McFadden's Lisfranc injury -- no surgery


McFadden's Lisfranc injury -- no surgery

UPDATE: Raiders coach Hue Jackson insisted at Monday's press conference that the foot injury to running back Darren McFadden will not require surgery.

The Raiders have termed Darren McFadden's injury a "foot sprain." NFL analyst Phil Simms said Sunday it's a "Lisfranc injury." For those of us without the expertise of an orthopedic surgeon, what does it mean in layman's terms?

Whether you believe Simms or are merely acknowledging that McFadden has missed six straight games, it's not a good situation.

According to Raiders coach Hue Jackson on Monday, McFadden -- who was off to the best start of his career with a 5.4-yard average before he was hobbled -- will not require surgery.

RELATED: Jackson disputes Simms' Sunday report

Ive been told that he has a midfoot sprain, which is just like a Lisfranc sprain, however you see that. Its the same. Its really one and the same. And I know one can require -- both can require surgery. Both can require you to be out several, several weeks. So I think theyre all in that same family. I just think how you describe it, based on one when you say Lisfranc, really means surgical," Jackson said.

"You got to go in and fix it right away in order to get it to heal properly. I think thats why when people hear that term I think everybody goes, Oh my gosh, thats what he has. No, he does not need surgery. That much I do know. You guys can write that. Darren McFadden does not need surgery.

Bottom line: If it is a Lisfranc injury, McFadden's injury could be season-ending despite Jackson's assurances to the contrary. At worst case, it could impact his career.

For reference, look no further than Texans QB Matt Schaub, who was placed on season-ending injured reserve and is scheduled for surgery following a Lisfranc injury in mid-November.

Similarly, Colts defensive end Dwight Freeney was sidelined for the rest of the 2007 season with a Lisfranc injury following Week 9. Same for former Dolphins running back Ronnie Brown, who sustained the same injury in 2009. Freeney has returned as a Pro Bowler; Brown has been consigned to backup status.

Then there's the case of Browns running back Errict Rhett. He suffered a Lisfranc injury in October 2000 and never played in another regular-season game.

Regardless of the severity, it's a good thing McFadden is a football player and not a member of the French calvary under Napoleon.

The Lisfranc injury dates to the days of the French general, and is named after field surgeon Jacques Lisfranc de St. Martin who specialized in amputation of the front part of the foot -- to prevent gangrene and get Napoleon's soldiers back into combat.

When soldiers fell from their horses, their feet would often get caught in the stirrups, resulting in a fracture of the mid-foot, where the long bones (metatarsal) are displaced from the smaller bones at the front of the foot (tarsus).

In football players, the injury is caused by a similar type of twisting-under-force move.

Treatment options do not always require an operation.

If it merely an injury to the ligament that holds the bones in place, immobilization in a walking boot is the most typical option. If the dislocation is slight, the injury can be treated by casting, with no weight allowed on the foot.

If an operation is needed, screws are used for internal fixation of the fracture. This could result in keeping the individual completely off the foot for 6-to-12 weeks.

LB Smith praises Raiders' turnover ratio, but wants much more

LB Smith praises Raiders' turnover ratio, but wants much more

SARASOTA, Fla. – The Raiders defense gave up 344 yards Sunday while beating the Jacksonville Jaguars.

That sum’s a season low, still way too many for Malcolm Smith. The Raiders weakside linebacker has higher standards, even after one of two solid defensive efforts in seven games.

“That’s still a lot of yards,” Smith said. “We’re not where we want to be.”

Just because Sunday was better doesn’t mean it’s good enough. The Raiders defense ranks last in yards allowed and 22nd in scoring defense at 25.6 points per game.

There’s a main reason why the Raiders aren’t dead last in both categories. Takeaways.

The Raiders have plundered the opposition this season 13 times in seven games. Special teams got one Sunday on a muffed punt, but the defense has been incredibly active stealing possession.

Reggie Nelson has a nose for the ball, with two interceptions and two fumble recoveries. Sean Smith and David Amerson have two picks each and Bruce Irvin leads the league with four forced fumbles.

Turnovers make all those yards allowed easy to stomach, and has kept the Raiders in several close games. The force big mistakes and don’t make many, proven with a plus-eight turnover ratio ranked No. 3 overall.

“It’s given us a chance to win some games, where you could just look at other statistics and say we wouldn’t have a chance.” Smith said. “That’s what the game is about, and us finding ways to compete. Hopefully we stay after it that way.”

The Raiders have stayed after it in the red zone, allowing touchdowns on just 50 percent of opponent trips inside their 20-yard line.

While big plays have brought wins and positivity to the defense, the season’s first half has been difficult for Raiders expecting more.

“It’s definitely frustrating,” Smith said. “You come into the year with all these aspirations and things you want to do. When it doesn’t go your way you have to stay after it, keep putting the work in and know it’s not going to be wasted. Hopefully we’re making strides and those improvements will show on Sundays.”

The Raiders believe the defense is close to being good, and has done a solid job masking issues with takeaways and timely production.

“Our team has done a great job of competing to win games,” Smith said. “If we keep doing that, everything will be fine.”

Del Rio pleased with Raiders' mature attitude towards 5-2 start

Del Rio pleased with Raiders' mature attitude towards 5-2 start

SARASOTA, Fla. – The Raiders were certainly happy they beat the Jacksonville Jaguars into submission. They jumped out to a strong halftime lead, played smart complimentary football and, at 33-16, ended up with a large margin of victory.

All, however, was not right with the world.

Derek Carr lamented settling for too many field goals. Latavius Murray wanted more efficiency from his runs. Defensive players saw progress in several deficient areas, still seeking greater cohesion and consistency.

[BAIR: Top 5 takeaways from Raiders' 33-16 win over Jaguars]

Sunday’s big victory over lowly Jacksonville was not a sign they've arrived. It was proof these Raiders remain a work in progress.

Records normally suffer with much to correct. These Raiders are 5-2, and feel better football’s ahead.

“That’s what is great about this team is that we haven’t played our best yet,” Murray said. “That’s a good feeling moving forward, knowing there are things you can get better at and you’re still 5-2.”

Winning while fixing things; that’s a coach’s dream. It’s also easier when players know it, that egos don’t expand and confidence doesn’t become arrogance.

“I like that part. I like the fact that we recognize it,” Raiders head coach Jack Del Rio said. “I’m certainly going to point it out. There are things that we have to do better. I think it’s healthy.

“You should enjoy the wins. You should feel good about the success. Take pride in it. We worked hard for it, but to have a healthy respect for what’s coming and the need to play better and the need to continue to grow as a football team as we go throughout the year. That’s a mature way to look at it, and I’m very pleased about that with a younger team.”

The Raiders are a confident bunch and have survived several games on guts, guile and turnovers -- a recipe for success with inconsistent production.

The Raiders defense believes it made strides in the Jaguars win, though there’s significant work remaining to be a decent defense. With the offense rolling, that’s all the Raiders need to be a top team. Defenders aren’t striving for decent. They want more, and believe that realizing potential could put them in position for a playoff push.

“This team has so much talent, with good coaches and good players,” cornerback David Amerson said. “The sky’s the limit. Once we all start clicking, we can go out there and beat teams 30-0. Once we get to that point, that’s when we can look towards the playoffs and things like that. We have just as much talent as any team in the league.”