Jahrome Hughes will miss up to three weeks with a broken hand. Picture: AAP
Jahrome Hughes will miss up to three weeks with a broken hand. Picture: AAP

Casualty Ward: Storm blow, worst-case for Lolo

The Storm will be without Jahrome Hughes for 2-3 weeks after he suffered a broken hand in the victory over the Rabbitohs on Friday night.

The halfback was able to finish the game after rolling out of a tackle clutching at his hand in the 1st half, but scans on Saturday unfortunately revealed a fracture.

He will undergo surgery to insert pins/plates, which actually can speed up a return to play. Bone healing usually requires at least 4-6 weeks to occur conservatively, but the use of surgery helps to stabilise the fracture and allow for early range of movement and accelerated rehab.

This can also minimise the risk of complications such as stiffness and muscle wastage, and return to play in some athletes has been achieved within 10 days of surgery.

 

 

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Victor Radley will be on a "booze ban" this weekend after suffering an elbow injury in the Roosters big win over the Broncos.

Radley's arm was caught awkwardly during a tackle causing both his shoulder and elbow to bend to abnormal angles. This can bring concern for an elbow subluxation or ligament sprain, but thankfully the indication since has been that the lock forward avoided major injury.

Roosters captain Boyd Cordner suggested it was nothing more than a "bruised elbow".

Although Radley appears to have avoided the worst case, he is right to suggest it is in an injured athlete's best interest to avoid drinking alcohol. Alcohol is known to increase the risk of bleeding and swelling in soft tissue injuries while overall slowing down the healing process.

This increases the recovery time and results in additional time on the sideline.

 

 

 

 

 

The Cowboys suffered a big loss this week with Jason Taumalolo not named for Round 4 after scans revealed bone bruising in his knee.

This was quite a surprise after the star lock forward was able to play a significant role for the Cowboys in Round 3, racking up almost 300 run metres and not appearing to limp at all throughout the game.

Bone bruising can sound quite minor, but this isn't always the case.

There are two common locations bone bruising occurs in the knee:

- Deep (knee joint), usually caused by hyperextension of knee (bones pinch together)

- Shallow (outer surface of bone), usually caused by collision/knee clash ("bone

cork")

 

The Cowboys badly need to see the return of Jason Taumalolo. Picture: Alix Sweeney
The Cowboys badly need to see the return of Jason Taumalolo. Picture: Alix Sweeney

Deep bruising usually requires longer to recover due to increased pain (weight bearing surfaces of the knee) and the risk of complications and articular cartilage loss if a return occurs too soon. Shallow bone bruises (contusions) are more common in contact sports and rarely see players miss more than 1-2 weeks.

There were further blows to the Cowboys forward stocks with Coen Hess (ankle, pre-game) and John Asiata (knee) both coming out of Round 4 with injuries to manage.

Hess was ruled out an hour before the game, with all indications from the Cowboys that the ankle injury is minor and he is expected to return next week.

The news may not be so good for Asiata, who went down just before half time in significant pain during an awkward tackle. The Sharks around him motioned for the referee to stop the game straight away, and while the Cowboys' interchange forward tried to play on he succumbed to the injury minutes later.

Sharks players call for assistance as John Asiata lays injured on the turf. Picture: AAP
Sharks players call for assistance as John Asiata lays injured on the turf. Picture: AAP

Post-game there was still no indication on the nature or severity of the injury; the mechanism along with placement of the ice on the lateral side of Asiata's knee suggested the main concern was for a compression/impact type injury. This can range from a minor bone bruise to a lateral meniscus injury or even a tibial plateau fracture.

The Cowboys will be hoping scan results come back with positive news.

Unfortunate news for the Raiders and John Bateman this week with news the star forward was to undergo a second round of shoulder surgery.

After reportedly struggling with rehab progress during isolation, Bateman initially had an injection into his shoulder a few weeks ago to try and settle the lingering pain and inflammation.

This was obviously unsuccessful and the most appropriate treatment option was further surgery to help Bateman gain full function of his shoulder.

While there has been no surgical details or recovery time provided by the Raiders at this stage, they have indicated the surgery was a success and Bateman will return this season.

In these cases an arthroscopic "clean-out" of the shoulder joint is common, with tendon releases (such as the biceps) sometimes performed if significant inflammation is discovered during arthroscopic examination.

If Bateman did require some combination of these procedures he definitely should be expected to return this season; usual recovery time is 4-10 weeks.

Josh Addo-Carr struggled with what appeared to be a rib cartilage injury for much of the Storm's clash with the Rabbitohs.

Known as "The Police" injury, as it hurts with every breath you take and every move you make, Addo-Carr will likely require painkilling injections and chest padding over the next few weeks.

Thankfully the Storm indicated he will be fine for Round 5.

Josh Addo-Carr is dealing with a painful rib cartilage injury. Picture: AAP
Josh Addo-Carr is dealing with a painful rib cartilage injury. Picture: AAP

The Sea Eagles came out of their loss to the Eels with a few minor injury concerns, with Addin Fonua-Blake (shoulder cork) and Curtis Sironen (knee) both finishing the game in pain. Coach Des Hasler seemed unconcerned post-match and expected both to be available moving forward.

Alex Glenn is aiming to return in Round 6 as he recovers from a deep laceration to his calf. This would be a 3 week return to play after he required surgery to clean out the wound to minimise risk of infection.

Another surprise injury was revealed during the week with the Broncos to be without hooker Jake Turpin for the next 4-6 weeks.

Turpin missed training early in the week with what was initially reported as "knee soreness", with scans unfortunately revealing a small fracture in his tibia (lower leg bone). Thankfully he has avoided the need for surgery with such a small fracture, with the 4-6 weeks required to allow for adequate bone healing to occur.

 

 

Chad Townsend (hamstring) and Andrew Fifita (calf) both missed Round 4 with soft tissue injuries. There had been previous reports of ongoing management of a knee injury and a calf injury for Fifita. Both players are hoping to be available in Round 5 for the Sharks.

Lachlan Burr did not pass progression from HIA protocols earlier in the week and was unavailable for the Warriors. Agnatius Paasi was also unavailable after a concussion against the Dragons.

While each concussion is different and recovery differs from person to person the Warriors are hopeful they will have both players available to face the Cowboys in Round 5.

The Warriors training injuries kept coming, with Jazz Tevaga (soft tissue injury) and Ken Maumalo (hamstring) both suffering setbacks this week. Maumalo is expected to miss at least 3 weeks, while Tevaga is awaiting scans to determine the severity and expected recovery time of his injury.

 

 

 

 

WEEKEND CASUALTY WARD

Jahrome Hughes (Hand, 2-3 weeks)

Victor Radley (Elbow, TBC)

Coen Hess (Ankle (Pre-game), TBC)

John Asiata (Knee, TBC)

Jason Taumalolo (Ankle (Pre-game), TBC)

John Bateman (Shoulder (Pre-game), 4-10 weeks)

Josh Addo-Carr (Ribs, TBC)

Addin Fonua-Blake (Shoulder, TBC)

Curtis Sironen (Knee, TBC)

Jake Turpin (Tibia (Pre-game), 4-6 weeks)

Chad Townsend (Hamstring (Pre-game) TBC)

Andrew Fifita (Calf (Pre-game) TBC)

 

 

FULL CASUALTY WARD

BRISBANE BRONCOS

Jack Bird (ACL, season)

Tevita Pangai (Suspension, Round 6)

Alex Glenn (Leg, Round 6)

Jordan Kahu (Shoulder, Mid-season)

Sean O'Sullivan (ACL, Mid-season)

Keenan Palasia (ACL, Late-season)

Izaia Perese (Stood down)

Jake Turpin (Tibi, 4-6 weeks)

 

 

CANTERBURY-BANKSTOWN BULLDOGS

Marcelo Montoya (Hamstring, Round 10)

Chris Smith (Knee, round 11)

Joe Stimson (Shoulder, season)

 

 

 

NORTH QUEENSLAND COWBOYS

Michael Morgan (Shoulder, round 7)

Coen Hess (Ankle, TBC)

John Asiata (Knee, TBC)

Jason Taumalolo (Ankle, TBC)

 

 

ST GEORGE-ILLAWARRA DRAGONS

Jack de Belin (Stood down)

 

PARRAMATTA EELS

Nathan Brown (Suspension, round five)

 

NEWCASTLE KNIGHTS

Lachlan Fitzgibbon (Hamstring, Round 5)

Mitchell Barnett (Shoulder, Round 8-10)

Jayden Brailey (Knee, Season)

Connor Watson (Ankle, round 8-10)

 

 

 

PENRITH PANTHERS

Dylan Edwards (Ankle, Round 5)

Soni Luke (Pectoral, April)

Shaun Blore (ACL, April-May)

Brayden McGrady (ACL, April-May)

Jack Hetherington (Suspension, round 4)

Nathan Cleary (Suspension, round 5)

SOUTH SYDNEY RABBITOHS

Cody Walker (Suspension, round 5)

 

CANBERRA RAIDERS

Hudson Young (Suspension, Round 6)

John Bateman (Shoulder, round 10-12)

Sebastian Kris (extended leave)

Ryan Sutton (Calf, round 5)

 

 

SYDNEY ROOSTERS

Billy Smith (ACL, Season)

Victor Radley (Elbow, TBC)

 

MANLY SEA EAGLES

Albert Hopoate (Knee, Round 8)

Jack Gosiewski (Back disc infection, Indefinite)

Manase Fainu (Stood down/shoulder, Indefinite)

Addin Fonua-Blake (Shoulder, TBC)

Curtis Sironen (Knee, TBC)

 

 

CRONULLA SHARKS

Bronson Xerri (Stood down)

Cameron King (ACL, Season)

Andrew Fifita (Calf, round 5)

Chad Townsend (Hamstring, round 5)

 

MELBOURNE STORM

Tui Kamikamica (Back, round 5)

Jahrome Hughes (Hand, round 7-8)

 

GOLD COAST TITANS

AJ Brimson (Back, Indefinite)

Beau Fermor (Knee, Early-to-mid season)

Tyrone Roberts (Ankle, round 5)

Ryan James (ACL, Season)

 

 

NEW ZEALAND WARRIORS

Lachlan Burr (Concussion, round 5)

Agnatius Paasi (Suspended, round 5)

Kan Maumalo (Hamstring, round 7)

Taane Milne (ACL, Season)

Jazz Tevaga (Knee, TBC)

Nathaniel Roache (Knee, Mid-season)

Jackson Frei (ACL, Season)

Bunty Afoa (ACL, Season)

Peta Hiku (Ribs, TBC)

 

 

WESTS TIGERS

Jacob Liddle (Knee, Indefinite)

Russell Packer (Foot, Indefinite)

 

Originally published as Casualty Ward: Storm blow, worst-case for Lolo



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