PA-S | Ortho bro here to explain how injuries actually work and to share other health knowledge | Mechanisms, anatomy, timelines, never an official diagnosis
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Joined January 2024
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♀️Most women who get waved off in perimenopause are not dramatic.
A lot of clinicians were barely taught this. In one survey, only about 7% of medical residents felt prepared to manage menopause. About 20% got no lectures on it at all.
If you were told it was “just stress,” that can be a training gap. Not a personality flaw.
Another angle of Cooley that leads to more knee speculation versus groin
Ankle could even be involved but it didn’t seem to get trapped too
Devin Cooley of the Flames left the game with a LBI after the collision seen below
His left leg extends out and gets caught in an awkward position and he collapses on top of it
First glance had me thinking more adductor strain but the way he falls on the leg could mean more knee ligament (MCL/ACL) or meniscus injury
It does seem to get too stuck underneath him but it hard to tell
Could be looking at a more than a day-to-day situation but hoping that is wrong
Noel Acciari left the game after this collision but later returned which is good news
It seems the injury came from the knee to the head in what we call an axial loading pattern injury
This mechanism in general is concerning for a cervical (neck bone) fracture of spinal cord injury; this definitely did not happen as he returned but is just a general tidbit
It can also cause concussions very easily which is likely why Acciari got checked out
Wonder if he will deal with some stiffness or neck strain symptoms later on
30-50% of concussions have associated neck pain or injury as well, wonder if he just goes through protocol anyway
Zach Hyman placed on IR from this hit and reportedly has a “stiff neck”
It still could be likely that this is treated as a concussion with a neck injury of some sorts involved
I am sure they looked for signs of unstable neck injury and red flag concussion
The neck may have undergone a strain of some sorts that has been causing the stiffness mentioned
Hyman could just go through concussion protocol at the same time he is healing the neck up
Fits a lower grade MCL sprain
Likely some sort of grade 1 MCL sprain for Marchenko given the mechanism and timeline
Given at the time of injury his skate was not stuck in the ice could have prevented an ACL injury with it
Grade 1 injuries have returned to play in as little as 10 days but Kirill will probably wait till he is pain free and feels stable
Fits a suspected MCL sprain
Likely some sort of grade 1 MCL sprain for Marchenko given the mechanism and timeline
Given at the time of injury his skate was not stuck in the ice could have prevented an ACL injury with it
Grade 1 injuries have returned to play in as little as 10 days but Kirill will probably wait till he is pain free and feels stable
30-50% of concussions have associated neck pain/injury so interested to see if he goes through the protocol anyway
Zach Hyman placed on IR from this hit and reportedly has a “stiff neck”
It still could be likely that this is treated as a concussion with a neck injury of some sorts involved
I am sure they looked for signs of unstable neck injury and red flag concussion
The neck may have undergone a strain of some sorts that has been causing the stiffness mentioned
Hyman could just go through concussion protocol at the same time he is healing the neck up
Up to 54% of concussions have associated neck pain/injury so wonder if he will go through the protocol anyway
Zach Hyman placed on IR from this hit and reportedly has a “stiff neck”
It still could be likely that this is treated as a concussion with a neck injury of some sorts involved
I am sure they looked for signs of unstable neck injury and red flag concussion
The neck may have undergone a strain of some sorts that has been causing the stiffness mentioned
Hyman could just go through concussion protocol at the same time he is healing the neck up
Up to 54% of concussions have neck pain too so could go through protocol still
Otherwise good news no major concussion
Could still just go through concussion protocol and be treated as such with an associated next injury
Zach Hyman placed on IR from this hit and reportedly has a “stiff neck”
It still could be likely that this is treated as a concussion with a neck injury of some sorts involved
I am sure they looked for signs of unstable neck injury and red flag concussion
The neck may have undergone a strain of some sorts that has been causing the stiffness mentioned
Hyman could just go through concussion protocol at the same time he is healing the neck up
Likely still treating and precautioning as a concussion in protocol
Zach Hyman placed on IR from this hit and reportedly has a “stiff neck”
It still could be likely that this is treated as a concussion with a neck injury of some sorts involved
I am sure they looked for signs of unstable neck injury and red flag concussion
The neck may have undergone a strain of some sorts that has been causing the stiffness mentioned
Hyman could just go through concussion protocol at the same time he is healing the neck up
Hoping for a quick recovery
Warren Foegele left the game with assistance last night after knee on knee contact
Lauzon’s knee seemed to strike Foegele’s knee on the outside more and causing that valgus stress that is seen very commonly in MCL sprains/tears
The knee did not seem to give as much as guys like Marchenko the other day which is promising but cannot rule out any ligament or meniscus injury of the knee
Any time there is a big blow like this it is important to rule out a tibial plateau fracture (pictured below) among other fractures, so X-Rays were likely taken
A simple contusion is a diagnosis of exclusion so we will wait to see Foegele’s timeline
Warren Foegele left the game with assistance last night after knee on knee contact
Lauzon’s knee seemed to strike Foegele’s knee on the outside more and causing that valgus stress that is seen very commonly in MCL sprains/tears
The knee did not seem to give as much as guys like Marchenko the other day which is promising but cannot rule out any ligament or meniscus injury of the knee
Any time there is a big blow like this it is important to rule out a tibial plateau fracture (pictured below) among other fractures, so X-Rays were likely taken
A simple contusion is a diagnosis of exclusion so we will wait to see Foegele’s timeline
Zach Hyman placed on IR from this hit and reportedly has a “stiff neck”
It still could be likely that this is treated as a concussion with a neck injury of some sorts involved
I am sure they looked for signs of unstable neck injury and red flag concussion
The neck may have undergone a strain of some sorts that has been causing the stiffness mentioned
Hyman could just go through concussion protocol at the same time he is healing the neck up
The Body Explained | Hockey Injuries retweeted
Likely some sort of grade 1 MCL sprain for Marchenko given the mechanism and timeline
Given at the time of injury his skate was not stuck in the ice could have prevented an ACL injury with it
Grade 1 injuries have returned to play in as little as 10 days but Kirill will probably wait till he is pain free and feels stable
🚨 A group of Leafs fans bumped into Kirill Marchenko at the Calgary airport today, where he told them he was “flying back home today” and will be back in “two weeks.”
As of now, no official confirmation has been made by the Leafs (should know more tomorrow)
📸: @Alwaysbardown1
#leafs
The Body Explained | Hockey Injuries retweeted
Jack Hughes⬇️
Chipped teeth are practically a hockey rite of passage as Jack Hughes here would say 🏒🦷
But here’s the anatomy + physiology behind how they get fixed.
🦷 What Happens When a Tooth Chips?
Teeth have layers:
1.Enamel – Hard, mineralized outer shell (no nerves, no blood supply)
2.Dentin – Softer layer underneath, contains microscopic tubules connected to nerves
3.Pulp – Central core with blood vessels and nerves
If the chip is:
•Enamel only → cosmetic issue, usually painless
•Into dentin → sensitivity to air/cold (fluid shifts in dentinal tubules stimulate pulp nerves)
•Into pulp → bleeding, significant pain, infection risk
🏒 How Does It Get Fixed?
1️⃣ Evaluation
Team dentist checks depth of fracture and maybe an X-ray to assess pulp involvement.
2️⃣ Enamel/Dentin Chip
Most common in hockey.
•Smoothed or rebuilt with composite resin bonding
•Resin chemically bonds to enamel via acid etching
•Light-cured to harden
Function restored immediately.
3️⃣ If Pulp Is Exposed
•Root canal: Remove inflamed pulp, disinfect canal, fill with gutta-percha
•Crown may be placed later for structural strength
🧠 Physiology Pearl
Dentin hypersensitivity happens because exposed dentinal tubules allow fluid movement which triggers mechanoreceptors in the pulp (hydrodynamic theory).
Jack Hughes⬇️
Chipped teeth are practically a hockey rite of passage as Jack Hughes here would say 🏒🦷
But here’s the anatomy + physiology behind how they get fixed.
🦷 What Happens When a Tooth Chips?
Teeth have layers:
1.Enamel – Hard, mineralized outer shell (no nerves, no blood supply)
2.Dentin – Softer layer underneath, contains microscopic tubules connected to nerves
3.Pulp – Central core with blood vessels and nerves
If the chip is:
•Enamel only → cosmetic issue, usually painless
•Into dentin → sensitivity to air/cold (fluid shifts in dentinal tubules stimulate pulp nerves)
•Into pulp → bleeding, significant pain, infection risk
🏒 How Does It Get Fixed?
1️⃣ Evaluation
Team dentist checks depth of fracture and maybe an X-ray to assess pulp involvement.
2️⃣ Enamel/Dentin Chip
Most common in hockey.
•Smoothed or rebuilt with composite resin bonding
•Resin chemically bonds to enamel via acid etching
•Light-cured to harden
Function restored immediately.
3️⃣ If Pulp Is Exposed
•Root canal: Remove inflamed pulp, disinfect canal, fill with gutta-percha
•Crown may be placed later for structural strength
🧠 Physiology Pearl
Dentin hypersensitivity happens because exposed dentinal tubules allow fluid movement which triggers mechanoreceptors in the pulp (hydrodynamic theory).
Ah shit here we go again
Chipped teeth are practically a hockey rite of passage as Jack Hughes here would say 🏒🦷
But here’s the anatomy + physiology behind how they get fixed.
🦷 What Happens When a Tooth Chips?
Teeth have layers:
1.Enamel – Hard, mineralized outer shell (no nerves, no blood supply)
2.Dentin – Softer layer underneath, contains microscopic tubules connected to nerves
3.Pulp – Central core with blood vessels and nerves
If the chip is:
•Enamel only → cosmetic issue, usually painless
•Into dentin → sensitivity to air/cold (fluid shifts in dentinal tubules stimulate pulp nerves)
•Into pulp → bleeding, significant pain, infection risk
🏒 How Does It Get Fixed?
1️⃣ Evaluation
Team dentist checks depth of fracture and maybe an X-ray to assess pulp involvement.
2️⃣ Enamel/Dentin Chip
Most common in hockey.
•Smoothed or rebuilt with composite resin bonding
•Resin chemically bonds to enamel via acid etching
•Light-cured to harden
Function restored immediately.
3️⃣ If Pulp Is Exposed
•Root canal: Remove inflamed pulp, disinfect canal, fill with gutta-percha
•Crown may be placed later for structural strength
🧠 Physiology Pearl
Dentin hypersensitivity happens because exposed dentinal tubules allow fluid movement which triggers mechanoreceptors in the pulp (hydrodynamic theory).
Here we go again
Chipped teeth are practically a hockey rite of passage as Jack Hughes here would say 🏒🦷
But here’s the anatomy + physiology behind how they get fixed.
🦷 What Happens When a Tooth Chips?
Teeth have layers:
1.Enamel – Hard, mineralized outer shell (no nerves, no blood supply)
2.Dentin – Softer layer underneath, contains microscopic tubules connected to nerves
3.Pulp – Central core with blood vessels and nerves
If the chip is:
•Enamel only → cosmetic issue, usually painless
•Into dentin → sensitivity to air/cold (fluid shifts in dentinal tubules stimulate pulp nerves)
•Into pulp → bleeding, significant pain, infection risk
🏒 How Does It Get Fixed?
1️⃣ Evaluation
Team dentist checks depth of fracture and maybe an X-ray to assess pulp involvement.
2️⃣ Enamel/Dentin Chip
Most common in hockey.
•Smoothed or rebuilt with composite resin bonding
•Resin chemically bonds to enamel via acid etching
•Light-cured to harden
Function restored immediately.
3️⃣ If Pulp Is Exposed
•Root canal: Remove inflamed pulp, disinfect canal, fill with gutta-percha
•Crown may be placed later for structural strength
🧠 Physiology Pearl
Dentin hypersensitivity happens because exposed dentinal tubules allow fluid movement which triggers mechanoreceptors in the pulp (hydrodynamic theory).