Mark Ingram Back for Penn State?
The general thinking on Mark Ingram's knee injury is that he will probably miss a couple of games but will likely return in time for the Tide to make the road trip to Fayetteville to take on Arkansas. But could he possibly return for the Penn State game? Perhaps that will not be the case, but one sports injury guru thinks it will happen. We bounced message back and forth with Will Carroll on Twitter yesterday afternoon, and he replied:

Interesting stuff, huh?
Now, admittedly Carroll turns off a lot of people because he does have a bit of an abrasive personality at times and some cannot get past the Pete Rose incident a few years back, but I've been a longtime reader of his "Under The Knife" columns at Baseball Prospectus, and I can attest that Carroll indeed knows his stuff on sports injuries. His book is widely considered a must-read for those looking for solid information on common sports injuries. Moreover, he has quite a few contacts throughout the sporting world, and given that this surgery was performed by two high-profile surgeons with a laundry list of superstar athletes on their surgical resumes, it's possible he could know something the rest of us don't. At the very least, if someone like him is saying definitively that Ingram will be back in time for the Penn State game, well, it's something that you at least ought to consider.
As an additional point, I'll keep beating my dead horse on injuries in college football... we never really know the exact nature of the injury, and not only do coaches have no incentive whatsoever to openly disclose injury details with complete honesty, they have every incentive imaginable to be as deceptive as humanly possible. All we ever get is blanket, ultimately useless statements by coaches, like "Player X banged up body part Y yesterday and had surgery," all the while completely omitting the countless number of ways that the aforementioned body part Y could be injured, or the countless number of treatment options available to treat body part Y.
So, in the end, we really don't know what happened here. We know he hurt his knee, but we don't know how he injured it (nor did we even know which knee he injured until late this afternoon). And not only do we not know the severity of whatever he injured in whichever knee, we do not know what was done medically to correct whatever injury he suffered (if anything). All we really know is that he had arthroscopic knee surgery, but keep in mind that arthroscopic knee surgery is a minimally invasive procedure that at times is used purely for exploratory purposes.
I've speculated that he probably injured his meniscus in some manner, and in that regard perhaps his knee was just scoped, they saw no damage, and now it's just a matter of time waiting on the scars to heal and the post-surgery swelling in the knee to reside before he is good to go once again. Keep in mind that all Saban said was that Ingram would miss the San Jose State game, and made no guarantees beyond that. And, thinking from a coaches perspective, if there was no real damage here and Ingram will indeed be good to go by the Penn State game, why try to rush Ingram back into action in a meaningless game against a cupcake, and why advertise to the world -- and the Penn State coaching staff -- that Ingram will play next Saturday? Again, he has every incentive not to do either one of those two things.
Now, maybe that's all not the case. Perhaps this injury will indeed keep him out until the Arkansas game, I'm not directly claiming otherwise. My point, though, is just that we never really know the full situation behind injuries, and we literally know absolutely nothing of substance here. Yes he could miss a few weeks if there was some structural damage to the knee, but we don't know if that was the case or not, and it could have just as easily been that there was no real structural damage and Ingram will be ready to go against the Nittany Lions. Truth be told, we really have no definitive way of knowing one way or the other based on the complete lack of information we have.
In any event, for what it's worth, to close, Trent Richardson expressed some hope for the exact scenario while talking with the media yesterday after practice, confirming it with just six words:
Hopefully, he'll just miss one game.
If nothing else, it's hope.
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Minor and pointless correction:
We know that it’s the left knee. Pretty much anything beyond that is, as you say, pure speculation.
Just saw that...
… and I’ve edited accordingly.
"Underlying most arguments against the free market is a lack of belief in freedom itself." -- Milton Friedman
by outsidethesidelines on Sep 1, 2010 12:29 AM CDT up reply actions
I know I'm no Mark Ingram...
…but last year during a flag football game I got moved inside from TE to G. Some point early in the game I remember taking a knee to the outside of my left knee. When it happened I remember it because I thought there was about to be a direct knee on knee collision, but instead his knee just grazed mine. I didn’t miss a beat playing corner and o-line the rest of the game (yea, I know those two positions really go together!)
The next morning I could barely walk and it took me a few hours to actually remember what could have caused it. Fortunately our next game was rained out as it took almost a week before the soreness was completely gone.
I said all that to say this, it could very well be not much of anything.
by Derick McCormick on Sep 1, 2010 4:40 AM CDT reply actions
Regardless
To how he heals, I doubt he’ll play in the Penn State game either way. I’m no genius, but I think his situation will be handled as “better safe than sorry” so even if he is possibly cleared for Penn State then I would doubt him to really see any significant playing time – unless by some chance he was desperately needed. I really believe the Arkansas game has got to be the coaching staffs target for him to be back up to full speed again. I think as long as Richardson and Lacy can keep things rolling then there should be no rush for Ingram to hop back in as long as he’s not desperately needed. Just my thoughts
It's not the will to win, but the will to prepare to win that makes the difference.
-Paul "Bear" Bryant
by bamalover on Sep 1, 2010 5:28 AM CDT via mobile reply actions
Great news!!!!
I’m glad that Dr. Carroll can give us this prognosis after his careful evaluation of Ingram’s knee and intimate knowledge of the surgical procedure!
i'm sensing your sarcasm
The beauty of The Process is that you have never arrived, so you get to continue being perpetually awesome... -Espyonage
Being a nervous nellie here...
but the real danger for Ingram is now infection, which is of course why Brady took so long to rehab his knee a couple of years ago. If no infection, Penn State will be in all likelyhood a safe return date. If not….
"It's not the size of the dog in the fight, it's the size of the fight in the dog." - Bear Bryant
What??
I don’t think infection is a major concern for an arthroscopic procedure. I mean, sure it could happen, but not very likely I don’t think.
News isn't so bad
Hey everyone. First time posting but I’ve been reading the blog for a while. I work in the medical community and have some knowledge about these kinds of procedures. This really is a MINOR procedure. He probably had a menisectomy which is where they go in and scrape out some of the cartilage. Basically clean out the knee and give the cartilage a nice smooth surface. For athletes of this caliber generally two weeks is all that is needed for recovery. Infection rates for this surgery is extremely LOW. Dr. Cain/Andrews have excellent infection rates and St. Vincent’s is a great hospital. I should know (hint,hint). Sure he may still have some soreness and swelling at two weeks but these kinds of athletes are accustomed to playing through a little pain. The medical staff can “do” things before and during the game to control the swelling and pain. Put it this way, if he was making millions of dollars in the NFL, he would be playing again in two weeks. Being that he is a college student/athlete could mean that they will be more conservative with him but with Penn State coming up I seriously doubt it. I think Coach Saban is looking at Penn St as the real season opener and probably wants all hands on deck by that game. Just my two cents worth. And if anyone is wondering about my credentials, I am a physical therapist. I’ve seen plenty of athletes with this same very condition. Trust me, NFL players have this same procedure on a Monday after their last game right before a bye week so they won’t miss any games.
I feel better.
"Sympathy has expired Longhorns" WallaceWade04
"We are certainly not worried about Alabama until we play them" Urban Meyer
"We should have known" Pete Carroll
by The Voice of Reason on Sep 1, 2010 8:20 AM CDT up reply actions

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