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Berkman's Knee: How Bad Is This For the Astros?

When I first saw all the information break on Lance Berkman's knee injury, I didn't think it was that big of a deal. After all, players get bruises all the time. He's hasn't seen live action yet, doesn't need a ton of spring at-bats to get ready for the season and it would probably work itself out in no time.

Then, I started paying attention to what I was reading. From Alyson Footer's tweets:

Lance Berkman has a left knee contusion. He had an MRI yesterday. He'll receive treatment and will be evaluated day to day. MRI will be sent to Dr. Lintner in Houston for further evaluation.

Uh-oh.

Star-divide

Why did the Astros need to send his results on for more evaluation. A bruise is a bruise, right? Then, I read Berkman's quotes in Brian McTaggart's latest blog post.

"Obviously, it's concerning," Berkman said. "Heck, the first day we run the bases in spikes and your knee swells up that's never a good thing to have happen to you, but the doctors are hopeful it's minor. Whatever it is, it's minor. Even the worst-case scenario is minor so we'll see how it goes."

The next part makes me feel uncomfortable.

"Anybody that's ever played any length of time and gets over 30 you're going to have some aches and pains, and every once in a while working out my knee doesn't feel great but it never swelled," Berkman said. "Everybody's going to be like, 'Why didn't you get it taken care of in the offseason?' But it was never a problem at all.

"It was never debilitating in any of the stuff I was doing this offseason. I felt a twinge once in  a while but my joints hurt from time to time all over the place. It's something that's not out of the ordinary but it was never swollen. This is the first time it has swollen up like that and that's an indication it's a little more than a standard ache or pain."

Um, so the same knee that he tore up playing touch football has been bothering him off and on all offseason. Now that it's swollen, he's trying to take care of it? Don't forget, the reason Puma dropped weight this winter is on the recomendation that it would help his knee feel better.

Then, Will Carroll tweeted what he tweeted and my heart dropped a bit. Arthritis? Are we going through this again with another Astros player, so soon after it robbed Jeff Bagwell of the end to his career?

I'm still torn as to what this means. I'm not going to totally jump on the doom-and-gloom bandwagon, simply because Brad Mills is apparently considering playing Berkman on Thursday. Footer is against the move, but doesn't seem to think it will happen. She also talked with Mills about something like this happening in drills instead of a game. Here are his comments:

"There's a chance of injury anytime. You can't be tentative about everything you do. You have to play the game. If something sprouts up, we'll have to back them off. But you have to play the game the way it's supposed to be played. And Lance will."

I agree with that. The training staff is right to hold Berkman back, but you can't stay away from drills just because someone will get hurt. It's unfortunate that this happened but I'd really like to know if this happened in the past two days or if it was because of something that has bothered him all winter.According to Bernardo Fallas, Berkman hurt it in drills Sunday:

Berkman, 34, said he hurt the knee during a base-running drill Sunday. He experienced swelling soon after, he said.

“I guess I twisted it wrong or did something when we were running the bases,” Berkman said.

What do you think? Is this a big deal? Should we be legitimately worried or just wait and see?

UPDATE: Talked a little with Carroll via email and he clarified what an arthritic condition might mean. It is degenerative like Bagwell's shoulder, but there's not telling what the timeline for it getting worse would be. He agreed with Danyah's comments and thought the worse case scenario is like Carlos Beltran. Knee scoped, miss 6-8 weeks. So, breathe a little easier, I guess.

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I wouldnt worry about at this point. In any workout you get minor muscle tears and you put strain on tendons, ligaments, and cartilage. If the swelling was blood we’d have a problem, but you would have seen more drastic measures taken and we’d likely be dealing with ligament tears. So its probably just regular swelling with fluids and white blood cells fixing minor stuff that is the result of a sudden increase in workout volume and intensity. I know this is a stretch comparison because im not a 30 something year old pro baseball player, im just a 20 something year old college student that plays intramurals, but i got back from xmas break and honeymoon of doing nothing and started playing 1-3 basketball games 3-4 nights a weak and my knee swelled up on a wednesday night played thursday and was normal sunday. These things can happen when you have less than optimal condition knees.

by Subber10 on Mar 2, 2010 12:17 PM CST via mobile reply actions  

Wait and see

First of all, if I’m not mistaken, the ACL was surgically repaired in Berkman’s right knee, not left. I think he did have this knee scoped probably a decade ago, but I don’t remember for sure, nor do I remember what the issue was at that time.

The terminology they’re using is confusing to me. You are correct, a contusion is a bruise. Most people remember the incident that causes the bruise (unless you’re like me, clumsy, easy bruising, and a little oblivious). I can’t imagine why they would need to get an MRI of a bruise, which leads me to believe that the swelling is intraarticular. It wouldn’t surprise me if it was some kind of meniscal injury, which would require an additional arthroscopy and 6 to 8 weeks off.

All speculation though. Might as well wait and see.

by Danyah on Mar 2, 2010 12:17 PM CST reply actions  

Thank you for this

Your medical knowledge is such an asset.

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 Mar 2, 2010 12:35 PM CST via mobile up reply actions  

I go with “wait and see.” No reason to get overly perturbed before we know the specifics. And it seems like this could be anywhere from almost-nothing to bad….in other words, who knows?

At least Berkman already plays the position where players with knee injuries tend to be moved.

by clack on Mar 2, 2010 12:18 PM CST reply actions  

He’s just trying to get out of drills come on people. This is Brett Fav…. wait wrong blog.

by Timothy De Block on Mar 2, 2010 1:18 PM CST reply actions  

after seeing the video of Berkman's interview...

I doubt that it is much to worry about. Berkman really doesn’t seem worried. He says that even in a “worst case,” the injury is minor.

by clack on Mar 2, 2010 7:57 PM CST reply actions  

Mills is at fault

Brad Mills needs to go. Injuring our best player.

Just Kidding obviously. I highly doubt this is a big deal. Professional athletes get tons of attention for every little thing and the fact that he is our best player only amplifies that. The MRI is likely due diligence and simply precautionary. The fact that he is walking around free and easy without any brace is a good indication that this isn’t too serious.

I have a feeling some rest, a few hours on the bike and some warmer weather will remedy this situation.

by baggs on Mar 2, 2010 8:11 PM CST reply actions  

Hah! You had me for a second! I thought someone from the Chronicle’s comments came over here to start the Fire Brad Mills bandwagon.

by AstroAndy on Mar 2, 2010 9:35 PM CST up reply actions  

I don’t see any big deal that they performed a MRI. People would be jumping all over the Astros if they didn’t perform a MRI on their star player if he has any kind of injury near a joint. As far as sending it to Dr. Lintner…well, a doctor somewhere has to read it, and it makes sense that it would be the team’s medical director.

by clack on Mar 2, 2010 10:15 PM CST up reply actions  

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