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The IR

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The IR 

Post#1 » by Def Swami » Sun Sep 25, 2016 4:33 pm

Hey everyone,

If you follow the mass dispatches, then you know I was proudly honored with a special rank for our forum. Howard Mass gave me the opportunity to fulfill a unique role of my choice for the forum. I’m a 4th year medical student at UF applying for residency in emergency medicine this year and I have a special interest in sports medicine. So naturally, I thought it’d be cool to offer my insight into any injuries or illness that our team may fall victim to over the season. I’ll be keeping track of injuries as they pop up on our team and others in this thread. I’ll try my best to estimate the time to return to play for players and provide what rehab or return to play protocols look like. I’ll try my best to answer any questions folks may have about injuries or disease that may come up throughout the year; and if I don’t know the answer myself, I’ll look to colleagues to help me out.

I’ll also be posting about any new sports science and technology the Magic are using to track their players health, prevent injury, and promote wellness. If there are other general questions about our players or other teams' players, feel free to inquire.

I'll use the OP for the quick hits regarding injuries and updates and post more in-depth write ups in the thread.

With all that said, let's hope for a healthy, prosperous season!

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Jodie Meeks, Jones Fracture
Spoiler:
July 19, 2016: Meeks undergoes surgery to further stabilize the 5th metatarsal in the right foot. Timeline for return is indefinite and depends on how he responds to rehabilitation.

September 19, 2016: Josh Robbins of the Orlando Sentinel reports Meeks is on track to return in November.

October 13, 2016: Frank Vogel said Meeks is still progressing with his recovery; the goal is to have him back at the end of November. According to Orlando Magic Daily, he is out of the walking boot.

November 18, 2016: Meeks participated in full-contact practice for the first time since his surgery.

November 28, 2016: Vogel said the team is hopeful for Meeks to make debut during 5-game road trip.

December 2, 2016: Jodie Meeks makes season debut against the Sixers. No minutes restriction, but will play in 4 to 5 minute stints to ease him back into game shape.


Aaron Gordon, Sprained Ankle
Spoiler:
September 23, 2016: Josh Robbins of the Orlando Sentinel reports Gordon sprained his ankle. Gordon may be limited during the early days of training camp, but he is unlikely to miss any pre-season games.

September 26, 2016: During Magic Media Day, Frank Vogel said Gordon isn't expected to do contract early, but will participate in drills. "Everyone is more concerned than I am. I rolled my ankle...I'll be back. I'll be good to go", said Gordon.

September 29, 2016: Gordon participated in non-contact practice for the first time since training camp started. "He's still a little hobbled with the ankle," Vogel said. "But [he looked] pretty good in some of the sets that we're going to be running for him. It was just good to see him out there."

September 30, 2016: Gordon participated in non-contact drills today again.

October 2, 2016: Gordon declared out for first preseason game against Memphis.

October 8, 2016: Gordon returned to practice today.

October 18, 2016: Gordon out for preseason game against the Heat due to ankle soreness.


Elfrid Payton, Strained Hip Flexor, Pg. 3 for more information
Spoiler:
September 27, 2016: Elfrid Payton strained his left hip flexor during practice; sat out the final 40 minutes, according to Frank Vogel. His status is "day-to-day."

September 28, 2016: Payton did not practice today, but said he's feeling better. It was revealed that he initially sustained the injury a week ago and recovered until re-aggravating it again in practice on 9/27/16.

September 29, 2016: Payton remained sidelined during practice today.

October 2, 2016: Payton declared out for first preseason game against Memphis.

October 8, 2016: Payton returned to practice today.


Serge Ibaka, Sore Knees:
Spoiler:
October 2, 2016: Ibaka was held out for the last 4 days of training camp due to soreness in his knees. It was initially downplayed by Frank Vogel as merely him managing a veteran during training camp. He's now listed as "day to day" and unlikely to play in the first preseason game vs. Memphis, according to John Denton.

October 3, 2016: Serge Ibaka declared out for first preseason game against Memphis. Vogel reiterated that there is no concern about his knee soreness.

October 4, 2016: Ibaka underwent a "precautionary" MRI on his knee, which revealed no structural damage. Vogel says Ibaka is available to play, but it is unlikely he sees action in the 2nd preseason game against the Cavs.

October 5, 2016: Ibaka revealed that the injury occurred after a knee-to-knee collision during the 2nd day of training camp. He missed the team's 2nd preseason game against the Cavs.

October 8, 2016: Ibaka returned to practice today. Says his knee felt good.


Nikola Vucevic, Right Corneal Abrasion
Spoiler:
December 7, 2016: Vucevic suffered a right corneal abrasion after being hit in the face by Jaylen Brown during Brown's dunk in Boston's victory. Vucevic remained in the game and did not miss any time due to this injury.

December 9, 2016: Vucevic played against the Charlotte Hornets with protective goggles.


Nikola Vucevic, Lower Back Contusion
Spoiler:
December 9, 2016: Vucevic injured his lower back due to a fall after being undercut by the Hornets Roy Hibbert in the second half of the Hornets victory.

December 10, 2016: Vucevic listed as OUT for game against the Denver Nuggets.

December 12, 2016: Vucevic sat out of practice, but did some non-contact work. His availability for tomorrow night's game in Atlanta will depend on how he feels tomorrow.

December 13, 2016: Vucevic is OUT for game against the Atlanta Hawks.

December 14, 2016: Vucevic is OUT for game against the LA Clippers.

December 16, 2016: Vucevic was listed as QUESTIONABLE before tip, but will give it a go tonight.


Bismack Biyombo, Strained/Sprained Left Shoulder
Spoiler:
December 9, 2016: Biyombo tweaked his shoulder during a block attempt in the second half against the Charlotte Hornets. He played only 16 minutes.

December 10, 2016: Biyombo was initially listed as OUT for the game against the Denver Nuggets, but was added to the lineup at the last minute. He played with a shoulder harness and finished with 12 points, 6 rebounds, 4 assists, 1 steal, and 1 block in 34 minutes.

December 12, 2016: Biyombo sat out practice.

December 13, 2016: Biyombo expected to play in Atlanta tonight.


Evan Fournier, Heel Contusion
Spoiler:
December 23, 2016: Evan Fournier bruised his right heel in Thursday night's loss to the New York Knicks. He's listed as QUESTIONABLE for tonight's game against the LA Lakers.

December 23, 2016: Fournier declared OUT for tonight's game against the Lakers.

December 26, 2016: Fournier is declared OUT for tonight's game against the Grizzlies. He remains day-to-day and expressed that he's feeling better and noticing improvement.

December 28, 2016: Fournier missed shootaround and is declared OUT for tonight's game against the Hornets. Vogel expressed hope that this would be Fournier's last game out.

January 1, 2016: Fournier went through practice over the weekend and expressed continued discomfort in his heel. He is declared OUT for tonight's game against the Pacers.
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Re: The IR 

Post#2 » by Def Swami » Sun Sep 25, 2016 4:40 pm

Jodie Meeks: Fractured 5th Metatarsal in Right Foot (Jones Fracture)

Meeks first injured his foot as a member of the Detroit Pistons on October 28, 2015 vs. Utah. He played 6 minutes total before suffering the injury at the 9:32 mark in the 2nd quarter. The Pistons announced that he had a fractured 5th metatarsal in his right foot. "We'll get further assessment and know better on a timetable in the next couple of days," Pistons coach Stan Van Gundy said. "But they, they X-rayed him, he's got a Jones fracture." Meeks was coming off a 2013-2014 season in which he missed 22 games with a stress reaction in his lower back that he suffered in the first pre-season game.

He underwent surgery on August 29, 2015 and was initially given a 12-16 week timeline for return to play, with a goal to be back on the floor by around All-Star weekend. Unfortunately for Meeks, he suffered a setback on February 4, 2016; x-rays showed his foot did not heal well since the surgery. His return was delayed to the very last game of the season on April 13, 2016 against the Cavs, in which he played 26 minutes scoring 20 points on 6/15 shooting.



He was traded to the Orlando Magic on June 29, 2016 for a 2nd round pick. Things seemed to be looking up for Meeks. He was even shown here getting up shots in the Magic practice gym.

Read on Twitter


However, Meeks suffered his second setback with the same injury on July 19, 2016; he underwent surgery to stabilize the 5th metatarsal. The Magic stated that “he’ll be out indefinitely and his return to action will depend on how he responds to rehabilitation.”

There are certain fractures at certain points of bones that are difficult to heal or take lots of time to heal for various reasons. Jones fractures are notorious for healing poorly. As many of you know, they’ve afflicted star athletes like Kevin Durant and Dez Bryant over the last few years.

The 5th metatarsal is a small bone at the base of the “pinky” toe. Docs have divided that bone into 3 regions.
Image

Fractures that occur in the two zones that flank the region in the middle usually heal well and often do not require surgery; they can usually be treated with a splint or walking boot or a cast and for 4-8 weeks, especially in non-athletes. If the bone still hasn’t healed after that, then surgery could be considered.

Jones fractures can also be treated without surgery in non-athletes, but given the high rate of non-union of the bone, it is almost always recommended that athletes undergo internal fixation, as Meeks did. However, even with surgery, the prognosis is highly variable; it’s not uncommon for the bone to still not heal well, which apparently was the case for both Durant and Bryant, both of whom required second surgeries. Blood supply to this area of the bone is diminished, which is theorized as to why the healing of this particular bone takes more time. There are also a couple of tendons that typically attach to this part of the bone that may put some tension on the bone and prevent union.

So it’s not atypical for Meeks to have had a couple of setbacks with this injury to this point. The Magic were wise to not put a timetable on his return because, again, it’s so hard to know how this bone will heal. But according to Dr. David Chao, “Healing after revision surgery typically takes 3-4 months.” If we were to apply that to Meeks’ situation, that would set a potential return for either November or December. http://www.nationalfootballpost.com/monday-morning-md-1-priority-of-minicamps/

Josh Robbins abetted that notion on September 19th when he reported that Meeks' rehabilitation was progressing well and that there is optimism for his return to the court in November.
The Orlando Magic’s Jodie Meeks appears to be progressing in his recovery from a mid-July surgery to stabilize the fifth metatarsal in his right foot.

Meeks probably will be available to play at some point in November, a team official told the Orlando Sentinel. Meeks’ exact return date will depend on how well he continues to progress.

Meeks will not be able to participate fully when training camp starts on Sept. 27, the team official said.

http://www.orlandosentinel.com/sports/orlando-magic/magic-basketblog/os-jodie-meeks-injury-update-20160919-story.html

In the mean time, this shouldn’t affect the Magic too much on the court. We’ll definitely miss his shooting, but between Fournier and Hezonja, there should be enough to compensate at shooting guard. Nevertheless, we’ll wish Jodie a speedy recovery.
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Re: The IR 

Post#3 » by Optimus_Steel » Sun Sep 25, 2016 5:38 pm

Great job man!

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Re: The IR 

Post#4 » by chosen12141 » Sun Sep 25, 2016 5:52 pm

Def Swami wrote:Jodie Meeks: Fractured 5th Metatarsal in Right Foot (Jones Fracture)

Meeks first injured his foot as a member of the Detroit Pistons on October 28, 2015 vs. Utah. He played 6 minutes total before suffering the injury at the 9:32 mark in the 2nd quarter. The Pistons announced that he had a fractured 5th metatarsal in his right foot. "We'll get further assessment and know better on a timetable in the next couple of days," Pistons coach Stan Van Gundy said. "But they, they X-rayed him, he's got a Jones fracture." Meeks was coming off a 2013-2014 season in which he missed 22 games with a stress reaction in his lower back that he suffered in the first pre-season game.

He underwent surgery on August 29, 2015 and was initially given a 12-16 week timeline for return to play, with a goal to be back on the floor by around All-Star weekend. Unfortunately for Meeks, he suffered a setback on February 4, 2016; x-rays showed his foot did not heal well since the surgery. His return was delayed to the very last game of the season on April 13, 2016 against the Cavs, in which he played 26 minutes scoring 20 points on 6/15 shooting.



He was traded to the Orlando Magic on June 29, 2016 for a 2nd round pick. Things seemed to be looking up for Meeks. He was even shown here getting up shots in the Magic practice gym.

Read on Twitter


However, Meeks suffered his second setback with the same injury on July 19, 2016; he underwent surgery to stabilize the 5th metatarsal. The Magic stated that “he’ll be out indefinitely and his return to action will depend on how he responds to rehabilitation.”

There are certain fractures at certain points of bones that are difficult to heal or take lots of time to heal for various reasons. Jones fractures are notorious for healing poorly. As many of you know, they’ve afflicted star athletes like Kevin Durant and Dez Bryant over the last few years.

The 5th metatarsal is a small bone at the base of the “pinky” toe. Docs have divided that bone into 3 regions.
Image

Fractures that occur in the two zones that flank the region in the middle usually heal well and often do not require surgery; they can usually be treated with a splint or walking boot or a cast and for 4-8 weeks, especially in non-athletes. If the bone still hasn’t healed after that, then surgery could be considered.

Jones fractures can also be treated without surgery in non-athletes, but given the high rate of non-union of the bone, it is almost always recommended that athletes undergo internal fixation, as Meeks did. However, even with surgery, the prognosis is highly variable; it’s not uncommon for the bone still not heal well, which apparently was the case for both Durant and Bryant, both of whom required second surgeries. Blood supply to this area of the bone is diminished, which is theorized as to why the healing of this particular bone takes more time. There are also a couple of tendons that typically attach to this part of the bone that may put some tension on the bone and prevent union.

So it’s not atypical for Meeks to have had a couple of setbacks with this injury to this point. The Magic were wise to not put a timetable on his return because, again, it’s so hard to know how this bone will heal. But according to Dr. David Chao, “Healing after revision surgery typically takes 3-4 months.” If we were to apply that to Meeks’ situation, that would set a potential return for either November or December. http://www.nationalfootballpost.com/monday-morning-md-1-priority-of-minicamps/

Josh Robbins abetted that notion on September 19th when he reported that Meeks' rehabilitation was progressing well and that there is optimism for his return to the court in November.
The Orlando Magic’s Jodie Meeks appears to be progressing in his recovery from a mid-July surgery to stabilize the fifth metatarsal in his right foot.

Meeks probably will be available to play at some point in November, a team official told the Orlando Sentinel. Meeks’ exact return date will depend on how well he continues to progress.

Meeks will not be able to participate fully when training camp starts on Sept. 27, the team official said.

http://www.orlandosentinel.com/sports/orlando-magic/magic-basketblog/os-jodie-meeks-injury-update-20160919-story.html

In the mean time, this shouldn’t affect the Magic too much on the court. We’ll definitely miss his shooting, but between Fournier and Hezonja, there should be enough to compensate at shooting guard. Nevertheless, we’ll wish Jodie a speedy recovery.




Well Sir.........BRAVO!!!! This is the very thing that I personally look for (comprehensive reporting) a well written and well grounded work here!

So now from what you heard regarding Aron Gordon, are they really being cautious or should there be more concern with this ankle
issue in the preseason? :o :o
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Re: The IR 

Post#5 » by rusoopE » Sun Sep 25, 2016 7:23 pm

Nice reading
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Re: The IR 

Post#6 » by Hilltop » Sun Sep 25, 2016 7:26 pm

Awesome post!
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Re: The IR 

Post#7 » by AddiFB » Sun Sep 25, 2016 7:59 pm

Congrats but I hope we won't need much or any of your knowledge this season :oops:
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Re: The IR 

Post#8 » by Def Swami » Sun Sep 25, 2016 9:43 pm

Appreciate the kind words and any feedback you all have. Going to try to make this as informative and useful a thread as possible for the forum.

chosen12141 wrote:Well Sir.........BRAVO!!!! This is the very thing that I personally look for (comprehensive reporting) a well written and well grounded work here!

So now from what you heard regarding Aron Gordon, are they really being cautious or should there be more concern with this ankle
issue in the preseason? :o :o

Hard to say given not much has been revealed yet. There are different grades of ankle sprains and depending on the grade determines how soon you can expect a player to be healed. This news broke when Hennigan was asked about the health of the team for training camp by Josh Robbins in a recent interview.
OS: Is everybody aside from Jodie Meeks ready to participate fully at the start of training camp on Tuesday?

RH: That’s the expectation. Aaron Gordon tweaked his ankle a few days ago. It’s not serious, but he may be a partial participant in the early goings. But we’re not quite sure yet.

OS: Is it possible that he’ll miss any preseason games?

RH: No.

While Hennigan says it's not serious and defiantly dismisses the idea of Gordon missing any pre-season games, the first of which is a week away from tomorrow, he also says he'll be limited to start training camp and "we're not quite sure yet", which admits some level of uncertainty. I'm interested to hear what Gordon has to say about it tomorrow at Media Day.

Ankle sprains are tricky. They can nag if you don't give it sufficient time to heal. It's unfortunate, but I'd be cautious going into the first week of training camp with it and just let him heal and re-assess after that.

In 2013, Tobias Harris sprained his ankle in a preseason game and that was also sort of made out to be not a big deal by the Magic. That ankle injury reaped him all season and forced him to miss 21 of the first 22 regular season games. It came out later that the sprain was more severe than initially thought and he required a 2nd opinion and another MRI. NOT saying this is what will happen for Gordon, but just an example to illustrate my hesitancy to dismiss the injury as "not serious." Hopefully we'll get some affirmation tomorrow from Gordon and the team that he'll be fine and ready to go full speed soon.
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Re: The IR 

Post#9 » by chosen12141 » Sun Sep 25, 2016 10:20 pm

Def Swami wrote:Appreciate the kind words and any feedback you all have. Going to try to make this as informative and useful a thread as possible for the forum.

chosen12141 wrote:Well Sir.........BRAVO!!!! This is the very thing that I personally look for (comprehensive reporting) a well written and well grounded work here!

So now from what you heard regarding Aron Gordon, are they really being cautious or should there be more concern with this ankle
issue in the preseason? :o :o

Hard to say given not much has been revealed yet. There are different grades of ankle sprains and depending on the grade determines how soon you can expect a player to be healed. This news broke when Hennigan was asked about the health of the team for training camp by Josh Robbins in a recent interview.
OS: Is everybody aside from Jodie Meeks ready to participate fully at the start of training camp on Tuesday?

RH: That’s the expectation. Aaron Gordon tweaked his ankle a few days ago. It’s not serious, but he may be a partial participant in the early goings. But we’re not quite sure yet.

OS: Is it possible that he’ll miss any preseason games?

RH: No.

While Hennigan says it's not serious and defiantly dismisses the idea of Gordon missing any pre-season games, the first of which is a week away from tomorrow, he also says he'll be limited to start training camp and "we're not quite sure yet", which admits some level of uncertainty. I'm interested to hear what Gordon has to say about it tomorrow at Media Day.

Ankle sprains are tricky. They can nag if you don't give it sufficient time to heal. It's unfortunate, but I'd be cautious going into the first week of training camp with it and just let him heal and re-assess after that.

In 2013, Tobias Harris sprained his ankle in a preseason game and that was also sort of made out to be not a big deal by the Magic. That ankle injury reaped him all season and forced him to miss 21 of the first 22 regular season games. It came out later that the sprain was more severe than initially thought and he required a 2nd opinion and another MRI. NOT saying this is what will happen for Gordon, but just an example to illustrate my hesitancy to dismiss the injury as "not serious." Hopefully we'll get some affirmation tomorrow from Gordon and the team that he'll be fine and ready to go full speed soon.



Excellent, I am looking forward to reading your assignments....but hopefully not to often! Good job!
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Re: The IR 

Post#10 » by tooler » Sun Sep 25, 2016 10:40 pm

Just give it to me straight, man.

Will Jodie Meeks live? :o
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Re: The IR 

Post#11 » by Def Swami » Sun Sep 25, 2016 11:17 pm

tooler wrote:Just give it to me straight, man.

Will Jodie Meeks live? :o

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Re: The IR 

Post#12 » by OrlandoDream » Sun Sep 25, 2016 11:42 pm

Fantastic idea! Great to see current and former Gators Doctors come out. Best of luckn on residency. Hope you get your match. I'm a 3rd year and not looking forward to the stress and anxiety of matching.
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Re: The IR 

Post#13 » by arsenal6106 » Mon Sep 26, 2016 1:43 am

Awesome stuff man!
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Re: The IR 

Post#14 » by Viper1500 » Mon Sep 26, 2016 2:02 am

Always good to read intellectual post like these. Good work


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Re: The IR 

Post#15 » by Def Swami » Mon Sep 26, 2016 2:18 am

OrlandoDream wrote:Fantastic idea! Great to see current and former Gators Doctors come out. Best of luckn on residency. Hope you get your match. I'm a 3rd year and not looking forward to the stress and anxiety of matching.

Thanks! 3rd year at UFCOM? You'll enjoy 4th year; a lot more free time on your hands compared to the first 3 years. There is some stress with regard to the match, but once you file the application and garner enough interviews, it becomes more exciting and fun. Wouldn't sweat it too much right now. Just enjoy 3rd year, really try to figure out what you like and how you want to practice, and the rest takes care of itself.
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Re: The IR 

Post#16 » by OrlandoDream » Mon Sep 26, 2016 4:23 am

Def Swami wrote:
OrlandoDream wrote:Fantastic idea! Great to see current and former Gators Doctors come out. Best of luck on residency. Hope you get your match. I'm a 3rd year and not looking forward to the stress and anxiety of matching.

Thanks! 3rd year at UFCOM? You'll enjoy 4th year; a lot more free time on your hands compared to the first 3 years. There is some stress with regard to the match, but once you file the application and garner enough interviews, it becomes more exciting and fun. Wouldn't sweat it too much right now. Just enjoy 3rd year, really try to figure out what you like and how you want to practice, and the rest takes care of itself.

Thanks for the preview...but I'm UFCOP lol. But in a way, we both have similar 4th years. Less didactic school work and more clinical rotations based. Like you, Im also looking forward to it. Keep us updated
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Re: The IR 

Post#17 » by drsd » Mon Sep 26, 2016 6:31 am

It is my dream that this thread will never be needed, and all players not named Meeks will be available for all 82 games !!!!!

(Seriously, if Vučević is available for 70+ games, it's a mini-miracle).

..
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Re: The IR 

Post#18 » by drsd » Mon Sep 26, 2016 6:33 am

Def Swami wrote:Jones fractures can also be treated without surgery in non-athletes, but given the high rate of non-union of the bone, it is almost always recommended that athletes undergo internal fixation, as Meeks did. However, even with surgery, the prognosis is highly variable; it’s not uncommon for the bone to still not heal well, .... Blood supply to this area of the bone is diminished, which is theorized as to why the healing of this particular bone takes more time.


I wonder if Microfracture techniques will become common in American sports-related surgeries, as it is commonly believed the benefit is to increase blood-flow to promote proper and prompt healing.

Thoughts on Microfracture surgery approach?


..
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Re: The IR 

Post#19 » by Howard Mass » Mon Sep 26, 2016 6:44 am

This feature is going to be awesome and more of you will be receiving Special Ranks/Nicknames in the coming weeks and months.
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Re: The IR 

Post#20 » by zuppafly » Mon Sep 26, 2016 10:44 am

This thread will be invaluable for hardcore fantasy league players! :D

Joking aside, great thread, great job, this is great information!

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