Smoothing a Patient's Transition from Injury to Recovery
High school star athlete quickly back to top form

At 16, T.J. Williamson already turns heads on the football field a standout athlete with natural talent and multiple Division 1 offers. Coaches and fans believe hes a young man with a bright future.
Then, in a moment, the game was taken from him. While blocking a field goal, a hard hit caused a severe injury during a Yulee High School game last September. Those around him worried that his dreams of a football career might be as shattered as the tibia and fibula bones of his left leg.
Yet, nine months later, T.J. is not only walking hes sprinting, catching passes and scoring touchdowns once again. His uncle and legal guardian, Travis Williamson, credits T.J.s resilience. And they both credit the medical teams at 蹤獲扦 Jacksonville.
To see how well hes recovered is not only a testament to the hard work T.J. put in but to everybody at 蹤獲扦 for everything they did to make sure he got back to where he was before the injury, Travis said. From the time it happened to the time we got to the hospital, everything was so organized. They did a really great job. The accident happened about 8 p.m. and by 8 a.m. the next morning, T.J. was in surgery.
Crucial care on the football field
The smooth transition from the field to surgery highlights the work of Jeremy Coleman, MD, medical director at 蹤獲扦 Family Medicine Wildlight and 蹤獲扦 Family Medicine Amelia Island. Coleman is board certified in both family and sports medicine and is the team physician for Yulee and Fernandina Beach High Schools, so its not unusual to find him on the field on game night.
Its all part of the sports medicine athletic training outreach program that Coleman developed about eight years ago. In addition to placing 蹤獲扦 athletic trainers at Nassau County high schools 40 hours a week, either Coleman or one of his colleagues is also on the field during games.
Often in the sports medicine arena, the focus is on caring for elite or professional athletes, Coleman said. But I believe that 蹤獲扦 has done a great job taking care of these budding athletes even before they make it big.
Last fall, on Sept. 20, Colemans sports program demonstrated its effectiveness. When T.J. and a teammate rushed forward to block the field goal, the other players helmet collided with T.J.s lower leg. He lay on the ground in pain and asked a player to get the coach. I knew my leg was broken, and I was just trying to process it all, T.J. said. There was a lot of emotion. It was my first high school season.
Colemans presence allowed for an immediate assessment of the injury. He was able to splint the leg while assuring T.J. that everything would be alright. Within minutes, I was able to get on the phone with our orthopaedic colleagues downtown, Coleman said. With the severity of the injury, I knew he needed trauma care. As soon as the ambulance arrived at the hospital, Dr. Youngs team was there to meet him at the door.
Expert care from the orthopaedic trauma team
Once the trauma team stabilized T.J.s leg and provided medication for the pain, they scheduled the operating room for the next morning and notified the medical personnel they needed.
Porter Young, MD, an orthopaedic surgeon who specializes in orthopaedic trauma surgery, met with T.J. and his uncle before surgery to discuss the details of the procedure. Hours later, he would tell them that the surgery went smoothly without any issues.
He had a pretty good prognosis going in, yet its still a significant injury, Young said. To break a tibia takes a lot of force, especially for a young healthy guy like that. He has pretty dense bones, so he took a pretty hard hit. Fortunately, he fractured the bone in an area that heals reliably well.
Young also said this case was a great example of how 蹤獲扦 Jacksonville moves trauma patients effectively through the system. For injuries like T.J.s, Young said the goal is to provide treatment within 24 hours. Yet with Colemans outreach program in place, T.J. was treated in 12.
When all parties are organized and ready to go from having Dr. Coleman and the docs on the field to the emergency departments readiness to surgery to fix the bones in a timely manner as well as quickly designing a therapy plan it all works toward a positive patient outcome, Young said.
Moving forward with physical therapy
All those who provided medical care for T.J. praised his maturity, his toughness, his motivation to return to football and his hard work in rehabilitation.
Travis praised the 蹤獲扦 physical therapy team as well as T.J.s ability to keep moving forward. Everyone who handled T.J.s rehab was great, and he was resilient through it all, he said. The rehab team had an immediate plan that they carefully explained, and he hit it hard. There were some tough days early on, but for the most part he did a good job just keeping his head down, attacking his rehab and just taking it one day at a time.
And both T.J. and his uncle agreed the outpouring of support from the community for its local football star made a huge impact. People in Yulee sent cards, gift baskets, letters of encouragement and social media and phone messages, which T.J. said boosted his mood and gave him that extra bit of motivation he needed.
Now hes enjoying a full recovery, happy to be back at practice and looking forward to attending Bolles this fall as a sophomore. Looking back, he said he was appreciative of the encouragement people gave him, definitely one of the positives of the ordeal.
His uncle believes the injury also provided an important lesson to his nephew. I think he realizes that the game can be taken away from you at any moment not that he took it for granted before the injury but going through something like that especially being young, I think you appreciate being able to play a little more, Travis said.