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\f0\fs24 \cf0 AOP WWE Superstar Injures Arm on Monday Night Raw Explained By Dr. Chris\
\ Who got injured, how it happened, how will
it be treated, and what does this mean for the future? Stay tuned to find out.\
\ Hey everybody, Dr. Chris, orthopedic surgeon
and sports medicine physician. Welcome to my channel, your number one stop for information
on orthopedic injuries and sports medicine that\'92s easy to understand for everybody.\
\ If you want to know more about my life as
an orthopedic surgeon, you can follow me on Instagram or Twitter, @stablekneez. I am also
on TickTock at dr.chrisraynor. If you\'92re looking for exercises and workouts, or you
want more information on injury prevention, be sure to check us out on our sister channel
on YouTube at Human 2.0.\ \
\pard\pardeftab560\slleading20\pardirnatural\partightenfactor0
\fs26 \cf0 I want everyone on to learn about orthopedics and sports medicine. Help me to
educate everyone by sharing this video with someone you think will be interested in the
topic.\ \pard\pardeftab560\slleading20\pardirnatural\partightenfactor0
\fs24 \cf0 \ \pard\pardeftab560\slleading20\partightenfactor0
\cf0 That being said, hit the bell and let\'92s get on with the topic. \
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\pard\pardeftab560\slleading20\partightenfactor0 \cf0 Who got injured?\
GZIM Selmani is a dutch professional wrestler, former fix mixed martial artist and world
pro kick boxing heavyweight champion, who is currently signed to the WWE. He is 1/2
of the wrestling team AOP, Formally known as the authors of pain. He performs under
the ring name, Rezar. He was apparently injured recently at some point during the WWE Monday
night raw event on March 9, 2020.\ \
What happened?\ It is not entirely clear at what point during
the evening that Rezar was injured. Early in the evening, Rezar was involved in an altercation
backstage between Kevin Owens and Akem, Seth Rollins, and Murphy. The AOP tag team, Rollens,
and Murphy teamed up to brutalize Kevin Owens backstage. At this time, it appeared that
Rezar did not have any problems with either arm as he proceeded to manhandle Owens without
any limitations. He participated fully in the spot, and did not appear to be favouring
either arm at this time. The beat down of Kevin Owens was interrupted by officials backstage
and Rezar left with his accomplices without any obvious ill effects.\
\ Later that evening AOP joined Seth Rollins
and Murphy in an 8-man tagteam match against the teams of the Viking Raiders and the street
profits, the reigning RAW tagteam champions. At the outset of this match, it did not appear
that Rezar was injured, or was favouring either arm. However, later during the match we can
see that Rezar is favouring his right arm. He continually keeps his right arm flexed
at his side and he does not appear to be using it during any of the moves throughout the
match. Midway through the match, Montez Ford is tossed by razor where razor uses both arms
to perform A fall away slam. Although I cannot be certain, I suspect that the injury occurred
during, or after this maneuver since razor appears to be favouring his right arm most
notably after this point. Despite his obvious injury rather completes the match. As the
match ends and Kevin Owens appears as it from nowhere and proceeds to administer a beating
to Seth Rollins and the members of LLP. Seth throws rays are over the top rope and out
of the ring before being manhandled by Seth Rollins. Razer appears to take me throat quite
well considering that he only has one arm with which to control himself as he flies
out of the ring.\ \
Later, Brian Alverez reported on the Tuesday episode of wrestling observer live that Rezar
had suffered an arm injury during the bout. He stated that \'93it is believed that Rezar
suffered a torn biceps,\'94 and that \'93he is still being evaluated\'93. Similar news
was reported by the creators on cultaholic wrestling on March 11 of 2020. cultaholic
commented on AOP\'92s bad luck since joining the main roster, citing akem\'92s leg injury
from January 2019 before Rezar\'92s most recent misfortune. They reported that Rezar might
be out for 6-9 months with this injury. \ \
So what is a biceps injury and how does this happen?\
The biceps is a muscle that originates at the shoulder and terminates at a point just
past the elbow. The bicep is a muscle that has two heads; a long head that originates
within the shoulder, and a short head which originates outside of the shoulder joint at
the coracoid. The biceps main role is contrary to that which most people believe. Although
people spend an inordinate amount of time doing bicep curls in an effort to increase
the size of their guns, the biceps main role is in fact not flexion of the elbow. That
is only it\'92s a secondary role. The biceps main role is supination of the forearm. Supination
and pronation are two opposing movements that occur at the level of the wrist, but that
originate at the level of the elbow. Pronation is the movement where your palm rotates to
face downwards, while supination is the movement where your palm rotates to face upwards. It
is easy to remember which movement is which by recalling that in order to hold a bowl
of soup you need to have your forearm supinated with your Palm facing up.\
\ When an injury occurs, the bicep can be injured
at any point along its length. This includes its origin within the shoulder, the muscle
belly itself, or at its insertion distally on the radial tuberosity in the forearm. injuries
that involve the tendons, either proximally or distally, are most common. Injuries of
the proximal biceps are much more common, with injuries of the distal insertion occurring
in only 10% of the cases. More than 95% of ruptures occur in males, and injuries typically
occur in the patient\'92s dominant arm. Typically these injuries occur during middle age but
they can occur at other times as well. Biceps tendon ruptures are typically caused by sudden
eccentric load on the flexed and supinated forearm. This mechanism can result in rupture
of the tendon proximally within, or near the shoulder, or of the tendon distally near the
radial tuberosity in the forearm. Risk factors for rupture include age, smoking, use of corticosteroids,
and overuse. Additional rare causes include the use of quinolone antibiotics (which microscopically
have razor sharp crystals), diabetes, lupus, and chronic kidney disease. Excessive loading
and sudden stress can also lead to biceps tendon rupture in weight lifters.\
\ Patients who suffer from the biceps tendon
rupture often complain of sudden sharp pain in anterior forearm following sudden extension
on a flexed elbow. Often times they feel in an audible pop on the affected arm and they
experience pain during resisted flexion or supination. They often complain of tenderness
at the superior margin of the muscle belly. In some occasions there is bruising near the
point of tenderness. Pain with this injury can persist for weeks even months. Sometimes
pain will decrease if the tendon is completely torn. Many may also experience pain with supination.\
\ The physical examination can help to give
the correct diagnosis. Patients who have a proximal biceps tendon rupture, or a rupture
near the shoulder joint, will appear with a bulging mass in the upper arm with a visible
gap proximal to the mass. This is known as the Popeye sign or the Popeye Arm. These patients
present with tenderness at the superior margin of the muscle belly.\
\ Patients who have suffered a distal biceps
tendon rupture will often have bruising, swelling, and tenderness in the anti-cubital fossa of
the elbow. Sometimes, the muscle will be retracted to the upper arm and a defect of the distal
tendon at the level of the elbow is palpable.\ \
Usually a detailed history and physical exam are sufficient for proper diagnosis of this
injury. Typically additional imaging is not required. However, an ultrasound can be performed
to corroborate the diagnosis. MRI, is rarely required for diagnosis but may help to distinguish
between complete and partial tears, muscle substance versus tendon tears, and the degree
of retraction of the muscle.\ \
What does this mean?\ Ruptures of the proximal head of the biceps
may be treated non-surgically. However there is residual cosmetic deformity and patients
may suffer from intermittent cramps of the biceps. When surgery is indicated for this
injury, biceps tenodesis is the most common procedure that is performed. This
may be performed using either a open, or an arthroscopic technique. Good clinical outcomes
have been demonstrated with both approaches. However, there is not significant sufficient
data to show superiority of the surgical treatments over the non-surgical approach for the treatment
of proximal bicep tendon ruptures.\ \
Operative treatment is typically recommended for rupture of the distal biceps tendon to
regain maximum strength of elbow flexion and forearm supination, and to relieve pain in
the anti-cubital fossa.\ \
How will his injury be treated?\ Assuming that Rezar has suffered a distal
biceps tendon rupture, then he will undergo operative fixation of this injury. Although
there are a number of methods used to repair the tendon distally the most common method
currently used is a single incision approach where a single incision is used in the anterior
aspect of the antecubital fossa, through which the ruptured biceps tendon is retrieved and
then subsequently repaired. Dissection is performed at the level of the elbow to reveal
the radial tuberosity in operative field. The biceps tendon is then prepared and then
reattached to the bone of the radial tuberosity using a suitable implant. This is my preferred
technique for fixing distal biceps tendon ruptures, and I have obtained good success
using this surgical approach and suture button fixation.\
\ Typically patients are immobilized with their
elbow in 90\'b0 of flexion for approximately three weeks before a gentle range of motion
is begun.\ \
Once further healing has occurred between 6 to 8 weeks, and the biceps tendon repair
is better able to tolerate loads, then Rezar will begin physical rehabilitation in earnest.
He will work first to restore his full range of motion at the level of the elbow working
to obtain both full extension and full flexion at the elbow in both pronation and supination.
After this he will begin strengthening to restore baseline function first, before progressing
to further more robust strengthening. This process can be expected to take anywhere from
4 to6 months. Therefore, it is likely that he will be out of commission for a period
of at least that length of time. He may be required to wear a protective brace, al a
JJ Watt, upon his return.\ \
When will he be able to return to wrestling?\ If all goes well with Rezar\'92s surgery and
rehabilitation, we can expect him to return to wrestling at approximately six to eight
months time. Hopefully, once he returns, AOPs run of bad luck in the WWE, will finally come
to an end. \ \pard\pardeftab560\slleading20\pardirnatural\partightenfactor0
\cf0 \ \pard\pardeftab560\slleading20\partightenfactor0
\cf0 And while Rezar might not be a sailor, at least for the moment he is a better tag
team partner to Popeye than he is to to Akem. \
\ \pard\pardeftab560\slleading20\pardirnatural\partightenfactor0
\cf0 Be sure to like, share, and subscribe. As always, that\'92s been a word from Dr.
Chris, not your every day ortho.\ }