JOHNNY BOYCHUK INJURY Skate To Face Explained By Dr. Chris Raynor

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The Johnny Boychuck injury. Why a skate blade to the face is a bad thing. How we got injured,
what was injured, how his injury was treated, and what this means for his future in hockey.
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cf0 Now, let’92s get on the topic in the day.
cf0 Johnny Boychuk is a defenceman for the New York islanders NHL hockey team. He was
injured on Tuesday, March 3 of 2020 while playing in a game versus the Montr’e9al Canadiens.

So what happened to Boychuk? During the third period of the game at the
Barclays Centre in Brooklyn, Boychuck was injured in an incident with Montr’e9al Canadiens
forward Artturi Lehkonen. Both players were tussling in front of the Islanders net at
the time of the injury. It appeared that Boychuck pushed Lehkonen from behind causing Lehkonen
to lose balance. As Lehkonen fell forward to the ground his right leg and skate came
up into the air behind him. Unfortunately, Boychuck was bending forward at the same time.
As Boychuck continued to bend forward Lehkonen’92s right leg and skate continued up backwards
into the air. Lehkonen’92s skate blade caught Boychuck in the face as Boychuk bent forward.
Upon contact, Boychuk recoiled backward. It was not immediately clear where the skate
blade had struck Boychuck. He immediately fell to the ground covering the left hand
side of his face. After a short period of time on the ground Boychuck immediately got
to his feet and skated off the ice.
On a replay from another angle we can see that the skate blade strikes the left hand
side of Boychuck’92s face in the area of his cheek and continues on to strike him on
his left eyebrow. The video also shows that this was no grazing blow, as Boyd shack’92s
face was struck with some degree of force by the skate blade. After a brief moment on
the ice, Boychuck wastes no time in getting up and skating directly off the ice. He bypassed
the bench and went straight to the dressing room. He was taken to the Emergency Department
urgently, where he was assessed by the attending physician. At this point we do not yet know
what the specific injuries that Boychuck has suffered are. However, we can speculate about
what might have happened by making some observations. If we look at the video, we can see that Boychuck’92s
face is struck with some force by the skate blade. So we might expect that he may have
suffered a laceration or lacerations, as well as possible fractures of the cheekbones or
of the orbital brow. It is also possible that he may have suffered a closed head injury
such as a concussion as a result of the contact. As Boychuk immediately covers the left-hand
side of his face we are unable to see the exact injuries that he has suffered. However,
immediately after being struck by the skate blade we do not see any obvious deformities
or alterations of the facial structure which suggests that that either there are no fractures,
or if there are fractures present that they are relatively minor or at least undisplaced.
In addition, we do not see a significant pool of blood on the ice or a significant stream
of blood through his hands as he skates off the ice. This leads us to believe that there
have been no lacerations to significant blood vessels or vascular disruptions with this
How was his injury treated? In the emergency department, Boychuck was
assessed by the attending physician. The physician would have performed a detailed history and
a physical examination. If there were concerns of fractures or associated closed head injury,
then Boychuk would also be assessed with radiographic and possibly even computer tomography imaging.
As with all lacerations, Boychuck would’92ve received tetanus toxoid, to prevent tetanus
or lockjaw, as well as treatment with intravenous antibiotics, to prevent cellulitis and a generalized
wound infection. After this, Boychuk would have undergone an irrigation and a debridement,
in order to wash the wound, and remove any dirt, contaminants, foreign bodies, or bacteria
from the wound. Once clean, the wound would be closed with sutures or skin glue, depending
on the size and the severity of the laceration. If the laceration was relatively minor, all
of this could be done in the emergency department by the attending physician. However, if the
laceration was particularly bad, or involved critical structures such as the lip, the nose,
or the eyelids, then treatment might require the expertise of a plastic surgeon and or
an ophthalmologist for closure and subsequent treatment.
So what injury did Boychuk suffer?
The following day on March 4 of 2020, the New York islanders general manager Liew Lamoriello
issued an update on Boychuck’92s status. He stated that Boychuck had been treated urgently
by a plastic surgeon after his admission to the hospital, and stated that fortunately
there was no damage to Boychuk’91s eye itself. He stated that Boychuk had suffered an isolated
laceration to his eyelid which subsequently required 90 stitches to repair. Given the
location, size, and severity of the laceration, the irrigation and debridement with subsequent
suture repair had been performed by a plastic surgeon.
cf0 Typically, lacerations around the eyes affect primarily the eyelids rather than the
eyeball. When the skin around the eye or on the eyelid has been cut, usually stitches
are required. When possible, stitches that are near the edge of the eye lid are best
placed by an ophthalmologist, a specialist who evaluates and treats eye disorders, to
ensure that no deformities develop that will affect the way that the eyelids close and
move over the cornea, or the front of the eye. Other eye injuries that may require treatment
by an ophthalmologist include injuries that caused the eyelids to droop, injuries that
go through the entire thickness of the eyelid, or injuries that affect the tear ducks. Of
the lacerations that affect the eyeball itself, most are superficial. Some cuts, however,
go through the white of the eye, the sclera, or the transparent dome on the front surface
of the eye, the cornea, thereby penetrating the eyes interior. These injuries are technically
considered to rupture the eyeball or globe. A rupture of the globe may also be caused
by a blunt force. Patients presenting with a ruptured globe typically have decreased
vision. The eyeball itself is often visibly distorted, and the pupil may be shaped like
a teardrop. Occasionally, fluid will leak from the eye. Excessive bleeding under the
conjunctiva, the thin mucous membrane that covers the cornea, is sometimes a symptom
of a ruptured ruptured globe. Eyeball lacerations can cause serious damage to the structures
required for vision and substantially increase the possibility of an endophthalmitis, or
eyeball infection. Laceration to the globe requires immediate evaluation by an ophthalmologist.
CT is typically performed to confirm the diagnosis, and to rule out the presence of any foreign
material inside the eye or the presence of any further damage around the eye. Interestingly,
even after all possible medical and surgical treatment has been performed, serious eyeball
laceration may still result in partial or total loss of vision. In rare occasions after
a severe eyeball laceration or eye surgery, the other eye may also become inflamed in
a condition known as sympathetic ophthalmia, which may result in partial loss of vision
or even blindness in the other eye, if left untreated.
cf0 Fortunately for Boychuck, it appears that his injury involved only the eyelid,
and did not involve any additional structures. He is expected to recover without any significant
deficits following this injury. At this point, there is no timetable for his return. In a
season that seems to be plagued by this type of injury, this is already the Islanders third
skate blade injury of the season, that includes not only Johnny boy checks injury, but also
Casey Cizikas’92 leg injury, and Cal Clutterbucks wrist injury. For more on Cal Clutterbuck’92s
injury be sure to check out my video on that topic. I’92ll leave a link in description
below. Even more odd, is the fact that this is not Johnny Boychuk’92s first skate blade
injury. Approximately one year ago, Johnny Boychuk was injured in an incident when he
was struck in the neck by a skate blade in a game against the Toronto Maple Leafs. In
that incident, he suffered only minor injuries, and he was able to return to the game to continue
play after being treated in the dressing room.
cf0 So what does this mean for Boychuk in the future?
pardpardeftab560slleading20pardirnaturalpartightenfactor0 cf0 In the short term, Boychuck will undergo
close follow up with his plastic surgeon. His surgeon will monitor him for healing of
the laceration and for any signs of developing infection. The suture repair will likely involve
at least some non-disposable sutures, and these will need to be removed by the plastic
surgeon once healing of the laceration has been confirmed. For facial lacerations, this
is usually in 7-10 days. Once healing of the laceration has been confirmed, and an ophthalmologist
confirms that there are no issues with his eyes or his vision, Boychuk will likely be
cleared to return to training and competitive play. In the future, Boychuck may be required
to wear additional protective equipment when playing hockey. Despite the fact that Boychuck
was wearing a visor, it was still possible for him to be injured by the skate blade since
the blade approached his face from below rather than from in front or above. Consequently,
a lower visor or additional protection may be necessary.
Fortunately for Boychuk, his injury was not
too severe, and it looks as though he will return to playing hockey without any significant
problems, making him one of the luckier players who have suffered such an injury this season.
For more videos on injuries that were caused by skate blade lacerations, be sure tof check
out my other videos on Cal Clutterbuck, Tucker Tynan, but Ilya Mikheyev. I’92ll put a link
to those videos in the description down below.
Be sure to like, share, and subscribe. As always, that’92s been a word from Dr. Chris,
not your every day ortho.}

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