Today we’re back with part 2 of the fight between Baki Hanma and Biscuit Oliva.
B1: intro shot
Interns, I hope you’re ready to take notes, because there is a lot to be learned about
the human anatomy when these monsters go toe to toe.
If you’re familiar with Baki, you know that these characters are far more durable than
the average human…
They can really take a hit – or many hits –
B2: many hits
And continue to get back up.
So we won’t look at their injuries per se, but rather examine what injuries one might
expect where a normal human being subjected to similar forces.
Let’s pick up right where we left off shall we?
And if you haven’t seen the first portion of this video– I’ll leave the link in
the description!
B3: Face kick
Wow, I see you two are already warmed up.
For us it’s been a couple of weeks, but you guys haven’t stopped fighting have you?
Last time I promised to speak about blunt facial trauma, so this is the perfect opening
move.
Baki delivers a brutal kick to the front and right side of Biscuit’s face.
The blow spans across Biscuit’s Maxilla below the nose and up at an angle towards
his Zygoma bone which creates the upper lateral aspect of your cheekbone.
A small splatter of blood hints at the intensity of the impact as the kick squishes into his
face.
Judging by the angle of impact, Baki’s calcaneus, cuboid and lesser metatarsals were used to
deliver the blow.
This begs the question: which group of bones are stronger?
The superficial bones of the face or the bones on the bottom outside edge of the foot?
Before we answer that, I want to draw your attention to the fact that Biscuit’s face
does not budge when struck – literally not an inch.
The transfer of force from foot to face is… non-existent?
But the force has to go somewhere.
In an interaction such as this, where an immovable force meets an unstoppable object, the connecting
body parts of our two competitors must absorb the force.
There isn’t anything “behind” Biscuit’s face in the capacity that Baki’s leg bones
are stacked behind his kick.
And remember bones are great in compression– which is why alignment is so important in
order to deliver a powerful blow.
So while Baki’s stacked Tibia, Fibula and Femur absorb the force of the blow, Biscuit
has nothing to align behind his head to do the same.
Instead, he’s relying only on the bones in his face and the muscles of his neck bear
the brunt of the impact.
You may have guessed by now, but in a realistic version of this interaction we might expect
Facial fractures!
Maxilla and Zygoma fractures to be exact.
The maxilla is the bone that forms the upper part of your jaw, consisting of two irregularly
shaped halves that fuse together in the middle of the skull.
The zygomatic bone (or cheekbone) is a diamond shaped bone below and lateral to the orbit
(your eye socket) at the widest part of the cheek.
Side note: I wouldn’t expect the neck muscles of a normal person to resist a flying kick
of this magnitude and, were the muscles to give out and the neck snap backwards, the
Cervical spine would definitely be at risk.
But let’s remain on task.
Maxilla and Zygoma fractures are typically the result of facial trauma: falling, running
into something, car accidents and of course violence…
B3: replay face kick
Yeah that counts– Maxilla fractures, also known as Le Fort fractures are fractures of
the midface, involving separation of all or a portion of the midface from the skull base.
This type of fracture is organised into three classifications which help doctors delineate
the plane of injury.
Due to the application of foot to face, we may expect a Le Fort 1 fracture of the Maxilla
here– this fracture pattern is horizontal in nature, separating the teeth from the upper
face.
https://radiopaedia.org/articles/le-fort-fracture-classification
This type of fracture is treated with open reduction and internal fixation.
Surgical plates and screws are going inside your face.
(singing) and that’s just the way it is.
Things will never be the sa–
Tupac Meme of some kind
Sometimes in severe cases of facial trauma, both maxillary and zygomatic fractures, cerebrospinal
fluid rhinorrhea may leak from the brain case into the nose and sinuses.
That’s right.
Fluid from inside your skull will leak through cracks in your face and out of your nose.
That is actually a thing.
[Eye roll].
And Whenever that happens a neurosurgeon must be consulted.
[video clip of surgeon using suction]
A 7-Year Study of 1,278 Patients with Maxillofacial Trauma and Cerebrospinal Fluid Leak - PMC.
Similar to their Maxillary cousins, Zygomatic fractures are classified into three general
categories, but fractures of this type are classified under slightly different criteria.
The Manson system denotes: low-energy with no displacement of the bone, middle-energy
with moderate displacement of the bone and high-energy zygomatic fractures with severe
displacement of the bone and comminution.
[super saiyan] By the way, comminution means that a bone has been splintered or crushed
into numerous pieces.
Crushed bone inside my face.
What could be wrong with that?
A displaced or depressed zygomatic fracture typically requires surgical intervention.
Patients suffering from zygomaticomaxillary complex fractures (also known as Zygomatic
arch fractures) always present with deformity because the zygomaticomaxillary complex strongly
contributes to midfacial width and protrusion.
Fun fact– this is the second most common fracture of the face, just behind nasal fractures,
which we’ll talk about later on.
Lesser ZMC fractures can be treated by an intraoral approach and rigid fixation at the
zygomaticomaxillary buttress.
(pointing along your face as you explain) The ZM buttress begins in the region above
the first molar and continues up the lateral maxilla through the zygomatic bone along the
lateral orbital rim through the frontal process of the zygoma and then through the zygomatic
process of the frontal bone.
B4: Dentist - during following line, put Chris’ head over dentist’s face
“Open wide Biscuit, I’m just going to screw your cheekbone back together from the
inside of your mouth…”
Unless the fracture is particularly bad and excessive comminution is present.
Treatment becomes even more difficult if surgery is delayed or if there are other facial deformities
or damage.
Open reduction and internal fixation is the method here, as a surgeon calls upon their
clinical experience to reconstruct a comminuted zygomatic bone.
Special care must be taken when the damage is so severe that there are no available landmarks
for anatomical reduction.
Zygomatic Arch Fracture - StatPearls - NCBI Bookshelf
Failure of anatomical reduction will cause the incorrect width and protrusion of zygoma
and asymmetry of the midface…
This is Biscuit…
B5: Cheekbone
And this is Biscuit after a failed Zygomatic Arch Surgery.
B5: Same clip but distort his cheekbone in a funny way & if this clip doesn’t work,
choose another
In severely displaced ZMC fractures, further exposure of the zygomaticofrontal junction
or inferior orbital rim may be necessary and additional fixation required.
Treatment of Zygomatic Complex Fractures with Surgical or Nonsurgical Intervention: A Retrospective
Study
Facial Fractures Treatment & Management: Acute Phase
B6: Fight continues–
Now that we’ve established how troublesome these fractures can be, it’s only natural
that Baki continues to target Biscuit's face.
B7: Biscuit Throws Baki
I guess Oliva doesn’t like the prospect of having his face turned into mashed potatoes.
And just when it looks Baki might be severely injured, you know from recurrent smashing
into concrete, he rolls over and says: B8: Baki likes it
And then he melts.
B9: Melting Baki
No literally– Let’s consider whether or not this is possible IRL.
Stare blankly at the camera for a moment…
It’s not.
And in the anime, he’s not actually melting– it’s happening inside his head as he’s
about to awaken a new level of ability.
Even Baki has some level of realism.
B10: Jesus Jump
Or not.
I don’t even know anymore.
It seems that the power of Biscuit’s initial onslaught has helped Baki to awaken the Demon
Face.
B11: Demon Face
This is a “technique” in which the user forcefully flexes the back muscles to form
the face of a demon greatly increasing all physical attributes.
Demon face cannot be learned by just anyone and depends on genetics and bloodline.
Basically you have to be Baki or his father, making this akin to some sort of ultra-rare
genetic syndrome or something..
B12: Put a comment question here, Deej… something like: “Hey Doc, is the Demon Face
possible IRL?”
Good question.
The Demon Face is an interesting idea– maybe we’ll talk about it in another video.
At least in the Baki universe, the Demon Face is a very real thing.
Biscuit is impressed.
And also– in danger?
B13: Surprise Attack
Wait, wait, wait.
Run that back
B14: Security cam replay
A strike quick and powerful enough to knock Biscuit Oliva out.
Demon Face Baki, packs a serious punch.
Lucky for Oliva, Baki chose to target the other side of his face.
It is difficult to determine the exact location of impact from the security footage.
At first glance, it looks like it could be the jaw…
The lower jaw or mandible supports the bottom row of teeth and gives shape to the lower
face and chin.
This is the bone that moves as our mouths open and close.
This is one of the most effective spots to hit a person and cause a knockout.
Typically, a punch to the chin with sufficient power and precision causes the head to rotate
the head to the back or side and smashes the brain against the skull.
The severity of the impact to the brain is determined by the acceleration of the head
and how forcefully it is moved.
When the brain is displaced and blood vessels are stretched or compressed the result is
a loss of consciousness.
[start snoring here] This movement is exacerbated if an opponent is surprised by a blow to the
head, because their neck and jaw muscles are loose– increasing the force of displacement
applied to their skull.
But Biscuit’s head doesn’t move so this torque knockout explanation does not check
out.
Alternatively, it is possible that the energy of the punch travelled through his skull and
up to the brain with no form of shock absorption – it doesn’t look to me like Biscuit is
wearing a mouthguard.
ELI5: Why does a strong punch to the jaw or face knock people out?
: r/explainlikeimfive
A blow with that much potential energy would also put the recipient at risk of a mandible
fracture.
A study in the archives of trauma research says, “mandible fractures are twice as common
as fractures of bones in the midface and compromise most of the injuries treated by oral and maxillofacial
surgeons.’
or in other words, broken jaws keep oral and facial surgeons busy.
B15: find funny meme of someone being very done with something & overlay maxillofacial
surgeons on them
I feel the same way about knees…
Now some less severe mandible fractures can be treated non operatively.
But that doesn’t happen often and most mandible fractures require surgical fixation.
There are many parts to the mandible and the location of impact does not necessarily determine
where the fracture will occur.
This may be due to the movable nature of the bone, which when struck, could interact with
the rest of the skull or temporomandibular joint capsule in a way that stresses the bone
at an unexpected angle.
The movable nature of the bone and our reliance on it for practical living (communication
and food consumption) is reflected in the typical treatment options– either closed
(maxillomandibular fixation, splinting, modified diet) or open (plates, screws, wiring).
Closed techniques involve the relative fixation of mandibular fragments allowing indirect
bone healing.
Essentially your mouth is wired shut and you’ll enjoy an all liquid diet for the foreseeable
future.
You know, boost for breakfast, blended big macs for dinner, and ensure for dessert.
Somebody order pancakes, you’ll just:
B: “sip the sizzurp”
Thanks, Kanye.
There are a variety of techniques for open reduction and internal fixation ranging from
simple interosseous wiring to supplement the aforementioned closed fixation, to full on
plate and screw combinations.
In the past 10 years, compression plating has become a popular option implying the use
of rigid fixation across a fracture so that the fragments are compressed together even
when the body is at rest (no functional load).
Facial Fracture Management Handbook - Mandible fractures | Iowa Head and Neck Protocols).
​​No matter the approach, the goal is the restoration of functional occlusion and
facial form, because well, that’s kinda necessary.
Okay, that’s all very interesting, but before we go any further, let’s consider something
else.
The carotid artery, which provides blood to the brain, has a reflex area known as a sinus,
which helps regulate the flow of blood and oxygen to the head.
A sharp blow to the jaw could jolt that sinus, altering blood and oxygen flow enough to cause
a loss of consciousness.
A skilled fighter with knowledge of this might be able to exploit this fact of human anatomy.
If we compare the location of the carotid sinus, to the trajectory of Baki’s punch,
it seems plausible that he might have specifically targeted this region.
The Anatomy of a One-Punch Knockout
A blow of this type would explain why Biscuit loses consciousness so quickly with no conceivable
movement of his head.
I mean– given the unbelievable events that occur in the Baki universe, maybe his head
snapped around so fast that the camera couldn’t even capture it.
B15: Rotate his head around on his body several times, or include a meme of something similar
happening.
And then – just like that – he’s back: totally conscious and with no visible damage.
His mandible is definitely impressive, I mean.
Just look at it.
B16: iron chin
Obviously, in the midst of a fight like this, there will be no time for radiographs or CT
scans, and I don’t think I could stop these guys even if I wanted to.
So you know what– keep on fighting in the name of modern medicine…
The interns and I will be back in a few weeks to examine the final portion of your fight
with a critical medical eye.
Outro.