Giannis Takes a PAINFUL Fall and Exits Game 1 vs Heat - Doctor Explains

second hard

fall

injury of the day

giannis

antetokounmpo was quickly ruled out of

game

one after taking this hard

fall

early today against the

heat

welcome everyone i'm Dr. Brian Suter let's keep looking at these injuries by now talking about Giannis and its the lower back contusion sustained on this play a key determining factor in the significance of this is really which part of

giannis

' lower back or butt landed on the ground first in terms of this muscle which is mostly bruised and bruised and took a big part of the impact or was it this bone because it will probably be treated similarly but one will probably also result in more of a functional limitation it looks like Giannis pretty much lands Square on his lower back a little bit to the right on the sacrum which we'll indicate in our anatomy video, you're not actually leaning to the side just over one buttock against the other, it doesn't look like your lower back is taking the brunt of the impact. it lands square on the sacrum, possibly a bit more on the right side as we can see where his hand position is here, but again we're talking more of the gluteal sacrum rather than just the lower back muscles with our drawing tool. biodigital anatomy here i am highlighting the different muscles and bones of this region of the lower back and one important thing to differentiate here that separates this from something like what Steph Curry had with a coccyx injury is the anatomy of the coccyx which is the tailbone vs just sacrum and pelvis on stream Reggie Miller said something about landing right on the tailbone and usually any time someone lands on their back or rear like Giannis did, that doesn't necessarily injure the tailbone or tailbone. tailbone unlike when you land seated. position like we saw with Steph Curry when she injured her tailbone several years ago, so the main muscles that we will have to protect this area from falling will be the gluteus maximus.

The gluteus maximus is the main hip extensor muscle that forms the buttock deep to the gluteus maximus there are two other gluteus muscles there are the gluteus medius and the gluteus minimus which sit on the side of the hip a bruise like this Giannis fell on I'm not really worried about the injuries or the bruise inside the gluteus medius or Minimus this is really going to be the gluteus maximus on the Superficial side taking the brunt of the impact which is important though here it is in this mid lower back there really isn't any muscle covering the sacrum we have these thin little outer muscles that go down the back but they're not big and bulky enough to prevent major trauma to the bone in a fall so if we hide those muscles what we see exposed underneath is the sacrum the sacrum is where basically our spine is connected to the pelvis the SI joints are the joints between the sacrum and the ilium so the hip bones but there isn't really any significant muscle or skin padding this area of ​​the sacrum every time someone lands like Giannis If you land more on the side slightly turned to where the gluteus can take most of the impact, then you're probably talking about a bruised hemorrhage or bruise forming within the gluteus maximus muscle, but if you land directly on the bottom of the back now he's talking more of a sacral injury with some bone bruising and microtrauma bleeding into the actual sacral bone the way Giannis fell here I'm much more concerned with a sacral contusion as opposed to from the gluteal muscles a less optimistic thing if you look at here how giannis's left hip is flexed up what it's going to do is pre-stress the gluteal muscle on the left side and basically make it a little tighter where it can't absorbing so much charge each time you land on the ground so it will even make that trauma more likely for that energy to go to your sacrum and cause a sacral concussion now the concussion is a bruise a contusion is a bleed within the Anatomy structure if it is a contusion or bruise within a muscle that is actually tearing the muscle fibers bleeding if it is a bone contusion there has been microtrauma within the bone where the bone itself can bleed into the inner portions that's where you can tell if it's in the bone from the muscle I think it makes a difference here with the playoffs a big significant bruise a bruise and a muscle is going to be symptomatic every time you try to shoot that muscle and if you have a big bruise a large pool of blood within the buttock muscle which will be more

painful

ly triggered by trying to shoot the buttocks and doing more functional activities if you have more bruises just in the bone especially a bone like the sacrum it will be more continuous pain but a pain that can necessarily change or get worse every time you activate that muscle.

Bone bruises generally take longer to heal than muscle bruises, but I don't think they're as much of a functional limitation as a muscle bruise, so in this case with Giannis if this is really a sacral bruise, which means that the bottom of the spinal bone meets the pelvis. muscles. I'd worry about less pain in the long run but more impaired function so it's kind of a trade off for one another I'll say the fact that Giannis was written off so quickly in a

game

the Bucks were trailing on time it's at least worrisome enough that his role has deteriorated so badly that hopefully he can't even continue into the second half.

It's really hard to detect true fractures of the sacrum or pelvis in this area on just a standard X-ray, so I'm hoping Giannis will probably get more advanced imaging to make sure there aren't any fractures to these bones or more significant muscle tears in that area for good. It's not something I would expect Giannis to be out for an extended period of time, it will probably hurt him for a while and could affect his game in that regard, but none of this makes me think of a playoff-ending injury unless we hear. that there's a nondescript fracture that wasn't seen in initial testing, that's all for the video.

I know as always any questions or comments below and until next time see you later