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I feared this was the case when Reid was being even more shady than usual during his press conference.

Sucks, Andrews had the potential to be an all-timer and seemed like a likable kid as well.

What type of injury did he sustain last year in New Orleans?

Neck. Apparently Hollis Thomas developed a head slap move last year and the Eagles linemen were bitching about after both games (the second of which resulted in the Andrews injury).

on WIP (FEPO) this morning, anthony made a good point that may make sense of the odd disparity between andrew's and ried's comments - from whatever reid knows about the injury, he's basically telling andrews to suck it up and get out there.

i dont know what's going on, but they NEED this guy out there...

In his conversation with reporters Wednesday, Andrews was asked about his rehab, and he mentioned using a bone stimulator. According to medical sources, there are only two reasons why Andrews would use bone stimulation, an unhealed fracture, which is unlikely, or osteonecrosis, also known as avascular necrosis.

Osteonecrosis would mean that a section of bone involved in Andrews' 2004 fibula repair has not been getting an adequate blood supply and is deteriorating. Most likely the talus bone, a small bone in the ankle, would be affected, a medical source said. The condition is treatable, but if it is serious enough, the treatment would be a bone graft, the source said, which would sideline Andrews for the season.

Any new information?

Tim Dwight is available

I BELIEVE NOTHING UNTIL JULES TELLS ME.

The talus isn't part of the fibula (the injured bone). Osteonecrosis is a poor prognosis if he really has that in the talus. That bone bears a lot of weight. It articulates with the tibia and fibula to form the ankle joint. In his age group an osteocondral defect that is unstable is more common. I'm surprised at this diagnosis and it would be career threatening.

If its his fibula, then I'd imagine it isn't as grim a prognosis. You really can't do a "bone graft" to the talus. It isn't in any orthopedic repair I've seen.

Huh?

As a person with an advanced education, I expect you to understand that communication, by definition, involves tailoring your message (including the vocabulary you choose to use) to your audience.

If my expectations are unreasonable, am I to assume that our (can I say "our" as a tax payer?) medical schools are merely cranking out experts in memorization and manual dexterity, sadly lacking in interpersonal or analytical skill? That would be sad.

In other words, can you please rephrase your last post in layman's terms?

Has anyone confirmed the necrosis diagnosis (rhymes!), or are we just talking shit?

In other words, can you please rephrase your last post in layman's terms?

Umm, Roach- I think Jules was pretty straightforward in his diagnosis, why don't you get the Cliff's notes if you're having problems getting the material?

dummy

As a person with an advanced education, I expect you to understand that communication, by definition, involves tailoring your message (including the vocabulary you choose to use) to your audience.

i've noticed a lot of physicians tend to speak very "technically" even when speaking casually to lay people about medicine. i remember riding in the car with my fiancee's cousin recently and thinking "are you serious or just trying to show off - NO ONE HERE BESIDES YOU WENT TO MEDICAL SCHOOL SO CAN IT WITH THEM FANCY WORDS!"

In Jules' defense, I beleive that the technical jargon started in the post before his. He was simply trying to explain the injury, and, in order to be precise, the technical language becomes necessary. Normally, he follows up every technical answer with a simpler explanation, so I assume that the one time he doesn't, he's probably in a hurry or something. However, since this is the internet, you may wish to do something nifty like searching for a definition for the words that you do not understand.
In the words of one Seth in 376, 'Just sayin.'

It's very difficult to talk about highly specialized subjects without getting very technical. I can explain my job to people I meet maybe 3 times a year. The rest of the time it's just "I manage computer programmers." Johnson and I have known each other since 2001 and we worked together for almost 2 years, and I bet even he couldn't tell you what I do. He's not stupid, it's just highly specialized knowledge. I couldn't tell you what he does other than "he makes shit look good."

Although, to be certain, an explanation from the man himself, if he's available, would obviously be simpler.

Roachie, I can assure you that the residents I train have to sign an "I'm not a monkey" waiver because I don't want someone who can memorize large quantities of data/info but can not contextualize it. By extension, I have good manual dexterity (my procedural skills but more importantly my work on the xBox can attest to that), I can memorize large amounts of useless info etc, but I do like to pride myself on being able to understand things rather than blindly committ to memory those concepts.

Anyway, osteonecrosis is essentially bone death. Necrosis is from the root nekros = dead body. Osteo = relating to bone. Osteitis = inflammed bone. Osteomyelitis = inflammed and infected bone/bone marrow.

Now, osteonecrosis has many causes. In Shane's case, being black puts him at a higher risk for sickle cell anemia (a blood disorder that causes red blood cells to "stick" together and thereby clogging arteries or veins).

It can also be caused by a fracture if it disrupts the blood supply to that particular region of bone. But in the case of the fibula, you would be dealing with posterior tibial artery and he would have had signs at the time of his ORIGINAL fracture not one year later, so I doubt it is that. Independent of this, it is unlikely to compromise the talar (adj of talus) blood supply since it also has the peroneal artery and anterior tibial artery as part of its supply. Both those arteries in turn help to form an additional artery called the dorsalis pedis which in turn also supplies the talus.

The point is that it is very peculiar so far removed from his original trauma for the disruption of the artery to be a cause.

Now we come to yet several other possibilities:

* alcohol, very uncommon.
* diabetes which causes acceleration of blockage of smaller arteries. nothing says he's a diabetic.
* steriod use This is more likely to occur with medical steroids not the anabolic steroids - to my limited knowledge on this topic.
* connective tissue or autoimmune disorders: these can wreak havoc on so many different organ systems. Sarcoid (a presumed autoimmune disease) killed Reggie White because of how it affected his heart. These diseases are quite variable with some patients having alot of difficulty and many having only limited problems. I have no idea if Andrews has a connective tissue disorder.

So, that is a synopsis of WHY he could have osteonecrosis, but I have almost no medical history on him, so I have little to go on.

Roachie et al, as a couple of other posters have stated, at times there is little way around the jargon.

some references:

blood supply of talus

causes of osteonecrosis

bony anatomy of the ankle

another anatomy image

quick reference on common ankle injuries

Hope this is a bit clearer. It maybe that I made things more confusing. And sometimes the readers on here are so sophisticated, I DO take their background knowledge for granted.

You didn't make it more confusing for me. It's much clearer now. Thanks, I do appreciate it.

I should have been nicer in my request for a better explanation. Sorry.

Maybe Andrews has Laminitis.

If that were true, Banner would have put him down already.

You really think they'd spring to feed him for a year if they know it's a lost cause?

jules, wasn't andrews on oral steroids for his asthma? As I recall he blamed his pre-rookie year weight gain to the steroids (like prednisone)that he was taking. If he continued to use them, it would explain why he would have avascular necrosis.

I didn't know that. I thought his breathing problems were related to a deviated septum or something. If that is the case, then we have an excellent explanation. If it truly is AVN, avascular necrosis, then I don't like the outcome. He can't have a long career from the sure to develop arthritis he'll have.

PS, Seth, does ur source in the organization have room for a medical consultant that he could run things by?

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