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Expert’s take on McFadden’s injury, coach Jackson’s explanation

Raiders running back Darren McFadden has been out of action since he suffered a midfoot sprain Oct. 23. Fifty one days later, we’re nowhere closer to knowing the true severity of the injury or when he might return.
On Sunday, coach Hue Jackson first used the dreaded term Lisfranc injury when asked if McFadden’s injury is more severe than originally disclosed.
On Monday, Jackson said people can call it a midfoot sprain or a Lisfranc injury. Either way, he views it in the same light, he said, and that McFadden does not need surgery.
Rather than speculate, let’s call in ESPN injury analyst Stephania Bell for her take. If you don’t know of Ms. Bell or read her regular columns, you should make a point of doing so. She provides a detailed account of what injuries mean, what the standard procedure is for each injury and how long a player should miss, on average.
Here’s what Bell had to say Tuesday about McFadden’s injury:

“Things still don’t look good. The poor outlook noted at the start of last week has become grimmer as another week has passed with no obvious signs of progress from McFadden. If anything, there is less clarity about McFadden’s injury than ever. On Sunday, CBS analyst Phil Simms commented that McFadden was dealing with a Lisfranc injury. Steve Corkran of the Contra Costa Times best captures the semantics issue around the term “Lisfranc” and coach Hue Jackson’s response as it relates to McFadden in his Monday post on the topic.

In an attempt to interpret the cause of the confusion, it should be noted that the term Lisfranc is an anatomical description of a region of the foot, specifically a complex joint comprising the bones and ligaments that connect the midfoot to the forefoot. An injury in this area could technically be called a midfoot sprain or a Lisfranc injury, and both would be correct. Injuries range from minor ligament tearing involving a single joint to multijoint severe injuries including fracture and dislocation. The latter type require surgery to fix; the former do not.

As Lisfranc injuries have become more common in the NFL and have led to season-ending surgeries for some (Ronnie Brown, Dwight Freeney and most recently Matt Schaub), when the term is used, the implication is that the athlete has suffered the most severe, season-ending variety. That degree of injury does not always result. Since the Raiders insist McFadden does not need surgery, it would appear that his injury is of the less severe type and that, perhaps, is why the term “Lisfranc” was avoided. For any injury to the midfoot, it is important that full healing occur in order to restore normal gait and prevent future problems, which can render the recovery process slow. In McFadden’s case, his recovery appears to be taking longer than the Raiders initially projected it would, adding to the frustration of all looking from the outside in. At this point, despite Jackson’s statement that he expects McFadden to return, it’s hard to imagine a full-strength McFadden resurfacing within the next three weeks.”

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Steve Corkran

  • RaiderRockstar

    Samson Satele is practicing

    ***

    whoop whoop!

  • DeuceDeuce

    Hard to imagine Jared Gaither doing any worse than Barnes, while were talking about off season moves that didnt work.

  • HueKnows

    I don’t know ..I remember him leading the league when he was healthy at the start of the season. No way I trade my best player in hopes of finding someone in the draft.

  • raiderinparadise

    Huff has been a HUUUUUGE downer. Can you imagine if he was playing like last year while Branch is playing like how he is this year!?

    That *would be a great combo.

    Huff Daddy needs to do work son.

  • YoungAmerican

    Keep in mind, Gaither has only played well in one game this season. Gaither’s knock was inconsistency.

    I, too, wanted to see him signed. But we don’t know what happened in the meeting with him, nor the ensuing medical check.

  • MikieG

    # DeuceDeuce Says:
    December 14th, 2011 at 11:29 am

    Oh and why cant Bresnahan take a “medical leave” also..
    ++++++++++++++++++

    Yeah, he will take an ‘extended leave of absence’ next year after he gets his offseason pap-smear..

  • raiderinparadise

    McFadden was still 7th in the league in rushing after missing 3 games. Thats crazy.

    You can’t give up on that.

  • Silverandblack666

    DeuceDeuce conditioning, genetics or both?

  • DMAC

    The way Huff has been playing, I sure miss my playa patna “stiff armed Eugene”

  • DeuceDeuce

    YoungAmerican Says:
    December 14th, 2011 at 11:40 am
    Keep in mind, Gaither has only played well in one game this season. Gaither’s knock was inconsistency.

    I, too, wanted to see him signed. But we don’t know what happened in the meeting with him, nor the ensuing medical check.

    —-

    Well technically he has only played in 1 game this year. Not counting goal line duty. So..

  • VanHeathen

    thought we offered Gaither a contract, buthe failed his physical…maybe SD was desperate enough to roll the dice. either way, couldn’t have hurt to have him these last two weeks. Barnes has hurt us at the worst times.

  • MikieG

    # RaiderRockstar Says:
    December 14th, 2011 at 11:38 am

    Samson Satele is practicing

    ***

    whoop whoop!
    ++++++++++++++

    Don’t worry, he and his fat chick fro will jog off the field 23 times during Sunday’s game to check an ‘injury’…and then proceed to go back out and get emasculated by Suh…

  • RaiderRockstar

    I notice you have developed a penchant for glossing over facts lately

    ***

    BCZ,

    facts & your opinion = not the same thing

    other teams are winning football games without key starters. You’re saying the Raiders aren’t expected to do the same

  • Thec07

    DeuceDeuce Says:
    December 14th, 2011 at 11:39 am
    Hard to imagine Jared Gaither doing any worse than Barnes, while were talking about off season moves that didnt work.

    ++++++++++=

    Gaither is now the starting LT for the dischargers…

    He has looked good in both games…

    Dumb haley gave him to them for a ice cream cone…

  • joetoronto

    DMAC: I take it you’re referring to that play down the sideline where he was beaten like a red headed stepchild by a WR?

    Can’t remember the name.

  • Method To My Madness

    327.DMAC Says:
    December 14th, 2011 at 11:32 am
    Method To My Madness Says:
    December 14th, 2011 at 11:31 am

    Let’s go fellas lets all get back…cept dmac of course!
    =======

    post 323?

    **********d mcfadden i mean

  • DeuceDeuce

    Silverandblack666 Says:
    December 14th, 2011 at 11:41 am
    DeuceDeuce conditioning, genetics or both?

    —-

    Neither.

    McFadden had a freak injury on an awkward tackle.

    Conditioning or has little to nothing to do with foot ligament injuries.

  • RaiderRockstar

    new post!

  • HueKnows

    Haley cut Gaither for a penalty that cost them the game.

  • inonewordraider

    CP needs to make up for his bad play by winning these last 3 games. Our D sucks but Detroits isn’t playing much better and they have no run game, KC has no O, and CP should be able to win a shootout. He’ll have more than enough weapons, no pun intended

  • Deja vu

    I know there a lot of Bush fans here, but i would not over pay this dude in the offseason. If someone is dumb enough to give him starter $, let him walk and we should not try and match it. There will be more affordable RB’s to compliment McFadden if he recovers.

  • raiderinparadise

    @ Deja Vu, I agree … bush should get Brandon Jacobs type money, not anything crazy. He should know his role but if he gets $$$$$$$$ elsewhere, you know he will take it.

  • MikieG

    # Deja vu Says:
    December 14th, 2011 at 11:49 am

    I know there a lot of Bush fans here, but i would not over pay this dude in the offseason. If someone is dumb enough to give him starter $, let him walk and we should not try and match it. There will be more affordable RB’s to compliment McFadden if he recovers.
    ++++++++++++++++++

    Reece can replace Bush…for free.

  • Pistol9

    You guys need to go read about Lisfranc injury. It is on nasty ass foot problem. I watched him play at Arkansas, and if you look at replays of his running, you will see that he runs pigeon toed and that could be causing his foot problem. If this problem keeps up then he will eventually develop a misaligned foot and have to get that taken care of. Really thinks he needs surgery NOW so we can get him back next year full speed.

  • raiderinparadise

    I do think we need someone who can cut-back or make a side-step move. The o-line has been terrible and when the hole isn’t there (it hasn’t been) Bush just falls forward for 2 yards. We need taiwan or someone lonyae miller/ to make something out of nothing …. Bush is solid we he can get a full head of steam going thru a hole but when it isn;t there he makes the line look worse than what it already is of late.

  • qodrn1

    THE RAIDER PREDICTION BOARD

    Dedicated to the legacy of Al Davis
    Protected by the rally squirrel and Coliseum rodents

    2011 Raider Games

    First: Ghostraider (exact score) Raiders 23 Broncos 20
    Second: Sullivan44 Buffalo 38 Raiders 35
    Third: Pretty Rick Raiders 34 Jets 24
    Fourth: Sullivan44 Patriots 31 Raiders 14
    Fifth: Fingers Raiders 24 Browns 17
    Sixth: Zymurge Chiefs 28 Raiders 0 (WTF)
    Honorable Mention: LA for PAIN
    Seventh: Noone…at all. Broncos 38 Raiders 24
    Eighth: La Milicia Negra (exact score (sadly))
    Ninth: TheToozFan55 (exact score) Raiders 24 Bolts 17
    Tenth: TRIPLE TIE (Exact score) Raiders 27 Vikings 20
    R8eray + Just Fire Baby + The Big Banana
    Eleventh: Beware of Raiders Raiders 25 Bears 20
    Twelfth: Autopalm77 Dolphins 34 Raiders 14
    Thirteenth: Sullivan44 Packers 43 Raiders 16

    baumraiders Raiders 27 Lions 21
    fingers Raiders 28…….Detroit 23….
    Gilligan Oakland 41 Baked Loins 10
    Lowdown_in_Beijing Raiders 36 Detroit 7
    raiderdav Detroit 44 Oakland 13

  • redshirt

    Autopalm77 Says:
    December 14th, 2011 at 1:43 am
    I would add for clarification….

    Nonoperative Treatment

    If the clinical evaluation indicates the probability of a mild or moderate sprain and the radiograph shows no diastasis, immobilization is suggested. Treatment with a short-leg walking cast, a removable short-leg orthotic or a non–weight-bearing cast is continued for four to six weeks or until symptoms have resolved. The potential for disability following a Lisfranc joint injury justifies the use of a non–weight-bearing cast.

    After the period of immobilization, ambulation and rehabilitation exercises should be progressive. If the symptoms persist up to two weeks after rehabilitation has begun, a repeat weight-bearing radiograph must be obtained to evaluate the joint articulation for instability and evidence of delayed separation (i.e., disarticulation worsened after weight-bearing).
    ****************************

    So, basically he should be shelved until next season for full recovery to take place.