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Soccer Injuries

Barcelona’s Ousmane Dembele ruptures femoral bicep-Dr. Parekh

Selene Parekh, M.D.

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Photographer: Hollandse-Hoogte/Zuma Press/Icon Sportswire

Barcelona’a Ousmane Dembele expected to miss 3-4 months with a ruptured tendon in his femoral bicep. This is part of the hamstring. Depending on severity, could sometimes require surgery. If a higher grade injury or requires surgery than you’re looking at 3 to 6 months return to play.

Selene Parekh, M.D. (also known as the “Fantasy Doctor”) is an orthopaedic surgeon and foremost expert on sports injuries who’s fast becoming the go-to expert for the multibillion dollar fantasy sports industry. His data-driven insights and medical expertise make for powerfully accurate predictions of how anything from common sprains to devastating season-ending injuries will affect players’ careers and the success of millions of fantasy teams. Fantasy sports for Parekh is far more than a hobby: He authored and published two foundational research papers using Fantasy football data to track the epidemiology and outcomes of tendon and ligament ruptures in the NFL. Dr. Parekh joined the North Carolina Orthopaedic Clinic and Duke Orthopaedics in 2009, where he is an Associate Professor of Surgery in the Department of Orthopaedic Surgery. Prior to his tenure at Duke, Dr. Parekh was a Foot and Ankle Surgeon at the University of North Carolina (UNC). While there, he was integrally involved in the teaching of medical students and residents. Furthermore, he served as the foot and ankle consultant to the Athletic Department, treating many of the well-known UNC athletes. In his current practice, he continues to treat competitive athletes of all levels. A graduate of the Boston University School of Medicine, Dr. Parekh completed his internship and residency at the Hospital of the University of Pennsylvania and his fellowship in foot and ankle surgery under the direction of some of the leading global authorities at the University of Pennsylvania. The Fantasy Doctor is an avid runner and has completed the Boston Marathon, and in his former life as a high school athletic star, was offered football scholarships from several Ivy League schools and was the recipient of the Brian Piccolo Award. Dr. Parekh is married and he and his wife are the proud parents of three kids.

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Soccer Injuries

Columbia’s James Rodriguez exits with injury

Selene Parekh, M.D.

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© Adam Hunger-USA TODAY Sports

James Rodriguez departed Colombia’s World Cup game against Senegal through injury. It appears to be a re-aggravation of his calf injury.  He may be able to return, but between fatigue and dehydration, don’t expect him to be his usual self.

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Soccer Injuries

Russian midfielder Alan Dzagoev exits with hamstring injury

Selene Parekh, M.D.

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© Witters Sport-USA TODAY Sports

Russian Midfielder Alan Dzagoev was subbed out with an apparent hamstring injury in Thursday’s match with Saudi Arabia. 2-6 weeks RTP depending severity. Watch below our 3D animation to learn more about hamstring strains:

Hamstring Strains

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Soccer Injuries

Former Manchester United boss Sir Alex Ferguson suffers brain hemorrhage

Dr. Mimran

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© Orlando Ramirez-USA TODAY Sports

Former Manchester United boss Sir Alex Ferguson has been hospitalized after suffering an Intracerebral hemorrhage or ICH. Strokes come in two varieties, hemorrhagic or ischemic. One is when a blood vessel bursts, and the other is when a blood vessel is blocked by a clot or embolus.

Damage occurs with ICH from two mechanisms. Mechanism 1 is when the blood vessel bursts, there’s an area of the brain not getting blood from the burst vessel. Mechanism 2 is the extruded blood forms a hematoma which causes mass effect on the surrounding brain.

Surgery is usually a craniotomy to remove the hematoma. A portion of the skull is removed, the dura is opened, and a small incision is made in the cortex. The hematoma is evacuated with suction. Note this only helps mechanism 2, there’s nothing to do about mechanism 1.

Prognosis depends on location (which area of the brain, which side of the brain) and size of the hematoma and damage to surrounding brain.

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