Dante Exum: shoulder injury

[Rubashov]

Dont bite...

shush!

 

[Jazz Traveler]

Hoping we get an injury update today.

 

[elan_prodigy]

Hoping we get an injury update today.

Some positive news would be great! And a welcome change.

 

[jazzfan1132]

Well, do we know something more?

 

[Chargers Jazz Angels]

I know while we are at it (It being offering 4 years to Dante) why dont we throw a max contract at Jabari Parker next summer. Either the Jazz will look like genious or idiots only the future can tell.

Seriously though that injury was weird. The fall didnt look bad at all.

 

[fgcamel]

Seriously though that injury was weird. The fall didnt look bad at all.

Aren't those the types of injuries that people should be weary of though? Injuries on normal basketball plays are much more concerning than ones that happen when a player is knocked to the ground awkwardly etc, just makes me think of Derrick Rose

 

[Chargers Jazz Angels]

Aren't those the types of injuries that people should be weary of though? Injuries on normal basketball plays are much more concerning than ones that happen when a player is knocked to the ground awkwardly etc, just makes me think of Derrick Rose

Hence the sarcasm in the line above that you omitted

 

[stitches]

This injury ****ed up my NBA mood for the season completely. I can't say I even care what happens now. I feel like... meh... what's the point of it all when at the end of the day this team is cursed to lose player after player year after year. This one is super depressing.

 

[Handlogten's Heros]

Aren't those the types of injuries that people should be weary of though? Injuries on normal basketball plays are much more concerning than ones that happen when a player is knocked to the ground awkwardly etc, just makes me think of Derrick Rose

It wasn't really a routine play... guy jumped on top of him putting him and Exum at risk. Wasn't like the AB injuries where he went hard to the hoop and got knocked down because it was reckless.

I think this really sucks because you could see the improvement and this disrupts the process again. This injury is less devastating than the ACL in a few ways but one important thing... we don't have a ticking free agent clock on Gordon Hayward. His last injury really prevented us from seeing if he could become something really good before Hayward hits the market.

I think he signs a one year make good or the QO. Comes back next year and hopefully gets to show us what he's got. He will be our FA addition in all the DL interviews.

 

[Handlogten's Heros]

This injury ****ed up my NBA mood for the season completely. I can't say I even care what happens now. I feel like... meh... what's the point of it all when at the end of the day this team is cursed to lose player after player year after year. This one is super depressing.

Cheer up. We still have DM, the re-re-return of AB, Favs looks like he's moving better, and the Joe Ingles MVP run.

 

[stitches]

Here's some information about the injury and recovery:

https://www.hss.edu/conditions_shoulder-separation-dislocation-overview.asp

Shoulder Separation—the AC Joint

Shoulder separation describes the condition in which the ligaments connecting the AC joint are injured and the acromion begins to move away from the clavicle. Because the injury is a disruption in the suspensory mechanism that keeps the arm suspended from the clavicle and close to the chest, it can be very disabling. Many patients with a shoulder separation develop the problem during athletic activity, but shoulder separation can also result from accidents such as falling on the tip of the shoulder.

Shoulder separation occurs along a spectrum of progressive injury, ranging from a sprain or partial tear of the ligaments making up the least severe type of separation, to a complete tear of the major ligaments that support the joint, resulting in more severe injury or separation.

Orthopedists use the Rockwood classification system—a numerical scale from Type I to VI—to help define their diagnosis, which is made on the basis of physical examination as well as x-ray. A Type I injury indicates minimal injury or sprain of the AC joint, while more severe injuries are indicated by a higher number, Type VI being the most severe.

Treatment of shoulder separation depends on a number of factors, including the severity of the separation, the patient’s age, and their willingness and ability to modify their activities. Among competitive or elite athletes - including those at the high school or collegiate level - treatment decisions are also guided by whether the problem arises pre-, during, or post-season. Athletes who are mid-season may be treated non-operatively (depending upon their sport and position) so that they may continue participating in their sport, then opt for surgical treatment in the off-season.
Treatment Options

Types I-II:

Lower grade shoulder separations (Types I and II) are usually treated non-operatively, with initial rest followed by a course of physical therapy to maintain flexibility and range of motion and to strengthen surrounding muscles.

Type III:

While Types I and II comprise partial separation, Types III and above are complete separations. Patients with a Type III shoulder separation represent a group for whom the choice of treatment may be somewhat more controversial.

“Traditionally, patients with these injuries may have undergone non-operative treatment, but today we tend to recommend surgical repair for a complete AC separation, based upon the patient’s age and activity level,” says Dr. Cordasco. Although a patient with this type of shoulder separation may feel better in six to eight weeks after the injury, the long-term effects of the higher grade separation may become problematic.

“Because the acromion drops down, the mechanics of the muscles that are functioning to move the arm are altered. With ten, fifteen, or twenty years of repetitive motion, there may be more wear of the rotator cuff muscles, and tendons,” he says. Patients may develop a condition known as secondary impingement syndrome, which is characterized by pain, weakness, and loss of motion.

In patients with Type III separations, age is a significant consideration. “In a 20-year-old, we assume the patient is going to live for another 50 or 60 years,” says Dr. Cordasco. “When I see a young patient who’s going to remain active - particularly a throwing athlete whose dominant shoulder is effected - I often recommend surgical treatment.” However, he adds, patients seeking treatment at their community hospital, where newer techniques are potentially unavailable, may not be offered this option. Conversely, in a patient in his or her “middle years” who is willing to alter his or her activities, non-operative treatment may be appropriate.

Types IV-VI:

Patients with separations that are graded as types IV, V, and VI are usually advised to undergo surgical treatment to repair ligament injury, a procedure that may be performed either with an open incision or with the aid of arthroscopy. In arthroscopic surgery, the orthopaedic surgeon is able to repair the injury using miniaturized instruments inserted in the shoulder through small incisions. A small camera inserted through another incision helps guide the procedure. “My preference is to perform the procedure using an arthroscopic approach which we devised here at the Hospital for Special Surgery” says Dr. Cordasco.(1,2)

Repair of the ligaments requires a graft from another location, which may be in the form of an autograft (obtained from the patient) or an allograft (obtained from a cadaver).

“Completely torn ligaments will not heal on their own,” Dr. Cordasco explains,” the goal of surgery for shoulder instability is to restore the anatomy by reconstructing the ligaments. Doing so gives you the optimum outcome. Attempts to alter the anatomy are not as successful.”

In the past, surgeries to repair shoulder separation often involved transfer of tissue to support the joint (a popular technique was known as the Weaver-Dunn technique); these reconstructions met with variable outcome and had a higher failure rate, as well as other long-term problems.

Results

Surgical treatment of shoulder separation has a high success rate, with long-term results of arthroscopic procedures showing comparable results to those of traditional open surgery. However, experts concur, in the short-term, that arthroscopic treatment is more comfortable for the patient and has a shorter recovery period associated with it. Arthroscopic surgery is not an option for all patients, including those who are undergoing revision surgery for an injury that was not treated successfully in the past.

Interestingly, patients with less severe forms of AC separation (Types I and II) may be at greater risk for developing the long-term complication of AC arthritis. This is due to the disruption of the joint surfaces that occurs with the injury that may, over time, result in erosion of the articular cartilage or joint cushion, and subsequent “wear and tear” arthritis. In untreated type III, IV, V, and VI separations, other long-term complications may ensue, but because there is no contact of the joint surfaces, the risk of developing separation-related arthritis is absent.

 

[My2Cents]

Aren't those the types of injuries that people should be weary of though?

I know I'm weary of them...

 

[Ron Mexico]

This injury ****ed up my NBA mood for the season completely. I can't say I even care what happens now. I feel like... meh... what's the point of it all when at the end of the day this team is cursed to lose player after player year after year. This one is super depressing.

I feel similar. When the season starts ill get pumped again but this took a lot of excitement out of the season for me. It also is prepped me for the inevitable onslaught of injuries our roster will endure since we do every year. I hoped this year would be different.

I almost liked your post but I dont really like it I just agree with it.

 

[Cappy_Smurf]

That's the thing... I don't think the Jazz give him 40M.

Maybe it's less than that. I said 8-10 per, so maybe 32M. I just don't see Utah lowballing him so bad he takes the QO, and will a risk a slight overpay to do so.

Anyway, so far it's you, Cy and HH who all believe he'll take the QO. I think you are all wrong, but I guess we'll see soon enough.

 

[Cappy_Smurf]

This injury ****ed up my NBA mood for the season completely. I can't say I even care what happens now. I feel like... meh... what's the point of it all when at the end of the day this team is cursed to lose player after player year after year. This one is super depressing.

I immediately went to the western prediction thread and dropped Utah a couple spots. Not because I think Dante will make that much difference, but because it seems we're always ****ed and can't catch a break.

 

[MVP]

We've invested too much, time and a 5th pick, on this kid. He's shown promise, and we are in no position to be that picky in Utah.

He's our talent, and he belongs here period.

Kanter and DWill were higher picks. Burke was 9th. If anything Jazz showed they have no problem partying with high picks when they do not meet the expectations.

 

[Handlogten's Heros]

Maybe it's less than that. I said 8-10 per, so maybe 32M. I just don't see Utah lowballing him so bad he takes the QO, and will a risk a slight overpay to do so.

Anyway, so far it's you, Cy and HH who all believe he'll take the QO. I think you are all wrong, but I guess we'll see soon enough.

I don't think we extend him... I think he may not get a 4/40 type offer next year if he's out all year and I'm not sure he'd take it. He thinks highly of himself and may want to make the 6.7M and hit the market as unrestricted when the cap is heading up again.

Maybe he reads the market next year and just wants to lock something in. He's made 16M so far and would make another 7 on the QO... so he's likely in a decent spot to gamble on himself. We will see.

I'm more 50/50 though... could see either happening.

 

[Hedda Gambler]

That was never happening. I don't think Exum was going to get enough to get a team to bite in RFA. There just isnt enough buyers next year. Exum was always going to get the short end of the stick in negotiations. I think him signing the QO is a near guarantee (unless we do something with Rubio by free agency of 2018).

Why? He is injured and possibly out for the whole season. Nobody will offer him a huge deal next summer and his QO is just over 4 million. Unless his ego is huge, he would have to really consider a 4/32 offer.

 

[elan_prodigy]

I don't think we extend him... I think he may not get a 4/40 type offer next year if he's out all year and I'm not sure he'd take it. He thinks highly of himself and may want to make the 6.7M and hit the market as unrestricted when the cap is heading up again.

Maybe he reads the market next year and just wants to lock something in. He's made 16M so far and would make another 7 on the QO... so he's likely in a decent spot to gamble on himself. We will see.

I'm more 50/50 though... could see either happening.

Im not sure why people have this impression of him. He just wants a chance to play ball, I think money is the furthest thing from his mind atm.

 

[Hedda Gambler]

I don't think we extend him... I think he may not get a 4/40 type offer next year if he's out all year and I'm not sure he'd take it. He thinks highly of himself and may want to make the 6.7M and hit the market as unrestricted when the cap is heading up again.

Maybe he reads the market next year and just wants to lock something in. He's made 16M so far and would make another 7 on the QO... so he's likely in a decent spot to gamble on himself. We will see.

I'm more 50/50 though... could see either happening.

No. His QO is just over 4 million. With his injury he has no chance of qualifying for the starter criteria, which means that his QO is the same as the 15th pick.