- The WWE simulates medical situations all the time.
People cry out in pain but they're actually totally fine
but sometimes, things do go wrong
let's get started.
Oh, this is where Logan Paul had his injury.
- [Wade] What are we witnessing, Michael?
- You know what's funny?
You couldn't really see how it happened.
He was jumping quite high here.
- [Michael] Frog splash!
- [Wade] Logan Paul is something special!
- Oh my god.
- Yeah, I was somethin' special until my knee exploded.
- Yeah, so he, I believe, said that he had an MCL injury,
which is the medial collateral ligament.
Basically, this is the ligament that attaches bone to bone
on the inside of knee that gives it stability
on the inside of your knee.
So it's really problematic to be an athlete
and have an injury of an MCL.
Can't really walk without pain,
can't make any sudden movements.
- Ow!
- Sorry. - (bleep)!
Ow!
- The issue with doing a knee exam
immediately on the field during an acute injury
is a lot of times, there's a lot of swelling,
there's a lot of pain.
So no matter what you do of the special tests,
you're gonna get the person screaming out in pain like this.
The one thing that's unique to checking some of these signs
is if you see laxity,
where if you compare it to the other side,
that the MCL just fully gives
and it's not even there giving you any kind of support,
then you could see that there's likely a tear.
Feeling pain, pushing on different areas,
you're not gonna get a really clear picture
of what's going on.
It's that laxity, the fact that you could go much further
to the end point than you can with the other knee
is how you decide that there's a tear present.
- If I had to guess, I think it's torn.
- Which, ACL?
- Definitely your meniscus and the MCL,
and I think the ACL is too.
- I did a triple whammy?
- Yeah.
- That's great.
- So sometimes you can get the terrible triad,
which is what he's talking about,
and the meniscus, which is sort of the cartilage
that makes up the padded portion,
the cushioning portion of the knee,
that oftentimes is like a secondary victim
when you have an injury like an MCL tear or an ACL tear.
- [Doctor] You have a significant tear of the MCL.
You have what we call a grade three,
which is almost a complete tear.
We're gonna treat this with a brace, with rehab.
It's gonna take a minimum of six weeks
for this to heal fully.
- It's interesting that the surgeon said this is grade three
and that they're just gonna do rehab
'cause most of these are so severe
that they do require surgery.
Because grade three is basically a complete tear
and I don't know how you continue being an athlete
to the level that Logan Paul is with just rehab,
especially with six weeks being the prognosis.
- [Michael] Here comes Rollins,
Rollins getting the upper hand!
- [Bryon] Seth wants to show
he can stand toe to toe with John!
- [Michael] He did a pretty damn good job of it!
- Oh!
- [Michael] Hit Cena right in the nose with the knee.
- Oh yeah, his nose is really deformed there.
A lot of times when you hear people say
that they break their nose,
they're talking about the nasal bones
that are a little bit higher up.
The thing we worry most about,
outside of cerebral spinal fluid leak,
which is a leak of the fluid that's inside the brain,
is a septal hematoma forming.
A septal hematoma is essentially pooling of blood
in an area where you have a mass
that's continually growing from the blood pooling.
It can actually cause permanent deformities inside your nose
and a lot of times, you see people right away
readjust the nose.
We don't rush to do that in a lot of instances
'cause we want to make sure that the swelling goes down
and we can actually see what we're lining up
as opposed to just doing it really abruptly.
- [Michael] And Belair now with Banks up,
Banks up on her feet-
- Oh!
Can you pull hair?
Is that her real hair, first of all,
or are those extensions?
(hair cracking)
Oh!
She just hit her full blast with her hair!
Did you hear that sound too?
I mean definitely overacting but that's gotta hurt.
You're gonna have some bruising there,
a little ecchymosis.
- [Michael] How is Banks even functioning?
- How is she functioning? (laughs)
'Cause it didn't penetrate her body! (laughs)
It didn't go through her organs.
- [Michael] It looked as though Lynch wanted
a vertical senton but instead delivered
a rather version of a dropkick.
Watch the heel.
- Oh, the heel right to the face!
That's a legitimate injury,
you could break the zygomatic arch,
the bone that's right here on your cheek.
That's quite painful.
You can have a black eye
and it's just a superficial black eye
because there's some pooling and swelling,
it's very visible through the thin skin underneath the eye,
but then you could have something know as raccoon sign
where you actually have full blackout
almost of the skin surrounding the eye.
That could be an early sign of a basilar skull fracture,
basically a fracture of the base of your skull,
and that's an emergency, that's a big problem.
Sometimes you also have battle sign,
which is some bruising right behind the ear
that can come with raccoon's eyes,
which further should signify that there's a skull fracture.
This is more of a combination
What have we got here?
Two sweaty gentlemen.
Kick to the face!
Is this a concussion?
Okay, let's see slow motion.
Oh, he actually nailed him good!
The problem with a lot of these injuries is A,
you're not just getting kicked in the head
or hit in the head and as a result,
having your brain shooken up,
but you're also falling on the ground out of control
kind of limp, so your brain shakes up again.
Remember, the brain is not connected to your skull.
It sits kind of in a soupy material,
so it rattles around inside the skull,
creating more damage.
Not just on the side that it hit,
but then on the other side, called a contrecoup injury.
Whenever they get on the ropes, I get nervous.
I'm nervous.
- [JR] Candice is gonna take a chance.
- [Jerry] Oh no, oh!
- Oh, did she fall on her head?
Oh, that's really problematic
because not only can you get a severe cervical injury,
a collarbone injury, a concussion from that.
- [JR] Candice.
- Ah, she doesn't look good. She looks out of it.
Oh no, no, no, no!
Please don't pull on her head!
- [JR] We gotta stop this.
- Oh no!
Oh, this is so bad.
Oh my God, that's so scary,
the fact that they continue it!
How do they not know? I mean I guess it's hard to know
when someone's acting or not.
Yeah, collarbones when they break,
they break usually in one of three places.
The most common being right in the middle of the collarbone.
Most of the time, I don't like full shoulder immobilization
'cause it actually can lead to frozen shoulder,
but with the clavicle fracture, you gotta do it.
- [Narrator] Cody Rhodes suffered a partial pectoral tear,
then working out,
he tore the pectoral muscle right off the bone.
- Oh!
- No human being could've kept me from getting in the ring.
- Oh my God, do you see that bruising, that swelling?
That's because the pec is torn.
Remember, when you have a tear,
essentially what's happening is either the muscle tears
or the tendon tears and there's blood vessels in there
and they bleed.
The blood actually drops in the body
to where gravity pulls it to
and that's the section it fills up.
- [Cody] My chest was heavily damaged, right?
A full tear.
That wasn't a matter of (indistinct).
- Oh my God!
I can't believe they're letting him do this!
A lot of times with a torn pec,
you will also see a tear in the bicep
'cause a lot of times it happens
with an outstretched arm like that,
especially when making a tackle with poor form.
- Cody sustained a complete rupture of his pectoralis major
on the right side.
- Yeah, so then you gotta really focus
on reattaching the pec major muscle to the humerus
and a lot of times with these pec tears,
the earlier you get the surgery, the better.
Ideally it's done within the first few weeks or months,
not waiting too long,
'cause then it increases your risk for reinjury.
- [Announcer] (speaking foreign language)
- What happened?
- [Sam] He was like King Kong pounding the floor, the mat,
and ...
- His arm went numb?
- [Sam] Mm-hmm (affirmative).
He separated his shoulder.
- Oh my God!
This could be a shoulder separation
or a shoulder dislocation.
Now, a shoulder dislocation is when the humerus bone
pops out of the shoulder joint.
A shoulder separation is when the AC joint gets separated.
An AC joint is basically the connection
of the shoulder blade, that little bump up here
known as the acromion, where it connects to your clavicle.
That if you pull really hard away,
the clavicle away from that shoulder blade,
you actually get a separation there.
That is diagnosed through physical exam and X-ray.
Unlike most other things where we have grade one or two
or three, here it goes all the way up to grade six
depending on the severity of the injury.
Is this the Rock?
Oh yeah.
- [Michael] Cena again.
Cena cover for the championship!
- In the middle of last night's Wrestlemania match,
I tore my abdomen and adductor muscles off the bone.
Just part of the job.
A lot of times patients will think that they have a hernia
and it's really an adductor muscle issue
because again, it's in that same area
where you experience the pain.
They call it a sports hernia
but that's really an incorrect term.
The word hernia means that there is some kind of hole
with contents coming out of it,
and that's not a true hernia.
It's just sports hernia happens
as a result of a muscle strain, a muscle-skeletal condition,
in the area where a hernia happens.
So it's not a real hernia.
- [Triple H] I start walking down the ramp
and I realize that I am sizzling
and I can feel myself sizzling and I look down
and I have dry ice (indistinct) on my stomach.
- Oh no! Dry ice, for those of you who don't know,
it's solidified carbon dioxide.
When it melts, it doesn't melt,
it actually sublimes into a gas,
it doesn't go into a liquid form.
- [Triple H] I tried to brush it off
but I ended up getting really bad second degree burns.
- Those types of burns are equivalent
to the type of burns that you would get with heat
'cause it essentially destroys the superficial skin tissues.
Whenever something is of that cold temperature,
it essentially freezes the insides of our cells,
damaging them, destroying them, creating necrosis,
and then our body shuts off circulation to that area
and that creates even more problems.
It's really a lot of injury that can happen from dry ice,
that's why when you're handling dry ice,
it's recommended that you wear protective equipment
so it doesn't make contact with your skin.
Forget your skin, if you put dry ice onto furniture
or your counter, you could damage that!
It can crack 'cause it's that cold.
- [Vince] With or without now.
Let's see what Austin can do with him and no,
how about that?
- Oh, reversal.
Oh my God, that's so worrying
for a T-bone compression fracture or a disc bulge.
- [Steve] The muscles in my hand were starting to atrophy
and my legs were becoming hyper reflexive and jumpy.
- That does happen by the way,
when you start creating long-term peripheral neuropathy,
where you actually have such a problem
further up on the nerve pathway
that it actually starts affecting the muscle quality
further down that pathway.
- [Steve] Anyway, I had the surgery and it went fine.
I got level three and four fused together.
It took close to a year,
but Dr. Youngblood finally gave me the clearance
to get back in the ring.
- A lot of times the reason they do fusions
is because the disc in between the vertebrae
is actually so damaged that it's putting pressure
on the nerve that is the spine and then as a result,
you have to take it out and just fuse the two bones.
Obviously, creates more risk of arthritis,
bone on bone situation, less mobility,
but it can relieve pain in some patients.
- [Mick] There are moments when our feet
are actually sinking into the mesh,
like we're tearing holes in the mesh as we walk,
and the next thing I know I was in flight.
- Oh, he threw him off?
It's not a fall, he got chucked off.
- [JR] I cannot believe ...
- Wow.
- [Jerry] It's over.
- [JR] That cage is 16 feet high!
- Just on the mechanism of injury alone,
you'd want to get a cat scan to make sure
there's no internal bleeding
both in the abdominal chest cavity and in the brain.
- [Slaughter] As I was watching him fall,
and it seemed like it took forever for him to hit the table.
- Isn't this scripted?
Don't they know what's gonna happen?
I'm so confused by this.
- [Slaughter] Started saying no, I want to go back,
I want to go back.
I said no, you're not going anywhere,
you're going to the hospital, and the next thing I know-
- [Jerry] You're kidding me!
- [JR] How in the hell is he standing?
- [Jerry] Oh my God!
- [JR] And look at this, he's got a smile on his face!
For God's sakes!
(Jerry screaming)
- Oh my God!
Yeah, you shouldn't do that.
I don't even know what my takeaway is
but that kind of fall from that high twice back to back
is like a surefire way to develop CTE early.
WWE isn't the only place where things go wrong,
check out these Formula 1 motor racing injuries.
Click here to check that out and as always,