"If we operate on Nadal, he will no longer be able to run"

The former head of the department of orthopedic surgery at the Vincennes military hospital, Gilbert Versier, describes the origin and symptoms of Muller-Weiss syndrome.

"If-we-operate-on-Nadal-he-will-no-longer-be-able-to-run"

Rafa Nadal's withdrawal from the US Open once again puts the complicated ailment suffered by the Spanish tennis player in the media spotlight. In L'Equipe they have spoken with a specialist doctor who has affirmed what had already been said on several occasions, that it is not possible to intervene. The reason is that Rafa could never run again and continue his professional career ... 444 444

The former head of the department of orthopedic surgery at the Vincennes military hospital, Gilbert Versier, who also operates in the Tour de France, describes the origin and symptoms of the Muller-Weiss syndrome suffered by Rafael Nadal.

"It usually affects people who have flat feet. It is congenital. Some have hollow feet: the arch, that is, the distance between the inner part of the foot and the ground, is very deep. Others have completely collapsed arches with valgus foot lo that favors this type of pathology. This causes compression of the navicular bone that becomes necrotic. It is the death of the bone, it is not eaten, it has lost its vascularity ", Dr. Versier began his explanation.

"A stress fracture can also have a cause. They are bones that do not heal well. It is enough that the fracture passes in the area where the vascularization arrives, where the vessels are, and that it can be followed by necrosis. But it is a Very rare pathology, the origin of which is not very clear. It is not necessarily a pathology that evolves very quickly. The degradation that will appear with the passage of time is quite painful, but osteoarthritis is often late. These are pathologies that we know well but rather in women around 50 years of age. We don't see that in a young subject, "he admitted.

Versier refuses surgical intervention in Nadal's case. "This adaptation of the foot to the ground is blocked and the patient will only be able to walk. He will no longer be able to run. That is why we delayed this intervention and reserved it for patients who are extremely painful and can no longer even walk properly. This is not the case. Nadal's case, of course. Everything that is surgical, the resection of a part of the bone or the graft taking bone from the pelvis to block the joint at the foot level and eliminate pain, no longer allows the practice of sports at the level high level, "he sentenced.



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