How bad is Palmer's injury?
Surgeon calls it potential career-ender but says QB will be back
By Mark Curnutte
Bengals quarterback Carson Palmer's surgeon Thursday night said he repaired a "very typical football injury."
"He did great," Dr. Lonnie Paulos told The Enquirer. "He's already rehabbing. He's a great athlete. He's a stud. He'll be back in a few months."
But earlier Thursday, the Associated Press and the Bengals' Web site reported interviews with Paulos indicating that damage to Palmer's knee was extensive.
Paulos told the Associated Press that Palmer's injury was "devastating and potentially career-ending." He also told the AP that the injury involved numerous ligament tears, a shredded ligament, damaged cartilage and a dislocated kneecap.
Paulos operated for two-plus hours Tuesday in Houston. He said Palmer, who was hit in the side of the left knee in the Bengals' playoff loss Sunday to the Steelers, already is in Los Angeles and has started his rehabilitation.
In at least one TV interview from Houston that aired on a Cincinnati television station Thursday night, Paulos said there was damage to "multiple ligaments and the kneecap."
"Exaggerated, sensationalized, out of context" and "false" were words and phrases Paulos used to describe the AP story. But Paulos did not dispute any details of that story.
"Nothing unusual," the doctor later told The Enquirer about the injury. "Again, it was a regular football injury. It was severe enough to require surgery."
Pressed for a number, Paulos said Palmer would be ready in six months, "just like the Bengals said."
Paulos said he repaired tears in the anterior cruciate and medial collateral ligaments.
There was no meniscus tear, he said.
The Bengals released a statement late Thursday from Paulos:
"I believe and regret that media reports based on interviews with me have misinterpreted my view of Carson Palmer's knee injury. Though the injury was serious, the essential fact remains that his ACL and MCL have been repaired.
"I would consider this a typical ACL-MCL football injury. Comments attributed to me that the knee injury was 'devastating and potentially career ending' were meant to describe such injuries in general. I was accurately quoted by the Associated Press that my bottom line is optimism regarding Carson's prognosis. With a successful rehabilitation program, he has an excellent chance of being medically cleared for play at the start of the 2006 regular season."
Difficult recovery
Wednesday, the Bengals had characterized Palmer's surgery as successful and said the procedure was limited to the ACL and MCL. No other surgical procedures were indicated, the Bengals said in their official statement Wednesday.
But Paulos, in the Associated Press interview Thursday, said the damage was more severe and extensive.
"It's not just like it was a torn ACL," Paulos told the AP. "It's a magnitude more difficult to recover from and repair. It can and has ended careers, without a doubt."
Palmer, on the Bengals' first pass play, was hit in the side of the left knee by Pittsburgh defensive end Kimo von Oelhoffen. Von Oelhoffen wrapped an arm around Palmer's left leg and drove his shoulder pad into the knee.
Paulos told the Associated Press that surgery went well and that Palmer could be back for the start of the season. The regular season will start in eight months, in early to middle September. The league has not released the schedule.
Paulos also had said doctors used grafts from other parts of Palmer's body and donated cadaver tissue to repair the knee.
"However, I feel very comfortable with Carson as an athlete and the heart that he's got," Paulos told the Associated Press. "In the end, that's the bottom line. I can see the look in his eye already. He's ready to get going."
Scale of 1 to 3? It's a 4
An orthopedic surgeon, Paulos has worked with the U.S. Ski Team since 1983. During Palmer's operation, Paulos repaired the ACL, which runs through the middle of the knee and promotes stability. He also told the AP that the MCL, which runs along the side of the knee, was damaged "real bad."
"On a scale of 1 to 3, it was a 4," Paulos told the Associated Press. "It was off the chart. It was pretty badly damaged - shredded is the better term."
The kneecap dislocated when Palmer was hit, damaging tissue around it. There also was some cartilage damage, Paulos told the AP. Paulos was able to repair the knee without removing pieces of cartilage or soft tissue.
"They were not torn beyond repair," he said in the Associated Press interview. "So he's got all his parts in there, which is good."
If rehabilitation goes well, Palmer could be running in a couple of months and might be able to play in the first regular season game, Paulos said.
Palmer was wearing a brace on the left knee, to protect the MCL that suffered a strain in Game 13 of the 2004 season at New England and forced Palmer to miss the final three games.
Paulos did say he expected Palmer to wear more extensive braces on both knees next season.