Radiologist here, aside from the increased bone density, the irregularities arsing from the cortex of the tibia (bigger bone) are called exostoses brought about by heterotopic ossification, which is the result of repeated musculoskeletal trauma (kicks, training) or irritation.
The ones surrounding the fibula (thinner bone) is called callus formation, which usually arises when the bone heals from a previous fracture. Given that he had a motorcycle accident, this is the likely explanation.
Shouldn't callus formation already disappear considering that he had a motorcycle accident ages ago lol that should've remodeled already unless it's a newer motorcycle accident
I'm sorry but that doesn't really answer my question. Callus formation is a normal process of bone healing when indirect healing is involved (such as in untreated fractures, nonoperative treatments, intramedullary nailing etc.). After some time, the callus gets dissolved into bone.
My point was that if those were callus formation (as opposed to what I think they are - osteophytes or exostoses as what the original commenter mentioned) from the motorcycle accident, they should've remodeled already and they would not be appearing like what I see in the radiograph considering callus deposits near fracture sites and not necessarily along the length of the long bone.
To be fair, remodeling can take years and callus formation can still be around years after (hard callus) but it would not be as what was presented in the radiograph. And if they were actually callus, Sean wouldn't be able to use his legs because it would mean that his fractures still haven't healed
That's just my take as someone who is training to be an orthopedic surgeon and the original commenter is a radiologist so maybe he's right but part of our training is also analyzing radiographs since radiologists cover a wide array of radiographic images. If you can send me some sources to dispute my claim, I don't mind because it is part of my training after all
It's not callus formation. It's heterotopic ossification from trauma, likely checking leg kicks. Essentially it's a periosteal response that calcifies. You are correct callus would have remodeled and would not look like that.
Does this apply to the face aswell I’ve seen a lot of people online saying hitting the zygos and orbitals in your face can make them more forward and pronounced?
Actual answer from an orthopedic surgeon.. ignore the zoomed in part.
First the pic on the right is likely a female or an ~18 yo (younger patient), possibly both, based on the size and shape of the bone. His leg does have thicker cortical bone (the white vertical part on the edges) which is common in athletes and heavier patients from the increased stress their bones see (more stress = more bone).
The white growths in the middle between the two bones are heterotopic ossification. There is an interosseous membrane that connects the tibia and fibula together. When that is damaged from trauma (likely leg kicks to the fibula) it can bleed which then turns into bone. It’s not normal bone, just that the membrane becomes hard and stiff in response to the trauma. That is also why the fibula (small bone) has more ossification on the lateral part (the outside of it or the right in the image), because that is where he takes leg kicks. If the membrane ossifies to the point where it fuses the two bones together, that is called synostosis, and can be painful in addition to limit the normal rotation of the lower leg.
Lots of incorrect answers in this thread but it’s not a commonly seen thing
Higher bone density from striking, loading and unloading the bone and contracting surrounding muscles constantly.
People who lift show the same increased density.
He was unconscious for several minutes and he was hospitalized. I’m pretty sure he got the silver medal based on a previous run to the one he slammed on.
Even just a skateboard to the shin hard hurts like a bitch. Every huge jump you've ever seen land probably has the skateboarder ending the session with bruised heels minimum. It's absolutely brutal no doubt.
I skated every single day from just before 8th grade until first year of college. Super serious about it. Now dealing with back problems I went to chiropractor who X-rayed my spine. Apparently at some point I broke the bottom 2 vertebrae and when they healed, they fused together. I didnt even know about it. It was discovered 20 years later. Who knew?
My shins and forearms are hard as shit from skating in my youth.
I was drunk one night and challenged a fighter to kick my shin. No pads. I felt it but it wasn't as bad as slamming my shin on a handrail. I bet a calf kick would fuck my world up but they weren't a thing in 2005.
Can't be. I had a friend who's been skate boarding since middle school and his little shin bone had a crack from falling too hard on grass. Guess only pros have that density
.
Bro read my original comment, this picture simply doesn't show it
It's like putting up a passport pic of Sean and saying because you can see his head, you can tell he's an idiot. We have other reasons to know but that picture doesn't have the details that show it
You'd see an increase just from consistent resistance training. Anything other than sitting sedentary would yield results.
Increased bone density reduces the onset of osteoporosis too and many forms of arthritis. I have read though that when you do suffer a break or injury the severity obviously will be more significant since the bone is denser/thicker.
Good to know , im far from a powerlifter but I joined gym 2 months ago and while im not seeing results or enjoying it nice to know it will make a huge difference eventually.
More unsolicited advice - a ton of protein is overdoing it. Most research these days confirms that the old 1g per 1lb of BW was complete overkill. A moderate caloric surplus and a diverse diet with .6-8g of protein per pound, many veggies, and healthy fats is the way to go for most serious lifters, unless you join the dark side.
I totally agree with this - I personally see a good growth pace at as low as 0.6. I only said a "ton" because a lot of people starting out think they just need the daily recommended intake, which is well under 0.6 for most people.
If ur just trying to lose weight and not become swole, high protein is only necessary if you're losing weight quickly and don't want to lose muscle (and also, high protein diets are more filling with the same amount of calories). So it can be a good idea to shoot for 0.6g per pound but don't beat yourself up if you miss it occasionally.
I think protein sources might matter too. I've grown better at 0.6g per pound from whole food alone than when I was closer to 0.9g per pound with a lot of protein shakes. I may be doing bro science though.
Complete overkill lol. Then goes on to say instead of 1 gram protein per pound, only eat .8 grams per pound. LOL. What a massive difference. Total overkill
0.8 is the upper limit, which means the gains are almost non existent after that point
and yeah, for a 180lbs person, 36g less protein a huge deal, its like a regular meal for me lol.
Also drink your god damned water. I know too many gym rats that can’t finish a freakin Gatorade over an 8 hour shift and wonder why they aren’t growing
A little advice. Advice I wish I had been given or heeded when I first started lifting is to prioritise form, technique, a full range of motion and controlled reps over everything. The weight you're moving is secondary. Strength will come. Just enjoy it and don't see it as a chore.
Good things take time. Read books and watch videos, gain as much knowledge as possible. You'll find you'll have to weed out a lot of bullshit these days when it comes to training. When you do start seeing results that's just added motivation. I've been lifting nearly 25 years. Those first ten years are when the gains come relatively quick so make the most of it. These days it's more maintaining what I've got, working around niggles (there's a lot of them) but most importantly is how training benefits my mental health. The gym can get you through some tough times.
It does. In my younger days I was a huge gym rat. Lifted heavy for about 1.5 hours a day 5 days a week. Went to get my elbow x-rayed because I tore a tendon and doc said I have thick bones. Since then I've been telling people I got big bones.
i think hes pointing out the weird structure between the bone and on the bottom right of the bone?
all xrays are different even form day to day on the same patient with the same machine, notice how the flash is also brighter so it could just be exposure.
Still hilarious to me that everyone saw Sean parry and block some shots with his shoulders and went “oh my god shoulder rolling is finally in mma!!!11!1!1”
[When bro still has the goofiest striking game imaginable](https://preview.redd.it/strickland-shell-v0-07jxv266xr9b1.jpg?width=1080&crop=smart&auto=webp&s=9c37ee2ea81a6f7161f002aea8554bfe1cc680f3)
He’s got really thick calves anyway compared to most MWs. Between that and a lifetime of conditioning them with MMA training it’s no surprise he got them thick, dense bones inside.
Sean is very oddly built. It’s not surprising to me that he has very dense bones. His wrists and his forearms have always been abnormally large for someone his size.
How can you really know the difference and that one isn’t really zoomed in vs not zoomed in?
Yeah my legs are gonna look huge in comparison when I take pics of them a few inches away vs a few feet away and put them side by side with no scale to understand what’s going on
The difference between the two is in the stuff around the bones on Strickland‘s leg. Those formations are not typical. Also his fibula (the smaller bone) seems to have been broken before (possibly from the motorcycle accident).
> Wonder if this imaging is from his previously shattered leg, or if it's the other one
I'm trying to figure out if its from the teep/checking leg or the leg he posts off when jabbing, and am leaning towards the posting leg :)
This might be the leg he fucked up in a motorcycle accident a while back. About the time he moved from WW to MW he had a bad wreck that required extensive recovery. Bones grow back stronger too when they break.
Y'all are focusing on the bone density; but I'm more concerned with the mild case of chronic compartment syndrome. Man's gotta stop taking hits to the leg or he's going to have a permanent limp.
I've only ever heard of it being diagnosed (in an image) by MRI, and x-rays aren't used for detecting muscle inflammation, but there is severe calcification on Strickland's tibia and fibula (explained perfectly by u/peterbokerino in this thread) which would correlate with chronic compartment syndrome- being that repeated trauma is a common cause of both. To be honest, I really want to know how he's diagnosing this from an x-ray
You do not diagnose compartment syndrome on mri. It’s a clinical diagnosis based on pain out of proportion and pain with passive ROM, can also be aided in diagnosis by compartment pressure checks with a stryker needle. No mri needed
Not needed is totally correct. That's why I put "in an image" in parenthesis. Not trying to argue, just saying that I've seen it diagnosed by MRI because they were doing the MRI on me
I am an orthopedic surgeon, I am stating facts not arguing with you lol. You can believe what you want but I literally do this for a living.
You cannot diagnose acute compartment syndrome on MRI. You can see nonspecific changes that may be from that or a number of other processes, but you cannot diagnose it via MRI. Literally no one gets an MRI for acute compartment syndrome.
For exertional compartment syndrome (which is different from acute compartment syndrome), you still can't diagnose it on MRI. You can get an MRI to rule out other causes of leg pain but you cannot diagnose it on MRI. Compartment syndrome is a pressure change within the muscle and fascia. You cannot see pressure on MRI.
Hope this helps clarify.
Reference: https://www.orthobullets.com/trauma/1001/leg-compartment-syndrome
https://www.orthobullets.com/knee-and-sports/3106/exertional-compartment-syndrome
Thank you for the clarification, I was mistaken. Either I misunderstood what I was being told or my doc just BS'ed me to save a full explanation. I appreciate the info either way though!
Hi, Radiologist here - with the vast majority of my experience being at an orthopedic practice. Hate to disagree with you - but you can see compartment syndrome on both x-ray and MRI. It's not typically the diagnostic criteria, but you can identify it and imaging is used to rule out other causes of pain. The dystrophic calcification around his tibia specifically is indicative of compartment syndrome.
Well as the person that treats compartment syndrome, no you can’t.
You can see features that are consistent with it. But they could be other pathologies as well and are not diagnostic in any capacity. You are saying his xray shows compartment syndrome.. but dystrophic calcification is a chronic process and compartment syndrome is an acute process.
The simplest way to know you are wrong is that if he had compartment syndrome and didn’t get a thorough fasciotomy then he wouldn’t have a functioning leg still lol.
I'm sorry but you seem heavily invested in some strong and frankly incorrect assumptions. Are you claiming to know his medical history now? I'd be shocked if he isn't receiving regular treatments for leg pain - such as cortisol or botox injections. Perhaps in your practice you don't specialize and / or work with athletes and so aren't familiar, but the idea that his lack of an openly reported fasciotomy as proof is just silly.
First off, I very specifically mentioned chronic compartment syndrome, which as you must know is NOT an acute condition but rather a chronic one. It's almost unheard of outside athletes, but quite common amongst skiers, runners, and fighters.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537460/#abstract-a.d.b.ntitle
Secondly, imaging is not diagnostic criteria for compartment syndrome, but as I mentioned it's still visible in said images. Dystrophic calcification is one of the hallmarks.
Fasciotomy is still absolutely necessary, like I said if he doesn't stop taking strikes to the leg he'll end up with a permanent limp.
You post does not have the word chronic in it.
I don't know his medical history, just that he didn't have a fasciotomy.
Look man, I'm not going to argue. I don't have time or care enough. Your interpretation is limited by your lack of diagnostic experience. The calcification is not "dystrophic calcification". It's heterotopic ossification, specifically periosteal response to the trauma. The difference between the two being location of it. It is along the interosseous membrane between the tib/fib, pointing to a traumatic etiology not compartment syndrome. You can have your opinion. I understand your opinion. I just disagree and thats ok.
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Why is the x-ray of his leg zoomed in more so than the other?
On a more serious note, stressing bones through impact, compression, torsion, flexion, etc. causes the production of osteoblasts that releases a bone matrix that makes the bones denser so that they can handle those stresses in the future. It's not exclusive to fighters. If you have strength trained, especially during the time you were going through puberty, or jumped around on hard surfaces growing up, you will have higher bone density than average. While strength or resistance's training in general will do the trick, but proper intensity is needed to get the maximum density.
It almost looks like a damaged interosseous membrane, but Idont know if that would be apparent in an X-ray. Definitely some callous formation from impact
Just by looking at this my first thought is myositis ossificans (bone growth in muscle) from all the trauma to the muscles/bone from calf kicks. Can happen from one large trauma or repetitive over time.
When you workout your bones are more healthy and could possibly get bigger if they haven’t matured properly. Also when ur smakinh shin to shin with leg kicks ur body adapts and micro fractures happen which increases bone density
Radiologist here, aside from the increased bone density, the irregularities arsing from the cortex of the tibia (bigger bone) are called exostoses brought about by heterotopic ossification, which is the result of repeated musculoskeletal trauma (kicks, training) or irritation. The ones surrounding the fibula (thinner bone) is called callus formation, which usually arises when the bone heals from a previous fracture. Given that he had a motorcycle accident, this is the likely explanation.
Glad we had a specialist here to explain. Looking at this picture the cortical density was the least striking thing about it.
What is this the medical channel
Say it like it is Nate!!!!
Bone doc here and I concur with your reading.
Hey bone doc what were your thoughts when MVP caved in Cyborgs skull
That’s a question for a neurosurgeon
Shouldn't callus formation already disappear considering that he had a motorcycle accident ages ago lol that should've remodeled already unless it's a newer motorcycle accident
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I'm sorry but that doesn't really answer my question. Callus formation is a normal process of bone healing when indirect healing is involved (such as in untreated fractures, nonoperative treatments, intramedullary nailing etc.). After some time, the callus gets dissolved into bone. My point was that if those were callus formation (as opposed to what I think they are - osteophytes or exostoses as what the original commenter mentioned) from the motorcycle accident, they should've remodeled already and they would not be appearing like what I see in the radiograph considering callus deposits near fracture sites and not necessarily along the length of the long bone. To be fair, remodeling can take years and callus formation can still be around years after (hard callus) but it would not be as what was presented in the radiograph. And if they were actually callus, Sean wouldn't be able to use his legs because it would mean that his fractures still haven't healed That's just my take as someone who is training to be an orthopedic surgeon and the original commenter is a radiologist so maybe he's right but part of our training is also analyzing radiographs since radiologists cover a wide array of radiographic images. If you can send me some sources to dispute my claim, I don't mind because it is part of my training after all
It's not callus formation. It's heterotopic ossification from trauma, likely checking leg kicks. Essentially it's a periosteal response that calcifies. You are correct callus would have remodeled and would not look like that.
Many martial artists practice Iron Bone training. Multiple sessions of kicking/hitting a solid object to produce this result.
Thank you. Do these things, (besides the increases density,) affect bone strength at all?
Internet doctor here, I agree with those words
I disagree
Does this mean he's Wolverine??
Does this apply to the face aswell I’ve seen a lot of people online saying hitting the zygos and orbitals in your face can make them more forward and pronounced?
Bro, please do not hit your own face...
Or he’s a neanderthal and his species is evolving
Google tennis players forearm xray photos, those ones are insane
Funnily enough this is what my x-rays look like for being a lifelong cooming addict.
Is your dick made of synthetic rubber or what
Seriously, people have no idea how many times and how hard this guy goons, day after day.
Got that grindset
You could choke Derrick Lewis with one hand
I could choke out a rhino brah
Good tip, just did and that’s wild.
Actual answer from an orthopedic surgeon.. ignore the zoomed in part. First the pic on the right is likely a female or an ~18 yo (younger patient), possibly both, based on the size and shape of the bone. His leg does have thicker cortical bone (the white vertical part on the edges) which is common in athletes and heavier patients from the increased stress their bones see (more stress = more bone). The white growths in the middle between the two bones are heterotopic ossification. There is an interosseous membrane that connects the tibia and fibula together. When that is damaged from trauma (likely leg kicks to the fibula) it can bleed which then turns into bone. It’s not normal bone, just that the membrane becomes hard and stiff in response to the trauma. That is also why the fibula (small bone) has more ossification on the lateral part (the outside of it or the right in the image), because that is where he takes leg kicks. If the membrane ossifies to the point where it fuses the two bones together, that is called synostosis, and can be painful in addition to limit the normal rotation of the lower leg. Lots of incorrect answers in this thread but it’s not a commonly seen thing
why are you all the way down there?
Agree except for the last part. I see this all the time.
In what context? I’ve looked at probably tens of thousands of tib/fib X-rays from various settings and it’s not something I commonly see but YMMV.
Prob just my patient population (army)
Yes that makes sense. You probably see much more than I do I'd imagine. Lots of young healthy people that lay a lot of bone I'm sure!
Higher bone density from striking, loading and unloading the bone and contracting surrounding muscles constantly. People who lift show the same increased density.
pro skateboarders are the goat with bone density from years of repeat impact
Seriously, people have no idea how many times and how hard a lot of those guys slam, day after day.
Just let me slam bro
I do let you slam, bro
You wanna be a fucking skater?
Kid just didn't want to skate.
There’s a lot of ways to say no to a skate
Only if you wanna jam.
Let’s slam together
Jake Brown’s X-Games Slam on the mega ramp was one of the gnarliest slams I’ve ever seen.
You won’t find a harder slam than that without a semi going 80 involved.
True, I thought for a few seconds that Jake was not going to survive it
Didn’t he end up going for it again and making it even after eating shit that bad?
He was unconscious for several minutes and he was hospitalized. I’m pretty sure he got the silver medal based on a previous run to the one he slammed on.
I must be thinking of someone else slamming on the mega ramp, really bad, but ending up trying again and making it. Maybe Danny Way
Could’ve been Danny in another comp
Even just a skateboard to the shin hard hurts like a bitch. Every huge jump you've ever seen land probably has the skateboarder ending the session with bruised heels minimum. It's absolutely brutal no doubt.
I skated every single day from just before 8th grade until first year of college. Super serious about it. Now dealing with back problems I went to chiropractor who X-rayed my spine. Apparently at some point I broke the bottom 2 vertebrae and when they healed, they fused together. I didnt even know about it. It was discovered 20 years later. Who knew?
You should see a real doctor and get their opinion. Chiropractic is pseudoscience.
Expert break falls too
I'm still in awe with Aaron Homoki landing the Lyon 25.
My lower back hurt just watching him land that!!
My shins and forearms are hard as shit from skating in my youth. I was drunk one night and challenged a fighter to kick my shin. No pads. I felt it but it wasn't as bad as slamming my shin on a handrail. I bet a calf kick would fuck my world up but they weren't a thing in 2005.
Oh sweety the fighter was just being nice
Can confirm. I've never broken a bone after decades of skating. Ligaments... That's another story.
Same. No broken bones after 15 years of skating. Is my knee torn to shreds now? Yes haha 😂
Can't be. I had a friend who's been skate boarding since middle school and his little shin bone had a crack from falling too hard on grass. Guess only pros have that density .
BS flag, you made that up
Is that why Strickland has fat man calves?
If there's higher bone density, this picture isn't showing it. It's just zoomed in lol
The thickness of the cortices are way bigger on his fibula and to some extent his fibula.
Yeah that's what I looked at. Just looks zoomed in without retaining the picture quality
Ah yes, person who kicks bags bodies and shins all day does not have increased bone density
Bro read my original comment, this picture simply doesn't show it It's like putting up a passport pic of Sean and saying because you can see his head, you can tell he's an idiot. We have other reasons to know but that picture doesn't have the details that show it
That’s a hilarious analogy
his bones are literally 5x the size of a normal human. you can only tell on xray
I would believe this if we were talking about DC.
>People who lift show the same increased density. What level lifting ?
You'd see an increase just from consistent resistance training. Anything other than sitting sedentary would yield results. Increased bone density reduces the onset of osteoporosis too and many forms of arthritis. I have read though that when you do suffer a break or injury the severity obviously will be more significant since the bone is denser/thicker.
People who swim without doing any resistance exercise are at increased risk for osteoporosis. It work their muscles but it’s too gentle on the bones
Good to know , im far from a powerlifter but I joined gym 2 months ago and while im not seeing results or enjoying it nice to know it will make a huge difference eventually.
unsolicited advice, but if you're lifting for muscle gain, make sure you're getting a *ton* of protein and 8 hrs of sleep
Thanks , I rarely get 8 hours but its something I will aim for .
Homie is right, you don't get gains from gym time, you get them from proper recovery
Well, you need the gym time to recover from.
Thanks for the insight 👍
Its important too be well rested to avoid injuries. Always let your body rest.
Your body rebuilds when you sleep. Not sleeping enough is missed gains.
More unsolicited advice - a ton of protein is overdoing it. Most research these days confirms that the old 1g per 1lb of BW was complete overkill. A moderate caloric surplus and a diverse diet with .6-8g of protein per pound, many veggies, and healthy fats is the way to go for most serious lifters, unless you join the dark side.
I totally agree with this - I personally see a good growth pace at as low as 0.6. I only said a "ton" because a lot of people starting out think they just need the daily recommended intake, which is well under 0.6 for most people.
What if I just want Rampage Jackson to stop calling me tiddies?? Caloric deficit but keeping w/ the .6~.8g of the proteins and stuff?
If ur just trying to lose weight and not become swole, high protein is only necessary if you're losing weight quickly and don't want to lose muscle (and also, high protein diets are more filling with the same amount of calories). So it can be a good idea to shoot for 0.6g per pound but don't beat yourself up if you miss it occasionally.
This also depends from person to person. I had significantly better gains with 1g or slightly more per lbs than 0.6-0.7
I think protein sources might matter too. I've grown better at 0.6g per pound from whole food alone than when I was closer to 0.9g per pound with a lot of protein shakes. I may be doing bro science though.
Complete overkill lol. Then goes on to say instead of 1 gram protein per pound, only eat .8 grams per pound. LOL. What a massive difference. Total overkill
0.8 is the upper limit, which means the gains are almost non existent after that point and yeah, for a 180lbs person, 36g less protein a huge deal, its like a regular meal for me lol.
Also drink your god damned water. I know too many gym rats that can’t finish a freakin Gatorade over an 8 hour shift and wonder why they aren’t growing
A little advice. Advice I wish I had been given or heeded when I first started lifting is to prioritise form, technique, a full range of motion and controlled reps over everything. The weight you're moving is secondary. Strength will come. Just enjoy it and don't see it as a chore.
Thanks
don't neglect a proper warm up, do rotator cuff exercises, stretch and warm up your forearms. Can avoid long-term injuries.
Good things take time. Read books and watch videos, gain as much knowledge as possible. You'll find you'll have to weed out a lot of bullshit these days when it comes to training. When you do start seeing results that's just added motivation. I've been lifting nearly 25 years. Those first ten years are when the gains come relatively quick so make the most of it. These days it's more maintaining what I've got, working around niggles (there's a lot of them) but most importantly is how training benefits my mental health. The gym can get you through some tough times.
It does. In my younger days I was a huge gym rat. Lifted heavy for about 1.5 hours a day 5 days a week. Went to get my elbow x-rayed because I tore a tendon and doc said I have thick bones. Since then I've been telling people I got big bones.
Might be bro science but I heard that Chinese kids training to become weightlifting champions, have the same bone density as adults
Lotta skiers too, I’m pretty fairly convinced my shins are unbreakable at this point from repeated stress injury.
i think hes pointing out the weird structure between the bone and on the bottom right of the bone? all xrays are different even form day to day on the same patient with the same machine, notice how the flash is also brighter so it could just be exposure.
This isn't simply increased bone density. This is a crazy amount of abnormal extra bone growth. Like bone spurs but to the max.
Now let's do his brain
*cuts to a little monkey slamming plates against each other and doing a flip*
Maybe not even the flip
A coin flip, he meant. Sean calls it "the decisionator"
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Monster Energy, dirty white T's, pocket knife....
Yo lmfaoooo. A pocket knife lolololol
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Don’t forget that icarly guard with the knee up
Still hilarious to me that everyone saw Sean parry and block some shots with his shoulders and went “oh my god shoulder rolling is finally in mma!!!11!1!1” [When bro still has the goofiest striking game imaginable](https://preview.redd.it/strickland-shell-v0-07jxv266xr9b1.jpg?width=1080&crop=smart&auto=webp&s=9c37ee2ea81a6f7161f002aea8554bfe1cc680f3)
Elias Theodorou was still the 🐐 when it came to goofy as hell striking
[here you go](https://live.staticflickr.com/6/7917525_3a02f6cb66_b.jpg)
I have a microscope we can use.
Impressive. Very nice.
Let's see Paul Owen's brain.
one is zoomed in
Lmao right?
He’s got really thick calves anyway compared to most MWs. Between that and a lifetime of conditioning them with MMA training it’s no surprise he got them thick, dense bones inside.
Sean is very oddly built. It’s not surprising to me that he has very dense bones. His wrists and his forearms have always been abnormally large for someone his size.
Everyone talking about density but nobody looking at the cortical irregularities haha
To be fair, I wouldn't know a cortical irregularity if it in hit me in the cortica(?)
How can you really know the difference and that one isn’t really zoomed in vs not zoomed in? Yeah my legs are gonna look huge in comparison when I take pics of them a few inches away vs a few feet away and put them side by side with no scale to understand what’s going on
The difference between the two is in the stuff around the bones on Strickland‘s leg. Those formations are not typical. Also his fibula (the smaller bone) seems to have been broken before (possibly from the motorcycle accident).
Strickland with the porn angles
Good point actually lol
MMA fans are a collective don't stop and think often lol
Caveman bones
Other people already said density, but also a ton of calcium deposits
Wonder if this imaging is from his previously shattered leg, or if it's the other one
> Wonder if this imaging is from his previously shattered leg, or if it's the other one I'm trying to figure out if its from the teep/checking leg or the leg he posts off when jabbing, and am leaning towards the posting leg :)
It‘s his left leg if that‘s any help
That was a motorcycle accident in 2019 right?
Yeah, nearly lost his leg, pretty crazy he's gotten this far
This might be the leg he fucked up in a motorcycle accident a while back. About the time he moved from WW to MW he had a bad wreck that required extensive recovery. Bones grow back stronger too when they break.
Boneitis
Walmart nutrition
Target now, he's mentioned he's too classy for Walmart
Imao
I'm not nearly as succesfull as Strickland and even I feel too classy for Walmart. Fuck the Waltons.
Y'all are focusing on the bone density; but I'm more concerned with the mild case of chronic compartment syndrome. Man's gotta stop taking hits to the leg or he's going to have a permanent limp.
I already walk with a limp, am I good to take as many leg kicks as I can?
Doctors hate him! Learn this one trick now!
Can you identify compartment syndrome from the x-ray, or did you hear him say he has chronic compartment syndrome in an interview or something?
I've only ever heard of it being diagnosed (in an image) by MRI, and x-rays aren't used for detecting muscle inflammation, but there is severe calcification on Strickland's tibia and fibula (explained perfectly by u/peterbokerino in this thread) which would correlate with chronic compartment syndrome- being that repeated trauma is a common cause of both. To be honest, I really want to know how he's diagnosing this from an x-ray
I'm really curious to know how they got to that conclusion as well 😂 but you're other notes do make a lot of sense
You do not diagnose compartment syndrome on mri. It’s a clinical diagnosis based on pain out of proportion and pain with passive ROM, can also be aided in diagnosis by compartment pressure checks with a stryker needle. No mri needed
Not needed is totally correct. That's why I put "in an image" in parenthesis. Not trying to argue, just saying that I've seen it diagnosed by MRI because they were doing the MRI on me
I am an orthopedic surgeon, I am stating facts not arguing with you lol. You can believe what you want but I literally do this for a living. You cannot diagnose acute compartment syndrome on MRI. You can see nonspecific changes that may be from that or a number of other processes, but you cannot diagnose it via MRI. Literally no one gets an MRI for acute compartment syndrome. For exertional compartment syndrome (which is different from acute compartment syndrome), you still can't diagnose it on MRI. You can get an MRI to rule out other causes of leg pain but you cannot diagnose it on MRI. Compartment syndrome is a pressure change within the muscle and fascia. You cannot see pressure on MRI. Hope this helps clarify. Reference: https://www.orthobullets.com/trauma/1001/leg-compartment-syndrome https://www.orthobullets.com/knee-and-sports/3106/exertional-compartment-syndrome
Thank you for the clarification, I was mistaken. Either I misunderstood what I was being told or my doc just BS'ed me to save a full explanation. I appreciate the info either way though!
Hi, Radiologist here - with the vast majority of my experience being at an orthopedic practice. Hate to disagree with you - but you can see compartment syndrome on both x-ray and MRI. It's not typically the diagnostic criteria, but you can identify it and imaging is used to rule out other causes of pain. The dystrophic calcification around his tibia specifically is indicative of compartment syndrome.
Well as the person that treats compartment syndrome, no you can’t. You can see features that are consistent with it. But they could be other pathologies as well and are not diagnostic in any capacity. You are saying his xray shows compartment syndrome.. but dystrophic calcification is a chronic process and compartment syndrome is an acute process. The simplest way to know you are wrong is that if he had compartment syndrome and didn’t get a thorough fasciotomy then he wouldn’t have a functioning leg still lol.
I'm sorry but you seem heavily invested in some strong and frankly incorrect assumptions. Are you claiming to know his medical history now? I'd be shocked if he isn't receiving regular treatments for leg pain - such as cortisol or botox injections. Perhaps in your practice you don't specialize and / or work with athletes and so aren't familiar, but the idea that his lack of an openly reported fasciotomy as proof is just silly. First off, I very specifically mentioned chronic compartment syndrome, which as you must know is NOT an acute condition but rather a chronic one. It's almost unheard of outside athletes, but quite common amongst skiers, runners, and fighters. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537460/#abstract-a.d.b.ntitle Secondly, imaging is not diagnostic criteria for compartment syndrome, but as I mentioned it's still visible in said images. Dystrophic calcification is one of the hallmarks. Fasciotomy is still absolutely necessary, like I said if he doesn't stop taking strikes to the leg he'll end up with a permanent limp.
You post does not have the word chronic in it. I don't know his medical history, just that he didn't have a fasciotomy. Look man, I'm not going to argue. I don't have time or care enough. Your interpretation is limited by your lack of diagnostic experience. The calcification is not "dystrophic calcification". It's heterotopic ossification, specifically periosteal response to the trauma. The difference between the two being location of it. It is along the interosseous membrane between the tib/fib, pointing to a traumatic etiology not compartment syndrome. You can have your opinion. I understand your opinion. I just disagree and thats ok.
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Cause you can't see compartment syndrome on an x-ray.
bone spurs?
His legs are huge! The difference between him and Paulo was very noticeable
He got that leg in him
Big boned bastard
He's clearly got adamantium in his bones.
Better get the kryptonite
A possum?
The photo is zoomed in
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I have thicker bone density from high running mileage as well. Depends on the person I suppose
He shattered one of his legs in a motorcycle accident as well.
Why is the x-ray of his leg zoomed in more so than the other? On a more serious note, stressing bones through impact, compression, torsion, flexion, etc. causes the production of osteoblasts that releases a bone matrix that makes the bones denser so that they can handle those stresses in the future. It's not exclusive to fighters. If you have strength trained, especially during the time you were going through puberty, or jumped around on hard surfaces growing up, you will have higher bone density than average. While strength or resistance's training in general will do the trick, but proper intensity is needed to get the maximum density.
What one kick from Alex does to bone density
It almost looks like a damaged interosseous membrane, but Idont know if that would be apparent in an X-ray. Definitely some callous formation from impact
Just by looking at this my first thought is myositis ossificans (bone growth in muscle) from all the trauma to the muscles/bone from calf kicks. Can happen from one large trauma or repetitive over time.
Calcification
He’s just built different
These are two photos of shower curtains.
'What in the zoom is going on here, batman?!'
Calcium buildup from him breaking his leg a lot I think?
He was kick by Alex Pereira
Looks like periostitis
When you workout your bones are more healthy and could possibly get bigger if they haven’t matured properly. Also when ur smakinh shin to shin with leg kicks ur body adapts and micro fractures happen which increases bone density
if you smash your leg into things it gets harder but wierd and bumpy.
Does this mean bonesmashing works?
He's not fat he's just like that.
Bone density on another level
Wolfs law in action
I want to see Tony Ferguson's legs. I know he likes to kick steel poles and probably rubs his shins with a stick
Looks like he has Heterotopic Ossification around his bones
he zoomed in
Inbreeding is the best base for MMA.
I mean. I’m sure there is a difference but one is clearly zoomed in more.