK". It's OK to fantasize he will run past everyone in the NFL but the track record for fast skinny guys isn't filled with success. Comparisons to Lavernaues Coles, Santana Moss, and Steve Smith are not accurate: they are short and powerful and Ginn is thin. What can we expect? Well assuming he recovers from the injury, (big assumption) we're probably looking at a guy who's injured a lot similar to Rocket Ismael. The "rocket" reportedly ran a 4.16 40 and was considered a blazer. In college he was a big play guy averaging 22 yards a catch and 8 yards a carry running the ball. In his 9 years in the NFL he had 3 excellent years and the other 6 he was injured.

There's nothing we can do about it Ted Ginn and his family are Dolphins. Mueller fell in love with his speed and that's it.
Just because there's a lot of question marks doesn't mean it can't work. Stay positive. Let's hope Ginn recovers quickly from his Frankenstein injury, remains injury free and posts big numbers. But if his injury keeps him out for the majority of the year, then Mueller should be fired because "everyone" knew this was a risk and a reach for the 9th pick and we were already burned in the Culpepper fiasco.
 
Good post man. People keep harping on how good Ginn COULD be for us. But I hope no one is believing their own hype just yet. He COULD be good...or he could be an unmitigated disaster that never plays a down for us. It's a large risk for a rookie head coach to be taking.
 
That's why the selection of Ginn is the consensus worst pick of the draft. Before the injury, Ginn was considered top ten, after the injury: freefall.
His senior stats were ok but nothing special: 59 catches 13.2 yards per catch. His teammate Anthony Gonsales had 51 catches 14.4 yards per catch and he was taken at 32 by the Colts. Marty Booker had a better year with the Dolphins: 13.6 yards per catch and he's certainly no deep threat. Yes Ginn is also a return guy but his stats were just OK 1 td on punt 1 td on kickoff. Ginn lovers keep chanting: "his speed, his speed", and keep running the YouTube video highlights over and over but for all his speed, his college production was "just OK". It's OK to fantasize he will run past everyone in the NFL but the track record for fast skinny guys isn't filled with success. Comparisons to Lavernaues Coles, Santana Moss, and Steve Smith are not accurate: they are short and powerful and Ginn is thin. What can we expect? Well assuming he recovers from the injury, (big assumption) we're probably looking at a guy who's injured a lot similar to Rocket Ismael. The "rocket" reportedly ran a 4.16 40 and was considered a blazer. In college he was a big play guy averaging 22 yards a catch and 8 yards a carry running the ball. In his 9 years in the NFL he had 3 excellent years and the other 6 he was injured.

There's nothing we can do about it Ted Ginn and his family are Dolphins. Mueller fell in love with his speed and that's it.
Just because there's a lot of question marks doesn't mean it can't work. Stay positive. Let's hope Ginn recovers quickly from his Frankenstein injury, remains injury free and posts big numbers. But if his injury keeps him out for the majority of the year, then Mueller should be fired because "everyone" knew this was a risk and a reach for the 9th pick and we were already burned in the Culpepper fiasco.
his injury is not why people think hes the worst pick in the draft, its because we passed brady quinn, if BQ wasn't there to pick i doubt there would be as many nit pickers about this draft
 
Ginn probably would have been a top five pick had he not injured himself. Lets just cross our fingers that he will be ready and able to play in 2007.
 
I don't know if anyone notices but Dante Culpepper looks in the best shape he has ever been in, i understand and can read between the lines that Dante may not fit Cameron's idea of his type of QB but you got to give it to him he looks better than last year, why don't we give him a fair shot come next camp, i think he might impress some people, maybe Cam knows how to really get the best out of a player.
 
I too don't trust the Fins medical staff, their track record is horrible. However, I would have to blame W.H for always being to loyal to his employees and not trying to fix something that is obiously broken.
 
That's why the selection of Ginn is the consensus worst pick of the draft. Before the injury, Ginn was considered top ten, after the injury: freefall.
His senior stats were ok but nothing special: 59 catches 13.2 yards per catch. His teammate Anthony Gonsales had 51 catches 14.4 yards per catch and he was taken at 32 by the Colts. Marty Booker had a better year with the Dolphins: 13.6 yards per catch and he's certainly no deep threat. Yes Ginn is also a return guy but his stats were just OK 1 td on punt 1 td on kickoff. Ginn lovers keep chanting: "his speed, his speed", and keep running the YouTube video highlights over and over but for all his speed, his college production was "just OK". It's OK to fantasize he will run past everyone in the NFL but the track record for fast skinny guys isn't filled with success. Comparisons to Lavernaues Coles, Santana Moss, and Steve Smith are not accurate: they are short and powerful and Ginn is thin. What can we expect? Well assuming he recovers from the injury, (big assumption) we're probably looking at a guy who's injured a lot similar to Rocket Ismael. The "rocket" reportedly ran a 4.16 40 and was considered a blazer. In college he was a big play guy averaging 22 yards a catch and 8 yards a carry running the ball. In his 9 years in the NFL he had 3 excellent years and the other 6 he was injured.

There's nothing we can do about it Ted Ginn and his family are Dolphins. Mueller fell in love with his speed and that's it.
Just because there's a lot of question marks doesn't mean it can't work. Stay positive. Let's hope Ginn recovers quickly from his Frankenstein injury, remains injury free and posts big numbers. But if his injury keeps him out for the majority of the year, then Mueller should be fired because "everyone" knew this was a risk and a reach for the 9th pick and we were already burned in the Culpepper fiasco.



Yeah did you see the stats he put up in the championship game without ted ginn? i dont think you even heard his name ted ginn opens up plays for everyone else on the team because he's such a threat and thats why we picked him to spread the field and create oppurtunities so please stop hatin on the guy and the daunte pick was saban and saban was the one that started him early of course daunte is going to say hes ready who wouldnt.
 
Our medical staff is fine, as good as any other staff. Diagnosing injuries - and as a surgeon I know this - is not an exact science. Cpep was a waste of time, but Ginn will be fine.
 
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