Casting Lines for Future Tournaments

August 12, 2016

By Jack Roberts
MHSAA Executive Director

The MHSAA is best known to the public for the tournaments it conducts to conclude the fall, winter and spring seasons each school year.

These tournaments, the first and largest program of the MHSAA, have survived the Vietnam War, the Korean conflict and two World Wars. They have survived the technology bubble, the housing collapse, the energy crisis and the Great Depression.

MHSAA tournaments existed at the dawn of aviation and at the time of our nation’s lunar landing. Popes, presidents and governors have changed and changed again and again, and MHSAA tournaments roll on year after year.

But the sense of tradition and permanence and inevitability of MHSAA tournaments doesn’t dissuade us from asking questions about our tournaments, even some of the most basic questions. Here are two.

Question #1

I have long been and will always be an advocate for a Ryder Cup format for the MHSAA Golf Finals, and a team tennis approach to the MHSAA Tennis Finals; but 90 years of tradition is hard to overcome. Might this be a more exciting format? Could it be co-ed? Could it reverse the decline in boys tennis participation, and increase girls golf participation? Wouldn’t it be fun to try?

Periodically, the International Olympic Committee requires each of the designated Olympic sports to defend its status, to state its case why the sport should remain a part of the Olympic program. Then, after a series or votes that retain one sport at a time, the IOC drops the sport that makes the weakest case. It does so to make room for one of the previously unlisted sports that makes the best case for inclusion.

This would appear to keep the existing Olympic sports on their toes, and to keep the Olympic movement fresh and reflective of modern trends in sports.

While I would not enjoy the controversy, I can see the potential for some positive results if the MHSAA were to invoke the same policy for determining the 14 tournaments it will provide for girls and the 14 for boys.

This might cause us to consider more deeply what a high school sport should look like, or at least what an MHSAA tournament sport should stand for.

On the one hand, we might be inclined to drop tournaments for those sports that involve mostly non-faculty coaches and non-school venues, or require cooperative programs to generate enough participants to support a team, or resort almost entirely to non-school funding, or cater to individuals more than teams.

Or perhaps this process would cause policymakers to forget traditional thinking and ask: “In this day and age, should we shake off traditional notions of sport and consider more where modern kids are coming from?” That might mean fewer team sports and more individual sports, more “extreme” sports like snowboarding and skateboarding, and more lifetime sports, meaning not just golf and tennis and running sports, but also fishing and even shooting sports.

Currently, MHSAA policy states that the MHSAA will consider sponsorship of a tournament series for any sport which 64 member schools conduct on an interscholastic basis as a result of action by the governing boards of those schools.

Should the only question be how many schools sponsor a sport, or must an activity also have certain qualities and/or avoid certain “defects?” What should an MHSAA tournament sport look like and stand for?

Question #2

Bristling from criticism that his association is a money-grabbing exploiter of children, my counterpart in another state said, “If we were running our programs just to make money, we would do very many things very differently.” I knew exactly what he meant.

Because we care about the health and welfare of students, because we mean what we say that the athletic program needs to maximize the ways it enhances the school experience while minimizing academic conflicts, and because we try to model our claim that no sport is a minor sport when it comes to its potential to teach young people life lessons, we operate our programs in ways that make promoters, marketers and business entrepreneurs laugh, cry or cringe.

If money were the only object, we would seed and select sites to assure the teams that attracted the most spectators had the best chance to advance in our tournaments, regardless of the travel for any team or its fan base. If money were the only object, we would never schedule two tournaments to overlap and compete for public attention, much less tolerate three or four overlapping events. If money were the only object, we would allow signage like NASCAR events and promotions like minor league baseball games.

Those approaches to event sponsorship may not be all wrong; they’re just not all right for us. And we will live with the consequences of our belief system.

During a typical school year, more than 20 percent of the MHSAA’s 2,097 District, Regional and Final tournaments lose money. Not a single site in golf, skiing or tennis makes a single penny. In no sport did every District, Regional and Final site have revenue in excess of direct expenses.

In fact, in only three sports – boys and girls basketball and football – is revenue so much greater than direct expenses overall that it helps to pay for all the other tournaments in which the MHSAA invests.

That’s right: invests. When we present our budget to our board, we talk about the MHSAA’s investment in providing tournament opportunities in all those sports and all those places that cannot sustain the cost of those events on their own. How much is this investment worth to students, schools and society?

These two are core questions that require our focus far in advance of talk about scheduling, site selection, seeding and the myriad matters that too often hijack our time and attention.

Symptoms of a Meniscus Tear — and When to Seek Treatment

April 2, 2024

Meniscus tears are not one size fits all: Sometimes they cause no pain, other times they’re excruciating.

Henry Ford HealthOnce in a while they heal or adapt on their own, but more often than not they require physical therapy or surgery.    

“Your meniscus is a fiber elastic cartilage that acts as a shock absorber for the knee,” says Ahmad Bazzi, M.D., a sports medicine physician at Henry Ford Health. “It also helps stabilize the knee joint. But when it tears — which can occur in young athletes after a pivot injury or in older people who have arthritis — it can be painful.”

Here, Dr. Bazzi shares symptoms of a meniscus tear and when to see a doctor. 

What Does A Meniscus Tear Feel Like?

Depending upon the level of injury and type of tear, meniscus tears can either be asymptomatic or cause symptoms like:

  • Locking. When the meniscus tears, a piece of it might move into the knee joint, causing mechanical issues like stiffness and locking of the knee joint.
  • Catching or clicking. This often feels like a sudden ‘click’ in the knee joint, where it suddenly gives out while you’re walking or doing certain movements. 
  • Localized pain on the inner or outer part of the knee. In young athletes, a meniscus tear often causes an impaired range of motion and localized pain on the inner or outer part of the knee. 
  • Pain and swelling. In older people, a meniscus tear often causes swelling and an overall aching pain in the knee.  

Treatment Options For Meniscus Tears

A meniscus tear can only heal on its own if the tear is on the outer part of the knee where it has better access to blood supply. If you’re experiencing pain a few days after injury and you have limited range of motion, instability and/or swelling in the knee, Dr. Bazzi recommends seeing a doctor to get an examination and, if needed, an MRI for diagnosis. 

“It’s hard to tell what type of meniscus tear you have if you haven’t seen a doctor,” says Dr. Bazzi. “If you have a mechanically unstable tear and it goes untreated, it could lead to worsening range of motion and stiffness, or worsening arthritis. It’s important to get seen by a doctor to get an accurate diagnosis and the proper treatment. It may take one to three months for a full recovery.”     

Here, Dr. Bazzi shares treatment options:

Surgery

If someone is having mechanical symptoms like locking or catching, surgery may be considered right away, especially if it’s an athlete younger than 40 years old. “Meniscus tear surgery has a shorter recovery compared to other knee surgeries,” says Dr. Bazzi. “Surgery could either consist of a meniscectomy, which is partial or complete removal of the meniscus, or sometimes just a meniscus repair.”  

Hyaluronic acid or cortisone injections

Non-operative treatments are often recommended for older people who have degenerative tears due to arthritis. “This is because meniscus surgery doesn’t often relieve their pain since they have underlying arthritis, meaning they have cartilage loss in the meniscus,” says Dr. Bazzi. 

Instead, a cortisone injection, which is an anti-inflammatory medication that can be injected into the knee, can reduce inflammation, swelling and pain caused by arthritis.

A hyaluronic acid injection may also be considered, which adds cushioning in the knee. “Hyaluronic acid is one of the substances that make up our cartilage, so this injection helps us mimic the lost cartilage,” says Dr. Bazzi. “It also has anti-inflammatory properties.” 

Physical therapy

Physical therapy is another great option, especially for older people who need non-operative treatment options. It can help the knee adapt to the tear, reduce pain and encourage full range of motion. “Physical therapy for meniscus tears focuses on balance exercises and exercises to strengthen the muscles around the knee,” says Dr. Bazzi. “This helps to uphold the knee joint to achieve full range of motion and strength while being pain-free.” 

To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.

Reviewed by Ahmad Bazzi, M.D., a sports medicine physician who sees patients at Henry Ford Medical Center – Fairlane.