Jelavic Injury?

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Walter Ego said:
The initial injury occurred in the third minute against Newcastle, his trailing leg colliding with the post, at pace, as he attempted to score. The Croation forward’s right knee, specifically the Fibula head and the Tibial Tuberosity appear to take the full impact. This is a sensitive part of the knee as it serves as an attachment site for several muscles. More pertinently, it is also an attachment site for one of the main stabilising ligaments of the knee, the Fibular or Lateral Collateral Ligament (LCL). What is clear, at this point, is that the attachment site for the LCL took a crushing/compressive impact at some pace.
Immediately after the incident Jelavic can be seen clutching and rubbing his lower leg directly over the muscles of the Tibialis Anterior, Peroneus Longus and the Fibula Head. He is led from the pitch and Jelavic attempts to ‘run-off’ the soreness, but he is still struggling to put any meaningful weight on the knee. The striker returns to the fray at the end of the fourth minute with a pronounced limp still very evident. As the match time progresses he starts, progressively, to move with more freedom and less constraint and from the 17th minute he appears to be moving fluently. But, for me, he never quite regains full balance or mobility throughout the half.
In the 37th minute Jelavic is caught by a late challenge and can be clearly seen cupping the area perfectly over the region of the LCL. Two minutes later he appears to be running freely again and in the 40th and 41st minute executes two standing jumps, movements of impact that test the stability of the knee, and movements that would test the integrity of the LCL. Less than two minutes later he reaches down towards his LCL and appears unable to straighten his leg, he then collapses to the floor with no other player in the vicinity. At this point, again, he can be seen clutching his LCL (in fact, he cups the ligaments of the knee, as though offering additional external support). Tellingly, Jelavic now holds his knee at about a 40 degree angle, offering us a further diagnostic clue, as full extension of the knee stretches the LCL and would cause pain and discomfort, if injured. This is particularly true of the ‘closed-pack’ position of full extension at the knee joint, here joint stability is greatest and articulating bones have their maximum area of contact. Jelavic was helped from the pitch looking anxious and grimacing.
This whole scenario offers us several diagnostic clues. Two classic signs of a LCL sprain are immediate pain, but able to continue to play (if it were a muscle injury this would not be possible) and pain in the fully extended, closed pack position of the knee. Relative stability in the knee at this time would also differentiate this injury from a rupture. A further sign is “localised painâ€￾ as the ligaments of the knee do not refer pain and Jelavic can be seen clutching this area several times. Personally, I suspect knee ligament damage of minor to moderate severity and depending on the grade, we could be without him for anything from two to eight weeks.
Click to expand...

Who are you, Doogie Howser MD????? Or a consultant surgeon???!

We all know he has a knee problem. And we all know we are a bit fukced without him.
 

Walter Ego said:
The initial injury occurred in the third minute against Newcastle, his trailing leg colliding with the post, at pace, as he attempted to score. The Croation forward’s right knee, specifically the Fibula head and the Tibial Tuberosity appear to take the full impact. This is a sensitive part of the knee as it serves as an attachment site for several muscles. More pertinently, it is also an attachment site for one of the main stabilising ligaments of the knee, the Fibular or Lateral Collateral Ligament (LCL). What is clear, at this point, is that the attachment site for the LCL took a crushing/compressive impact at some pace.
Immediately after the incident Jelavic can be seen clutching and rubbing his lower leg directly over the muscles of the Tibialis Anterior, Peroneus Longus and the Fibula Head. He is led from the pitch and Jelavic attempts to ‘run-off’ the soreness, but he is still struggling to put any meaningful weight on the knee. The striker returns to the fray at the end of the fourth minute with a pronounced limp still very evident. As the match time progresses he starts, progressively, to move with more freedom and less constraint and from the 17th minute he appears to be moving fluently. But, for me, he never quite regains full balance or mobility throughout the half.
In the 37th minute Jelavic is caught by a late challenge and can be clearly seen cupping the area perfectly over the region of the LCL. Two minutes later he appears to be running freely again and in the 40th and 41st minute executes two standing jumps, movements of impact that test the stability of the knee, and movements that would test the integrity of the LCL. Less than two minutes later he reaches down towards his LCL and appears unable to straighten his leg, he then collapses to the floor with no other player in the vicinity. At this point, again, he can be seen clutching his LCL (in fact, he cups the ligaments of the knee, as though offering additional external support). Tellingly, Jelavic now holds his knee at about a 40 degree angle, offering us a further diagnostic clue, as full extension of the knee stretches the LCL and would cause pain and discomfort, if injured. This is particularly true of the ‘closed-pack’ position of full extension at the knee joint, here joint stability is greatest and articulating bones have their maximum area of contact. Jelavic was helped from the pitch looking anxious and grimacing.
This whole scenario offers us several diagnostic clues. Two classic signs of a LCL sprain are immediate pain, but able to continue to play (if it were a muscle injury this would not be possible) and pain in the fully extended, closed pack position of the knee. Relative stability in the knee at this time would also differentiate this injury from a rupture. A further sign is “localised painâ€￾ as the ligaments of the knee do not refer pain and Jelavic can be seen clutching this area several times. Personally, I suspect knee ligament damage of minor to moderate severity and depending on the grade, we could be without him for anything from two to eight weeks.
Click to expand...

The kind of superlative detail I was after, if not the diagnosis I was hoping for.

Thanks alot - let's hope it's nearer to the 2 than the 8.
 
4-2-3-1 is our best formation gives us a sense of freedom & protection of the back 4. Also allows Hibbert & Baines to push forward. With Gibson out I would drop Fellaini into a deeper role to help Ossie out.

Howard
Hibbert Jagielka Distin Baines
Ossie Fellaini
Mirallas Naismith Pienaa
Anichebe/Jelavic
 

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