Stuart Holden injury: Bolton, U.S. Soccer confirm torn ACL

11 Comments

U.S. Men’s National Team fans feared the worst when Stuart Holden left yesterday’s final in the 23rd minute. Now, the worst has been confirmed, with both U.S. Soccer and Holden’s club, English Championship side Bolton Wanderers, confirming the 27-year-old has suffered a torn anterior cruciate ligament in his right knee.

According to Bolton, a treatment plan will be developed in the next seven-to-10 days, after swelling in the knee’s gone down. Until then, there’s no prognosis on a possible return.

Holden left Sunday’s game after colliding with Panamanian midfielder Alberto Quintero. Defending a counterattack out of Panama’s half, Holden’s left knee collided with Quintero, turning the U.S. international away from contact. After coming down on his right leg, Holden immediately fell to the turf, bringing his right knee to his chest in pain.

(MORE: Contemplating Holden’s 2014 World Cup chances)

After being examined both in the field and on the sidelines, Holden was replaced by Mikkel Diskerud. The former Houston Dynamo midfielder, who has undergone two surgeries on this left knee in the last two-plus years, could be seen on the bench with his head in his hands before walking to Solider Field’s locker room.

From Bolton’s web site:

Following a detailed scan on Monday evening, the club can announce that Stuart Holden has been diagnosed with a torn anterior cruciate ligament in his right knee …
Holden will now consult with both the club’s and the national side’s medical staff to formulate a treatment plan.
Head of sports performance Mark Leather said: “We’ve got the scans and the results will be analysed by our specialists. We can then put an action plan in place over the next week to ten days when the initial swelling reduces.”
U.S. national team head coach Jurgen Klinsmann, in a release distributed by U.S. Soccer:
“We are absolutely devastated for Stuart,” said U.S. head coach Jurgen Klinsmann. “He is such a great part of our team on the field and the locker room. He worked tremendously hard to recover from previous injuries and had really come back into form. He was fully prepared to head back to Bolton and challenge for a starting spot. Now he will have our full support as he goes down this road again, and we will be with him every step of the way.”
Holden, for his part, put out a positive message in response to the news:
[tweet https://twitter.com/stuholden/status/361975150448615426 align=center]
Regardless, after you add in the broken leg Holden suffered in March 2010, this is the fourth major leg injury he’s suffered in the last three-plus years, the latest in a torrent of bad luck that has come to define the U.S. international’s career.

Stuart Holden injury: Jurgen Klinsmann fears knee could be “very serious”

4 Comments

When Stuart Holden left Sunday’s game under his own power, there was reason to believe his early withdrawal was a precautionary measure. Jurgen Klinsmann, speaking after his team claimed the 2013 CONCACAF Gold Cup, gave fans reason for pause, though, hinting the decision to take the Bolton midfielder off after 23 minutes reflected a more grave concern.

Asked about Holden’s status after the match, Klinsmann described the right knee injury as potentially “very serious,” not the prognosis fans were hoping for when the U.S. international exited Sunday’s game. Having left on his feet as opposed to a stretcher, there was reason to hope halftime’s “sprained” diagnosis would hold. Maybe the 27-year-old, who has undergone two knee surgeries since being injured on March 19, 2011 (albeit to his other knee), was no worse than he seemed while calmly walking to the locker room?

Even after Klinsmann’s pessimism, ‘sprain’ is the only diagnosis we have. But if there wasn’t some fear within U.S. camp that Holden’s knee might be worse, Klinsmann may have chose his words differently. He’s not a trainer, and he’s not a doctor, but he is somebody unlikely to label something as possibly “very serious” if there was no cause to do so.

The fact that this was a non-contact injury will only foster worries. In the 20th minute, Holden’s left knee collided with Panama midfielder Alberto Quintero, the challenge shifting the U.S. midfielder onto his right knee. Holden immediately went to ground, brought his knee to his chest, and clutched it in obvious pain.

For a man who’s played only five club games since his 2011 injury, this is the nightmare scenario. After making it through two months of U.S. national team duty without incident, Holden goes down the game before he’s set to fly back to Bolton – with a potentially new injury, to his other knee.

As he laid on the ground at Solider Field, you could see every fear of re-injury in his tightly clenched eyes. By the time he was up, strolling off, eventually walking to the locker room, he’d put on a strong enough face to make us forget.

But all that means nothing when somebody says the words “very serious.”

Stuart Holden leaves Gold Cup final with apparent right knee injury

7 Comments

If you asked U.S. Soccer fans before the match for a worst case scenario, and this might have been it. I suspect most would rather their team lose the final of a “down” Gold Cup than see Stuart Holden leave Solider Field early with another potential knee injury.

It isn’t all gloom and doom quite yet. After going to ground in the 20th minute, Holden left the field under his own power, was briefly examined on the sideline, then gave way to Mikkel Diskerud. After a moment on the bench with his head in his hands, Holden was on his way to the locker room, undoubtedly to undergo a more detailed examination on his right knee.

This had every look of a precautionary measure, but with Holden’s injury history, nobody would be wrong to think the worst. Since suffering a left knee injury on March 19, 2011, Holden’s only played five games for his club (Bolton Wanderers), undergoing two major surgeries in that time. His health has been a major talking point throughout the tournament, with fans still harboring concerns for a player who’s become a favorite.

Those concerns will be heightened after Holden’s early exit in Chicago, an exit that came after Holden collided with Panama’s Alberto Quintero. Though today’s possible injury occurred to Holden’s right, non-repaired knee, fans concern is unlikely to be alleviated in the face of new, bad luck.

Holden immediately want to ground and grabbed the surgically repaired joint. When trainers reached him on the field, they immediately started testing the knee’s stability, the kind of prodding to the sides of the leg that you usually see when somebody suspects a ligament problem.

After a few moments’ examination on the sideline, Holden flopped flat on his back, arms outstretched in concession. His day was over.

Now Holden and U.S. Soccer fans play a waiting game. From almost all indications we saw from the field, this could merely be a hyper-cautious move in consideration of Holden’s injury history. But perhaps the most important indication — the fact that Holden couldn’t continue — means there’s reason to worry.

Stuart Holden back training, coach cautious about midfielder’s return

3 Comments

It’s been 18 months since Stuart Holden was fully fit. That’s when he had his knee done in a Premier League match against Manchester United. Since, Bolton’s been relegated from the Premier League, his midfield partner has retired, the Trotters have changed managers, the U.S. Men’s National Team has changed coaches, and his former MLS team has made two appearances in MLS Cup finals. Eighteen months is a long time.

That’s what new Bolton manager Dougie Freedman’s is emphasizing as the 27-year-old finally returns to training with his team. It’s not full training – Holden’s doing one day on, one day off – but as the Wanderers’ boss notes, Holden’s energy is a positive influence:

“Stuart has been training one day on one day off which is great. The problem we have, and I do stress this to everyone, is that Stuart has been out for a long time and there will be absolutely no rush from the coaches’ point of view.

“He is training with us on every second day. He is looking nice and fit and his sharpness will come. He is such an enthusiastic lad and he is great to have around. I have tried to encourage Stuart to get around the place which is good for us.

“But we are still a couple months away from seeing Stuart, let’s not kid ourselves, but we are looking forward to that.”

All was can hope is that those couple of months go smooth, Holden can use the spring to regain his legs, and by the start of the 2013-14 campaign, he’ll be back to full fitness.

There’s always a lot of excitement around Holden, but for now, let’s just leave it at that.