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The Lisfranc injury to the forefoot is thought to have originated with Napoleon's surgeon. During that time, if a rider was thrown from his horse and the foot was caught in the stirrups, the rider often suffered a severe fracture of multiple bones in the midfoot region with dislocation of the fragments. The resulting trauma often resulted in an amputation of the forefoot at a specific level called the Lisfranc joint, after the French surgeon who first noticed the pattern of this injury. Fortunately, although the injury is still called a Lisfranc injury, amputations are rarely done for this injury. . .
The treatment is usually surgical if a significant separation of the bones exists. Surgical treatment usually requires that pins and/or screws be inserted to stabilize the bones and joints. This procedure is called an open reduction and internal fixation. This allows the normal anatomy to be re-established.
After surgery, it is critical that the patient remain non-weight bearing until full healing occurs. During this time, a short leg cast is usually applied. Once healing has occurred, several months after the surgery, it is necessary to remove the screws/ pins (internal fixation devices) prior to full weight bearing and resumption of activities.
But personally, I think that Bruney's career is going to be harmed, perhaps irreparably. He was on the verge of breaking out of the fringy AAA/major league relief pitcher mold, but likely isn't going to get the opportunity to show that if he misses the balance of the year.
Bruney has always come across to me as the kind of guy who thinks that he's the best pitcher in baseball, and that it's the team's fault for not recognizing that, not his fault for pitching like crap.
Seems like a typical pro athlete to me, or at least a typical 26-year-old pro athlete.
It sucks for Bruney, of course.
And was back in a week.
Nonetheless, Bruney's catastrophic injury is the definition of cosmic justice, and proof that there is a loving God.
Bruney is a player I like, for no particular reason. Nothing I've read here has changed that opinion. I am sorry for his misfortune.
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