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: Rockets exiled Anthony rather than just dropping him from rotation ‘because his name was Carmelo’

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Why isn’t Carmelo Anthony in the NBA?

That’s the question everyone obsesses over, but the answer is quite simple: He’s washed up. Anthony played poorly for the Thunder then even worse for the Rockets. He’s now 35. Occasionally, washed-up players still land on NBA rosters, but they usually don’t. It’s not worth fretting over the common outcome happening.

The question that really intrigues me about the latter stages of Anthony’s career:

How did Houston go from giving Anthony a major role to deciding he suddenly couldn’t be with the team at all?

Baxter Holmes of ESPN:

Still, the Rockets know they can’t just take him out of the rotation; doing so would cause a media firestorm. “Because his name was Carmelo, we treated it differently,” one team source says.

The Rockets hope that parting ways with Anthony quickly might allow him to join another team.

This is a strange explanation.

What made a “media firestorm” so inevitable? Even if it were inevitable, what made a “media firestorm” so difficult to deal with? The Rockets couldn’t handle a few questions about Anthony?

If Anthony protested about a reduced role, that would’ve been one thing. But by all accounts, he did what Houston asked of him while there. He didn’t even get a chance to show whether he could’ve helped as a non-rotation player.

The Rockets gave him 20-39 minutes in each of his games with them. If he deserved that much playing time, he couldn’t have helped at all in situational spot minutes? Maybe Anthony’s awful defense would have been at least tolerable if he could’ve conserved his energy for smaller bursts on the court.

If Houston tried to do him a favor, it failed. Anthony never landed with another team. His abrupt and confusing end with the Rockets certainly didn’t instill confidence around the league.

Anthony has expressed resentment for how Houston exiled him. He deserves some blame for the predicament. His prior objections about coming off the bench in Oklahoma City contributed to everyone being on pins and needles about his role.

But it remains strange the Rockets handled the situation in such an extreme manner.

Report: Lakers player lost $1 million endorsement deal in China

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LeBron James publicly criticized Daryl Morey and reportedly pressed NBA commissioner Adam Silver on punishing the Rockets general manager.

Why is LeBron so upset with Morey, who merely tweeted support for Hong Kong protesters trying to expand and maintain their freedom?

Following the money often provides an answer.

Due to Chinese backlash, the NBA will reportedly lose millions of dollars of expected revenue, which affects players’ salaries. Lakers players also felt even-more-direct consequences while in China for preseason games.

Dave McMenamin of ESPN:

James, Anthony Davis, Kyle Kuzma and Rajon Rondo — to name a few — had appearances canceled. One Lakers player, sources told ESPN, had agreed to a $1 million endorsement deal with a Chinese company prior to the trip. When he arrived — poof — it was gone. A seven-figure payday went out the window.

It’s understandable someone would be agitated by losing a $1 million endorsement deal because of someone else’s tweet. I can’t even imagine how frustrating it’d be to miss out on that money.

Morey chose to take a political stand. Others are paying the price. He definitely rankled people around the league.

But perhaps scorn for Morey is misdirected.

This is the peril of chasing money in a place where an endorsement deal can fall apart because of someone else’s tweet. Maybe a bigger problem is a business environment where free expression is so stifled.

Report: Kings offer four-year, $90M contract extension to Buddy Hield, who wants $110M

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Buddy Hield is making noise about leaving the Kings in free agency next summer if they don’t sign him to a contract extension by Monday’s deadline.

Where do negotiations stand?

Chris Haynes of Yahoo Sports:

The Kings have an offer for Hield on the table for four years and $90 million, league sources told Yahoo Sports. Hield and his agent, Brandon Rosenthal, are seeking a number closer to $110 million, sources said.

This will primarily come down to two factors – Sacramento’s willingness to bend and Hield’s appetite for risk.

A four-year, $90 million extension seems quite fair. I bet many players of Hield’s caliber would’ve already accepted it.

But in a weak free-agent class, he has a chance to get much more next summer. He could even draw a max offer sheet, which projected to be worth $125 million over four years (though that was before the NBA began losing China revenue).

Of course, the Kings would have matching rights on Hield, who’d be a restricted free agent without an extension. So, Hield can’t unilaterally leave Sacramento next summer. The Kings also have another good young shooting guard in Bogdan Bogdanovic (who has his own extension offer on the table). These factors all give Sacramento reason not to pay Hield generously now.

If the Kings up their offer, that’d make it easy on Hield. He and Sacramento are trending in the right direction together. A big payday would clearly satisfy him.

If the Kings hold firm at less than Hield’s desired $110 million, he faces a choice: How much risk is he willing to incur to bet on himself?

With those numbers so close, perhaps there’s room for compromise. In addition to salary, guarantees, incentives and options could help bridge the gap. But evident by the lack of a signed extension, a significant divide clearly remains.

Report: LeBron James pressed Adam Silver on Daryl Morey repercussions, perceived double standard for players

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Lakers and Nets players – who were meeting with Adam Silver in China – reportedly told the NBA commissioner they would’ve been punished for a tweet as costly as Daryl Morey’s and asked Silver what he’d do to Morey. LeBron James reportedly spoke up in that meeting. LeBron also later criticized Morey.

It wasn’t difficult to connect the dots.

But in case you wanted confirmation LeBron was among the players questioning Silver on Morey…

Dave McMenamin of ESPN:

Silver opened the floor. James raised his hand.

His question was related to Morey — and the commissioner’s handling of the Rockets’ GM. James, to paraphrase, told Silver that he knew that if a player caused the same type of uproar with something he said or tweeted, the player wouldn’t be able to skate on it. There would be some type of repercussion. So, James wanted to know, what was Silver going to do about it in Morey’s case?

Silver pushed back, reminding the players that the league never doled out discipline when they publicly criticized President Donald Trump. Morey was exercising the same liberty when he challenged China. Regardless of the financial fallout of one versus the other, that’s not what should matter. Silver might have disliked the ramifications of Morey’s tweet, but he would defend the right to say it.

We can’t know what would’ve happened if a player tweeted like Morey. But Silver is right: The NBA has a track record of allowing players – including LeBron – to speak unchecked on social issues. I think a player would’ve gotten the same treatment as Morey. Still, as the WNBA showed, there might be limits for players’ freedom of expression.

This line of questioning also reveals something about LeBron. There are many possible responses to this situation. Seemingly suggesting Morey – who supported Hong Kong protesters, who are trying to maintain and expand their freedoms – deserved punishment is, um, one way to go.