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Dalton out for a bit


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We have 2 very winnable games left on the schedule. No reason with aj getting first team reps that we can't win both. So we finish 12-4 in all likelihood and hopefully have Dalton back by the playoffs. Obviously it sucks and if we would've had Andy today I think we'd be afc north champs right now but there's still hope. 

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We have 2 very winnable games left on the schedule. No reason with aj getting first team reps that we can't win both. So we finish 12-4 in all likelihood and hopefully have Dalton back by the playoffs. Obviously it sucks and if we would've had Andy today I think we'd be afc north champs right now but there's still hope. 

Everything they want is still in front of them. Even the 1 seed if the Texans do their job tonight and we take care of business against Denver. 

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 AJ McCarron's passing reminds me of old/bad Andy. I was sure one of the WRs was going to get blown up over the middle as a result of his high throws. I hope he can somehow get himself straight with a week of first team reps. Hard to hammer a guy who was expecting to have his biggest risk of injury today be clipboard slivers though.

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Dalton: They said there is a fracture in there. I don’t know timeline. Will see a specialist.

  1.  

    Dalton says he will see specialist tomorrow to find out extent of the thumb injury.

  2.  

    Lewis: This is why we picked AJ. This is why he’s here.

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Timing-wise, this sucks.  It could be worse, though.

A.J. McCarron gets a full week of reps to get ready for a really bad team.  Assuming a win against the 49ers, he gets another full week with the playoffs clinched and NO PRESSURE on the road at Denver.

At that point, the question becomes whether or not the Baltimore game is a chance for McCarron to get more reps before he starts in the postseason, or a "shake off the rust" tune up for Andy Dalton.

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No way at this time would i choose McCarron over Dalton, but I also have to ask, why can't McCarron do it? People act like there's no chance with McCarron and i say why not? 

In my opinion, McCarron is just as capable as Dalton. He just lacks the experience. The plan with Dalton has always been to surround him with really good players. McCarron will be playing with those same players. Does Dalton make AJ Green better? Does he make Eifert better? Jones? The running game? I say AJ and Eifert make Dalton better, and they would make any QB better. So why can't McCarron get them the ball? A lot of people doubted McCarron in college and he went 36-4 with 2 national championships.

Hue is going to need to step up his game and get the best game plan together for McCarron, but I think he is capable of being successful. Obviously, whenever Dalton is ready, he's back in, but acting like McCarron is garbage is a little unfair I think.

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No way at this time would i choose McCarron over Dalton, but I also have to ask, why can't McCarron do it? People act like there's no chance with McCarron and i say why not? 

In my opinion, McCarron is just as capable as Dalton. He just lacks the experience. The plan with Dalton has always been to surround him with really good players. McCarron will be playing with those same players. Does Dalton make AJ Green better? Does he make Eifert better? Jones? The running game? I say AJ and Eifert make Dalton better, and they would make any QB better. So why can't McCarron get them the ball? A lot of people doubted McCarron in college and he went 36-4 with 2 national championships.

Hue is going to need to step up his game and get the best game plan together for McCarron, but I think he is capable of being successful. Obviously, whenever Dalton is ready, he's back in, but acting like McCarron is garbage is a little unfair I think.

I am Dalton's biggest critic and have not historically been a fan but this season, he has been sensational. Going in to the game he was the #1 rated passer in the league. Is his supporting cast good? Yes, but so is he. Dalton to McCarron is a huge drop off in my opinion. I agree with your point...why can't he succeed and I agree. Having said that missing Dalton is a huge loss that will be felt. The Bengals are lucky two of their last three games are against shitballs.

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This fucking sucks.  On the bright side, AJ didn't too bad out there, I didn't think.  Especially with the lack of reps.  He was throwing a little high at times, but he knew when to get the ball out of his hands, he extended the play, and wasn't afraid to throw the ball over the middle of the field.

He's won some big games.  I think he can quarterback this team to three straight and a bye.

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No way at this time would i choose McCarron over Dalton, but I also have to ask, why can't McCarron do it? People act like there's no chance with McCarron and i say why not? 

In my opinion, McCarron is just as capable as Dalton. He just lacks the experience. The plan with Dalton has always been to surround him with really good players. McCarron will be playing with those same players. Does Dalton make AJ Green better? Does he make Eifert better? Jones? The running game? I say AJ and Eifert make Dalton better, and they would make any QB better. So why can't McCarron get them the ball? A lot of people doubted McCarron in college and he went 36-4 with 2 national championships.

Hue is going to need to step up his game and get the best game plan together for McCarron, but I think he is capable of being successful. Obviously, whenever Dalton is ready, he's back in, but acting like McCarron is garbage is a little unfair I think.

He'll do some good things, just as we saw today, but the big drop-off will be with experience.  McCarron has plenty of rookie mistakes to get out of his system, and it's going to be a piss poor time to be learning on the job.  I think any hopes of a "magical" season just went to shit.  

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If AJ can lock up the playoffs then I have little doubt Andy will be back. Crowell gashed the 49ers today. Should see a lot of Hill next week but honestly who knows with Hue sometimes. Obviously a win next weekend isn't guaranteed but it looks promising. 

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The freaking line has to do their job. They have run block better because they have been below average this year. They have to pass protect better and help AJ call out the blocking during blitzes. The line had to step it up and the Maestro has to do a better job coaching the line

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He'll do some good things, just as we saw today, but the big drop-off will be with experience.  McCarron has plenty of rookie mistakes to get out of his system, and it's going to be a piss poor time to be learning on the job.  I think any hopes of a "magical" season just went to shit.  

Think positive, think Tom Brady, Kurt Warner.

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Bennett’s fracture

By Asheesh Bedi, M.D.

Five bones (“metacarpals”) are in the hand that connect the bones of the wrist (“carpus”) with those of the digits (“phalanges”). Approximately ¼ of metacarpal fractures occur in the thumb metacarpal. Of these fractures of the thumb metacarpal, 80% occur at the base (the end closer to the wrist). The Bennett’s fracture is the most common type of fracture to the thumb metacarpal base. A Bennett’s fracture is an intra-articular fracture, or one that extends into the joint between the metacarpal and wrist bone (“trapezium”). This injury most often occurs in contact sports such as football, rugby, and boxing.

Why is it called a Bennett’s fracture?

In 1882, Edward Hallaran Bennett, M.D., an Irish surgeon, described five cases of an “intra-articular” fracture dislocation. He went on to suggest that despite the relatively benign appearance of the fracture, prompt recognition and treatment is necessary to preserve function of this complex, highly mobile joint. Because of Dr. Bennett’s early work on this injury, the fracture is still commonly known as a Bennett’s fracture.

What is the relevant anatomy involved in a Bennett’s fracture?

The Bennett’s fracture occurs at the base of the thumb metacarpal (the longest bone in the thumb) where it articulates with one of the carpal (wrist) bones called the trapezium. It forms the thumb or first carpometacarpal (CMC) joint. The contour of the trapezium and thumb metacarpal base forms a saddle-joint and contributes significantly to the joint’s stability. This creates a complex joint that allows the thumb to have complex motion and to function as an opposable digit. In a Bennett’s fracture, the fracture begins at the volar (palm side), ulnar base of the thumb metacarpal and extends in an oblique fashion distally. The volar oblique ligament connects the base of the thumb with the trapezium and is the primary soft-tissue stabilizer of the thumb CMC joint. This strong ligament functionally remains intact after a Bennett’s fracture and allows the articular fracture fragment to maintain its anatomic relationship with the trapezium. However, the rest of the metacarpal fragment is subject to deforming forces that create a tendency toward further fracture displacement. The distal fragment is displaced proximally, radial (towards the thumb side), and dorsal (behind the rest of the hand) by the pull of the abductor pollicus longus (APL) muscle. Furthermore, the adductor pollicus (ADP) attaches near the metacarpal head and pulls the distal fragment towards the palm. 

How is a Bennett’s fracture diagnosed in athletes?

The typical presentation is seen in an athlete with a recent history of an axial load to a flexed thumb such as a fall onto an outstretched hand. Athletes will have pain and swelling noted at the base of the thumb. Active motion is limited because of pain. Once appropriate suspicion for a fracture is present, standard posteroanterior, lateral, and oblique radiographs (x-rays) should be obtained. Additionally, a “prayer” view may provide a more focused view of the thumb metacarpal joint as well. If plain films still do not provide adequate evaluation of the fracture, CT scans can be obtained of the affected area. Your treating physician will not only take careful note of the size and displacement of the fracture fragment, but also will evaluate for the presence of cartilage injury (the smooth tissue that lines the joint surfaces) on both the metacarpal and trapezium.

How does a Bennett’s fracture occur in athletes?

The classic mechanism for injury that produces a Bennett fracture is an axially directed force (force applied to the end) of a partially flexed thumb metacarpal. This injury mechanism can be seen in boxing but is also commonly seen in sports such as football or rugby. Injury is most commonly seen in the dominant hand (2/3) and predominates in men at nearly a 10:1 ratio.

How is a Bennett’s fracture treated in athletes?

Since Dr. Bennett first described the fracture that bears his name, many authors have advocated for different methods of treatment. Much of the past scientific data on treatment is conflicting. There is certainly no uniform consensus on what initial fracture treatment results in the best long term outcome. Closed reduction (manipulation) and cast immobilization often leads to satisfactory short-term results without significant functional impairment. However, because of the extension of this fracture into the joint and the significant deforming forces from muscles, worsening fracture step-off and displacement is often seen with closed treatment methods. This is typically poorly tolerated by high level athletes, particularly in the dominant hand. If an adequate closed reduction is achieved, cast treatment may be a reasonable option provided the fracture is carefully followed and that the reduction (“good alignment of the bones”) can be maintained.

Some of the more recent literature looking at long-term follow-up has suggested that surgical treatment to restore near perfect or perfect alignment of the bones (“anatomic reduction”) results in lower rates of arthritis. Unfortunately, the correlation is not clear in the literature between radiographic arthritic changes and severity of symptoms or need for future operations to address symptomatic thumb arthritis.

More Information: Read about sports injury treatment using the P.R.I.C.E. principle – Protection, Rest, Icing, Compression, Elevation.

What if I need surgery to treat my fracture?

Treatment and surgical decision making regarding a Bennett’s fracture should be undertaken by an orthopaedic surgeon or a hand surgery specialist who has experience with treating these injuries. When dealing with athletes, it is important for the surgeon to be familiar with the unique demands of the athlete. If it is determined that surgery is appropriate, the surgeon will usually align the bone fragments and use either pins or screws to hold the fracture in place. If the fracture can be reduced without making an incision, often two pins will be placed through poke holes and cut just below the skin. If the surgeon needs to make an incision to “line up” the fracture fragments, either K-wires or screws can be placed through the incision to hold the fracture fragments in place. If wires are used, they can typically be removed after the fracture shows signs of healing, usually at 4 to 6 weeks after surgery. In the athlete, especially the high level athlete, surgical intervention is more effective in stabilizing the fracture and often allows for an earlier return to sport.

Will I need to wear a cast?

If surgery is not needed, a short forearm cast that includes the thumb called a thumb spica cast is typically worn for 6 weeks. If surgery is elected, often for the first 4-6 weeks a thumb spica cast or a thumb spica splint is worn at all times to protect the fracture fragment position until healing occurs. However, each fracture severity and pattern is different. For this reason, the stability of the fracture fixation and the specific requirements of an athlete’s sport have to be carefully considered to create an individualized plan for splinting or casting.

When can I return to sports?

To answer this question, many factors have to be considered. First, the stability of the fracture after surgical treatment or nonoperative treatment has to be determined. For example, if a large fracture fragment was solidly repaired with multiple screws, the surgeon may have confidence releasing an athlete to activity sooner. In the same way, the level of athletic participation needs to be considered. The type of sporting activity also is an important factor in determining return to play. Bennett fractures are commonly seen as football injuries. If an NFL offensive lineman has a Bennett’s fracture in the non-dominant hand and is surgically treated, he may be able to return to competitive play in 4 weeks and play with a padded cast or splint in place. If this same fracture occurred in the dominant hand of a quarterback, his time out of competitive play would be significantly longer. This is because the activity of accurately throwing a football requires more function from the thumb CMC joint and wearing a cast/splint is ineffective. Ultimately, the decision on when to return to sports should be determined on a case-by-case basis after careful evaluation by the treating surgeon and athlete.

http://www.sportsmd.com/wrist-hand-injuries/bennetts-fracture/

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It totally sucks, but we'll see what this team is really made of now that Dalton is out.  McCarron looked good today, the pick-6 was because of poor line play, lack of experience (he should have eaten the ball or handed off), and frankly Hue shouldn't have called a read-option play to the outside for a backup playing his first real game ever.  The second INT looked like he wasn't 100% clear with the play, which as others have already said here, is just the type of rookie mistakes he has to play through like anyone else playing their first games in the NFL.

I fully expect a run-heavy game plan next week, but I agree that you never know with Hue.  If McCarron can manage the game well like he did for most of today, we should easily beat the 49ers.  I have zero expectations for the playoffs now, so let's just enjoy what's left of what has been a fun season overall.

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