Doctor: Joel Embiid's bone bruise, meniscal tear likely from 2 different instances

Doctor: Joel Embiid's bone bruise, meniscal tear likely from 2 different instances

Since seemingly everything surrounding the Sixers right now is health-related, Philly Sports Talk on Thursday welcomed Dr. Mark Schwartz, co-medical director for Virtua sports medicine.

Schwartz, who does not treat Joel Embiid or Ben Simmons, shared his knowledge and thoughts on the Sixers' injured rookies. 

(His thoughts on Simmons can be found here.)

Schwartz reviewed the tape of the Sixers' game against the Blazers back on Jan. 20, when Embiid was injured. Embiid suffered two falls in that game, coming out for good after the second.

Embiid hyperextended his left knee on the first fall, and the diagnosis on Embiid's knee was a bone bruise. But, as Schwartz says, a hyperextension typically does not result in a bone bruise.

"Hyperextensions can be a ligament tear, possible meniscal tear, but usually you wouldn't see too much of a bone bruise, per se," Schwartz told Michael Barkann.

"It's possible, but I believe there was a second injury."

Ah, the second injury, the meniscal tear the Sixers revealed only last week.

Schwartz went on to describe Embiid's second spill against the Blazers, which can be seen in the video above, as "significant."

"You can get a bone bruise from that, one traumatic event," Schwartz said. "Or sometimes it can be secondary to an overuse injury, repetitive jumping, landing on the knee. I would say that second injury was a significant fall.

"Bone bruises usually occur by contact, a hard fall, the femur being impeded down onto the tibia, knee-to-knee contact, a fall on the floor.

"Meniscal tears are usually due to twisting type of injuries.

"Twenty-five years ago, before we had MRIs, you couldn't really make this diagnosis radiographically. Now these bone bruises are able to be seen on an MRI and you can see the extent of the injury."

Sixers fans hold their breath every time Embiid dives for a loose ball or hits the ground trying to finish in traffic. It seems like this will be a career-long thing for him because it's just his style of play. The reckless abandon Embiid plays with is a primary factor in his success at both ends of the floor.

Can Embiid have a decade-long NBA career playing like this?

"Well, the problem, the NBA has done a study and the taller the player, the higher the injury rate and the shorter the career," Schwartz said.

"So, players over 7-2 certainly have the highest rate of injury in the lower extremities. And then you look at players 6-7 and taller, much different, higher injury rate in the lower extremities than shorter players."

Sixers 2016-17 player evaluation: Richaun Holmes

Sixers 2016-17 player evaluation: Richaun Holmes

Richaun Holmes

Position: Center

Status for 2017-18: Under contract for $1,471,382

Holmes in 2016-17
This year very well could have been a lost season for Richaun Holmes. The 23-year-old center was fourth on the Sixers' depth chart to begin the season, sitting behind top-10 picks Joel Embiid, Jahlil Okafor and Nerlens Noel. Cracking the lineup, even with Embiid not playing back-to-backs and Noel hurt to start the year, was a daunting task.

Early in the season, Holmes provided solid minutes when he received them, reeling in 12 rebounds in a win vs. the Pacers on Nov. 11 and picking up 11 points and eight boards against the Nuggets on Dec. 5. However, Holmes was sent to the D-League soon after and with centers excelling ahead of him, it seemed his time in Philly may be numbered.

But then Embiid got hurt. This opened the door for consistent playing time for the former second-round pick and he shined. He averaged 7.1 points and 4.8 rebounds in 17.9 minutes during February, then shot up to 14.1 points and 6.8 rebounds over 26.4 minutes in March after Noel was traded. He put up 14 games with double-figure scoring despite eclipsing 30 minutes only four times. 

In all, Holmes proved himself to be a force off the bench for the Sixers, as well as when he got into the starting lineup. In 57 games, he started 17 and averaged 9.8 points and 5.5 rebounds, both increases from his rookie season. He upped his field goal percentage to 55.8 percent and became a viable three-point threat, shooting 35.1 percent, up from 18.2 percent as a rookie. Holmes finished the year with five straight games in double figures as he was one of the only healthy players left on the roster.

Signature game
Soon after returning from the D-League in January, he put up 18 points on 8 for 11 shooting against the Clippers in a win. He also had a double-double against the Wizards in late February after the trade deadline.

However, his signature game is one of two. He had 24 points, 14 rebounds and five assists against the Magic on March 20, giving a tremendous effort over 42 minutes. Nine days later, he had 25 points — a career-high — while facing off against Dwight Howard and the Atlanta Hawks, earning the praise of the veteran center (see below).

Looking ahead to 2017-18
It may have seemed unlikely in early January, but Holmes is likely a rotation piece for the Sixers next season. Noel is gone, Okafor may follow soon and Embiid may have trouble with back-to-backs again next season, although president of basketball operations Bryan Colangelo has indicated otherwise. That opens the door for a lot of playing time, including more starts, for the Bowling Green product. 

The Sixers may bring in veteran help at center if Okafor is dealt, but it likely won't deter the 6-foot-10 forward in securing a role for next season. He proved too valuable at the end of the season. The energy Holmes provides is a necessary element to a second-unit and something the Sixers will gladly take next season.

On Holmes
"He's a kid that I remember the first time he stepped on the court with me, he was just like excited. He kept saying, 'Wow, I'm on the floor with Dwight Howard.' He just kept saying he was excited. Just to see his growth from that moment, he plays with such passion, it's great to see especially from a young guy like him. I'm proud of him."

- Atlanta Hawks center Dwight Howard

"He just sat there and accepted whatever we gave him: go to the D-League, sit there and clap, start, play behind Joel — whatever it was, he accepted. And he did it where it didn't diminish his work ethic, it didn't diminish his ability to coexist within a team. He found ways to improve individually, and he did it with a great level of maturity."

- Sixers head coach Brett Brown

NBA Playoffs: Raptors advance past Bucks despite blowing 25-point lead

NBA Playoffs: Raptors advance past Bucks despite blowing 25-point lead

MILWAUKEE -- DeMar DeRozan scored 32 points and the Toronto Raptors squandered a 25-point lead late in the third quarter before holding on for a 92-89 victory Thursday night over the Milwaukee Bucks to take their first-round playoff series in six games.

Cory Joseph had five points in a 9-0 run in the final 2 minutes, including a 3-pointer with 1:27 left, to help stave off the pesky Bucks.

The Raptors move on to face the Cleveland Cavaliers in the Eastern Conference semifinals in a series that starts Monday. They'll need to work on finishing off opponents in the second half.

Jason Terry's 3 with 3:06 left gave the Bucks an 80-78 lead, completing an unlikely comeback from the 25-point deficit with 5:16 left in the third quarter. The Raptors looked as if they were on cruise control after DeMarre Carroll's 3 gave them the 71-46 advantage.

Giannis Antetokounmpo spearheaded the second-half rally for Milwaukee. He had 34 points.

But the Bucks finished one comeback short.

The furious effort appeared to sap the energy of the young Bucks. Even Antetokounmpo, a renowned gym rat, looked tired with his hands on hips as he caught his breath during fourth-quarter breaks. He played 47 minutes.

Antetokounmpo finished 13 of 23 from the field but was 2 of 6 in the fourth.

The Raptors could finally breathe easy after DeRozan went 2 of 2 from the foul line with 3.1 seconds to play for a three-point lead. Tony Snell's inbounds pass on the ensuing possession was intercepted by DeRozan (see full recap).

Spurs advance: San Antonio beats Grizzlies in Game 6
NASHVILLE, Tennessee -- Kawhi Leonard scored 29 points, helping the San Antonio Spurs advance to the Western Conference semifinals by beating the Memphis Grizzlies 103-96 Thursday night to take the series 4-2.

The Spurs now have beaten Memphis four of the five playoff series between these teams, and this was San Antonio's second straight win over the Grizzlies in the first round.

Tony Parker added 27 points on 11-of-14 shooting, while LaMarcus Aldridge had 17 points and 12 rebounds. Patty Mills had 10 points off the bench for the Spurs. San Antonio outrebounded Memphis 46-28, with 16 of those offensive boards. That led to 17 second-chance points.

Their semifinal with Houston will start Monday night in San Antonio.

Mike Conley scored 26 points, leading the five Memphis starters in double digits. Marc Gasol added 18, Zach Randolph 13 points and 11 rebounds, and Vince Carter had 12 points (see full recap).