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SMH............

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Orthop J Sports Med . 2025 Feb 6

Recent Trends in Quadriceps Tendon and Patellar Tendon Injuries in the National Football League

John R Baumann†,‡,*, Ashwin R Garlapaty†,‡, James L Cook†,‡, Steven F DeFroda†,‡


While quadriceps tendon (QT) and patellar tendon (PT) tears are relatively rare in the National Football League (NFL), the impact they can have on a player’s season and career is significant. Despite the importance of extensor tendon injuries within the NFL, there is a lack of recent literature describing their risk factors, incidence, and impact on performance.

Purposes:​


To determine the incidence and impact of QT and PT injuries in the NFL between the 2009-2010 and 2022-2023 seasons and to explore the impact that player and injury characteristics have on injury risk, return to play (RTP), and player performance.

Study Design:​


Descriptive epidemiology study.

Methods:​


Publicly available data were reviewed to capture all PT and QT tears reported in the NFL between the 2009-2010 and 2022-2023 seasons. RTP and performance metrics were recorded for each player during the season before injury and the first 2 seasons postinjury. Data were analyzed to determine statistically significant differences in proportions using chi-square tests, Fisher exact tests, or McNemar tests. Statistical significance was set at P < .05.

Results:​


A total of 80 extensor tendon tears (24 QT tears, 56 PT tears) were identified between the 2009-2010 and 2022-2023 NFL seasons. Risk factors for QT injury included body mass index ≥31, age ≥26 years, and >4 years of NFL experience. The risk for QT injury was higher in offensive and defensive linemen compared with skill players. The risk for PT injury was higher for offensive linemen compared with other position groups. Overall, 96.3% of extensor tendon injuries were season ending. The RTP rate for QT injuries was greater (58.3%) than that for PT injuries (55.4%). QT injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT injuries.

Conclusion:​


The rates of QT and PT injury were higher in this study compared with those found in prior NFL studies. This study found similar RTP rates after QT injury but significantly lower RTP rates after PT injury compared with the previous literature. This highlights the significant, devastating, and increasing impact that extensor tendon injuries have on NFL players.
 
Doc, I assume that Trent Brown had an injury to his QT or PT? As a low-cost depth piece, it's a low-risk signing. And if fully healthy (IF), he can definitely start.

They now have four experienced tackles with starting experience on the roster.

I now think WR or G in the first round. If Banks drops to 25 or there is another G/T, they like there, I wouldn't rule out a guy that can start inside early in his career and bump out to T down the road. I do think a pure tackle like Simmons is now a longshot.
 
SMH............

****************************************

Orthop J Sports Med . 2025 Feb 6

Recent Trends in Quadriceps Tendon and Patellar Tendon Injuries in the National Football League

John R Baumann†,‡,*, Ashwin R Garlapaty†,‡, James L Cook†,‡, Steven F DeFroda†,‡


While quadriceps tendon (QT) and patellar tendon (PT) tears are relatively rare in the National Football League (NFL), the impact they can have on a player’s season and career is significant. Despite the importance of extensor tendon injuries within the NFL, there is a lack of recent literature describing their risk factors, incidence, and impact on performance.

Purposes:​


To determine the incidence and impact of QT and PT injuries in the NFL between the 2009-2010 and 2022-2023 seasons and to explore the impact that player and injury characteristics have on injury risk, return to play (RTP), and player performance.

Study Design:​


Descriptive epidemiology study.

Methods:​


Publicly available data were reviewed to capture all PT and QT tears reported in the NFL between the 2009-2010 and 2022-2023 seasons. RTP and performance metrics were recorded for each player during the season before injury and the first 2 seasons postinjury. Data were analyzed to determine statistically significant differences in proportions using chi-square tests, Fisher exact tests, or McNemar tests. Statistical significance was set at P < .05.

Results:​


A total of 80 extensor tendon tears (24 QT tears, 56 PT tears) were identified between the 2009-2010 and 2022-2023 NFL seasons. Risk factors for QT injury included body mass index ≥31, age ≥26 years, and >4 years of NFL experience. The risk for QT injury was higher in offensive and defensive linemen compared with skill players. The risk for PT injury was higher for offensive linemen compared with other position groups. Overall, 96.3% of extensor tendon injuries were season ending. The RTP rate for QT injuries was greater (58.3%) than that for PT injuries (55.4%). QT injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT injuries.

Conclusion:​


The rates of QT and PT injury were higher in this study compared with those found in prior NFL studies. This study found similar RTP rates after QT injury but significantly lower RTP rates after PT injury compared with the previous literature. This highlights the significant, devastating, and increasing impact that extensor tendon injuries have on NFL players.
Evidence appears to show that neither the players nor the NFL or very concerned.
 
We had this patellar tendon conversation back when Derek Newton blew out both of his at the same time. I think the conclusion was if you blow a patellar tendon, you have a 50/50 chance of returning to play, but don't expect to return to previous performance. If you blow out both, you have some bizarre misfortune and your career is hosed.
 
We had this patellar tendon conversation back when Derek Newton blew out both of his at the same time. I think the conclusion was if you blow a patellar tendon, you have a 50/50 chance of returning to play, but don't expect to return to previous performance. If you blow out both, you have some bizarre misfortune and your career is hosed.
The same thing basically was said about Stingley coming off his foot injury. I think most people are just hoping that similar results could happen with Trent Brown.
 
The same thing basically was said about Stingley coming off his foot injury. I think most people are just hoping that similar results could happen with Trent Brown.
I think of Brown as an Okudah type signing. If he hits he will outplay the value of his contract. If he doesn’t, oh well you have players who should be able to perform the role in the room. Low risk high upside.
 
Doc, I assume that Trent Brown had an injury to his QT or PT? As a low-cost depth piece, it's a low-risk signing. And if fully healthy (IF), he can definitely start.

They now have four experienced tackles with starting experience on the roster.

I now think WR or G in the first round. If Banks drops to 25 or there is another G/T, they like there, I wouldn't rule out a guy that can start inside early in his career and bump out to T down the road. I do think a pure tackle like Simmons is now a longshot.
Brown had a patella tendon rupture the 3rd week into last season. We're doing a great job of collecting Olinemen with significant serious injury history. I'm surprised we didn't keep Kenyon Green for our collection. :chef:
 
Brown had a patella tendon rupture the 3rd week into last season. We're doing a great job of collecting Olinemen with significant serious injury history. I'm surprised we didn't keep Kenyon Green for our collection. :chef:
If my math is right, if we sign enough players that have ruptured their patella, and the return rate is ~58%, in theory, at least one out of every two will return to action? :shades:
 
I don’t know….whats the greater risk-reward…signing an injured player that if they can come off that injury can definitely be a starter or signing a healthy player who is a backup with hopes that they suddenly can become starter material over our current backups. Both types probably come at similar prices. I’d rather try for a starter than another backup.
 
I don't understand the teeth gnashing and general disdain for agents among the fanbase. You HAVE to be able to work with all of them. Not signing clients of someone like Rosenhaus is just the dumbest of self-inflicted wounds
It also doesn’t make a ton of sense to hate specific ones. They’re all generally scumbags one way or another.
 
If my math is right, if we sign enough players that have ruptured their patella, and the return rate is ~58%, in theory, at least one out of every two will return to action? :shades:
The return rate for patellar rupture is 55.4% (not 58%) [keep in mind that return to play was defined as returning to play in only at least 1 regular season game after injury.] And QT (quadriceps tendon) injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT (patellar tendon) injuries.

In the actual raw data of the study (not posted in the abstract), it reveals that only 1 Olineman returned to play as many games in a season as pre-injury, and only 2 returned to close to preinjury performance level after 2 years post injury (only 1 after 1 year post injury).
 
The return rate for patellar rupture is 55.4% (not 58%) [keep in mind that return to play was defined as returning to play in only at least 1 regular season game after injury.] And QT (quadriceps tendon) injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT (patellar tendon) injuries.

In the actual raw data of the study (not posted in the abstract), it reveals that only 1 Olineman returned to play as many games in a season as pre-injury, and only 2 returned to close to preinjury performance level after 2 years post injury (only 1 after 1 year post injury).
Let me see if I heard you correctly:
 
For $3m I wonder if they are buying work ethic and an example to any youngster they may draft.

He knows the system and they know him. He was good previously. They have 2 OTs per side now who you’d think are at least JAG level with upside to be better, doesn’t preclude them from drafting the position. We’ll know more how they feel after the draft.
 
The return rate for patellar rupture is 55.4% (not 58%) [keep in mind that return to play was defined as returning to play in only at least 1 regular season game after injury.] And QT (quadriceps tendon) injuries resulted in a greater rate of return to prior performance level and a quicker return to performance compared with PT (patellar tendon) injuries.

In the actual raw data of the study (not posted in the abstract), it reveals that only 1 Olineman returned to play as many games in a season as pre-injury, and only 2 returned to close to preinjury performance level after 2 years post injury (only 1 after 1 year post injury).
The Texans and player have to have the same information. In your opinion, why do they make this type of move? Is it strictly because it seems to be low risk money wise? Is Trent Brown the player delusional or just greedy or just believes he can be the outlier? I suppose he could be all three.
 
For $3m I wonder if they are buying work ethic and an example to any youngster they may draft.

He knows the system and they know him. He was good previously. They have 2 OTs per side now who you’d think are at least JAG level with upside to be better, doesn’t preclude them from drafting the position. We’ll know more how they feel after the draft.
The perfect scenario would be for neither Trent Brown nor Cam Robinson to have to play a down.
 
The Texans and player have to have the same information. In your opinion, why do they make this type of move? Is it strictly because it seems to be low risk money wise? Is Trent Brown the player delusional or just greedy or just believes he can be the outlier? I suppose he could be all three.
The Texans had no money to obtain a decent Tunsil replacement. They have thrown several relatively cheap players against the wall hoping that one will stick at least a little bit.
 
ACL was once a career ender also
A patellar tendon rupture is a totally different animal. The ACL is a relatively small knee ligament that is supported by several other ligaments. The patellar tendon is a large thick knee tendon that has virtually no backup support when ruptured and carries tremendous stress in its normal function (especially in a lineman's need for forceful push off against resistance).
 
After seeing the trash heap reclamation projects…Brown more injury related, Cam poor performance…I’m revoking my previous revocation of any revoked tackle in the draft. I had sort of semi-scratched tackle off the draft list. Not so fast Porkage. The sausage is still being ground. No…not the curly tail too!
 
After seeing the trash heap reclamation projects…Brown more injury related, Cam poor performance…I’m revoking my previous revocation of any revoked tackle in the draft. I had sort of semi-scratched tackle off the draft list. Not so fast Porkage. The sausage is still being ground. No…not the curly tail too!
To voke or not to voke, that is the question! I keep telling you my friend to stop voking; and if you would stop voking, you wouldn't have to go back and redo anything. Also, I would stay completely away from anything dealing with sausage or you could turn out to be cannibal. Just a thought.
 
I feel like his extremely low salary on a one year deal needs to be taken into account. When you take the 55.4% return rate and a salary that is up to 3M I feel it's worth it.

I'd hypothetically take take 3 Trent Browns for up to 9M and have a 156.2% chance that you'll get a year out of one of them. (I realize RTP is one game, but I haven't seen numbers for a full year.)

We also haven't taken into account that the Texans medical staff have given Brown a physical, so that should improve the RTP number by some (unknown) amount.

At the end of the day you have to hope for some luck (A perfectly healthy OT can pull their ACL in training camp.) Bringing in veteran starters on a cheap one-year deal is going to require some good fortune.
 
The Texans had no money to obtain a decent Tunsil replacement. They have thrown several relatively cheap players against the wall hoping that one will stick at least a little bit.
They paid Robinson 14 mil, I wouldn't say that's nothing. What they're hoping is that between both Robinson/Brown they will get a full season of avg to above avg LT play. I wouldn't bet against this since Robinson made it through the entire yr last season. If Robinson stays healthy and Brown can return to his previous level of play (Doubtful) then they will be the starting OT's. If Robinson was to get hurt then Brown would take over at LT. If Brown cant make it back then they lost a 3 mil gamble. Not a big deal IMHO.

One things for sure, with all of these signings the OL will be more physical and smarter than they've been in yrs. These signings mean that they're probably looking at drafting Loveland or Golden/Egbuka at 1-25 or trading down like they did last yr. If Caserio was to trade down and they were able to get Taylor/Bech in rd 2 I would be very happy. All of this said if Banks happened to fall to 1-25 he would still be my pick.
 
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I feel like his extremely low salary on a one year deal needs to be taken into account. When you take the 55.4% return rate and a salary that is up to 3M I feel it's worth it.

I'd hypothetically take take 3 Trent Browns for up to 9M and have a 156.2% chance that you'll get a year out of one of them. (I realize RTP is one game, but I haven't seen numbers for a full year.)

We also haven't taken into account that the Texans medical staff have given Brown a physical, so that should improve the RTP number by some (unknown) amount.

At the end of the day you have to hope for some luck (A perfectly healthy OT can pull their ACL in training camp.) Bringing in veteran starters on a cheap one-year deal is going to require some good fortune.
RTP (and performance level) can only be determined by real game play...............not by medical staff physicals. If a player can walk and run, they are likely to pass the physical.
 
RTP (and performance level) can only be determined by real game play...............not by medical staff physicals. If a player can walk and run, they are likely to pass the physical.
You don't think they give them an MRI? Seems like that would give the team a better look at it (and potentially a better contract for the player if it looks good.)
 
I feel like his extremely low salary on a one year deal needs to be taken into account. When you take the 55.4% return rate and a salary that is up to 3M I feel it's worth it.

I'd hypothetically take take 3 Trent Browns for up to 9M and have a 156.2% chance that you'll get a year out of one of them. (I realize RTP is one game, but I haven't seen numbers for a full year.)

We also haven't taken into account that the Texans medical staff have given Brown a physical, so that should improve the RTP number by some (unknown) amount.

At the end of the day you have to hope for some luck (A perfectly healthy OT can pull their ACL in training camp.) Bringing in veteran starters on a cheap one-year deal is going to require some good fortune.
What is the increased chance of those 3 players being hurt again? 2 or 3 times more likely? Getting 6 games out of each gets a healthy season? You more likely get 8 to 9 games total.
I'm not against Robinson or Brown particularly not against $3 m for Trent. If it stops Nick drafting OL, then I have more to say.
 
You don't think they give them an MRI? Seems like that would give the team a better look at it (and potentially a better contract for the player if it looks good.)
I believe MRI would tell the doctors that there had been surgery but not how that would hold up during game play. No one knows.
 
They paid Robinson 14 mil, I wouldn't say that's nothing. What they're hoping is that between both Robinson/Brown they will get a full season of avg to above avg LT play. I wouldn't bet against this since Robinson made it through the entire yr last season. If Robinson stays healthy and Brown can return to his previous level of play (Doubtful) then they will be the starting OT's. If Robinson was to get hurt then Brown would take over at LT. If Brown cant make it back then they lost a 3 mil gamble. Not a big deal IMHO.

One things for sure, with all of these signings the OL will be more physical and smarter than they've been in yrs. These signings mean that they're probably looking at drafting Loveland or Golden/Egbuka at 1-25 or trading down like they did last yr. If Caserio was to trade down and they were able to get Taylor/Bech in rd 2 I would be very happy. All of this said if Banks happened to fall to 1-25 he would still be my pick.
The real details of his contract have yet to be announced. I doubt that Robinson earns $14 million this year. From what I'm hearing, the Texans will go into 2025 having to start pinching pennies.
 
You don't think they give them an MRI? Seems like that would give the team a better look at it (and potentially a better contract for the player if it looks good.)
An MRI in this case would tell you little more than the repair is intact or not..............something you could determine with a simple physical exam. For example, Kenyon Green had multiple MRIs of his knees and shoulder and they kept putting him out there to look and act like decoy.
 
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