Comments
Man, that ball must have hit him HARD
I’ve always thought of a hematoma as a bruise that’s so severe that it caused blood to pool up under the skin, so it sounds to me like it’ll probably be quite a relief to have it drained…although I’m completely not speaking from experience.
I think our resident medical expert here at the CFB is Danyah, who, if we’re lucky, might drop by to spread some knowledge.
You've got it right
(Thanks for the shout-out, BTW.) The simplest example of a hematoma is the “blood blister” you get under a fingernail if you hit yourself with a hammer. This is obviously a very finite, small example, but it certainly does feel better when drained. Given that Valverde is young and seemingly healthy, he will likely have a quick recovery. There are a couple of things that concern me; first, we don’t know what the specific injury is that caused the hematoma. We surmise that it was trauma to a blood vessel caused by the impact of the ball, and this would be best-case, IMHO. By the time they drain it, the vessel itself will have started to heal, and the issue won’t likely occur. However, I’ve seen hematomas caused by muscle tears themselves—and that would open a whole new can of worms, as you might imagine. One would hope they would have picked that up on the MRI, but it’s possible that there is enough tissue distortion for it to be missed until after the fluid is drained. A serious enough tear to cause a hematoma would probably put him out for a good part of the season. Secondly, there is always a chance of infection. This is usually a minimal risk in someone Valverde’s age and health status, but blood is an excellent culture medium (remember blood agar plates from microbiology?), and certainly baseball clubhouses have their share of contagion. Didn’t some AL club (Baltimore? Cleveland?) have some problem with MRSA a year or two ago? Too lazy to look it up.
I was wondering the same thing about the cause....
We know he was hit by a line drive. But he also strained a muscle trying to field a bunt. I’m not a medical professional like you, but I suspected that it would be more serious if it resulted from a muscle pull. The fact that the team physician said that draining the hematoma should provide for fairly rapid recovery perhaps means that it is the first type of injury you mentioned.
Thanks Danyah
The fanshot really was just a leading prompt for you to drop some knowledge on us.
I echo both you and clack’s sentiments about having a concern about what the origin of the hematoma is. I hope it’s just the result of the ball hitting him, but the way he was kind of just run out there a few days later. What especially concerns me is that the stories about the excess fluid cropped up after that appearance. I don’t know much about hematoma’s, but wouldn’t they have been an issue sooner than 72 hours and one likely ill-advised trip to the mound later?
Ok, back to school.
The Crawfishboxes
A good friend of mine used to say, "This is a very simple game. You throw the ball, you catch the ball, you hit the ball. Sometimes you win, sometimes you lose, sometimes it rains." Think about that for a while.
by Stephen Higdon on Apr 30, 2009 9:49 PM CDT up reply actions
Wait
The calf was never hit by the ball, Valverde strained his calf falling to to ground while trying to field the ball that hit him. That I forgot about that detail, I wrote the story I linked to, indicates just how badly I need to sleep.
The Crawfishboxes
A good friend of mine used to say, "This is a very simple game. You throw the ball, you catch the ball, you hit the ball. Sometimes you win, sometimes you lose, sometimes it rains." Think about that for a while.
by Stephen Higdon on Apr 30, 2009 10:21 PM CDT up reply actions
It will be interesting to see how it plays out
I don’t know much about hematoma’s, but wouldn’t they have been an issue sooner than 72 hours and one likely ill-advised trip to the mound later?
Yes, most likely, but we don’t know for sure when it occurred. It was diagnosed by MRI, which didn’t take place until after the ill-advised excursion. The hematoma could have been there already, at least partially, but just undetected. If it’s deep enough to require an incision to drain, then there probably wasn’t a lot of external evidence, given that Valverde’s calf had a lot of swelling, apparently.
To put the volume in perspective, for those of you who cook, 80 mLs is exactly 1/3 cup. That may not sound like much when described that way, but our calves have a lot of connective tissue that make them fairly inexpansible. Just as in the fingernail example, in a confined space, even a small collection of fluid can be quite painful (or even lethal, in Natasha Richardson’s case, as her hematoma occurred inside the intracranial vault—the skull doesn’t expand at all, so her brain had to give way).
meh...
I work in an ICU in the medical center, and hematomas are usually pretty easy to deal with. Though we don’t know the details of Valverde’s situation, it could be a whole lot worse. Don’t worry, I knocked on my wooden coffee table as I wrote this. But recovery times shouldn’t be too bad with this procedure considering he took a 120+ MPH ball off his leg.






















