This is not as harsh as the Kevin Ware injury; there is no visible bone here. That being said, what happens to Manny Machado's knee as he crosses first base is pretty harsh.
You can see in the video that his knee appears to buckle right when he crosses the bag. His leg seems to dangle loosely for a moment as he falls to the ground.
I'd try to come up with some kind of analogy to try and describe the kind of pain he must be in, but the camera man gives us a pretty good look at Manny's face.
I think that says it all.
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