Always a Wasp

Author Topic: Michael Fatialofa  (Read 3511 times)

Nopace

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Re: Michael Fatialofa
« Reply #15 on: January 07, 2020, 04:53:02 PM »
VV do you want to post something in his thread on the warriors forum from us all?


backdoc

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Re: Michael Fatialofa
« Reply #16 on: January 07, 2020, 05:04:06 PM »
If he has no fracture or dislocation, then the injury is either compression or hyperextension. These tend to cause 'central cord syndrome' whereby the recovery is better in the legs [and bladder/bowel/sexual] than it is in the arms/hands. The cord continues to swell post operation hence the understandable pressure to 'decompress' which is not of proven benefit.

Some will make a complete or near complete recovery - this is not predictable at this stage. In the first 48 hrs or so the cord can shut down completely [spinal shock] and then there is a sequential recovery, so having no sensation in the first 1-3 days is not necessarily a sign of catastrophic injury.

Thankfully these injuries are relatively rare on a rugby pitch.

If a cord injury occurs on a pitch and is associated with a dislocation or a fracture, compressing the cord, the surgeon has less than 6 hours to decompress and stabilise the spine - i.e. the cord will 'die' if denied oxygen for 6 hours. Everytime I see the 15-30 mins spent on the pitch side i feel like I am going to have a stroke. Check the airway, put on the hard collar and get them to hospital. It takes an hour to do an MRI, probably 30 minutes to get a CT, and then there is the equipment to organise, careful intubation, and often a combined anterior and posterior operation is needed before the cord is decompressed. Anyone with a neck/spine injury and a neurological deficit that needs urgent surgery, needs to be in an operating theatre within 4 hours.

Vespula Vulgaris

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Re: Michael Fatialofa
« Reply #17 on: January 07, 2020, 06:01:21 PM »
VV do you want to post something in his thread on the warriors forum from us all?

That's a good idea, I tweeted on Warriors thread about it from this site, but a post there is a great suggestion. I'll get on to it right away!
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Vespula Vulgaris

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Re: Michael Fatialofa
« Reply #18 on: January 07, 2020, 06:06:56 PM »
Bacdoc, that's facinating, I didn't know there was a 6 hour window, I assumed once the cord was damaged that was it.
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backdoc

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Re: Michael Fatialofa
« Reply #19 on: January 07, 2020, 08:22:01 PM »
The difference is between primary injury - the impact, and secondary injury caused by compression/ischaemia [poor blood flow].

BG

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Re: Michael Fatialofa
« Reply #20 on: January 08, 2020, 11:46:02 AM »
Thank you VV on my behalf for posting on their site and thank you backdoc for explaining (although I'm whincing reading your explanations).

Didn't a Saints player suffer something similar last season against Tigers?

He chased a kick-off and miss-timed his tackle..

I'm struggling to think of his name.. I think he was a centre (australian?) .. he ended up with limited mobility on one side of his body.


AKWasp

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Re: Michael Fatialofa
« Reply #21 on: January 08, 2020, 11:55:03 AM »
Thank you VV on my behalf for posting on their site and thank you backdoc for explaining (although I'm whincing reading your explanations).

Didn't a Saints player suffer something similar last season against Tigers?

He chased a kick-off and miss-timed his tackle..

I'm struggling to think of his name.. I think he was a centre (australian?) .. he ended up with limited mobility on one side of his body.

Rob Horne got a brachial plexus traction injury- what most players would call a stinger. Happens when the nerves by your bicep get pulled (often by tackling or in the front row). You’d get tingling/weakness in the affected arm for a few minutes/hours but normally resolves fully. Horne has his nerves pulled so hard they sheared away and lost contact with the spinal cord.

backdoc

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Re: Michael Fatialofa
« Reply #22 on: January 08, 2020, 01:19:41 PM »
Rob Horne was treated in my hospital. A brachial plexus injury means the nerves have been avulsed [pulled out] of the spinal cord. They don't recover.

A stinger is a lesser injury but same mechanism [more or less].

Vespula Vulgaris

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Re: Michael Fatialofa
« Reply #23 on: January 13, 2020, 11:59:17 AM »
Apparently his breating has eased, (which should give us a clue to the level of the injury) and he can now wiggle his toes.

I'm taking that as a good sign as there is clearly some signal getting through.
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Heathen

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Re: Michael Fatialofa
« Reply #24 on: January 13, 2020, 08:32:02 PM »
Really frightening stuff. Unless you know something about the structure of the spine, you cannot appreciate the complexity and urgency of the need to act PDQ.

As Backdoc knows, I underwent surgery in November for spinal decompression. I was down to 10 minutes walking before my feet started to go numb. There is a point of no return. Thankfully post op all is well and I have made a full recovery.

Nopace

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DGP Wasp

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Re: Michael Fatialofa
« Reply #26 on: February 04, 2020, 01:51:48 PM »
Further update.  Now being moved to a specialist spinal unit from St Mary's.
https://www.bbc.co.uk/sport/rugby-union/51369176

A fundraising page has been set up by the RPA's Restart charity.
https://www.justgiving.com/campaign/michaelfatialofa

A long road ahead.   Very best wishes to him and his family.

Brandnewtorugby

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Re: Michael Fatialofa
« Reply #27 on: February 04, 2020, 11:28:12 PM »
Yep, thanks for sharing the article, hope he can progress in what appears to be a new phase of treatment.

Brandnewtorugby

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Re: Michael Fatialofa
« Reply #28 on: March 20, 2020, 10:54:45 PM »

Vespula Vulgaris

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Re: Michael Fatialofa
« Reply #29 on: March 20, 2020, 11:29:02 PM »
Wow, faster than Ashton by the looks of it...
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