#11 Daniel McStay
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LaurieHolden 
Floreat Gymnorhina tyrannica
Joined: 22 Feb 2009
Location: Victoria Park
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| Piesnchess wrote: | | Other day I heard Fly say on the radio that McStay is coming along in leaps an bounds, with his ACL. Fly said he can now run laps and straight lines, at pace. Maybe, just maybe, his injury could be like Howes arm last season, looked real bad, but not a really bad ACL ? Could he return by august, we can only hope hey. |
Unfortunately, there's no real in-between on recovery. Around 3 months after surgery, the ACL graft reaches a low strength of approximately 30% compared to a normal ACL.
Caution is crucial during this vulnerable healing phase. Elite athletes have a much higher physical fitness profile, which needs to be maintained and requires a greater investment in re-conditioning to preserve.
Effective implementation of running can serve as a useful training stimulus for developing strength and neuromuscular control, but it is important a patient is adequately prepared to commence running. In deciding when a patient is ready to return to running, most studies use time-based criteria, with the median time being 12 weeks.
Every step during running represents around 2–3 times body mass, with medical evidence suggesting achieving a single leg closed kinetic chain peak strength of at least 1.25 times body mass. A 100kg athlete obviously requires strict management of the load bearing during this period.
Note well the ability to perform specific tasks though like running is not related to healing times, but more specifically to function.
Many aspects of mid-stage rehabilitation (e.g. knee extensors isolated muscle strength) are not actually restored prior to return-to-sport. In addition, if we are to allow time for optimal late-stage rehabilitation and return-to-sport training, he'll need to optimise the mid-stage rehabilitation approach.
Although, on one side, patient-reported outcomes are often good in the short to medium term after ACLR, a large proportion (35–45%) of competitive athletes do not return to competitive sport.
Even 1 in 5 (18%) professional/elite athletes does not return to competitive sport after ACLR.
Of those who do return-to-sport (RTS), 15% can expect a secondary ACL injury, with nearly 1 in 3 (around 30%) young recreational and elite athletes experiencing a re-injury, usually within the first 2 years after RTS.
Recently, meeting RTS criteria prior to RTS has been shown to reduce the risk of re-injury by 75–84%.
Delaying RTS of course allows more time to achieve the necessary functionality; however, this is only effective if this time is filled with high-quality rehabilitation.
Mid-stage rehabilitation involves a big transition in terms of functional capacity of the injured athlete, in which they are transitioned from the point of being able to walk normally at the start of the stage to being required to be able to run with sufficiently normalised running mechanics towards the end of the stage, directly impacting the ability to perform athletic performance during sporting tasks such as jumping, and sprint running and change of direction ability.
In particular, there appears difficulty to be in restoring knee extensor muscle strength in a timely fashion. Without high quality early and mid-stage rehabilitation, patients often do not overcome major aspects of dysfunction which limits knee function and ability to transition through late-stage rehabilitation and RTS training optimally. So, getting mid-stage rehabilitation right is essential to optimising patient outcomes after ACLR.
The knee is often load compromised throughout the mid-stage of rehabilitation and thus, cannot tolerate excessively high forces. Excessive forces on a compromised knee joint would result in overload and pain and swelling and could potentially stretch or loosen the ACL graft.
So, we can throw out any notion of an expedited return. If we want him to have the best chance of returning for 2025 and playing on towards 2030, it'd be unlikely a specialist would be encouraging a return this year.
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"The Club's not Jock, Ted and Gerry" (& Eddie)
2023 AFL Premiers
Last edited by LaurieHolden on Fri Apr 05, 2024 9:43 am; edited 2 times in total |
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Pies2016
Joined: 12 Sep 2014
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^^^
Yep, they won’t be taking any risks with him. Was interesting to hear Wade declare McStay had just achieved a P B for his straight line top speed. It’s a long hard grind ( including no alcohol ) coming back from long term injuries, so achieving any P B’s along the way is always a good indicator of that players professionalism. |
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LaurieHolden
Floreat Gymnorhina tyrannica
Joined: 22 Feb 2009
Location: Victoria Park
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Anyone that thinks McStay will be seen this year or thinks he can risk an early return needs to read about Tom Doodee re-injuring the same ACL, his 3rd since the initial ACL injury in 2019.
Having played 82 games in 9 years, he was in his 1st year of a 4 year contract with the Lions.
Gotta feel for the bloke, a day after a presser post a return through the VFL and on the cusp of senior debut with Lions Thursday night.
_________________
"The Club's not Jock, Ted and Gerry" (& Eddie)
2023 AFL Premiers |
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Rd10.1998_11.1#36
rd10.1998_11.1#36
Joined: 18 Jul 2018
Location: Sevilla, Spain
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Presti35 
Dick Lee for Legend Status
Joined: 05 Oct 2001
Location: London, England
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Mixed feelings regarding Doedee. He chose the Lions over us. And at the time, I was thinking do we want a guy with the knee history? Then I was shocked to see that he'll be getting a game this week.  I really thought he'd be out until August.
I felt a bit annoyed as he decided on the Lions over us and would now be playing in this game.
Then 24 hours later, his ACL has a new tear. I felt really bad for him. But at the same time, I felt like maybe we dodged one by not getting him. So how long will he be out for now? When fully fit, he is a very good player at his position.
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A Goal Saved Is 2 Goals Earned! |
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Take_a_Screamer 
.....No.5...Jamie Elliott....
Joined: 22 Aug 2018
Location: Melbourne S.E.Suburbs
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Said by Zed
Joined: 21 Mar 2021
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Dan will make a full recovery and be back better than ever late in the season….hungry and ready to rip and tear - no doubts whatsoever! Will be one of our pillars that help the mighty Pies go all the way again and secure sweet 17 in 2024. I’ve seen it and the view is amazing. So it is written, so shall it be done!
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The path of the righteous man is beset on all sides by the inequities of the selfish and the tyranny of evil men... |
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Take_a_Screamer
.....No.5...Jamie Elliott....
Joined: 22 Aug 2018
Location: Melbourne S.E.Suburbs
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warburton lad
Joined: 26 Aug 2003
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A Magpie from birth. A decent and humble AFL player now facing the challenge of a potentially season-ending injury.
Whilst I hope that he returns to the field in 2024, perhaps the prudent course for him to take is to best prepare for 2025.
Having said that, if we are in the eight by mid-July and he is back playing VFL, the temptation to play him in the AFL would be immense.
Careers and premiership ambitions are both made and unmade on decisions around when players should return from ACL tears.
I trust both player and club to make the best call around this.
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Firm in the belief that number 17 flag is only months away... |
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LaurieHolden
Floreat Gymnorhina tyrannica
Joined: 22 Feb 2009
Location: Victoria Park
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| Quote: | | facing the challenge of a potentially season-ending injury. |
That's underplaying it. It's a potentially 'career-ending' injury if he rushes back.
| Quote: | | Careers and premiership ambitions are both made and unmade on decisions around when players should return from ACL tears. |
Tyson Goldsack underwent a quad tendon graft, McStay a traditional cadaver graft. Goldsacks career was shortened by rushing back. Being given the all clear after 5 months for a professional athlete was real quackery, if indeed the specialist advised as such. I reckon that decisions was made by the Club in an attempt to plug our defensive holes in the absence of Moore.
McStay is contracted to 2027, we shouldn't run the risk of burning cap money on an early return for a player that as for what we know will be the focal point of our forward line until then.
_________________
"The Club's not Jock, Ted and Gerry" (& Eddie)
2023 AFL Premiers |
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Said by Zed
Joined: 21 Mar 2021
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| Take_a_Screamer wrote: | ^ hey that's marvellous. Where can I find it in the scriptures  |
In the Book of Zed…somewhere near the back 😉
_________________
The path of the righteous man is beset on all sides by the inequities of the selfish and the tyranny of evil men... |
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warburton lad
Joined: 26 Aug 2003
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Mr Laurie Holden wrote...
McStay is contracted to 2027, we shouldn't run the risk of burning cap money on an early return for a player that as for what we know will be the focal point of our forward line until then.
I agree that we shouldn't run the risk- but with the caveat that the Club medicos will act in both the best interest of McStay's career and the Club.
As they seem to be with Nathan Murphy- there is no apparent rush to send him back into battle- I would imagine it will be the same with McStay.
Whilst our team would be best served with both players fully fit and out on the ground, their welfare is paramount.
Again, I trust the Club to make the right call around McStay (and Murphy).
_________________
Firm in the belief that number 17 flag is only months away... |
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