Xander's Injury

gedman211

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the Holt/Bradley/Leon bottom third should strike fear in the hearts of any pitcher
 

moondog80

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Can we blame this on JDM's insistence that he can play a capable OF?
 

Buzzkill Pauley

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I don’t like the outcome, but I like the decision. Especially after his problems trying to gut it out playing through injury last season.

It’s early, and even if was scorching hot, it’s better for him to get any basic healing done and get the swelling down, before he fouls a ball off it or get spiked while turning two.

Finish strong. And get well soon!
 

luckysox

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I mean they said it should be 10-14 days. Are just working on an assumption that's inaccurate?

Seems like good news to me.
I can't see a way he's not in a boot for at least 6 weeks. If it's really a "small" crack, or non-displaced fracture, he still needs to be non-weight bearing for a significant period of time, and as a veteran of many a foot fracture, it's never less than 8 weeks. So we'll give a major leaguer 6 because youth and awesome doctors and trainers. I assume it is non-displaced, or he'd likely need surgery. IANAD, but I have one very messed up right foot and have been in a boot a lot over the years since I played basketball in college and jacked it up.

The talus is a pretty important bone and is a part of, what, 3 joints in the foot? You can't risk not letting it heal completely. That could be career threatening, in my humble, non-medical, opinion.
 

pinkunicornsox

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If Oumbi article is correct it could be three months before Xander is able to put weight and then I am assuming two to four weeks for rehab before he joins the big club. So we could be looking at an end of August early September return. That really sucks.

Just read the article more fully. It actually sounds like Xander could be done for the season
 

SouthernBoSox

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I can't see a way he's not in a boot for at least 6 weeks. If it's really a "small" crack, or non-displaced fracture, he still needs to be non-weight bearing for a significant period of time, and as a veteran of many a foot fracture, it's never less than 8 weeks. So we'll give a major leaguer 6 because youth and awesome doctors and trainers. I assume it is non-displaced, or he'd likely need surgery. IANAD, but I have one very messed up right foot and have been in a boot a lot over the years since I played basketball in college and jacked it up.

The talus is a pretty important bone and is a part of, what, 3 joints in the foot? You can't risk not letting it heal completely. That could be career threatening, in my humble, non-medical, opinion.
I'm not questioning your knowledge or experience... it's just so completely different than 10-14 days. I wonder what the story is, because I find it pretty odd.
 

cheekydave

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Recovery From Injury and Returning to Sports
The recovery from a talus fracture is lengthy because until the bone is healed, you cannot place weight on the extremity. Therefore, most talus fractures require a minimum of eight to 12 weeks of protection from weight-bearing. In more significant injuries, the time may be longer. Studies have shown that the ultimate outcome of patients correlates well with the extent of the initial injury.

After your ankle has fused properly, you can start a rehab program of physical therapy to regain range of motion, stability, and strength in the ankle joint.

You may have to use a cane or wear a special boot and may not be able to put your full weight on your foot for two to three months.

Only time will tell if a patient is going to develop arthritis or osteonecrosis, therefore, your doctor will obtain periodic x-rays to determine the health of the bone, and the adequacy of healing.

This better not be Bill Walton Kevin Mchale

https://www.verywell.com/talus-fractures-2549436
 

SouthernBoSox

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Given the Red Sox update I have to think this Dr's first assumption in the video is correct. He says 2-4 weeks.

 

Jerry’s Curl

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If the injury is long-term, what a damn shame. This team was looking special. X might be one of their most irreplaceable players besides Mookie and Sale.
 
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joe dokes

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Its better than the death penalty he'd get for going to Talos IV.

They won 93 games last year with X doing a Bud Harrelson impersonation for half the season.
 

Sam Ray Not

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Well, fuckity-fuck.

If it's bad as the pessimists here think, sounds like we might be seeing Pedroia back sooner than X. At least then Nuñez could occasionally slide over to SS to bring a little more punch to the lineup.
 

DeadlySplitter

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So in conclusion no one knows the expected timetable?

Also this was really a fluke injury, based on the play I thought the right foot was more in trouble than the left
 

joe dokes

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Tweeted by Peter Abraham:


A crack in the Talus bone is only a 10-14 day injury?
They're lying. He's already being cast for the remake of the Monty Stratton Story. The Sox are just trying to keep the price down as they try to wheedle Machado away from the O's.

Or.............

they're repeating the information they got from the doctors.
 

In my lifetime

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The only thing I am clinging to is the word "small" in front of the word "crack." I would really like to hear from DRS, but the size of the injury may be key.

The most important part in the tweet regarding recovery is the "non-displaced" description.
If that stands, he should be able to avoid surgery.
However, I still think the 10-14 day time frame is optimistic and would think it will end up being closer to 6 weeks at best case scenario.

Disclaimer - I am a physician but not an orthopod.
 

joe dokes

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The most important part in the tweet regarding recovery is the "non-displaced" description.
If that stands, he should be able to avoid surgery.
However, I still think the 10-14 day time frame is optimistic and would think it will end up being closer to 6 weeks at best case scenario.

Disclaimer - I am a physician but not an orthopod.
It usually seems even the smallest bone break requires 4-6 weeks to heal. That's what my finger was 50 years ago; that what my elbow was 10 year ago. Not sure you can speed up bone-unbreakage? At the same time, I cant imagine they'd say 10-14 days without being told that by someone who knows what they're talking about.
 

Sampo Gida

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Keep in mind the MGH sports clinic the red Sox have been using the past decade treats the Patriots and were behind decisions related to Ellsbury and Pedroias return from fractures in 2010 and a number of other questionable decision since.
They have been a bit better since Gill left

Baseball is not football. You play every day and not once a week and must hit 95 mph fastballs. Playing effectively while in pain is not as easy in baseball as in football. Xander reminded us of that last year

While it may be possible to play through a fracture thats not fully recovered , there are risks that healing will be disrupted as we saw with Pedroia in 2010 and led to season ending surgery.

IANAD but I wont be expecting anything from XB until after the ASB, even if they do put him in the field before that

Maybe 10-14 days is 10-14 weeks?
 

SouthernBoSox

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Per the video I posted, the location of the fracture is incredibly important and he said 2-4 weeks under the assumption it was in the most favorable location.

We don't have the x rays. They do. I'd be absloutely shocked if this were more than a month given the feedback.

DD

 
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genoasalami

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https://www.bostonsportsjournal.com/2018/04/09/xander-bogaerts-ankle-headed-10-day-disabled-list-dr-flynn-reacts/?utm_source=dlvr.it&utm_medium=twitter

Dr. Jessica Flynn’s BSJ analysis


Bogaerts will probably miss more than the timeframe offered by the Red Sox.

The most common cause of an injury to the talus is when the ankle rolls ligaments or the joint capsule avulse a sliver of bone off of the talus. Treatment is immobilization in a boot and rest. The return is dependent on how quickly sprain heals and can be two to six weeks.

The other possibility is that it is a stress fracture of the talus. I would be more suspicious of that if the fracture was not the result of twisting the ankle. A stress fracture of the talus can also take four-to-six weeks to heal.

To recap, the two most likely possibilities:
  • He rolled his ankle on the slide/dugout and had an ankle sprain that pulled a sliver of bone off of the talus. Return-to-play could be two weeks at the earliest and up to four depending on how quickly the sprain heals
  • It’s a stress fracture of the talus and it cracked through on that play. He would likely be in non-weight bearing in a boot and return could be much longer, closer to four-to-six weeks.
 

radsoxfan

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I agree 10-14 days is optimistic for any fracture and implies they expect him to play before it’s entirely healed. Since a fracture is really a spectrum from a bone contusion (microfracture) to a displaced complete break, it sounds like his is more on the low end. It could be more of a severe bone contusion/nondisplaced trabecular injury rather than a traditional fracture that most people think of.

Based on the limited video I’d actually wonder if he has a nondisplaced lateral process of the talus fracture (snowboarders fracture). http://appliedradiology.com/articles/fracture-of-the-lateral-process-of-the-talus-snowboarders-fracture. If it’s on this spectrum, but closer to a bad contusion than a complete fracture, I suppose maybe he could be good to go in a few weeks. 10-14 days sounds optimistic still.

I agree it could also be a tiny fleck of bone at the site of a ligament sprain in which case the fracture itself isn’t that critical. I wouldn’t really call that a “crack”, but semantics I guess.

I doubt a previous stress injury that went on to bigger fracture on that play since a 10-14 day time line makes even less sense for that.
 

tims4wins

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Honestly I am more concerned about him hitting the way he was pre injury than when specifically he comes back. I’d rather have this version of X back post ASB than 2017 X back in two weeks.
 

DeJesus Built My Hotrod

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I remember it as Martinez stinking up the joint in LF, the ball getting to X, who promptly booted it towards the dugout. But I may be wrong.
No you are correct. Martinez certainly didn't play the ball well but Bogaerts' injury was entirely of his own making. He should have held the ball there instead of just throwing it. This is not an endorsement of Martinez OF skills btw.
 

CoffeeNerdness

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Honestly I am more concerned about him hitting the way he was pre injury than when specifically he comes back. I’d rather have this version of X back post ASB than 2017 X back in two weeks.
100%. The rosy 10-14 day time table they're floating has me concerned that they'll have him out there ineffectively grinding through an injury for the second year in a row.
 

streeter88

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Bogaerts was trying a backhand flip .... EDIT: TKAA said it better below.

I agree with CoffeeNerdness (and Tims4Wins and others) -- last year's Red Sox team was characterised by at least 3 players coming back before they were ready. Moreland had the injury to his toe, clearly on the opposite side of the foot from the talus, but nonetheless a foot injury which hobbled him all of July. Bogaerts suffered his hand injury in April last year, and tried to play through it. Hanley and Betts also played through injuries.

I get that we are not even 2 weeks into the season, but clearly hoping we have a different approach this year.
 
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ToeKneeArmAss

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No you are correct. Martinez certainly didn't play the ball well but Bogaerts' injury was entirely of his own making. He should have held the ball there instead of just throwing it. This is not an endorsement of Martinez OF skills btw.
Only saw the play once, but what I thought I saw was that Martinez throw was so offline that Devers left third to back up X. When X got the ball he tried to shovel it from his glove to third, not realizing Devers wasn't there. He tried to hold up but the ball escaped and he had to scramble after it to try to keep it out of the dugout.

To top it all off, the ball hit the post next to the opening to the dugout and never would have gone out of play anyway.
 

mauidano

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Only saw the play once, but what I thought I saw was that Martinez throw was so offline that Devers left third to back up X. When X got the ball he tried to shovel it from his glove to third, not realizing Devers wasn't there. He tried to hold up but the ball escaped and he had to scramble after it to try to keep it out of the dugout.

To top it all off, the ball hit the post next to the opening to the dugout and never would have gone out of play anyway.
Bang bang in a matter of just a few seconds. Freak injury and fortunately not serious. Hopefully he will not have to rehab games. 10 days and back in the lineup. No such thing as good timing.
 

Unin10D

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I'm sure shortstops need both talus bones to field. I wonder though, with the injury being on his left foot, does that make it less impactful for his hitting because it's not on his back foot? Probably doesn't matter that much
 

Sox Puppet

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Boston star fills fans with optimism before going down with unexpected foot injury barely into the season ... now where have I heard that one before ... :(
 

E5 Yaz

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Isn't the real question in how he returns? Whether there's any effects running and such, or whether he favors the ankle?