(foot thwacks)
- Oh! Fractured shin, oh man.
Missing eyeballs, snapped legs,
and other MMA moves gone terribly wrong.
Today we are breaking down
and reacting to the brutal medical scenes
and gnarly injuries from UFC.
Let's dive right in.
- [Announcer] Look at this exchange.
Boom, Rock 'Em Sock 'Em Robots.
- Has anybody ever played that game?
Rock 'Em Sock 'Em Robots.
Let me know in the comments.
- [Announcer] Look at this left hand by Weili.
- Getting clobbered punches
to the face or around the eyes.
Obviously the eyes are in our eye sockets
and there're actually protected
by the bones around that area.
There's a lot of blood vessels.
What ends up happening is as you get hit
in those areas, the tissue swells,
and you get these really large hematomas.
- [Announcer] Inside low kick right hand by Weili.
- If you do have a big hematoma,
ice to the area is probably helpful right away.
And also a compressive dressing.
That way it doesn't just continue
to expand underneath the tissue.
Put pressure on it.
Her nose looks a little crooked.
Definitely has a lot of swelling around the right eye.
Sometimes you can get a fracture
of the infraorbital wall and that'll cause
a significant amount of swelling.
If you sneeze, you're taking big breaths,
you increase the risk of getting subcutaneous air
because that infraorbital wall
is actually the superior wall.
- [Announcer] Oh my goodness, look at that left hook.
Look at this spinning back fist.
- The spinning round hit with the outer aspect
of that right hand, maybe the fifth metacarpal,
which is actually the smaller bone
that actually fractures a lot.
When somebody punches another individual
and they hit with that area,
you get what's called a boxer's fracture.
- Boom, my goodness. - Ow.
Hitting on the side of the head
actually is a scary part because
you have your middle meningeal artery,
really dangerous of bleeding
and it can cause an epidural hematoma,
which could be life threatening
if you're not aware that it's going on.
(soft gentle music)
Ooh, ooh. Where'd he get hit?
(soft gentle music)
Oh! Ow, that little left lower extremity.
Oy vey. (exhales)
Definitely has a lower tibial fracture.
Probably most likely the fibula broke as well.
Structural support of the left
lower extremity is useless now.
This is probably a fracture that was pretty small
and then just got exacerbated
due to the activities that these guys do.
Oh!
- [Announcer] There it's again, that left high kick.
- So a big kick to the side of the head.
It was actually a shin that actually looks like
it hit the side of the head.
You worry about skull fractures, intracranial bleeding.
- And Bisping has opened up and in all sorts of trouble.
That'll do it... - Wow!
- Oy, hitting abdomen, ribs,
increase the risk of having fractures
and pneumothorax and a hemothorax.
Gotta be really careful and the referee
needs to step in at this point
'cause individual on the bottom
is not defending themselves.
Oh, a retinal detachment to his right eye
due to the kick to the head.
So the retina sits on the inside of your eye.
Not the whole thing on the inside,
but majority of it.
- Not all of it.
- It's got all those specialized cells
that when the light and images come into our eye,
it goes through the lens of our eye,
and then it gets shown to the retina,
and the cones and the rods allow it to make an image
to then send it back to our brains.
- [Announcer] So look at this baby, boys.
- Ah! - You know what I mean?
You know what I'm saying?
- No. This guy just took out
a prosthetic eyeball out of his eye socket,
which is not a retinal detachment.
Retinal detachment, the eye is still intact.
(foot thwacks)
- Oh! Fractured shin, oh man.
Mid-shaft, you're hitting bone on bone.
Typically it's because these guys do so much hitting,
sometimes if there's a small defect
due to a small minor fracture,
then snaps all the way.
Is that Chris Weidman? Yes it is.
Oh! Potentially needing a medullary rod
versus pins and plates in there.
Resetting it, making sure appropriate alignment.
You really wanted to get realigned
and you worry about the vascular aspect of it
where you don't want the pieces of the bone
actually cutting into the vessels.
- [Joe] Come on, take a look at it here.
Look at this.
- [Announcer] I'm not gonna look, Joe, just tell me.
- Oy, for us to check that,
obviously, we're checking pulses, reassessing
to make sure the profusion of that leg is good,
meaning is it pale? Is it cold?
- [Announcer] Man, look at this.
Nogueria, right there.
- Can he... - Oh, gosh.
Oh, my gosh.
- [Announcer] Nogueria looks like he's in trouble.
- Oh. Oh god, this is like...
- Look at this! - Oh.
I saw a little extra give and snap.
And so, oy, most likely elbow.
- Unbelievable. - He's trying to finish it.
He's got him by his hands.
- That's it. - Snap.
Oh, that is...
- [Announcer] Frank Mir has submitted Big Nog.
- Or could be midshaft humerus.
The forearm looks like it's intact,
but the way that the arm was being spun
and rotated, I've seen people
who snapped their humerus,
especially when they're doing arm wrestling.
You can actually have a spiral fracture of the humerus.
- [Announcer] To her left.
Good right hand by Eye.
And that caused the cut on the ear of Leslie Smith.
You can see the cauliflower on each...
- Oh, yeah!
Cauliflower ear basically occurs
when you get direct trauma to the ear
and it causes the deformity to the ear itself.
Typically due to the fact
that you're having inflammatory cells go there,
you're having blood in there.
- Watch this punch. - Ouch.
- [Announcer] Look at the blood.
- Oh, you can see the blood squirting.
The question ends up being,
was the cauliflower ear already there,
and the laceration opened up the wound
to allow the blood to squirt out?
Or was there a new laceration that occurred?
There are branches of your external carotid artery
that come up right in front of your ear.
So that could be something
that we would be concerned about.
- [Announcer] Big strikes now from Brooks.
Oh, we got a lot of blood coming out.
Oh, my gosh.
- [Announcer] Oh, that's a horrific cut.
- Face bleeds a lot.
Stitches to the face are pretty easy
and the face heals really, really well.
You can use absorbable stitches versus non-absorbable.
That is a bad cut below that eye.
- [Announcer] Just a faucet of blood coming out
of that bad deep cut under Alessio's left eye.
- Sometimes when it's so split open like that,
you could do a few underneath absorbable stitches.
That way it brings the tissue close
and decreases the tension from the surface.
So that is quite helpful.
Oh yeah, look at that.
Obviously took a lot of trauma to the face
'cause the nose is really swollen as well.
This will swell up.
You worry about any fractures around the area.
(upbeat rock music)
You wanna check the eye too.
We'd probably do an eye exam.
If there was that much trauma
to somebody's face, depending on
how the patient and an individual feels,
do you do a CT scan of the head, neck, and face
to make sure that there's no other trauma.
♪ Looking across town, across the town ♪
Blood in itself stains pretty badly.
The mats that they use, I wonder
if there's a covering to it
that they need to then throw out.
Oh, no!
Individual's awake.
You can see the legs moving,
but that was a loud noise to the head and face.
Oy, look at that skull fracture. Holy cow.
The frontal bone there, it does actually
behave almost like a thinner bone
because of the frontal sinus.
The reason why you would actually do this,
besides looking for the fracture right on the front,
you wanna make sure the fracture
doesn't go into the brain, okay?
Into that cavity.
That is a CT scan image that's then
been reformatted for bony structure.
So you're doing a CT scan, probably head,
neck, and face because of the whiplash
that you would get from this injury.
If you guys enjoyed me reacting
to these MMA UFC type injuries,
definitely let me know, they're actually fun for me
because it is more on par of the exact things
that I do in the emergency departments.
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