Only diehard basketball fans saw Paul George suffer a rare but horrific injury. The fact that his injury occurred during a fairly meaningless scrimmage while he played for his country made the injury even more painful.

George’s unlikely but devastating injury

Tibial nailGeorge, a forward for the Indiana Pacers, is arguably one of the ten best players in the NBA. He tried to contest a fast-break layup in the fourth quarter of a USA Basketball scrimmage. His foot landed on the base of a backboard stanchion, causing his leg to snap violently. He was soon diagnosed with an open tibia and fibula fracture.

George’s leg was placed in a splint, and he was taken from the Thomas & Mack Center in Las Vegas to a nearby hospital where he underwent surgery hours later. While specific details have not been released, surgeons most likely washed out the open wound to decrease the risk of infection. They then likely placed a rod down the center of the bone.

Doctors have suggested George will likely miss the entire 2014-15 season. An athlete’s tibia can heal solidly in four to six months. On the other hand, it can take much longer to regain full motion, leg strength, explosiveness, power and speed – if he ever does at all.

Hopefully Paul George heals quickly and returns to his previous form. If he returns as a shell of his former self, or if he doesn’t return at all, it will be a huge loss for everyone involved.

Also read:
Louisville’s Kevin Ware faces long recovery after horrific injury
Kareem Abdul-Jabbar on athletes and injuries

Potential loss for USA Basketball

For USA Basketball, George’s fracture might only represent a minor setback. Assuming the remaining players can rebound from witnessing a teammate’s brutal injury, the Americans should still be favorites to win the FIBA World Cup.

Potential loss for the Indiana Pacers

On the other hand, the Pacers could suffer immensely, especially if George never returns to his All-Star form. The team stands to lose much of the $92 million owed to him in a five-year contract he will begin this season. The Pacers can recoup his salary through disability insurance. They can sign another player with an injury exception from the NBA. Both George’s salary and salary of the signed player count towards the salary cap and the luxury tax.

Losing Paul George to an injury that occurred with USA Basketball could turn the Pacers from a title contender into a mediocre team for the foreseeable future.

The Pacers aren’t blaming the national team, though. Indiana Pacers president Larry Bird, a member of the 1992 Dream Team, emphasized his support for USA Basketball in a statement. “We still support USA Basketball and believe in the NBA’s goals of exposing our game, our teams and players worldwide. This is an extremely unfortunate injury that occurred on a highly-visible stage, but could also have occurred anytime, anywhere.”

Also read:
Strategies to decrease basketball injuries
Tips to prevent youth basketball injuries

Potential loss for the NBA owners

George’s fracture might convince NBA owners to lobby for the right to keep their players from participating. Through an Basketball jumpagreement between the NBA and FIBA, NBA owners can only prevent players from playing for their national teams in the event of “reasonable medical concern that such participation will place the player at substantial risk of injury, illness or other harm,” according to an NBA memo to teams.

Dallas Mavericks owner Mark Cuban has been an outspoken critic of international basketball. According to ESPN’s Mark Stein, Cuban reiterated his concerns about NBA players participating for free while the International Olympic Committee and corporate sponsors reap the profits. “The greatest trick ever played was the IOC convincing the world that the Olympics were about patriotism and national pride instead of money.”

Regardless of how much money the International Olympic Committee or FIBA makes off the players in these tournaments, I would never criticize any athlete for wanting to compete for his or her country. It is widely believed, though, that many of our top players participate in these tournaments to increase their marketing potential in other countries.

Potential loss for NBA players

NBA contracts are guaranteed, so Paul George will collect his money. But George is 24 years old. As one of the NBA’s top stars, he could have earned one or two more maximum contracts later in his career. Not only could he miss out on millions in salary if he never returns to superstar performance, but his marketing deals might vanish as well.

Many NBA sports writers have debated whether NBA owners will now block their players from competing in international competitions. I wonder what effect Paul George’s injury will have on the players. Will more stars decide that the risk of career-ending injury – no matter how unlikely – isn’t worth selling more sneakers?

Also read and listen to this podcast discussion:
Can an exercise program keep basketball players out of the operating room?
Episode 113: How can basketball players lower their risk of injuries? (starts at 4:00)

Note: A modified version of this post appears as my sports medicine column in the August 7, 2014 of The Post and Courier.