- We looked at injuries at almost every sporting league.
You requested UFC.
Let's get started. (dramatic music)
He-whoop.
- [Announcer] Now this is the shot
that gave her the swelling. (doctor groans)
And right after that right hand-
- Right above the eyebrow. - Of the champion,
her forehead immediately started swelling up.
- Oh, look at that.
- [Joe] Oh, good shot by the champion.
- That's a hematoma.
And while that looks terrible,
it's not as dangerous
had that hematoma formed inside her skull.
Because remember, inside the skull
there's no place for it to go.
So pressure builds up
and then that pressure is dangerous
for the neurologic tissues.
The brain itself.
If there's no fracture
and it's just superficial bleeding,
it looks worse than it is in many instances.
Oh, this is the same person.
Wow. (chuckles)
Pretty incredible.
(upbeat music)
- [Announcer] More busy with the left.
Oh. - Good right hand by Barboza.
- [Announcer] Oh. - Oh my goodness.
- Oh, oh, oh,.
Stop the fight!
- [Joe] Look, he hits him.
- [Announcer] Oh my goodness.
- Wow.
Most commonly when you see a strike,
it right away incapacitates a fighter.
But in this situation, there was a delayed response,
which could be that the muscles they're firing.
And then only after the brain recognized what's going on,
it completely shut down and went into a prone position.
(announcer speaking Spanish)
(doctor groans)
That looked like it was to the frontal bone,
the top portion of the skull there.
(announcer speaking Spanish)
Oh right on the nose.
(announcer speaking Spanish)
Oh my God, look at the nose.
It's like completely sideways.
No, no, don't fix it.
Just wait for the doctor.
I mean, (scoffs) the nasal bones are so tricky.
There's a lot of cartilage there.
And one of the most worrisome things
is that you can get a nasal septal hematoma there.
And that type of bleeding into that section is dangerous
and problematic and requires urgent attention.
The blow is so bad
that Perry started having trouble breathing
and ended up being hospitalized.
Perry underwent successful nose surgery in Uruguay.
- Mike, it's good to see you and your new nose.
It's looking great.
- Look, can you
do this, Eric? - Oh my dear.
- Can you do that?
(dramatic music)
(upbeat music)
- [Joe] Here we go.
Oh heavy low kick.
- He kicked me right here.
There's a nerve, a perennial nerve,
that will shut your foot off.
His toe.
His big-ass Ecuadorian toe. - Yeah.
- Hit my perennial nerve right here.
It shut my foot off.
My foot was completely numb.
Went to step back on my foot,
but my foot didn't work.
I fell down. - So you roll your ankle.
The perennial nerve or the common fibular nerve
is a branch off the sciatic nerve.
Most people have heard of sciatica.
If you get hit there, it actually can paralyze the nerve.
Paralyzing that that nerve, at least temporarily,
what can happen is you develop foot drop
where you don't have the muscle called
the tibialis anterior on the foot
to actually raise up your foot.
So the foot drops and then there's also some weakness
in the muscle on the outside of the foot.
So your foot basically falls inward
and obviously you can't step on a foot that's flailing.
You lose your base.
All other issues occur.
- [Joe] Oh! - Oh!
- [Announcer] Huge elbow
from Sean. - Good shot.
- [Announcer] That's it.
- [Joe] Kicked the leg.
- [Announcer] Again. - And again.
- [Announcer] Look he's consider taking this fight to...
And Jose Aldo just to go here.
Disciplined. (host groans)
And again. - I saw it.
- [Announcer] Scrambled.
Very freely kicks-
- Without a good base,
it's near impossible to have a good fight.
- [Joe] Again.
Oh! - Oh my God.
- [Announcer] Left hook to the midsection down goes Faber.
- [Joe] Yeah, he had to get carried back
to his corner.
I mean, they didn't want him using that leg
any more than he has to.
- Wow. - Day after
the big fight, dude.
- Leg kicks are deceiving, man.
It feels like I was gettin' hit with a bat.
That's the first time I've really been punished with those.
You can kind of see here.
My leg matches
my shorts here. - So much swelling.
- [Friend] Oh my God,
look at that. (doctor groans)
Oh shit, Jesus, look at that.
- That's a serious hematoma there.
Remember when you hit muscle, muscle bleeds.
That's where bruises come from.
And if you hit the muscle enough,
you could actually have electrolyte disturbances
and neurologic disturbances where the muscle starts firing,
not firing, shutting down, being slow to react, cramping.
So that's what's happening every time you're getting kicked.
- They kinda have to wait for like the swelling to go down
and stuff before they MRI or anything.
- Well first we get X-rays to make sure bones aren't broken.
And what's interesting about X-rays
is they're not incredibly sensitive.
They don't catch all stress fractures, for example,
or really small fractures.
So in that instance, we do get MRIs.
You would prefer swelling to go down.
Now on the other hand, if you know, you wait two weeks
and the swelling goes down
and the patient's fine, clinically there's no issue,
getting an MRI might be overkill.
(dramatic music)
- [Announcer] Belfort very fluid and relaxed here
in the early going.
(doctor groans) There it is again.
That left high kick
and Bisping has opened up
and in all sorts of trouble.
That'll do it.
- When was your vision first compromised?
It was after the Vitor fight, right?
- It was the Vitor fight that did it.
And I slowly started getting eye symptoms.
I was do doing this a lot in restaurants.
You know how restaurants are dark?
Some of them.
I was doing this, you know?
- He wants to see if he has peripheral vision.
- My friends would be like,
"Oh, he's doing that thing again with his hands."
I'm like, "Can you see your hand there if you do that?"
By the end it was like right in front of me there
and I couldn't see.
We called the doctor.
And they said, "Yeah, you got a detached retina."
- Interesting 'cause a detached retina
happens quite suddenly and there's three different signs
that we look for
or symptoms that we look for in patients.
One is like the quick loss of vision.
Some people describe as a curtain going over the eye.
New floaters in the eye like happening very quickly,
and then also flashing lights.
This is a surgical emergency that we are taught
to refer and get them treatment within 24 hours.
- It's just a bump in the road halfway.
The surgery lasted over an hour.
They injected oil in my eye.
They used a laser.
They put a silicon sponge around the outside
and eventually reattached my retina.
It re-detached and I got glaucoma.
It was just bad luck.
One thing after the other.
Anything that could go wrong with an eye went.
- The thing was with the eye.
When you start performing surgeries on the eye
and then still continuing combat sports,
it creates all sorts of different risk factors.
That's why when I was talking to some
of my ophthalmology colleagues about getting LASIK
before my boxing match,
they were telling me the different options.
Some of which carried a higher risk given
the fact that I was gonna experience head trauma
as a fighter.
- How did you pass this test?
- With great difficulty.
Lying, cheating,
bullshit codes? (Joe laughs)
I lied to so many doctors.
- That's pretty sad to hear that he had to do that.
'Cause it put his life in jeopardy.
- And I'll show you right now.
- Wow. - So as we see
there is the prosthetic lens.
So I definitely can't live without this thing.
- That's really cool.
I have no idea about a prosthetic lens. (chuckles)
That's above my pay grade.
(dramatic music)
- [Announcer] There's no point of comparison
for Ferguson. - No.
- Oh, that elbow.
He's busted open the elbow.
(announcers talking over one another)
- [Announcer] Looks like Cerrone maybe blew his nose.
And that right eye now- - Yep.
- [Announcer] It's almost- - It puffed up.
- [Announcer] Completely
closed. - You cannot blow.
- Oh no. - You can't blow your nose.
- Time, time.
- [Announcer] Doctor's sayin' you can't fight.
- I think I watched this fight.
- [Joe] He can't fight.
- [Announcer] Doctor's tellin' him he can't fight.
- [Joe] The doctor's protecting him.
- Yeah, I mean his eye is absolutely terrible.
There's probably a fracture in there somewhere
that's causing air pockets to go into his eye,
making it completely swollen shut.
And that's dangerous not just for the eye itself,
but also for the fighter.
Because they're not gonna be able
to see a punch come from that direction.
- You blew your nose,
which is something you're never supposed to do
and your eye's swelled up.
- I also used to see, I think this was in a Rocky movie,
where they would cut the eye
that is really swollen and allow it to bleed.
- I can't see nothing.
Gotta open my eye.
Come here, man.
- We don't do this.
This is highly illegal and dangerous for so many reasons.
A lot of vital structures there that if you damage,
that could be permanent.
- [Announcer] Yorgan, I gotta go to you, man.
What does Yorgan de Castro need to do right now,
man, to get back in this fight?
- [Yorgan] My shoulder's out.
- Wow.
Talk about sportsmanship.
- [Announcer] But the ref has to see it.
- Oh my God, he's trying to put it in himself.
That's bone on bone grinding there.
Remember, bones have articular cartilage.
So it's cartilage that rubs over the head of the bone.
That allows it to move smoothly within that joint.
Then there's the labrum that keeps it in place.
And if you have issues with your labrum
or ligamentous laxity,
or weak tendons in that area,
you can be more prone to developing a dislocation.
- [Producer] If they put it back in the socket?
Could you restart the fight? - Of course.
- [Producer] You could? - Medically, yeah.
If they were able to reduce his shoulder really quickly.
Again, I don't know the rules here,
but he might be completely fine.
There are instances where someone has a very loose shoulder,
so much so to the point where it comes out frequently,
they're able to pop it back in themselves
and continue fighting or doing whatever it is.
So.
(dramatic music)
(crowd cheers) - [Announcer] McGregor
back to his feet.
- Oh that's when his leg gave out.
- [Announcer] Wow. - Whoa.
- It's not broken.
It's not broken! - This one's either a break
or a dislocation.
- It's not a dislocation.
That's a displaced fracture.
Oh, (groans) stop showing it. (chuckles)
- [Producer] If you can't watch it,
none of us stand a chance.
- No, I can't watch it.
I mean, I'm still a human.
- I was injured goin' into the fight.
People are asking me, when was the leg broke?
At what point did the leg break?
Ask Dana White.
Ask the UFC.
Ask Dr. Davidson, the head doctor at the UFC.
They knew it was my leg.
I had the stress fractures in my leg going into that cage.
- Stress fractures certainly put you at risk
for a complete fracture.
This is why I frequently have patients
who are drastically increasing their mileage training
for a marathon or something.
And I see a stress fracture.
They have pain in their bone.
I diagnose 'em and I tell 'em,
"Don't run the marathon 'cause you could snap your leg,"
and they say, "No, no, no, I'm good,"
and then things like this happen.
And that's the risk.
That's the risk of continuing
to train under stress fracture.
There's actually some unique tools that exist through sound.
They can speed up healing.
It's pretty interesting.
I've seen some preliminary research
on them being beneficial.
I haven't checked in on the research over
the last few years, but they look like this.
And they're pretty cool
in that they could potentially speed up healing
of fractures, which is great for professional athletes.
- So now I've got a titanium rod down the knee
from the knee to me ankle
and the doctor said it's unbreakable.
- I wonder if he didn't have his accent
would we find this message equally as charming?
If you didn't know, I fought Nate Diaz's boy, Chris Avila.
Click here to check it out.
Really interesting synopsis.
As always, stay happy and healthy.
(dramatic music)