[net-gold] SPORTS MEDICINE : SPORTS: INJURIES : SPORTS: BASEBALL: PROFESSIONAL: Why Mariano Rivera's Torn ACL Is a Devastating Injury
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- Date: Sun, 6 May 2012 13:12:29 -0400 (EDT)
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SPORTS MEDICINE :
SPORTS: INJURIES :
SPORTS: BASEBALL: PROFESSIONAL:
Why Mariano Rivera's Torn ACL Is a Devastating Injury
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Why Mariano Rivera's Torn ACL Is a Devastating Injury
May 4, 2012 | 4:23 PM ET
Karen Rowan
My Health News Daily
Managing Editor
http://www.myhealthnewsdaily.com/2551-mariano-rivera-torn-acl-injury.html
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The knee injury that New York Yankee's pitcher Mariano Rivera suffered
during batting practice in Kansas City yesterday (May 3) has prompted
speculation that the 42-year-old's illustrative career may be over.
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The key reason why tears in the anterior cruciate ligament, or ACL,
require surgery, while other torn ligaments can heal without surgery, is
that the ACL runs through a fluid-filled capsule within the knee, said
Malachy McHugh, director of research at the Nicholas Institute of Sports
Medicine and Athletic Trauma at Lenox Hill Hospital in New York.
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When other ligaments are torn, the free ends are held relatively in place
by the surrounding tissues, allowing them to heal by growing back
together, McHugh said. However, when the ACL is torn, the free ends of the
ligament float around within the fluid of the capsule, making natural
rejoining extremely unlikely.
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And a torn ACL cannot be sewn back together, McHugh said. "In the 70s, we
went in and sewed them up, and all those people ended up with knee
instability," he said. The problem seemed to be that the blood supply to
that part of the ligament was insufficient to promote proper healing.
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Today, during ACL reconstruction surgery, doctors replace the tissue with
either a ligament from a cadaver or an intact tendon from elsewhere in the
athlete's body typically either the patella tendon, which runs over the
front of the knee cap, or the hamstring tendon, which attaches that muscle
to the back of knee, are used, said Dr. Howard Levy, an orthopedic surgeon
and trauma specialist at Lenox Hill.
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"For someone like Derek Rose, an explosive 23-year-old basketball player,
you might be more likely to use one of their own tendons. But for a case
like Mariano Rivera, where you have someone close to retirement age, you
might be more likely to use a cadaver ligament," Levy said. Rose is a
guard with the Chicago Bulls, and tore his ACL during a game in late
April. McHugh noted that he had not examined either athlete.
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During the surgery, doctors drill tiny holes into the shin (tibia) and
thigh (femur) bones, and feed the new ligament into the holes, Levy said.
Over time, the bone grows back where the holes were drilled, and becomes
connected to the ligament. In the meantime, screws made of biocomposite
materials, designed to dissolve over time, help to hold the ligament in
place. (Metal screws can also be used, but since biocomposite screws
became available five or six years ago, most doctors prefer them, he
said.)
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snip
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Returning to athletics too soon after the injury greatly raises the odds
of injury, McHugh said. "The problem is, they stretch out the new
ligament. You don't know it, but your knee becomes looser. Then you tear
your cartilage," he said.
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The success rate is generally about 90 percent, but athletes remain at a
higher risk of re-injuring the ligament afterwards, Levy said.
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The main job of the ACL is to control the stability of the knee, Levy
said. There are four ligaments within the knee that together control the
joint's stability during movements, but people vary in terms of how much
their stability is directly controlled by the ACL.
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The complete article may be read at the URL above.
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If his career is over, Yankees closer Mariano Rivera gave us a graceful
final act
Rivera vows to return, but don't be surprised if he eventually decides
'that's it'
NEW YORK DAILY NEWS
Published: Saturday, May 5, 2012, 7:11 PM
Updated: Saturday, May 5, 2012, 9:16 PM
New York Daily News
http://www.nydailynews.com/sports/baseball/yankees/career-yankees-
closer-mariano-rivera-gave-a-graceful-final-act-article-1.1073156
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A shorter URL for the above link:
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http://tinyurl.com/d95fhoj
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Even before undergoing the operation for his torn ACL and learning the
full extent of the damage done to his knee and the rehab process to come
in the months ahead, Mariano Rivera has vowed this isnt the way he is
going out and, for that, you have to commend him for his courage and
determination.
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Lets face it, nobody wanted this to be the end, this abruptly, in this
manner, Rivera sprawled on the warning track of Kansas Citys Kauffman
Stadium, the first week of May, writhing in pain. But at the same time, no
one wouldve been surprised if this very spiritual man, in sizing up this
horrible turn of events, concluded this was his God telling him: Thats it.
Time to get on with the next phase of your life. I wont be surprised if he
still comes to that conclusion down the long road to recovery.
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God had given and now God was taking away.
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But in Riveras mind, at least at this time, only temporarily. Write it
down in big letters, he told us, hes coming back. It was as if he was
determined not to deprive us of a sendoff season.
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In a conversation at his locker one morning in spring training back in
February, amid all the retirement speculation, I asked him if he was
taking the time to savor all the little moments that are a part of his
daily Yankee life, from the rituals of spring, the clubhouse camaraderie
before the games, the adrenaline flow with each playing of Enter Sandman
over the Stadium PA, and every at-bat of what figured to be 50 or more
save situations.
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snip
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Originally published May 5, 2012 at 4:54 PM
Page modified May 5, 2012 at 9:57 PM
Little relief in Mariano Rivera's season-ending injury
Rivera's status as the best closer in baseball history is unchallenged,
and the reaction to his injury bordering on heartbreak, even from
non-Yankees fans reflects the universally high regard with which he is
held.
Larry Stone
Seattle Times
http://seattletimes.nwsource.com/html/
larrystone/2018150278_stone06.html?prmid=head_main
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A shorter URL for the above link:
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http://tinyurl.com/6pdzxbt
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Mariano Rivera's unique ability to rise up in the biggest moments revealed
itself in his very first playoff appearance, which was the second game of
the 1995 AL Division Series between the Mariners and Yankees.
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Rivera, then a 25-year-old swingman who had actually started 10 games that
season what a monumental miscast that was mowed down the Mariners for
3-1/3 scoreless innings. He struck out five and earned the victory as the
Yankees took what seemed to the world to be an insurmountable 2-0 lead in
the best-of-five series.
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snip
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Joel Sherman of the New York Post began his book on the 1996 Yankees
championship season, "Birth of a Dynasty," by positing the question: What
if Buck Showalter, the Yankees' manager in 1995, had known what he had in
Mariano Rivera? More specifically, what if Showalter had gone to Rivera
instead of dead-armed David Cone to protect the Yankees' two-run lead to
start the eighth inning?
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His point is that the Yankees might have won the series, Showalter might
have kept his job, and the whole Joe Torre era might never have happened.
If you want to carry out that fantasy, you could also posit that maybe the
groundswell of Mariners mania that peaked after Ken Griffey Jr. scored on
Edgar Martinez's double would never have happened, and the Mariners might
be playing in Tampa Bay right now.
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But as provocative as that revisionist pondering might be, let's focus on
reality here in the wake of Rivera's devastating knee injury Thursday.
Torre put Rivera in the closer's role in 1997 after John Wetteland's
departure, and thus was unleashed the greatest relief career in history.
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The numbers are staggering in every respect, from the 608 saves to the
0.998 career WHIP, second lowest of any pitcher in history to Addie Joss'
0.968. But the ones that resonate most resoundingly are his postseason
statistics. In the most pressure-packed games, against the most talented
foes, Rivera has a 0.70 earned-run average and 42 saves in 96 appearances.
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Mariano Rivera
From Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Mariano_Rivera
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Mariano Rivera (born November 29, 1969) is a Panamanian right-handed
baseball pitcher who has played 18 seasons in Major League Baseball (MLB)
for the New York Yankees. Nicknamed "Mo",[1] Rivera has served as a relief
pitcher for most of his career, and since 1997, he has been the Yankees'
closer. A 12-time All-Star and five-time World Series champion, he is
MLB's all-time leader in saves (608) and games finished (892). His
accolades include five American League (AL) Rolaids Relief Man Awards, the
1999 World Series Most Valuable Player (MVP) Award, and the 2003 AL
Championship Series MVP Award.
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Rivera was signed by the Yankees organization in 1990 as an amateur free
agent in Panama, and he debuted in the major leagues in 1995. Initially a
starting pitcher, he struggled in the role and was consequently converted
to a relief pitcher. After a breakthrough season in 1996 as a setup man,
he became the Yankees' closer in 1997. In the following years, he
established himself as one of baseball's top relievers, leading the major
leagues in saves in 1999, 2001, and 2004. Rivera's presence in the late
innings of games to record the final outs has contributed to the Yankees'
success in the late-1990s and 2000s, particularly in the postseason where
he has set numerous records, including lowest earned run average (ERA)
(0.70) and most saves (42). His pitching repertoire consists primarily of
one pitcha sharp-breaking, mid-90s mile per hour (mph) cut fastball that
has been called an all-time great pitch.[2]
.
Rivera is regarded by baseball experts as one of the most dominant
relievers in major league history.[3] Pitching with a longevity and
consistency uncommon to the closer role, he has saved at least 25 games in
15 consecutive seasons and has posted an ERA under 2.00 in 11 seasons,
both of which are records. His career 2.21 ERA and 0.998 WHIP are the
lowest marks in baseball's live-ball era. On the field, he is well known
for his reserved demeanor and composure that contrast with the
effusiveness of many of his peers. Off the field, he has been involved in
charitable causes and the Christian community through the Mariano Rivera
Foundation. Sportswriters anticipate Rivera will be inducted into the
Baseball Hall of Fame upon retirement.[4]
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Contents
1 Early life
2 Professional baseball career 2.1 Minor leagues (19901995)
2.2 Major leagues (1995present) 2.2.1 19951997
2.2.2 19982001
2.2.3 20022005
2.2.4 20062008
2.2.5 2009present
3 Player profile 3.1 Pitching style
3.2 Personality
4 Legacy
5 Personal life
6 Career highlights 6.1 Awards and honors
6.2 Records
7 See also
8 References
9 External links
.
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Mariano Rivera
Mariano Rivera (Mo, Super Mariano or The Sandman) (twitter:
@MarianoRivera)
Position: Pitcher
Bats: Right, Throws: Right
Height: 6' 2", Weight: 195 lb.
Born: November 29, 1969 in Panama, Panama, Panama (Age 42)
High School: La Chorrea (Panama, PA)
Signed by the New York Yankees as an amateur free agent in 1990. (All
Transactions)
Debut: May 23, 1995
Team: Yankees 1995-2012
2012 Contract Status: Free Agent, 2 yrs/$30M (11-12) (details)[*]
Service Time (01/2012): 16.105, Free Agent: 2013 [*], Agents: SFX Fernando
Cuza, previously: Bob Gilhooley,Jim Bronner,Randy Hendricks,Alan Hendricks
[*]
Relatives: Cousin of Ruben Rivera
Baseball Reference
http://www.baseball-reference.com/players/r/riverma01.shtml
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Mariano Rivera
#42 RP
Throws: R, Bats: R
New York Yankees
Birth DateNovember 29, 1969 (Age: 42)
Birth PlacePanama City, Panama
Experience17 years
CollegeNone
Ht/Wt6-2, 185 lbs
ESPN/MLB
http://espn.go.com/mlb/player/_/id/3240/mariano-rivera
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Google News Archive
https://www.google.com/search?gl=us&pz=1&cf=all&ned=us&hl=
en&tbm=nws&as_q=%22Mariano%20Rivera%22&as_occt=any&as_drrb=
a&tbs=ar%3A1&authuser=0
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A shorter URL for the above link:
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http://tinyurl.com/bmfsm9r
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Google Video
https://www.google.com/search?tbm=vid&hl=en&source=hp&biw=
1920&bih=845&q=%22Mariano+Rivera%22&gbv=2&oq=%22Mariano+
Rivera%22&aq=f&aqi=g10&aql=&gs_l=video-hp.12..0l10.2223.2223.0.
3333.1.1.0.0.0.0.254.254.2-1.1.0...0.0.xK-UTE1Ou7s
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A shorter URL for the above link:
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A shorter URL for the above link:
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http://tinyurl.com/73ltcq4
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Google Books
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g-z2g8&aql=&gs_l=blog-hp.12..0i3l2j0l8.2313.2313.0.3345.1.1.0.0.0.
0.263.263.2-1.1.0...0.0.AV5gHz9SYVU#hl=en&q=%22Mariano+Rivera%22&gbv=
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A shorter URL for the above link:
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http://tinyurl.com/6ln2cfn
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Google Scholar
http://scholar.google.com/scholar?hl=en&q=%22Mariano+Rivera%22+AND+
%28yankees+OR+pitcher+OR+pitching+OR+baseball%29&btnG=Search&as_sdt=
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A shorter URL for the above link:
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A shorter URL for the above link:
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http://tinyurl.com/cgkktne
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The complete articles may be read at the URLs provided for each.
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Sincerely,
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Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
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