Doctor Explains Trevor Siemian RARE Ankle Injury and DISLOCATION | No Break and He WALKED OFF?

Trevor Siemian suffered a rare "pure" dislocation ankle injury during week 2 of the NFL season during Monday Night Football against the Cleveland Browns. He somehow didn't have a fracture which only happens in less than 1% of ankle dislocations. Also he managed to walk off the field! In this video i'll review the footage of the injury to explain the mechanism and what is going on in the ankle joint to cause this injury pattern.
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DISCLAIMER: Content not intended to be taken as medical advice. Opinions are my own and do not represent those of my employer. I have not personally treated or evaluated the individual(s) discussed in this video. Content used with educational and transformative intent within Fair Use Guidelines
Content owned and produced by Brian Sutterer LLC 2019
#NFL

[@911___________DIVOC]

It was nice of Garrett to snap it back into place. Pure class.

[@MarcusHansen276]

Clive Pinnock what a guy, am I right?

[@deemariedubois4916]

Clive Pinnock Maybe if the refs were aware Garrett had reset the dislocation he had just caused, they wouldn’t have given him a personal foul.

[@christopherb5923]

Garret: hold my beer Medical personel: Am I a JoKe to you?

[@RicoBurghFan]

Yeah such a classy guy lol

[@deafydeafs]

You should explain Caris Levert ankle dislocation in more detail and how he could recover so quickly! Great video as always Dr!

[@mikey420ful]

that would be a great breakdown, really tripped me out when i saw that

[@crazymangaming9679]

Kyle Mapson as a net fan watching that made my heart dropped and they showed the replay I thought he was done for a year plus

[@sheriefelrafei3485]

@@crazymangaming9679 bro same

[@bluescripts100]

I don't think he fucks with hoops like that

[@crazymangaming9679]

imarino13 tbh I’ve seen all the nasty nba injuries because I have interest in that kind of thing but seeing it and not expecting it is hard to watch

[@smilncynic]

Those ligament abbreviations sound like new football league abbreviations.

[@jaxendieterle4220]

CFL too?

[@brandonhillgoth699]

Ikr

[@garciasbodyshop]

My man Garrett snaps his ankle outta place then re snapped back into place in the same play lol

[@toyodathon08]

Please keep doing these once you become a team’s head doctor

[@shurtzryan85]

This is seriously the best channel on KZbin. You need your own TV series now. Keep up the great work Dr.

[@fairlymediocreOG]

i go to my friends after these videos and pretend i know what happened. thanks doc 😂 making me smarter every vid

[@keloryms8976]

Had an injury like that a few years ago it looks gruesome but it’s not painful until your body cools down a hour later

[@AnthonyMcNeil]

Geez, that slomo looked absolutely disgusting...it's amazing that it wasn't even more serious. Great, informative video as always.

[@blairm015]

Siemian earned some respect for being a tough SOB walking off with that injury

[@lukeosvatic277]

I made a mistake eating during this video

[@peterf.229]

Im not a dr, I just saw video of the injury, and saw this video, I totally wondered if his ankle got popped back when it hit the guys leg who hit him, sure looks liek thatis what happened but thanks for explaining.

[@demonNthesn0w]

Peter F. I saw the replay and said he’s done for game

[@Ballwithrich]

Nice break down. No pun intended.

[@aerocvrd1990]

Dude I love ur work ethic ! Keep going

[@backward9]

browns fan. hated watching that

[@freddyrod2948]

Do UFC’s Austin Hubbard’s compartment syndrome.

[@chrissosa3723]

So in a twisted way, he was very lucky

[@hntvisuals]

This video hurt my ankles

[@yoshi2413]

I watched that play, at first when it happened it didn't seem that bad but after slow mo you could see the defender and Trevor Simiens weight landed all on that ankle as it rolled.

[@tiedyeeli]

blood & guts/gore? not a problem sign me up!! but let me see bones snapping and popping outta socket and woooo boy! i’ll become real squeamish real fast 🤮🤧🤧

[@MunipiesMusings]

Please annotate what the left, right, front, back, etc. of the image is. The colors and oral description help but a simple indication of planes of reference would help understand it better

[@BrianSuttererMD]

Good tip

[@Dragon-tc6ud]

Keep up the good work 👏👏

[@energenic9556]

Could you please do inky Johnson, It was long ago but I think it would be a great topic to discuss

[@nickcojocar5474]

It sounds like this dude could’ve had so many more different injuries from what you said, he should be lucky he still has his foot LOL

[@ToneRetroGaming]

This is one of your best vids doc the content is getting better and better. Keep it up!

[@BrianSuttererMD]

Thanks! Did a new recording method to discuss the injury and I'm glad it seemed to work out!

[@edward6749]

As my final year in college studying health/wellness, I appreciate your work a lot😌

[@TINYMAN]

This is one of my favourite channels. He is like the cool science teacher that used sports examples to explain theory.

[@alfredoalcantar8691]

You are going be busy this season doctor. No joke a lot of injuy

[@jhe9488]

Good video: one comment - these ankle injuries are not really eversion injuries but actually have rotatory mechanisms and Siemian based on what I can tell this video had a supination external rotation injury, which is the same mechanism and similar type of injury that Gordon Hayward had a while back (except he fractured). The injury begins with an injury to the ATFL and the force propagates rotationally then next to the fibula, then the posterior malleolus and then medial malleolus/deltoid ligament. The fibula does not really break because the talus is moving laterally into it but rather because it is torqued/rotated during the injury event, which is why the fibula fracture is typically oblique (a direct lateral hit from the talus would result in a transverse fracture). The talus in this instance is not actually moving laterally in relation to the tibia but rather, it is the tibia which moves medially away from the talus. If he did indeed dislocate and spontaneously reduce his ankle, his deltoid ligament would have to be torn and treatment would certainly involve surgery, which with a deltoid injury would not involve ligament reconstruction but rather fixation across the syndesmosis (either screws or Arthrex tightrope) to hold his tibia and prevent it from subluxing medially while the deltoid scars down. Or if he was a normal person...you could theoretically treat it with strict non weight bearing in a cast for 8 weeks if the reduction can be maintained in a cast but ain’t no NFL player gonna wait for that. My two cents from an orthopedist’s perspective...

[@BrianSuttererMD]

At 5:15, how is that not eversion? Appreciate the Ortho input as you all certainly deal with these more than I would. I can see the rotational component playing a role but just looking at the freeze frame that certainly looks like more eversion and pronation, not at all supination. Supination is present with inversion injuries right?

[@SnailLagoon]

Great video, man! Just found your channel and subscribed! I don't know if you take any recommendations, and I know it's a bit old, but this video reminded me how amazed I was by the Kobe Bryant finger dislocation and reduction on court years ago. Any chance you could break that one down? Thanks!

[@SpiritMover314]

Good analysis as always. Garrett's a P.O.S. .....He landed on him with all his weight, even after getting a penalty for the same type of tackle just a play or two before he took the QB all the way out. Arrogance.

[@abstractjakobe3151]

Hey, why do High ankle sprains generally hurt the most ??

[@jakefindley1053]

Watching the game i thought he tore his Achilles, it looked pretty painful 😖

[@user-ys1ki8sp8s]

When I saw this injury happen I couldn’t wait for you to make a video about it!

[@garrettabell4741]

I used to think a ankle sprain wasnt a big deal until I tore about everything in my ankle. 2 years later and I still have pain and am very cautious walking jogging and running.

[@epic9256]

Sounds like you didn’t do rehab

[@garrettabell4741]

Blew my ankle out while doing rehab on my knee. So I'm a little hesitant to go back. I missed 5 weeks of work because of it.

[@craigowenlindvalljr8300]

So weird question. About 5 inches above the inside ball of my ankle I get severe pain about once every couple months. When I put weight on the outside part of my foot it gets unbearable and it's difficult to walk. It lasts for about a week and goes away. It's been happening for about 5 years. I don't think it's a bone problem but I could be wrong. It does hurt when I put pressure on the spot but I got to dig my fingers in deep to hit the spot. You ever heard of reoccurring pain like this every couple months?

[@AndresRoldan102]

I'm a die-hard Yankee fan. Can you please do a video on dellin betances freak Achilles injury and what is recovery like for partially torn Achilles. Thanks

[@michael2428]

you’ve rlly had a lot of content to make with all these injuries lmao

[@esterixis]

I worked Ortho, Trauma Stepdown for 15 years. You'd think I'd get used to seeing this. 😳 Great content!

[@ernestorodriguez1575]

1% of pure dislocations? Wow. I suffered one myself (and am still recovering) about a month ago and mine was a pure dislocation with no fracture

[@LiamBriggs18]

Hi Brian, couple questions: 1. Looked very similar Allen Hurns' injury last year, how does this compare? 2. Is this injury any different to a syndesmosis injury? These come up fairly regularly in Australian football.

[@jhe9488]

Liam Briggs sydesmosis injuries are high ankle sprains, they are sprains or tears of any of the four ligaments that connect the tibia and fibula; they do not involve the talus. -orthopedist

[@DaGuys470]

This was interesting to watch as I had a similar injury about 8 weeks ago and was never really told what had happened to my ankle. Hope Siemian gets better soon.

[@rakesedavis3265]

🗣🗣🗣🗣You are a fucking genius my guy 💯💯💯💯✊🏿✊🏿✊🏿... I ever get a head coaching job... I'm definitely giving you a call to be our head trainer/ Doctor guy

[@alfredoalcantar8691]

Also Michael gallop from the cowboys acl

[@WutTheDeuceGaming]

I remember seeing the replay, I thought for sure he broke it. Don't know what he was thinking trying to plant that foot in the first place.

[@justincarrington4157]

Nah bro, from 4:47 and on, I was screaming "CHANGE THE FUCKING PICTURE"

[@TomWalsh1]

One of my favorite videos of yours. Appreciate how you convey the essentials while still giving us a chance to appreciate the complexity of the anatomy and biomechanics at play. And your step-by-step footage breakdowns are second to none.

[@deemariedubois4916]

My right ankle has dislocated numerous times. The pain is breath taking plus I have to suck it up and put my ankle back into place knowing that pain is going to be so glorious that I’m going to get nauseous and maybe even see stars. Thankfully it doesn’t last long. My ankle isn’t repairable. My only option is to have my ankle permanently fused in a right angle position. Something I’m not ready to do. I hope this young QB gets excellent repair of his ankle. Having an unstable ankle would end his career.

[@AyeYoTay]

January 6th I tripped off my porch and dislocated my ankle and broke 3 bones and thru did surgery and put me in a boot I have 6 sitches on one side and 15 Staples on the other side... I can't wait to be up walking again

[@PostyXWRLD]

Thanks Doc! I always enjoy watching your vids always being super descriptive about every injury. Keep up the great work!

[@gourtzel]

Really astonishing work dude, greetings from a fellow Greek resident doctor!

[@xsprays7937]

Everything that could’ve gone wrong, didn’t. He is very lucky...

[@RaneBane]

I snapped the back of my tibia off like that. Do you have anything on isolated posterior malleolus fractures?

[@taktisk2158]

Odd that I have to keep reminding myself to breathe when I watch your videos.

[@outbackdoctoraustralia3980]

My favorite channel

[@tjlester358]

🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏

[@joshg8666]

Isn't this what Ronald Darby suffered in 2017

[@boyeakinode1620]

This such a cool and useful channel like damn nice and original content

[@luisfreire8224]

Absolutely love your content, man! Wish you were my doctor lol

[@domagojtrninic2637]

Videos lit 🔥🔥hope they all recover and play :)

[@gerardiperformance]

Love your page man!

[@George-fd6xq]

Can you do Tim Mayza torn UCL?

[@TITANSDPD]

Can we walk properly after these injury

[@Rocky-N-Angel]

I wish you were my MD.

[@sammitchell7310]

Adrenaline is one heck of a drug

[@rizegaming1543]

I have the same injury can i play sports again? I need some rehab exercises

[@obliviox]

Doctor Brian please do a video on UFC fighter Austin Hubbards compartment syndrome leg injury!

[@obliviox]

kzbin.info/www/bejne/mH2Ykn-XgtKMjLs

[@demolitionyt5522]

Actually since your a doctor can u answer a question I am concerned about for me?

[@imhotepnixon]

DM him on Twitter he’ll respond there for sure

[@TuamigoEDUARDO]

imhotep nixon he has his dms on private tho, any other way?

[@Twitty00700]

Doctors aren’t supposed to give consultations online without paperwork.

[@shake4259]

just ask, maybe one of us can answer it for you

[@BrianSuttererMD]

This

[@rapid2484]

My Achilles be hurting sucks it comes an goes.

[@ThePrideofLondon-Hutch]

Man doc .. you’re fast Love your content 👊.. Can you maybe do a video on Mason Mount ?! Coquelin put in a DISGRACEFUL challenge on mount and damn near Snapped his leg 🤬 (ankle injury )

[@Texasdex84]

Why don't they have you in the booth for MNF and SNF man?

[@yoboyaustink5029]

So it’s like Tony Finau and his ankle

[@avigindratt7608]

1:45 it’s like god got lazy with our feet &just put tape

[@aajas]

I had this same injury years ago (ruptured deltoid ligament). The way my surgeon explained it was that you can't just create a synthetic replacement like an ACL since there aren't opposing bone masses to attach to. The best they could do was try to reattach the remaining ligament, stick me in a cast for 2 months and hope scar tissue glued it back together. Anyway it felt pretty good after 6 months, and good as new after about 9. Plus a sick scar

[@ROROSMACHINE]

I broke my ankle(foot trapped while falling down a stair case and turning around while it was trapped) anyway 2 surgeries later, I think I can conceptualize how Siemian was extremely lucky, with this freak sort of compression load and rebound without a major fracture...99 out of 100 times the Fibula snaps and reconstructive surgery is required, I don't think he realizes just how lucky he was, although I'm certain it was excruciatingly painful,lol!!

[@TheCriminalViolin]

For me, I tore my ATFL, and according to everyone around that I was playing basketball with, they said my ankle flexed to about a 110 degree angle, which is absolutely insane. That put the radiologists and docs into a deep set of shock, and they were lost as to how I could have possibly avoided fractures completely like I had. When I went in to a foot & ankle specialist, they wanted to get their own xrays on it too (even though it was a year later) just because they wanted to have their own verification that there was no signs of any previous fractures. And they found no signs of any fracture history. I got the MRI, and again, they looked to see any signs of previous possible fractures but found nothing but a heavily scarred up ligament. Even they could not figure out how my bones defied the forces completely.

[@tlz124]

This guy kinda creeps me out.

[@DuncanDonuts119]

dude you are seriously nailing it with all these videos, I'm a starting out male nurse (MURSE) for short, and I just gotta say how inspirational these are! Keep up the good work and stay inside! haha

[@tonygalvan12]

I'm a HS QB coach and I teach them to keep their knees straight to avoid this type of injury in this circumstance. I'm also a Mathematics teacher and I educate them that their leg will break with the load and force applied to it. This is when the lineman hits them in the front and driving them to the ground on their backs. I guess Siemen missed that day of practice.

[@rhemafitness7280]

Amazing content! Could you go over Kevin Ware’s compound fracture injury? What might have caused it, how to prevent it, recovery process, etc. Thanks

[@luislopez-ol8tn]

what do you recommend for someone who, suffered a level 2 deltoid sprain left ankle, still dealing with the stiffness of the ankle? What exercises do you recommend to strengthen the deltoid? Thanks in advance if you answer!!!

[@opposition4379]

I had this injury from a bad landing pole vaulting, I was lucky with no ligament ruptures, only took 3 weeks before I was cleared to vault again.

[@theshawshankinception1220]

Hey Brian, love the content. I was wondering if maybe you had any thoughts about Philip Rivers playing with a torn ACL back in 2008?

[@infinitemonkey917]

Cool video of an uncommon injury. I wonder if the dorsiflexion position had something to do with the fibula not fracturing.

[@mordred8740]

ESPN should hire you to explain some of these injuries, cause watching the games you have no clue what's going on everytime a dude walks off

[@guccibabbib2271]

Dude don't teach me dumb it down😂😂

[@Odysseus1999]

I saw this play live. At first we were laughing because of the way he threw the ball and my dad called the ball a duck, and then he started freaking out because of the injury.

[@samlee6152]

Hi Dr. Sutterer, great video! Just wondering if you’re in orthopedics? Seems like something you’d be passionate about based on your love for sports and your knowledge about the musculoskeletal system

[@BrianSuttererMD]

Physical medicine and rehab.

[@samlee6152]

Brian Sutterer MD Thanks for the reply! And that makes even more sense, you’re clearly great at what you do. Thanks for the great content, I’m learning a lot!

[@kenzeier2943]

I watched. I squirmed.

[@durt9872]

I walk on the balls of my feet and used to roll my ankles all the time in sports, mostly coming down in basketball, makes way more sense after this video

[@acinoralas9107]

Happened to me in highschool. Still dont know how he walked off. I couldn't walk for a week.

[@jerrodberven8857]

Honestly I've never seen a a man so relieved to get injured. Miles Garrett is frightening.

[@sarahneuren7057]

He is like the fifth quarterback to get hurt this season, and it's only been week 2!

[@XKillerX25]

So garret dislocated Siemians ankle and puts it right back all at the same time. Lol

[@neonwhitea.1548]

You channel is so good, definitely deserves more publicity

[@cadecarpenter3490]

Oh boy slow motion gore

[@JimRondeau97]

I couldn’t believe what I saw! Thanks for the content.

[@F3502000]

Semen got an ouchy?

[@imblu77]

I dislocated my ankle, bone broke through the skin, but I didn't break anything.

[@johnscards4633]

I was watching the game and I knew it was bad...and when we see a bad injury we think of Dr. Stutterer...awesome video👍👍👍