By Ben Dinnery

10th Nov, 2022 | 11:35am

Medical Insider: Lucas Paqueta at 'great risk' of injury setback as new West Ham details emerge

West Ham attacker Lucas Paqueta may be at “greater risk of suffering dislocations” after opting against undergoing surgery on his shoulder injury.

That is the view of medical expert Ben Dinnery, who runs the Premier Injuries site and has a background in injury and data analysis, speaking exclusively to Football Insider

Paqueta made his first appearance in almost a month as West Ham lost 2-1 to Crystal Palace on Sunday (6 November) and was named in the Brazil squad for the World Cup.

Brazilian outlet UOL reported last week (4 October) that the 25-year-old had undergone “conservative” treatment rather than having surgery.

“Ultimately I don’t think there was a decision to make in regards to the surgery route or treating it conservatively because it was a no lose situation,” Dinnery told Football Insider correspondent Connor Whitley.

“He could only respond well to conservative treatment and make himself available for the national team.

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“We’re talking about a laxity in the joint and whether there is damage to the ligaments. That in turn means a player may have a higher propensity to suffer those dislocations. The more it happens the worse it becomes.

“To the point where Kalvin Phillips who had a similar injury, was regularly suffering partial dislocations in training.

“It is that risk v reward. With Paqueta they decided to treat it conservatively and he responded well and he’s going to the World Cup. If it didn’t he could have the surgery and have six or seven weeks to recover and return for the second half of the campaign.

“Potentially down the line, you are going to be at a greater risk of suffering a dislocation.

“The decision was based on what can he do to get back for the World Cup and with surgery that took that from the equation.”

In other news, Gianluca Scamacca should be getting a ban as a West Ham controversy is missed by the BBC cameras.