#TyreseMaxey exits with a painful shooting hand injury | Doctor explains! #76ers #philadelphia76ers

76ers Tyrese Maxi exited late in the fourth quarter last night in serious pain with a shooting hand injury. Let's break this down. Take a close look at where Maxi grabs near that fourth and fifth metacarpal bone on his shooting hand. Notice how he opens and flexes the fingers and makes a fist long reming in pain. We'll discuss why this is actually reassuring. Tererry's takes direct thigh contact to the er side of that right hand compressing it into his torso and transmitting force through the ulner column. Immediately after the impact, notice the wrist position and alignment of the metacarpals and fifth digit. The fifth digit sits slightly flexed and drawn inward. And you see him grab that area even before he hits the floor. The wrist stays relatively neutral without violent hyperextension or flexion. As he falls, there's no foosh mechanism, meaning minimal ground force through the wrist, elbow, or shoulder. The fourth and fifth digits stay aligned and the hand maintains its structure rather than having been collapsed, making an unstable metacarpal injury or severe dislocation less likely. We also don't see rotational deformity or finger deviation, luring suspicion for a displaced boxer's fracture. He's even able to briefly close his hand into a fist, suggesting gross metacarpal alignment and flexor function are preserved. The impact lands directly on this region here. Fortunately, early reports suggest a sprain, which means X-ray did not pick up a fracture of these long bones, the ring finger or small fingers. A sprain suggests injury to stabilizing ligaments rather than the bone. Potentially the CMC ligaments at the fifth metacarpal base or the MCP collateral ligaments of the smaller finger. These often heal on their own and can sometimes be played through with taping or support depending on pain and stability. Something important that can be missed on standard X-rays lies just proximal to these metacarpals. The hammate projecting from its small hookshaped structure called the hook of the hamm which lies under the ulner palm and can fracture from direct compressive contact like this often requiring surgery to remove the fractured hook fragment and restore pain-free grip. Best case scenario this is a simple sprain which would only cause days to a week max. Bear in mind worst case a hook of handmade fracture often needs surgery costing 4 to 6 weeks. Wishing Maxi a safe and speedy recovery.