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.

Report: Jimmy Butler wanted Timberwolves to add four years, $155 million to his contract this summer

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Jimmy Butler rejected the largest-possible extension the capped-out Timberwolves could offer him this summer – a four-year deal worth $100,514,631 ($25,128,658 average annual salary).

After all, his projected max in free agency this summer is about $190 million over five years (about $38 million annually) if he re-signs or about $141 million over four years (about $35 million annually) if he leaves.

But Minnesota’s extension offer wasn’t technically the largest possible this summer. Theoretically, the Timberwolves could have cleared cap space to renegotiate his salary upward then offered a richer extension based on his new salary.

And apparently that’s what Butler wanted – and didn’t get – before requesting a trade.

Jon Krawczynski of The Athletic:

Butler was hoping for a renegotiation and extension of his contract this summer, one that would have raised his salary for 2018-19 to $30 million and added another four years and $145 million on to that.

The Timberwolves could have trimmed their roster to only their starters – Butler, Andrew Wiggins, Jeff Teague, Taj Gibson and Karl-Anthony Towns. That would have meant using sweeteners to unload Gorgui Dieng‘s negative value contract, dumping recent first-round picks Justin Patton, Tyus Jones and Josh Okogie and not using the mid-level exception on Anthony Tolliver. Only players who signed for the minimum could have still wound up on the roster.

Minnesota still wouldn’t have had enough cap space to renegotiate Butler’s salary up to $30 million.

Perhaps, Butler wanted the Timberwolves to take more drastic measures like trading Wiggins for little to no returning salary. But they clearly weren’t going to do that, and they’d long gone down the opposite road of adding salary. They weren’t coming close to clearing the $10 million of cap space necessary to raise Butler’s salary that much.

This is all raises questions about timing. Nearly every report on Butler’s wishes has gone out of its way to say contract concerns – not problems with Wiggins and Towns – were the primary driver of the trade request. But if that were the case, why now? Butler had to know for months he wasn’t getting his desired extension.

While his brother spars online with Jimmy Butler, Andrew Wiggins takes up fight with Stephen Jackson

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Jimmy Butler lit a fuse by requesting a trade from the Timberwolves.

Then, Andrew Wiggins‘ brother, Butler, Stephen Jackson and Wiggins himself all fanned the flames of the resulting fire.

Butler reportedly had problems with Andrew Wiggins last season, specifically Wiggins’ work ethic and defensive approach. Want corroborating evidence the Minnesota teammates aren’t simpatico? Wiggins’ brother, Nick Wiggins, tweeted (and deleted) “Hallelujah” to news of Butler’s trade request:

Butler – probably not coincidentally while working out – responded via Instagram:

Butler:

Hallelujah, keep that same energy

Then the retired Jackson acted out an elaborate scene in which Andrew – played by Jackson – copped to having no heart:

The real Andrew Wiggins didn’t like that and posted on Instagram:

Jackson responded:

If he didn’t like Butler giving him grief, Wiggins darned sure isn’t ready for heat from Jackson.

Mark Cuban explains some, though not all, of his role in Mavericks’ hostile work environment (video)

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As a result of the investigation into his team’s hostile work environment, Mavericks owner Mark Cuban will donate $10 million “organizations that are committed to supporting the leadership and development of women in the sports industry and combating domestic violence.” The Mavericks will also report to the NBA on structural changes to their organization.

And Cuban showed accountability by granting an interview to Rachel Nichols of ESPN:

I appreciate Cuban sitting for this interview with Nichols, who grilled him. I appreciate him apologizing to the actual victims. I appreciate him taking responsibility for the wrongdoing that happened beneath him. I appreciate him explaining what he did wrong and what he learned. I appreciate him, along with Mavericks CEO Cynthia Marshall, explaining the changes they’re making to rectify the situation.

But, though he explained his logic and subsequent lesson from handling Earl Sneed’s domestic violence, Cuban gave no real answer to how he let former CEO Terdema Ussery – found to be an serial sexual harasser – remain in power for 15 years. Taking Cuban at his word – that he was blind to the sexual harassment prevalent in the Mavericks business office – means shattering his image as a great businessman. The sharp and in-charge owner Cuban presented himself as would never grant Ussery such unchecked power for so long. “If I was in our business office five times in 15 years, that was a lot,” Cuban told Nichols. “I mean, it’s embarrassing to say.”

And that’s the benign explanation. Embarrassing is nothing compared to the alternative – that Cuban was as involved as he portrayed, which would mean he knew about Ussery’s misconduct and excused it. The choices are that Cuban’s first-rate businessman image was fraudulent or that he’s directly complicit in Ussery’s sexual harassment.

More than anything, hopefully Cuban has truly learned how not to repeat his prior errors.

Report: Clippers emerging as frontrunner to sign Kawhi Leonard

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Does Kawhi Leonard prefer the Clippers or Lakers in 2019 free agency? Reports have been mixed, though credible journalists have increasingly favored the Clippers since LeBron James signed with the Lakers. Yet, Adrian Wojnarowski of ESPN held out on the Lakers being Leonard’s top choice.

Now – with Jimmy Butler reportedly preferring a trade to the Clippers – Wojnarowski appears to be coming around on the Clippers.

Wojnarowski:

The Clippers have two max contract slots available in July, and are emerging as a front-runner for Toronto’s All-NBA forward Kawhi Leonard when he becomes a free agent in July, league sources said.

Leonard and Butler would form a tantalizing tandem.

Butler reportedly wants to showcase himself in a big city while Leonard seemingly wants both to be in Los Angeles but remain out of the spotlight. Together, maybe they could both get what they want.

Though Butler’s demanding style has worn on teammates in Minnesota, nobody has ever accused Leonard of lacking work ethic or competitiveness. I bet Butler would respect Leonard.

They’re both elite defensively and at least very good offensively. There could be issues with how often each likes to isolate, but get all that talent to L.A. then figure out the rest later.

The question for the Clippers: Do they trade for Butler now or wait to try signing both stars in free agency next summer? The latter option carries more upside, allowing the Clippers to preserve assets. But it also risks Minnesota trading Butler and his Bird Rights to another team and him re-signing there.

The Clippers have several veterans – Tobias Harris, Lou Williams, Patrick Beverley, Avery Bradley, Danilo Gallinari – who might appeal to Tom Thibodeau, who seemingly wants to win now. L.A. could also offer 2018 lottery picks Shai Gilgeous-Alexander and Jerome Alexander. However, the Clippers can’t convey a first-round pick until 2021 at the earliest.

I don’t know whether they’ll trade for Butler, but if the Clippers do, I know we’ll crank up the Leonard-Clippers speculation even higher. There’s value in putting that in Leonard’s mind while the Raptors are trying to woo him first-hand over the next year.