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    Brandan Wright’s second shoulder injury in 10 months: Could surgery be necessary?

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    (UPDATE — Marc J. Spears is reporting that an NBA source says Wright’s injury “could require surgery and keep him out four to six months.” Which is basically a shorter way of saying everything I put below. Not to dissuade you from reading or anything.)

    By Geoff Lepper

    I’ve been reading up this afternoon on shoulder dislocations after the initial report that Brandan Wright had suffered Friday another injury to his left shoulder — the same one he originally dislocated on Jan. 7.

    Wright came back after an absence of more than two months in the wake of the original injury and, importantly, he did not undergo surgery, although it was discussed as a possibility and dismissed.

    We’re going to veer into the ream of pure speculation in just a moment. It’s possible that Wright’s scheduled MRI on Monday will reveal nothing other than a bruise. It’s possible that he’ll be back in a matter of days.

    But — and here’s where the speculation comes in — given Wright’s history with the shoulder and a second injury to the same joint in the space of 10 months, it’s worth discussing the possibility that surgery could be required this time around.

    Quoting from the Web site for the Nashville Knee & Shoulder Center, a practice run by a physician who spent 10 years as team doctor for the NHL’s Predators (all of the emphases added are mine):

    Despite sling immobilization, most young patients who experience a dislocation that is associated with trauma will continue to have problems with the shoulder. Several studies have shown that patients under the age of twenty who suffer an initial dislocation have an approximately 90% chance of suffering another dislocation. In patients over forty years of age, the risk of another episode of dislocation is much lower.

    The indications for surgical treatment of recurrent anterior shoulder instability are highly subjective. They include a desire of the patient to avoid recurrent problems with instability, (including the necessity of reporting to the emergency room on a frequent basis to have the shoulder reduced), problems with recurrent pain, or an inability to perform certain activities because of a fear of further shoulder instability. Failure of a thorough trial of nonoperative treatment can also be considered an indication for surgical treatment.

    FYI for the first quote: Wright was 21 years and 3 months when he originally suffered the injury, which certainly was associated with trauma (his arm got pulled back when he was battling with the Lakers’ Pau Gasol).

    Typical rehabilitation time for arthroscopic surgery to correct a shoulder dislocation, according to the University of Washington’s Sports Medicine department, is four months, which if true in Wright’s case, could keep him out until the All-Star break.

    Again, I’m no doctor, and we don’t have any official information — certainly not the results of an MRI — but if this is indeed another dislocation, then it could cost Wright a serious chunk of the 2009-10 season.

8 Responses to “Brandan Wright’s second shoulder injury in 10 months: Could surgery be necessary?”

  1. thankyou for your in depth version on the story.

  2. Nellie had Mikki Moore TAKE. HIM. OUT.

    Too close to shaming the old man for good.

  3. I wonder what Brandan’s injuries will be next season.

  4. Pretty obvious BW will have to have the surgery to continue his career. Webber had surgery for the same thing (after one dislocation), and it cost him an entire season. The good news is the surgery fixed Webber’s problem for good.

    Will the Ws still pick up BW’s contract. I’m guessing no. He’s gone from trade bait as a prospect to trade bait as an expiring contract overnight.

    My series on the Western Conference has now begun: http://feltbot.com/

  5. I’m disappointed, really.

    Wright was a kid,so young, who is finally growing physically. His development was a 2009-10 season point of interest for the fan base.

    More time for Maggette and I fear, paired with George.

  6. This is really too bad. What I don’t know, and haven’t read in any of the postings on this topic, is how much weight and strength training he did over the summer and in fact even durning his rehab during last season. I wish I knew the answer. I know, even at my relatively advanced age, how important weight training is to allow me to compete in the sport I play–racquetball. And I am 64. But the weight training so allows me to still be competitive.

    I am wondering if BW spent much time trying to get stronger, not just normal rehab exercises. Do NBA players spend much time with weights? Is that expected and part of being in the NBA?

    Regardless, I would always pick up his option under any circumstances. We don’t have a legit PF other than Wright (and and aging Mikki Moore) so we have to keep him. But let’s hope the MRI is negative and his sholder is simply bruised.

  7. Commish: Marcus Thompson II has reported that Wright gained 15-18 pounds during the summer, and I know he was working on strengthening the muscles around his shoulder, since that’s the non-surgical option for fixing a dislocation.

    Obviously, it seems as though that didn’t work.

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