NRL PHYSIO

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Brien Seeney | Physiotherapist | Education on injuries in the NRL & all sports | More via @MagicSpongePod

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$Horrid for Nathan Cleary - taken off on a medicab after suffering a traumatic ankle injury (opposite leg to his previous foot bone stress injury) Hip drop tackle mechanism - tacklers weight comes down on outside of lower leg trapping foot & turns it sideways. Report from sideline of a possible open/compound fracture (bone pierces the skin). If confirmed open wound greatly increases risk of infection, will need washout during surgery to reduce risk. Usual recovery range of ankle fracture/dislocations is 3-4 months but the open nature of the injury increases the uncertainty here & it might not be so clear cut. Plenty more to come here. Thoughts with Cleary - such a significant injury.$

Horrid for Nathan Cleary - taken off on a medicab after suffering a traumatic ankle injury (opposite leg to his previous foot bone stress injury) Hip drop tackle mechanism - tacklers weight comes down on outside of lower leg trapping foot & turns it sideways. Report from sideline of a possible open/compound fracture (bone pierces the skin). If confirmed open wound greatly increases risk of infection, will need washout during surgery to reduce risk. Usual recovery range of ankle fracture/dislocations is 3-4 months but the open nature of the injury increases the uncertainty here & it might not be so clear cut. Plenty more to come here. Thoughts with Cleary - such a significant injury.

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$Nathan Cleary has been discharged from hospital after surgery to repair an open fracture in his left leg, with the surgeon reportedly happy with the outcome & hopeful that Cleary will fit for Round 1 2027 (via Scott Bailey) Cleary will go back for a 2nd surgery later this week on the stress fracture in his right foot that he carried into the Prelim Final - there will be a overlapping period of non-weight bearing for both surgeries so he may be required to use a wheelchair for a short time. The right foot injury has been revealed as a Jones fracture - which is a break in the 5th metatarsal (bone on the outer side of the foot) that would usually require around 10 weeks recovery. Even though Jones fractures are known for slow healing, tricky rehab and high re-fracture rates it will still have plenty of time to recover. Surgery (usually a screw fixation) helps lower that re-fracture risk, and with the open leg fracture needing months of rehab the foot will likely be ready long before the leg is.$

Nathan Cleary has been discharged from hospital after surgery to repair an open fracture in his left leg, with the surgeon reportedly happy with the outcome & hopeful that Cleary will fit for Round 1 2027 (via Scott Bailey) Cleary will go back for a 2nd surgery later this week on the stress fracture in his right foot that he carried into the Prelim Final - there will be a overlapping period of non-weight bearing for both surgeries so he may be required to use a wheelchair for a short time. The right foot injury has been revealed as a Jones fracture - which is a break in the 5th metatarsal (bone on the outer side of the foot) that would usually require around 10 weeks recovery. Even though Jones fractures are known for slow healing, tricky rehab and high re-fracture rates it will still have plenty of time to recover. Surgery (usually a screw fixation) helps lower that re-fracture risk, and with the open leg fracture needing months of rehab the foot will likely be ready long before the leg is.

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Horrific luck for Luke Metcalf who won’t return after suffering a right hamstring injury. Rare goalkicking mechanism now seen twice in two weeks (after Ashton Ward in Round 23). Metcalf also has an extensive hamstring injury history - earlier this season a left hamstring injury cost him 6 weeks, and in 2023 right and left hamstring injuries both cost him 6+ weeks. A best case minor strain would usually be a 2-4 week return, but considering Metcalf’s history wouldn’t be surprised to see the Warriors be conservative with his return date.

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Blaize Talagi off & wont return with a suspected achilles injury. Unfortunately mechanism fairly textbook - pushing off with step back movement. Hands on tests from medical staff also extremely accurate here - if they suspect an achilles injury highly likely to be so. If ruptured would require surgery & usually a 5-8 month recovery. Fingers crossed it somehow isn’t as bad as it looked.

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Connor Watson only spent 1 minute on the field during the Prelim Final after leaving for a HIA. Initially deemed a Category 2 HIA (possible signs of concussion) this was then upgraded to a Category 1 HIA (obvious signs of concussion) via the independent doctor. Watson will enter the NRL’s concussion protocols which have a mandatory 11 day stand down period for Category 1 HIA’s. Now usually this would mean he would be unavailable the following week, which for the Roosters is obviously the Grand Final. But the Roosters indicated post match Watson was undergoing further concussion assessments & a decision on challenging the Category 1 designation (& the 11 day stand down) had not been made yet.

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$Horrible news with Sienna Lofipo forced off in the NRLW Prelim Final with a suspected broken jaw. Traumatic contact mechanism with direct blow to the side of the face - will be off for scans but didn’t look good. If jaw fracture is confirmed often recovery range is 4-8 weeks - underrated challenge is the weight loss due to restrictions with chewing early on. Terrible way for Lofipo’s season to end after such an outstanding year from both her & the Titans. Thoughts with her$

Horrible news with Sienna Lofipo forced off in the NRLW Prelim Final with a suspected broken jaw. Traumatic contact mechanism with direct blow to the side of the face - will be off for scans but didn’t look good. If jaw fracture is confirmed often recovery range is 4-8 weeks - underrated challenge is the weight loss due to restrictions with chewing early on. Terrible way for Lofipo’s season to end after such an outstanding year from both her & the Titans. Thoughts with her

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Jock Madden missed the past 4 weeks after requiring surgery on his testicles. Madden indicates he copped a knee to the groin at training that resulted in a haematoma in his testicles, which is a pooling of blood that forms a raised lump. He was rushed in for surgery hours after the incident. Thankfully if treatment is performed within 2-3 days 90% make a full recovery with no long term implications (fertility etc)

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Reece Walsh will go for scans on what the Broncos suspect is a syndesmosis injury. Mechanism about as textbook as it gets - weight of tackler drops down on Walsh’s ankle, turns foot out. Traumatic nature + high level of force brings concern for moderate to high grade syndesmosis injury - potential for surgery (6-8 weeks) is there & even if not with 3 games left would be lucky to feature again this season.

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I’ve been known to be critical of a high tackle or two, but Caslick getting yellow carded for this isn’t punishment driving behaviour change. Focus on technique for mine & her technique could not be much better here. Gone low with arms in a wrapping motion, super rough card

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Unbelievable scenes with both Adam Reynolds & Ezra Mam suffering hamstring injuries on the one play - a turn & chase on Xavier Coates. Both high speed mechanisms & noticeably limping - likely multi-week recoveries incoming & as we’ve seen with other similar cases recently could easily be 4-6 weeks. Never seen anything like it.

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$Graphic footage - horrible to see for Dylan Lucas who is medicabbed off with a left ankle injury. By video obvious concern for ankle fracture dislocation - contact mechanism with tackler coming down on lower leg & foot trapped underneath. Could see clear deformity at ankle. Wide recovery range for such a brutal injury but usually at least 3+ months. Thoughts with Lucas.$

Graphic footage - horrible to see for Dylan Lucas who is medicabbed off with a left ankle injury. By video obvious concern for ankle fracture dislocation - contact mechanism with tackler coming down on lower leg & foot trapped underneath. Could see clear deformity at ankle. Wide recovery range for such a brutal injury but usually at least 3+ months. Thoughts with Lucas.

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Horrible news with Isabelle Kelly off to hospital with a suspected broken jaw in her milestone game. Traumatic mechanism copping an accidental elbow straight to the face. Only 5 weeks until the NRLW GF - common recovery range for broken jaws is 4-8 weeks. Fingers crossed it isn’t season ending but didn’t look good.

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Marcelo Montoya will go for scans on a right ankle injury & the Bulldogs indicate he is in extreme doubt to play next week. Mechanism brings concern for syndesmosis injury with contact causing foot to twist out. Scans to determine severity but considering traumatic nature + needing assistance from the field - worry for moderate to high grade injury & multi-week recovery. Nicho Hynes has been charged with Grade 2 Dangerous Contact (hip drop tackle) & faces a 1 week suspension.

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⚠️Warning Graphic⚠️ Horrible injury for Elijah Anderson - one of the clearest patellar tendon ruptures I’ve seen. Tendon below the patella (kneecap) completely tears, resulting in the patella shifting up above the knee. Surgery & 6+ months recovery ahead, thoughts with him

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Herbie Farnworth has been ruled out after suffering a hamstring injury - textbook sprinting mechanism with no contact (“sniper got him”). Usually tough to predict severity of soft tissue injuries just by video, but considering high speed mechanism + function loss concern for moderate to high grade strain & 1-2 month recovery here.

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Achilles tendon ruptures - you’ll often see the “look behind to see who kicked me” response from people who have torn their achilles. Never seen a better example than this one - guy is that convinced he was kicked he assumes it must have been a kid! Can hear the snap 😢

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Ashton Ward won’t return & will go for scans after suffering a hamstring injury. Mechanism not a common one - don’t see a hamstring strain during goal kicking very often. Already tough to have a quick return from hamstring injuries, but significantly limited his function (had to be helped off) so worry for at least a partial tear & multi week recovery.

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Jacob Liddle won’t return after suffering what the Dragons say is a suspected calf injury. Non-contact step back + push off mechanism and had the “look behind to see who kicked me.” Mechanism has all the makings of an achilles injury, but is one of the easiest for medical staff to diagnose with hands on tests. So Dragons report of calf injury + location of ice higher up on lower leg is a big positive. Hopefully avoided worst case & while a calf tear would be season ending it wouldn’t have longer term implications.

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$Considering the traumatic nature of the injury, near enough to best case news from the Storm on Ryan Papenhuyzen: - successful surgery today (1 plate/screws inserted) - expected back at training in the New Year Likely scenario - fibula fracture & ~ 3 months recovery$

Considering the traumatic nature of the injury, near enough to best case news from the Storm on Ryan Papenhuyzen: - successful surgery today (1 plate/screws inserted) - expected back at training in the New Year Likely scenario - fibula fracture & ~ 3 months recovery

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$Jaime Chapman will go for scans after suffering an ankle injury - nasty mechanism with boot caught underneath causing significant rotation at the ankle. Video brings concern for syndesmosis injury + possible fracture - have seen a few of these in the NRLW in recent weeks. Hopefully not season ending for Chapman.$

Jaime Chapman will go for scans after suffering an ankle injury - nasty mechanism with boot caught underneath causing significant rotation at the ankle. Video brings concern for syndesmosis injury + possible fracture - have seen a few of these in the NRLW in recent weeks. Hopefully not season ending for Chapman.

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$Penrith have indicated Nathan Cleary will require surgery on an open lower leg fracture in his left leg, as well as a stress fracture in his right foot. One of the most significant & complex injury situations we’ve seen this season - hopefully this helps answer a few questions.$

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NRL PHYSIO

Shorts

I’ve been known to be critical of a high tackle or two, but Caslick getting yellow carded for this isn’t punishment driving behaviour change. Focus on technique for mine &amp; her technique could not be much better here. Gone low with arms in a wrapping motion, super rough card

⚠️Warning Graphic⚠️ Horrible injury for Elijah Anderson - one of the clearest patellar tendon ruptures I’ve seen. Tendon below the patella (kneecap) completely tears, resulting in the patella shifting up above the knee. Surgery &amp; 6+ months recovery ahead, thoughts with him

Achilles tendon ruptures - you’ll often see the “look behind to see who kicked me” response from people who have torn their achilles. Never seen a better example than this one - guy is that convinced he was kicked he assumes it must have been a kid! Can hear the snap 😢

Considering the traumatic nature of the injury, near enough to best case news from the Storm on Ryan Papenhuyzen: - successful surgery today (1 plate/screws inserted) - expected back at training in the New Year Likely scenario - fibula fracture &amp; ~ 3 months recovery

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Penrith have indicated Nathan Cleary will require surgery on an open lower leg fracture in his left leg, as well as a stress fracture in his right foot. One of the most significant &amp; complex injury situations we’ve seen this season - hopefully this helps answer a few questions.

If you’ve ever wondered what a complete AC joint tear looks like, Jeremy Cameron had you covered over the weekend 😮 😬 Brutal footage that I’ve never come across before!

Isaah Yeo is playing with a ruptured pec - avoiding surgery &amp; returning just 4 weeks post injury. This isn’t really something that’s done in professional contact sport - finals injury stories are just crazy! Story via christian nicolussi

TAKE ME NOW I HAVE SEEN IT ALL

Horrible news with scans coming back worse than expected for the AFL coin tosser - a significant hamstring strain set to rule him out for a further 6-7 tosses. Thoughts with him during the lengthy recovery process. 🎥 via 7 News

The NRL have confirmed there will be no rule changes heading into the 2025 season. That means kickoffs will be staying the same - the proposed 7 tackle/20m line change from a report earlier today won’t come into effect. News that will be well received by Paleaaesina enthusiasts.

Ok so it turns out headgear helps to reduce risk of injury on the footy field after all

EVERYONE STOP WHAT YOU ARE DOING THIS IS NOT A DRILL BRING HIM BACK!!!!!!

I take my scheduled break from NRL injury posts to inform you that Valynce Te Whare is still scoring length of the field tries. Petition to bring him back for Magic Round

Gout Gout is out til next year after suffering a hamstring injury at training! 😮 😱 He gave a detailed update - good news he should be fine getting back to top speed, but it could take him 2-4 months to do so! As always with hamstring tears the main concern is re-injury risk 🤕

I’m all for cracking down on poor tackle tech &amp; following framework when it comes to punishing high tackles, but “no mitigation” is laughable here. He was lower at a good tackle height but got swung around. Decisions like this will lose players and fans

Taniela Tuiaki did not play again after this tackle resulted in tibia/fibula fractures + ligament damage. A past example of the significant injury risk hip drop tackles can carry - recent NFL research suggests a 20X higher injury rate during HDT.

Oh look it’s my DM’s but in real life

Everyone, this is really good

Hip drop claims another one

I’ve been known to be critical of a high tackle or two, but Caslick getting yellow carded for this isn’t punishment driving behaviour change. Focus on technique for mine & her technique could not be much better here. Gone low with arms in a wrapping motion, super rough card

⚠️Warning Graphic⚠️ Horrible injury for Elijah Anderson - one of the clearest patellar tendon ruptures I’ve seen. Tendon below the patella (kneecap) completely tears, resulting in the patella shifting up above the knee. Surgery & 6+ months recovery ahead, thoughts with him

Considering the traumatic nature of the injury, near enough to best case news from the Storm on Ryan Papenhuyzen: - successful surgery today (1 plate/screws inserted) - expected back at training in the New Year Likely scenario - fibula fracture & ~ 3 months recovery

Penrith have indicated Nathan Cleary will require surgery on an open lower leg fracture in his left leg, as well as a stress fracture in his right foot. One of the most significant & complex injury situations we’ve seen this season - hopefully this helps answer a few questions.

Isaah Yeo is playing with a ruptured pec - avoiding surgery & returning just 4 weeks post injury. This isn’t really something that’s done in professional contact sport - finals injury stories are just crazy! Story via christian nicolussi

I’m all for cracking down on poor tackle tech & following framework when it comes to punishing high tackles, but “no mitigation” is laughable here. He was lower at a good tackle height but got swung around. Decisions like this will lose players and fans