- How 'bout we diagnose some soccer injuries?
Or football, depending on where you're from.
Let's get started.
Be-whoop!
(logo whirs)
By the way, growing up as a soccer fan,
'cause I came from Russia and that was my first sport,
I was captain of my high school soccer team.
Subtle flex.
I actually loved the French national team.
Tierry Henry, Zinedine Zidane,
these were people that I really looked up to growing up.
- [Announcer] Patrick Battiston
found himself through on goal.
- Oh!
Did he just lay him out?
He was playing the wrong kind of football.
- [Announcer] Let's have another look at this.
(blow smacks)
- Oh! - Oh my.
- His hip bone hit him directly in the temple.
He lost two teeth, broke three ribs,
and sustained lifelong damage to his vertebrae.
When you're traveling at that rate of speed
and you bump into something as hard as a femur...
Remember, the femur's one of the strongest bones
in the human body.
It has the tensile strength of steel,
stronger than concrete.
Like, this thing is tough.
I'm not saying test it, but I'm saying it's tough.
(air whooshes) (spectator shouting overlaps)
- Oof. - Yeah.
- Oh!
See, that's a really unfortunate injury
'cause getting a patella, the kneecap,
directly into the vertebrae of your spine
can be so, so painful.
Remember, the vertebrae are bones
that stack on top of one another
that protect your spinal cord.
But then from your spinal cord are spinal nerves
that then go out and become your peripheral nerves.
So if you get a really hard knock onto your vertebrae,
obviously you could risk fracturing it
and that's incredibly painful,
but you could also damage those nerves
and when you damage nerves
that's not like symptoms that go away in a few minutes.
They're lingering, they're numbing, they're tingling,
they cause what's known as paresthesias,
which are abnormal sensations in your hands and your legs.
So this type of injury is very, very devastating.
The official diagnosis was a lumbar vertebrae fracture.
Shortly after he took the hit,
he said in an interview he could be in a wheelchair
had the knee come a little to the left.
- I've had patients with compression fractures
that have just absolutely debilitating pain.
Pretty much, we ended up having to resort to opioids
'cause it's that bad.
There are unique situations with compression fractures
where we actually can use some nasal sprays,
known as calcitonin, which can help with pain.
Kind of unusual,
'cause that's not typically a pain relieving spray,
but the mechanism behind that is quite interesting.
Oh, Cristiano Ronaldo.
Oh! God.
That was a heavy hit.
(spectators jeering)
He's grabbing the knee.
Now, a lot of times when you're an athletic trainer
or sports medicine doc,
when you're on the field or right off the field
and you try and do a knee exam,
if there's a tear there's so much global swelling,
especially if you tear, like, the ACL.
Because, essentially, when you tear a ligament
there's bleeding that happens there
and that's where a lot of the swelling come from,
and then an inflammatory cells,
that it's very hard to do a special test
and hope to get an accurate result
because everything hurts,
everything seems like it's a positive result.
You really gotta wait for the inflammation to come down
and get some imaging.
Ronaldo was involved in a collision in the ninth minute
and he suffered a grade 1 ACL ligament sprain
in his left knee.
Xabi Alonso.
(commentators speaking in foreign language)
- Oh, what happened there?
Oh, this is Spain/Holland.
(commentator speaks in foreign language)
- Oh my god!
Okay, so for those who don't know,
one of the worst things you can do
that should be an automatic red card
is flying at another player through the air
with an outstretched leg and a locked knee, cleats up,
meaning the spikes of the cleat up.
Now, when we play in high school,
we usually use something known as FG cleats,
which are firm ground cleats, so they're, like, plastic-y,
but then in professional soccer, they usually use SG cleats,
which are called soft ground cleats,
and these are metal, sharp cleats.
So imagine you're flying at a high rate of speed
with a locked knee,
that means there's no give once you make contact,
and you hit someone with metal object
directly into their chest
where their ribs are, their heart is, vital organs.
Oh my god.
We've seen, even, what happened in American football
when someone gets hit directly into the chest
and we don't know that's exactly what happened
with the Buffalo Bills,
but we know in baseball, for example,
if the baseball hits you in the right time
of your electrical conductivity of your heart
it could stop the heart.
The same thing could have easily happened here.
- [Julia] Tonight, one of the world's leading soccer stars
collapsing at the Euro 2020 tournament.
(whistle blaring) - Play's going to be...
- Yeah, he fell on his own, without anyone hitting him.
His heart just suddenly stopped.
- [Julia] His teammates forming a protective circle
around the midfielder.
- And then they started chest compressions,
chest compressions, chest compressions.
'Cause when someone is pulseless,
that's what you do until help arrives.
- Eriksen is now awake and stabilized in the hospital
and he'll be staying there for further examination.
- They likely got ROSC,
which is return of spontaneous circulation.
This can happen from just doing chest compressions,
it could happen from giving medications.
If he had a shockable rhythm,
which is a type of heart rhythm
that would respond to one of those defibrillators,
you can shock the patient
and actually shock them back into the correct rhythm,
establishing a pulse.
So unclear what happened with him,
but the fact that they acted quickly,
did the chest compressions right away,
that bought them time to do medical interventions.
That's what the purpose of CPR is.
- [Announcer] An implanted cardioverter-defibrillator
was soon fitted as a countermeasure
for any rhythmic disturbances,
but the device fell outside of Serie A's medical regulations
and by October,
Eriksen found himself suspended from action for Inter Milan.
- Wow.
So the implantable defibrillator that they're talking about
is one that you basically put underneath the skin
and you put some wires
directly into the chambers of the heart.
If the monitor detects
an abnormal heart rhythm that is shockable,
meaning just like the defibrillator
that we keep on the outside,
that we keep at Little League games,
it will actually act and shock right in that moment.
Now, I'm not sure what are the medical, legal regulations
that prevented him from playing at Inter Milan,
but it could be as simple
as their insurance did not cover a person
playing on their team with this significant of a risk.
It's really more so about the risk that he's facing
rather than his ability.
(air whooshes) (mellow music)
Oh, did he pop his Achilles?
(mellow music continues)
To me, this looks like an Achilles injury.
Yep. He's grabbing at the Achilles.
And for those who don't know,
the Achilles tendon is the one that attaches the calf muscle
to the back of your foot, the heel, the calcaneal bone.
The gastroc muscle is so strong
that is actually needs to be able
to propel your full body weight up at any given moment,
so it's very explosive,
the Achilles tendon is very strong,
but if it's ever injured due to tendonitis
or some kind of other injury it can snap.
And one the tests we do in the medical office
is called the Thompson test
where we actually have the patient lay face-down,
squeeze their calf and actually see their foot move forward.
Now, if that action's not happening with the foot,
we know that there's probably a disconnect
with the Achilles tendon.
We can do a musculoskeletal ultrasound to confirm this.
And the reason why we're seeing Beckham stumble here
is because he's not able to plantar flex his foot
because of the lack of connection to his calf muscle.
A lot of times, from the Achilles tendon being so strong
and constantly pulling on that calcaneal bone in the back,
it can actually create a deformity in the bone
known as a Haglund deformity,
and it creates, like, this bump on the back of your foot
so much so that these days some soccer players
are actually cutting out a square of their soccer boot
to allow room for that little bony deformity.
(air whooshes)
- [Announcer] Zidane jogs past Materazzi.
Words are exchanged and then.
- Ugh!
It's incredible how strong Zidane is, (laughs)
that from a shot like that he made the other player
go parallel to the ground.
You gotta be strong to do that,
and you could break a sternum.
You know what's interesting is I don't think by rules
the referee's allowed to look at replay at that moment
so the referee didn't see that happen,
but then they kept replaying it in the stadium
and I think that's what led the referee
to actually issue the red card.
And it actually sucked
because Zidane is one of France's best penalty kickers
and then they ended up needing to go to penalties
and Trezeguet, I believe, missed the penalty.
Had Zidane been there, it might have been a different story.
- [Announcer] Zidane paid the price.
- Yeah. (laughs)
That was Trezeguet missing the penalty kick.
(signal beeps)
- Left his Uruguayan opponent- - Oh yeah. (laughs)
This is the biter.
- [Commentator] Clutching his face.
- It's incredible how many times
he's been caught on camera biting people.
Like, there's cameras everywhere.
My guy, how do you know you're not gonna get caught?
And by the way, getting bitten by a human
is probably worse than getting bitten by a dog,
unless the dog is, like, rabid.
The human mouth has so many different types of bacteria
that you need broad antibiotic coverage for it.
- [Announcer] Dare I say,
I think he's had a little bite at Chiellini.
- Surely, not again. - A little bite?
And you know what's funny?
This isn't the only time he's done this.
He's done this, like, three times.
- [Sam] What a weirdo! - Yeah.
There was, like, memes of him looking like a rat. (laughs)
Because he's constantly biting people.
(air whooshes)
(commentator speaking in foreign language)
- Oh my god!
- [Commentator] (speaks in foreign language) Cristiano-
- That's so dangerous.
Oh my! But, I mean, that's not Cristiano's fault.
But oh my god, the fact that he landed like that.
You know what's a common injury in soccer,
which could've been here is a clavicle fracture.
Falling on a shoulder
on an outstretched arm is kinda common.
And you know that to prevent injury,
FIFA actually released a program called the FIFA 11+
which literally dictates the warmup you should do
in order to reduce injuries by as much as, like, 50%.
I think that's what the program claimed.
They did the research showing that by doing this program
you decrease, like, ACL injuries and all these other ones.
It's pretty incredible
that now all the teams started doing that.
- [Announcer] In the Round of 16 of the Champions League,
Leo impressed everyone against Chelsea at Stamford Bridge.
The dream shattered.
(air whooshes)
In the 22nd minute, Messi ran after a loose ball
and suddenly stopped in his tracks.
He collapsed on the floor.
- Whoa. - You could see the pain
in his face, the tears in his eyes.
He had torn his right leg hamstring.
- Ooh! That's one of the most painful injuries.
Oh my god, especially if it pulls off completely and tears.
Oh my god.
A hamstring injury is so hard to recover from.
Wide receivers in the NFL, soccer players,
any time you have to sprint,
especially on a fatigued hamstring, oof.
- [Announcer] The nasty incident involving Firmino
took place during a Premier League game
when Liverpool played against Spurs at Wembley Stadium.
- Oh!
- [Announcer] With the Belgian
accidentally poking Firmino's eye with his finger.
Initially, things looked really bad,
but following a quick medical intervention,
any severe complications were prevented.
- That's very lucky.
You can get into a lot of trouble.
I mean, even minor things, like a corneal abrasion,
require antibiotics, anti-inflammatories.
Especially if you wear contacts,
that can predispose you to all sorts of issues.
So don't get poked in the eye, folks.
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