A doctor explains Joel Embiid’s foot injury

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With Joel Embiid’s foot injury adding so much confusion to the NBA draft, I asked Dr. Ben Wedro of MD direct to help provide a little clarity – at least about the top-rated center. If you’re looking for help on the Andrew Wiggins/Jabari Parker debate, this isn’t the place (though I’ll have more on that tomorrow).

Q: What might have caused Embiid’s foot injury?

The navicular is located in the mid foot and is responsible for helping maintain the arch of the foot from heel to toe and transverse stability of the foot. It and the ligaments that attach to the mid foot to flex at the beginning of a stride and lock as the foot pushes off.

They are responsible for taking the load of the weight of the body as it comes down an distributing it. So, when you’re 7-foot-whatever and 300 pounds [ed: Emiid’s listed weight was 250 pounds at Kansas], that takes more load than if you’re me and and 5-9, 160. It’s one of those things that happens unfortunately. I don’t know if we’re built to be 7 feet.

Causes include increasing activity too quickly, poor equipment (in this case, perhaps poorly fit or supportive shoes) and bone insufficiency. Normal with the latter, it is due to osteoporosis but in a large 7 footer, it may be that the bones in his foot may not be able to support the size of his body.

When it is injured, it often takes time to make the diagnosis of the navicular stress fracture because it is not easily seen on x-ray.

Q: Considering his back injury also, is it possible Embiid’s bones are weak?

Unlikely. He’s a healthy guy. The think you think about with people with back fractures and bone problems is osteoporosis, and that’s more a disease of aging. You see that in older people, especially women who haven’t deposited calcium in their bones earlier on in life. They have a calcium deficit. So, that’s unlikely the case.

His bones are probably fine. His height is a problem.

Not a problem. You can’t teach height. But it puts more stress on the anatomy of the bones in the body to distribute all that pressure that comes through jumping and running.

As to the relationship with his previous back injury, the only relationship I can think of is being deconditioned and increasing practice and play time too quickly.

Q: What do you make of two screws being inserted into his foot?

The fracture needs to be stabilized and the screws are used for internal fixation. This is the expected procedure.

With either operative or non-operative approach, up to 90% of athletes can return to their  level of competition.

Q: Do you think that percentage is lower for elite athletes, because they must climb back further to a higher level?

They have more incentive to do that or facility to be able to do that. They have more people around them to get them there.

He goes eight hours a day, six days a week. That’s their full-time job, and he has a team of people – from a chiropractor to massage therapist to a physical therapist and a doctor – working on your foot six hours a day.

Q: How can he and his team minimize of suffering another injury?

Part of his rehabilitation and evaluations of his injuries in his rehab will be looking at his footwear and seeing how they can help him with that – whether that’s orthotics or a specially built shoe for him – would probably be appropriate.

You have to work hard on his mechanics. The people will be looking hard at how he lands, how he takes off, how he runs and try to minimize the amount of stress on his feet by doing that.

They’re not going to tell him not to run fast. They’re not going to tell him not to jump high. They’re going to try to work with his natural athletic ability and maximize it.

So, if Embiid returns to full health, preemptively limiting his minutes to avoid future injury would be no more effective than employing that strategy with any other player?

That’s right.

As long as they’re comfortable that his mechanics are together. Let’s say they find – and I don’t know this – but let’s presume he has mechanical issues with his gait or his jumping or whatever. if they don’t correct, then that’s a different story – or if he cannot correct that.

If they find that he is mechanically sound and he’s fully recovered and he has no pain, then he should enjoy a long, healthy career.

That leaves a lot of ifs, though it is helpful to know exactly where the uncertainty remains.

Is he a normal 22-year-old? Is he the next Greg Oden? If we all knew the answer, we could predict the future.

Timberwolves to unveil new logo at final home game

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The Timberwolves’ were the trendy pick for a breakout team this season with Tom Thibodeau coaching Karl-Anthony Towns, Andrew Wiggins and Zach LaVine.

Instead, Minnesota fell flat. At, 28-42 the Timberwolves will miss the playoffs for the 13th straight year – the NBA’s longest active postseason draught.

But they’ve shown progress lately and could carry that momentum into next season.

It’ll be a fresh start in at least one way.

Timberwolves release:

The Minnesota Timberwolves begin a new chapter in their franchise history by unveiling a new team logo as part of Fan Appreciation Night at Target Center on Tuesday, April 11. The Wolves will conclude the home portion of their regular season schedule that evening by hosting the Oklahoma City Thunder at 7 p.m.

The logo will be unveiled during a special halftime show and all fans in attendance will receive a commemorative t-shirt with the new identity featured.

While the new identity won’t fully take effect until the 2017-18 season, the unveiling marks only the fourth identity in the franchise’s 28-year history.  The announcement is also the beginning of an eventful summer as the Wolves brand continues to evolve. There will be several future announcements regarding the unveiling of the new team uniforms, new court designs and additional events throughout the coming months.

I’m glad these uniforms are coming out next year. I always enjoy when a style change coincides with a team changing on the court, and it seems the Timberwolves could truly do that.

Shaq on flat-earth claim: ‘I’m joking, you idiots’

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After Kyrie Irving claimed the Earth is flat, he doubled down and insisted he truly believed that.

After Shaquille O’Neal claimed the Earth is flat

Shaq on Art of Charm (hat tip: Ben Rohrbach of Yahoo Sports):

The Earth is flat. Would you like to hear my theory?

The first part of the theory is, I’m joking, you idiots. That’s the first part of the theory.

This world we live in, people take things too seriously. But I’m going to give the people answers to my test. Knowing that I’m a funny guy, if something seems controversial or boom, boom, boom, you’ve got to have my funny points on, right? So now, once you have my funny points on, that should eradicate and get rid of all your negative thoughts, right? That’s what you should do when you hear Shaquille O’Neal’s statement, OK? You should know that he has funny points right over here, and what did he say? The guy had, boom, boom, boom. Add the funny points. You either laugh, or you don’t laugh. But don’t take me seriously. When I want you to take me seriously, you will know by the tone of my voice that I’m being serious.

Shaq is excellent at drawing attention to himself. The only surprise is that he didn’t keep this ruse up longer.

If Irving is pulling our collective legs to put the focus on him, at least credit the Cavaliers guard for maintaining the story longer. That Shaq lasted only a few days is revelatory.

Earl Watson, amid UCLA rumors, says ‘main focus’ is with Suns

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At least the college-coaching rumors surrounding the Celtics’ Brad Stevens and Thunder’s Billy Donovan are about an actual vacancy: Indiana.

With Suns coach Earl Watson, it’s a step removed.

But here’s the gambit: UCLA coach Steve Alford is an Indiana alum, and many believe he’ll fill the Hoosiers’ opening. That’d leave UCLA in the market for a new coach – maybe Watson, an alum.

Watson, via Doug Haller of the Arizona Republic:

“There’s no doubt that I love my school,” Watson said. “It took me out of a poverty situation and gave me hope. The school is an amazing place. I feel like it saved me. But I also feel like (former Memphis coach) Hubie Brown saved me in another way. Playing for the Utah Jazz, they were there during a difficult part of my personal life and they helped me a ton. And then, of course, the San Antonio Spurs, after the death of my brother, the love they gave me is what I needed most, and that love is genuine. So you have different points in your life where people and groups come into your life and none of them are family and they impact you for the positive.”

At the same time:

“I’m more focused on creating value for our (organization), to give management and ownership many options to build a championship contender here,” Watson said. “What I mean by that is, building the value of the young players so that their value and their game and their confidence give them the option to be financially secure in this league when they become free agents; giving our ownership the option to build around them or give ownership and management the option to make moves because their value is so high to put us in contention quicker. That’s all I can do is build value. The winning will happen. There’s a lot of questions with our program, but one thing I do realize is these players are playing amazing for their age. I love them, they’re like my little brothers. My main focus is here.”

There’s little evidence Watson is a good NBA coach. He’s 31-73 in a season and a half in Phoenix, and his players have looked especially undisciplined.

That said, the Suns are very young. Maybe they’d look even more undisciplined under another coach.

Watson’s player-development experience could suit him well for college. As little as he’s done to prove he’s a good NBA coach, he hasn’t done much to prove he’s a bad NBA coach, either.

If Alford bolts, Watson’s history with UCLA probably warrants an interview if he wants it. But if I were the Bruins, I’d also consider other candidates.

Syracuse coach Jim Boeheim keeps fabricating NBA draft stats

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Sophomore forward Tyler Lydon declared for the NBA draft, which Syracuse coach Jim Boeheim seized as an opportunity to spew more nonsense.

Connor Grossman of The Daily Orange:

Boeheim cautioned Lydon about jumping into the NBA Draft now, knowing he lacked the “monster year” it would’ve taken for him to get lottery pick consideration.

“He didn’t demonstrate this year that he can be a lottery pick,” Boeheim said, “but next year I know he can be. That’s what I told him. I think he can come back here and demonstrate that he can be a lottery pick.

“I think it’s a better way to go to the NBA. You make money, they draft you high, they play you. Half the picks between 20-30 are out of the league within three years.”

We don’t yet know whether anyone drafted in 2014 or later will last more than three years in the NBA. So, let’s examine the prior 10-year period: 2004-2013. I exempted Nikola Mirotic, who jumped late to the NBA and is in his third season right now (even though I’d be shocked if he’s not in the NBA next season).

In that span, 22% of players picked between 20-30 were out of the league within in three years.

That’s not even half of Boeheim’s stated figure.

A third of those picks who washed out so quickly were international players. NBA teams are pretty good at scouting and developing college players, who face fewer hurdles in translating to the to the league. So, Lydon being projected to go in the first round means something.

The most recent college player picked in this range to fall out of the league, Perry Jones, got paid for a fourth season. Even the cases that count for Boeheim are poor examples.

And who’s to say Lydon would develop into a lottery pick if he stayed another year at Syracuse? The only guarantee would be missing an opportunity at a year of NBA earnings. Lydon’s stock could fall, a precarious possibility for someone who doesn’t excel at creating shots. Lydon can develop with an NBA team, maybe even spending time in the D-League – while earning far more than the college-sports cartel allows.

Boeheim’s self-serving approach is painfully evident. He enriches himself on the backs of young college players, and when the most talented among them leave early, that hurts his stature. So, he makes up bogus figures in attempt to get what he wants.

It’s shameful.