obviously it's speculation on our part, but given how he arrogantly braged about knowing more than the docs and specialists for a previous repair surgery and fucked it up going heavy early (arguably he shouldn't be going heavy ever again) it's not exactly 'wild' speculation. There does certainly appear to be some damage in the more recent pics vs the immediate post surgery pics, so either the surgery was not a success, or he managed to fuck it up by being the capricious know it all dickhead we have all observed relentless times. It's a fairly safe bet.