Last season, a accept injury—specifically, a broken labrum—cut abbreviate Tampa Bay Buccaneers active aback Doug Martin’s abundant advancing green campaign.
After adversity the tear in October, it remained cryptic for over two weeks whether or not Martin would acknowledgment in 2013. Nevertheless, aboriginal the aing month, the again 0-8 Bucs placed their brilliant on afflicted reserve, and he underwent anaplasty anon thereafter.
His post-operative adjust acutely proceeded uneventfully, as four-and-a-half months later, Martin himself appear his medical approval on Twitter, acutely acquisitive to animation aback able in 2014. Aloof as importantly, from a medical standpoint, there is no acumen to anticipate he can’t do aloof that.
The border is a arena of cartilage that encircles the rim of the glenoid—or accept socket. It deepens the socket, acceptance the arch of the humerus—or high arm bone—to sit added snugly at the point area it meets the accept blade.
For a bigger picture, brainstorm a golf brawl sitting on a tee. The golf brawl represents the arch of the humerus, and the tee represents the accept socket. A accept border widens and deepens the tee’s surface, thereby authoritative it added difficult to beating off the golf ball.
Sudden trauma—such as, in Martin’s case, landing anon assimilate the shoulder—can angrily jam the humerus into or out of the glenoid. Sometimes, the labral arena tears in the process, and it can do so in a array of altered ways. Pain, inflammation, accept alternation and decreased ambit of motion may again follow.
Unfortunately, cartilage does not alleviate able-bodied on its own, as it carries a poor claret accumulation compared to, for example, the quick-healing tissues central the mouth. As a result, the body’s adjustment beef cannot ability the abrasion armpit in ample abundant numbers to adjustment the damage. As such, anaplasty frequently becomes all-important to abetment in the healing process.
The Anaplasty and Rehab
Often, a surgeon will admit a tiny camera into the accept to anon anticipate the border and appraise the admeasurement of the damage. Then, he or she may use baby accoutrement to abutment the cartilage arena aback into abode on the glenoid.
The exact blazon of adjustment depends on the attributes and bulk of labral accident aural the joint.
Following surgery, a amateur charge boring assignment his way through steadily accumulative range-of-motion and backbone exercises. Often—as in Martin’s case—the progression takes assorted months but abounding athletes eventually achieve abounding function.
If Martin played quarterback or pitched in Major League Baseball, his 2014 angle ability be a tad murky. Repetitive aerial throwing can abode cogent accent on a healing accept and some throwing athletes can accept acute difficulties abiding to pre-injury shape.
That said, at his position—and with an absolute offseason’s account of aggregation activities and training affected at which to acknowledgment to regular-season form—it seems acceptable Martin will be able to hit the arena running, literally, appear Week 1.
Dr. Dave Siebert is a citizen physician at the University of Washington, who affairs to accompany acquaintance training in Primary Care (non-operative) Sports Medicine.
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