This is a guest post by Bloody Elbow community member NickPT, a practicing physical therapist with 25 years of experience treating musculoskeletal injury. Follow him on Twitter @MMAinjury
So the fight card that I decide to skip has some of the most hideous, puke-inducing injuries in years. I would have been in Twitter nirvana had I been watching... oh well, there's always next time. I have been waiting for a reason to post pictures like this, so here goes...
He suffered an open fracture dislocation of the great toe, which appeared to involve the interphalangeal joint of the toe- the one at the middle of the toe. He was taken to a local hospital, where he had the dislocation repaired and the fracture wound closed. He posted this post-procedure picture on Twitter.
Got my big toe back intact :) twitter.com/JonnyBones/sta…— Jon Bones Jones (@JonnyBones) April 28, 2013
At this point, I am assuming that this was a dislocation only, and there was no other bone fracture that would have required hardware to repair. There is some controversy swirling on Twitter with a couple of doctors that follow MMA. The problem seems to revolve around the facts that (a) Jones continued walking on the foot with an open wound that is potentially exposed to infection, (b) he wasn't taken immediately to the hospital for surgical repair, and instead continued with the post fight proceedings, and (c) that the repair was apparently done in the ER, instead of the operating room.
Who's makingmedical decisions at UFC? Why was he at press conference wasting valuable time? Remember treatment Louisville's Ware got?— Dr. Johnny Benjamin (@DrJCBenjamin) April 28, 2013
Jones' should have been in hospital on his way to surgery for wash out, antibiotics & pinning. Think NCAA tourney Louisville's Ware— Dr. Johnny Benjamin (@DrJCBenjamin) April 28, 2013
On the point of surgery specifics, and whether the fracture should have been cared for in ER vs OR, I completely defer to the opinions of orthopedic surgeons. However, what is not known is if an orthopedic physician was involved in caring for the injury in the ER. Also, there is no information regarding possible ligament injury to the toe, which is a possibility given the traumatic nature of the injury.
Regardless, Jones is now on crutches, likely with no weight bearing on the foot for a few weeks, and immobilization of the toe to prevent movement and allow for healing. Rehab of this injury will be critical. The great toe must have good mobility for any activity that requires forceful push-off with the foot, which is just about everything in MMA.