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Hassan Whiteside, Injuries And Responsibility

Kings rookie Hassan Whiteside struggled with an injury all season that was eventually called a torn patellar tendon, requiring surgery. The Bee's Jason Jones did an update on Whiteside this weekend. Paul Westphal has this quote about Whiteside playing on the injured knee:

"A young player has to understand the difference between pain and injury," Kings coach Paul Westphal said. "You have to give Hassan credit for trying to play through the pain but you have to know the difference."

Uh, what?

Star-divide

The difference between pain and injury is revealed through a medical process, not by feel. Sure, a lot of people can tell when they are sore vs. when they are hurt. Physically active folks do this all the time. Athletes do this all the time. But if this kid -- this 20-year-old -- had a torn patellar, you'd think the Kings' medical staff would have known.

***

Let's look at the timeline.

October 5, 2010: Whiteside sits out the Kings' first preseason game with a strained patellar after missing a number of practice.

October 2010: Whiteside appears in some preseason games and plays two minutes in the team's regular season opener.

November 29, 2010: Whiteside assigned to Reno.

January 9, 2011: Whiteside recalled from Reno.

February 2, 2011: Kings report Whiteside has a partially torn patellar and will miss two weeks.

March 4, 2011: Whiteside has surgery to repair partially torn patellar.

***

So the injury happens in October, and he has surgery in March. Where along the way was Whiteside -- not a doctor, in case you're wondering -- supposed to realize that his knee was more than "sore," that it was "hurt?" He was able to play, after all. The Kings' medical staff obviously evaluated him a few times. But where's the responsibility lay? With the player to figure out his own body? Or with the docs, trainers and coaching staff?

Does Geoff Petrie hold some responsibility for shipping Whiteside to Reno when not fully healthy?

Should Westphal be laying blame on a 20-year-old kid for "letting" his strained knee become a torn tendon?

Isn't this all a bit ... weird?

I flag this with a vivid memory of the franchise doubting Kevin Martin's ankle injury (turned out to be bone chips) at the end of the 2008-09 season, and the weirdness surrounding the conflicting reports from the Kings and Team Tyreke on the severity of Evans' plantar fasciitis. (The Kings went out of their way to refer to it as "mild plantar fasciitis" in all press releases and announcement.) I don't think the Kings are bad at this or intentionally want their kids hurt. But there seems to be a bit of a pattern here.

Comment 34 comments  |  5 recs  | 

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Probably one more sign of dysfunctionality.

Who is responsible? Where is the source of these problems? The Maloofs? Petrie? The medical team? Westphal?

Bleeding Black and Purple 6710 miles South East of Sacramento.

by ZenBaller on Jun 20, 2011 6:40 AM PDT reply actions  

They pre-date Westphal.

But based on the quote above, he’s not helping.

It can’t have anything to do with the Maloofs, other than the fact that the top of basketball ops hasn’t been held accountable over the last, uh, decade.

by Tom Ziller on Jun 20, 2011 6:45 AM PDT up reply actions  

Ugh.

My growing concern about Geoff Petrie’s interest in running the Kings as a franchise rather than just the basketball roster continues.

by Citadel 29 on Jun 20, 2011 6:41 AM PDT reply actions   1 recs

Yes this is what makes more sense after all these years.

Petrie is a brilliant judge of player potential but he doesn’t seem able to run the organization as a whole.

Bleeding Black and Purple 6710 miles South East of Sacramento.

by ZenBaller on Jun 20, 2011 7:02 AM PDT up reply actions   1 recs

Ability to run the organization or the desire?

Either way, I agree with you. What we’re seeing from this management team the last few seasons (outside of the draft) is troubling.

"Grant is a genius." - section214 - 5/17/11

by otis29 on Jun 20, 2011 8:30 AM PDT up reply actions  

Yes.. I dont have an answer to that.

You know, I’ve been more deeply involved with the Kings news the last decade but I never wondered what’s Petrie’s age until someone here recently mentioned he is 63. I was wordless, he looks amazing for his age externally. But I guess not internally anymore. He should be given a more laid back scouting position to share his player skill judging wisdom.

Bleeding Black and Purple 6710 miles South East of Sacramento.

by ZenBaller on Jun 20, 2011 9:46 AM PDT up reply actions  

If someone has to be blamed I'd go with the medical staff

Westphal’s comments really have no place here. It seems they’d apply more to veteran players on a contending team in the playoffs rather than a rookie. The post season seems to be the time and place for possibly stubbornness when it comes to injuries. But a rookie on a lottery team should have the medical staff saying he shouldn’t play.

"What the fuck did I do?" - McNulty

by vfettke on Jun 20, 2011 6:49 AM PDT reply actions   1 recs

The Maloofs have been cutting costs everywhere to save a buck

…Meanwhile, it seems Petrie has been very lethargic to this situation in recent years. The blame goes everywhere, but it always starts at the head. I sure hope the Maloofs actually put some spending effort into this franchise, this season, but I highly doubt that, due to their recent selling of the Palms.

by CloudyEyes on Jun 20, 2011 7:06 AM PDT reply actions  

Hey I thought my first marraige was only strained

and that too was after consulting several experts.

"Victory goes to the player who makes the next-to-last mistake."
- Chessmaster Savielly Grigorievitch Tartakower

by lietothegirls on Jun 20, 2011 7:31 AM PDT reply actions  

It is not always that simple

The first injury on Sept. 30 was a strained patella which probably did not show up on any imaging. The medical staff is entirely dependent upon the person’s description of the pain to determine the severity of the injury and whether or not it is healing. As a person who has had an injury that could not be seen in imaging, I can tell you that it is difficult to articulate exactly how you feel…and very frustrating when they can’t find anything wrong and/or you feel that you are being mis-diagnosed.

For two years, all they could say is “well, go 2-3 weeks withough physical activity and see how it feels.”

by markdog333 on Jun 20, 2011 7:51 AM PDT reply actions   1 recs

Not a mis-diagnosis

I don’t take this as something where Coach Westphal is in the wrong. My understanding of the article is that Whiteside had a sprained patellar tendon which escalated to torn tendon as a result of coming back when it wasn’t fully healthy. With a tendon sprain/strain, the doctors have to rely on a good patient to tell then when they are feeling well enough to rehab and start playing again. On top of that, rehab is going to hurt. But it will hurt when they are healed as well as when they aren’t. It’s a very difficult tension for a rehabbing athlete.

I actually got the very same lecture from my track coach when I had a strained hip flexor. In a dual meet, I pulled up lame in the middle of the 300 meter hurdles because of a strain—an injury I had dealt with off and on over the previous few weeks. With another race an hour or so later, I spent the entire time stretching and loosening my hip flexor. My coach asked me three times if I was sure I could race the 200 meter dash and everytime I said yes. Halfway through the race, my hip flexor tore away from my hip, breaking my growth player and taking a piece of my hip bone with it. But because of the memories of coaches telling me to play through pain, voices reminding in the back of my head telling me I was soft, I finished the race, hobbling the rest of the way. Just like Hassan, I felt I had to prove these critics wrong, playing through pain. But it was my fault that I didn’t listen to my body, not the doctor or my coach.

And I respect Hassan for trying to work through his pain, but I also respect Coach Westphal for trying to help Hassan understand that sometimes you can’t play through the pain. I’ve had coaches on both sides of it and as a result of being pushed too far by one coach, I had to have surgery on both my shoulders which have never since been the same.

Disclaimer: I apologize for any typos or weird sentences. This was all typed on my iPhone.

by nobodyinparticular on Jun 20, 2011 8:04 AM PDT via mobile reply actions   3 recs

You really begin to doubt yourself too

when they can’t find anything. Even when no one is telling you to fight through it, you feel like maybe it is that bad; maybe you can push through it.

by markdog333 on Jun 20, 2011 8:09 AM PDT up reply actions  

Sprains are the worst when it comes to this.

It can be very subjective from the outside, but on the inside it is black or white. Things start to feel better, but the connections aren’t all fully made yet, and POP, you’ve got a tear.

"Cousins is the Blaster to Evans’ Master, the Hammer to Evans’ Sickle"- HP

by tomroadrunner on Jun 20, 2011 2:23 PM PDT up reply actions  

This is a well written post, though I disagree entirely

When we are talking about assets of a professional basketball team (this kid is scheduled to make $788k this season), the team needs to protect that asset. They shouldn’t just be saying “oh well, the player needs to understand his body better”.

That’s the biggest difference in your scenario. The Sacramento Kings have a decent sized financial investment in this kid – not to mention a player with seemingly vast amounts of potential. I’d say you have to be invested a bit more in ensuring the player’s health than asking the player (who is quite likely going to try to play through pain) to put on a doctor’s hat.

If anything, the results here tell us who’s at fault, in the context of a professional sports environment.

"Grant is a genius." - section214 - 5/17/11

by otis29 on Jun 20, 2011 8:36 AM PDT up reply actions   1 recs

This is something Westphal had to learn the hard way too

If I remember right he ended up blowing out his knee in college.

by markdog333 on Jun 20, 2011 9:54 AM PDT up reply actions  

that's the issue

Some conditions aren’t are as medically obvious as others - if the patient isn’t complaining of any symptoms.

Presumably the difference between a strained and whatever is less serious than a torn tendon is largely dependent on what feedback you’re getting from the patient him/herself….my point being if Whiteside was holding back how bad it felt, and the condition was treated accordingly, perhaps there wasn’t anyting else they could see and/or do other than rest.

by WhentheKingswinyouwin! on Jun 20, 2011 5:49 PM PDT up reply actions  

Is that what PW is doing?

Or is he deflecting blame from the Kings organization and focusing the blame for this injury going undiagnosed on the player. I just don’t see how making media statements of this kind help a player.

I didn't major in Common F-cking Sense, but ...

by MustangMBS on Jun 20, 2011 9:53 AM PDT up reply actions  

A professionally run organization should do better

The history is troubling. Deriding Kevin Martin to find out later that he had bone chips in his ankle. Then acting like he was faking an injury when it turned out that he actually had a fractured bone. Giving him no credit for playing through it as long as he did.

If I was a player seeing how others were treated when injured I would do everything I could to play through it. The Kings have to take responsibility for how they have treated injured players in the past, which isn’t well, and understand that players are stupid. They will get the point that there career as a King may be in jeopardy if they are injured.

I didn't major in Common F-cking Sense, but ...

by MustangMBS on Jun 20, 2011 9:50 AM PDT reply actions  

Just a thought but

don’t we want to know a bit more about torn patellars before blowing up a quote like this? To be honest I thought the main way they diagnose a strain or mere partial tear is from seeing how painful it is to extend your knee. I thought x-rays had difficult time finding small tears there.

by wallywagon11 on Jun 20, 2011 10:09 AM PDT reply actions  

They have much better technology now

They don’t use x-rays at all. They have highly developed ultrasound and CT technology that can see everything. This kind of injury would get found using those diagnostics.

I didn't major in Common F-cking Sense, but ...

by MustangMBS on Jun 20, 2011 10:22 AM PDT up reply actions  

Injury confusion is a problem everywhere, not just here

This sort of thing happens all the time around the sports world, specifically in the NFL. There are so many different things that can happen to a body that it’s hard to catch everything, it doesn’t necessarily mean that we have inept doctors or don’t use the technology available. Of course in hindsight, it’s easy to say “oh yeah, this is what we should have done”

I actually have a slightly strained patellar tendon right now, and some days it feels perfect. With rest and stretching, it’s supposed to go away. Hassan (to me, anyways) doesn’t seem like the sharpest tool in the shed, and I could see his knee getting better, and when it was getting painful to just go through it and not tell anyone. This absolutely sounds like a rookie mistake, especially coming from someone who earlier claimed that he has never really been injured before.

Because this happens all the time in sports, I don’t think you can say “this has happened a few times over the last 3 years, so there must be an issue.” I think it would be a bit silly to think that this indicates a pattern. If so, you’d have to look at every medical staff everywhere. Sure, there are some teams that don’t go through this kind of thing, but those are most likely the franchises blessed with few injuries.

Phil Jackson, after treatment for a kidney stone "When the anesthesiologist leaned over me, he said "We named your kidney stone Kobe because it's not passing."

by Ellimist on Jun 20, 2011 12:49 PM PDT reply actions  

I'm not a doctor but...

I am in medical school. For the record a sprained patellar ligament IS A TEAR! It is a partial tear. The grading of strains and sprains go on a scale of one to three; One being a slight separation of the fibers, two a partial tear, and three a complete rupture. Practicing on a injury can worsen the damage. Also, on a side note the band of tissue from the quadriceps muscle to the patella is best called the patellar tendon, the portion from the patella to the tibia is best described as the patellar ligament It is the ligament that is most commonly injured. Also, tendons are strained, and ligaments are sprained as a rule.

Adoptive father of Caleb Hous.... hous... housyourdaddy?

by OmahaGiants on Jun 20, 2011 1:55 PM PDT reply actions  

Hmm...

 This fits in with what I have heard, that to heal even a mild injury of this sort requires immobilizing the leg for quite a while because otherwise it won’t heal and is very likely to worsen, separate further or even rupture, if left untreated.

So, this was a potentially serious injury that went untreated and that should not have been playing on at all. I don’t think it is too far of a stretch to say it went untreated and worsened because of that.

I don’t know that it should have been left to a rookie to make any decision without having a fairly extensive medical review of the situation and some kind of treatment provided or offered. I suppose that could have happened, but it sure doesn’t sound like it did………..

I didn't major in Common F-cking Sense, but ...

by MustangMBS on Jun 20, 2011 3:53 PM PDT up reply actions  

For all we know

He hurt the knee is training camp, they told him to stay off of it for a few weeks, hedid, then when he came back he reaggravated it but downplayed it.

by wallywagon11 on Jun 20, 2011 4:11 PM PDT up reply actions  

That is a possibility.

I didn't major in Common F-cking Sense, but ...

by MustangMBS on Jun 20, 2011 4:16 PM PDT up reply actions  

It is kinda scarry to think that Whiteside had a torn patella tendon

and the Kings training staff had no clue. That is very troubling. Are there no Doctors on the Kings medical staff? This is very worrisome. I am hoping that this trend does not continue. Is there a problem with the Kings training staff and Medical staff?

Another year, another chance to hope for the team !!

by FaStRmAn on Jun 22, 2011 11:21 AM PDT reply actions  

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