Week 6 Bills Injury Review- Texans & Allen’s Elbow

Read about the latest Bills injury to QB Josh Allen and what this means going forward.

Well this isn’t good, this isn’t good at all. The ultimate form of adding insult to injury, though reversed. The Bills lost a very winnable game, dropping to 2-4 on the year, losing to the flawed Houston Texans 20-13 on a QB Nathan Peterman pick 6 to give the Texans the lead and the game. Adding the injury part, QB Josh Allen suffered what appeared to be a rather innocuous elbow injury, glancing his elbow off DE Whitney Mercilus’ helmet. However, he was able to attempt one more pass before exiting the game. Unfortunately, recent news has shed light on the severity of the injury. Today’s article will assess what Josh Allen did to his elbow and what it means going forward.

Credit: physio-pedia.com

To give a brief anatomy lesson, the elbow is made up of 3 bones: the ulna, radius, and humerus. The elbow is primary comprised of the capitulum on the humerus fitting inside the semilunar notch which is part of the olecranon process on the ulna to make a hinge joint. Surrounding the joint are ligaments that provide support to the joint to provide support. These ligaments are the lateral collateral ligament, the ulnar collateral ligament, and annular ligament. The lateral collateral sits on the outside portion of the elbow, mostly injured due to fracture or dislocation. The annular ligament holds the head of the radius in place along the elbow joint, and the ulnar collateral ligament sits on the inside of the elbow. This is similar to the MCL of the knee in its function. It is more of a stabilizing ligament due to the throwing motion required in the human body. This ligament is made up of 3 bundles that spread out like a fan to cover the entire inside portion of the elbow. The elbow is a rather stable joint as compared to the shoulder or ankle, but as with any joint, can be injured with the proper forces.

In true Bills fashion, QB Josh Allen suffered a UCL (ulnar collateral ligament) injury to the elbow. This was the result of a bang bang play as Allen got hit from the left by Clowney, followed by Mercilus hit from the right, coming up underneath, hyperextending the rookie’s elbow. Initial thoughts were that he hit his funny bone off the helmet and had some residual numbness, similar though, to a lesser extent of the QB Marcus Mariota injury. However, later video review showed the arm in hyperextension which was worse but not terrible injury. At that point, I began thinking maybe he can come back this week or miss one game. However, recent video from Thad Brown revealed ironclad proof that this is an injury more severe than anyone thought.

The ulnar collateral ligament helps to provide medial support to the elbow so that the ulna does not shift off the humerus during elbow flexion/extension. This ligament also provides support during the throwing motion seen in many sporting activities. Injuries occur to this area as the result of acute hyperextension, excessive external rotation of the shoulder leading to chronic issues such as pitching, or a sudden forceful lateral stress to the joint during elbow extension which was the case with Allen.

Credit: eorthopod.com

In the video above, you can see the medical staff performing a milking technique or moving valgus stress test. The arm is put into full external rotation and the elbow is moved throughout its range, attempting to assess whether there is a painful response. In the video, there is clearly a painful response indicating a positive test. This test would not specify which band is injured, only the area in general. Due to this testing along with the mechanism of the injury, an MRI was performed to determine the severity of the injury. At this point in time, we know that this is not a season ending injury and we know that he will not require surgery as reported by Dr. James Andrews following a second opinion.

The reason it was the UCL that was injured was due to where the force came from. It came from below and outside the arm, pushing the inner portion of the arm up and out via the hyperextension, partially tearing the ligament. The reason everyone is hyper-concerned is that this is a rather famous ligament made popular by Dr. Frank Jobe and baseball player Tommy John in 1974. This is the ligament that stabilizes the inner elbow when a pitcher is throwing a baseball 100 mph. Dr. Jobe was able to surgically repair the ligament that Tommy John had torn and John was able to return to playing, racking up more wins in the process than he had prior to the injury. Today, this is known as Tommy John surgery and is typically a death blow to a pitcher’s season, hence the concern with Allen. Incidentally, many pitchers have since tore this ligament as a result of being bigger, faster, stronger along with overuse and sport specialization.

According to Dr. Andrews, Allen does not appear to require surgery nor will he be sidelined for the remaining season with the information that we currently have. This is something that many of us in the medical community believed prior to the Andrews report. This is an injury that like any ligamentous injury, will take some time to heal. Many conservative rehab guides along with medical professionals are looking in the neighborhood of 6 weeks for this to heal to the point of playing which would take the Bills past the bye week. I believe within this amount of time, he would be able to come back and while not 100%, would be close enough to be effective and continue to grow as a player. There are reports that he could miss 2-3 games but I think the Bills would be foolish to rush him back that quickly. It is likely that he will have some type of bracing on the elbow for protection.

While this is incredibly terrible, this will allow the Bills to let Allen rest and learn until he is ready rather than rushing him back out there and causing further damage to his arm. If this had been his non-throwing elbow, it would be more likely he would have been back by next week with bracing. This is an injury that despite best prevention, could not have been avoided. It was a collision and even with padding and protection, forces can still overcome the preventative measures.

Overall, UCL injuries are relatively rare in the NFL. Studies show that from 1994-2008, there were 10 UCL injuries with 9 taking 26.4 days to return and not requiring surgery. In addition, from 2010-2018, there were 12 UCL injuries with only one requiring surgery. Based on the past 25 years from those two studies, there has been 22 UCL injuries to QB’s in the NFL with only 2 requiring surgery. These numbers are smaller due to the relatively small sample size available. This is evident in the difference of the style of the throw, the amount of times the player is throwing, how many consecutive times a throw is performed, and the speed of the throw; all significantly less in football compared to baseball. While it is the same injury, the incidence is drastically different.

Thankfully, from baseball, we know how to treat this effectively. The non-operative rehab will consist of regaining full, pain free ROM in the elbow. They will also begin light resistive training to the area involving bicep/triceps work and grip/wrist exercises to build the muscles up around the area to give support as the muscles that perform flexion in the wrist and hand attach very closely to the UCL on the medial epicondyle of the elbow. As the ligament heals, he will begin to work on dynamic stability with grip and weight bearing through the arm. He will progress towards throwing progressively weighted balls along with strength training all while managing pain before resuming football activities. This injury, along with all other injuries, DOES NOT fit the motto of no pain, no gain. That motto doesn’t fly in therapy and will only delay his return to the field. The limited NFL research along with what we know about the baseball injuries will dictate when he returns. As he is young, he can heal quicker than an older QB, but this is not an injury that he should play through before he is ready as greater damage may occur as a result.

While this was a majority of the article as it is a major topic, there were other injuries that occurred during the game. DE Trent Murphy injured his left ankle late in the 2nd quarter. He appeared to take an odd step and came up limping slightly, missing several plays. He was able to return and it does not appear that he sustained any noteworthy damage at this time.

OG Vladimir Ducasse suffered what was reported a left knee injury early in the 4th quarter and was questionable to return. He was able to jog off the field with a small limp and was seen after the game walking in the tunnel without apparent pain. On video, he got hit from behind and got rolled up on. My initial reaction thought maybe mild high ankle sprain with how he fell or some type of contusion to the calf region. He could have also came directly down on his knee due to getting hit, causing discomfort. Either way, it doesn’t appear to be serious and we will know more once the injury report comes out tomorrow.

While this was an incredibly lengthy article, I hope that you walk away from this knowing that Josh Allen will be ok, not all injuries are avoidable, and the Bills are still relatively healthy compared to other teams in the league.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow on Facebook at Banged Up Bills, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 6 Bills Injury Preview- Texans

Assessing the latest Bills injuries despite a rare injury free game report.

The Bills roll into Houston with a noted distinction rarely seen in today’s NFL. They have no one on the injury report in a league where each player is one injury away from never playing again. I am not a statistician or have extensively researched this, but the incidence of this is rather low if you ever took a look at www.pro-football-reference.com injury report for any team during any season. Despite this week’s rarity, today’s article will still review injuries from this week and impact they can have on the game.

Those on the injury report this week were S Micah Hyde (groin), S Rafael Bush (shoulder), CB Tre’Davious White (ankle), & G John Miller (ankle). As previously mentioned, Hyde and Bush missed last week with their respective injuries and White & Miller appeared to have either injured or aggravated previous injuries in practice.

However, all are cleared to play though may not be 100%, as most players aren’t fully healthy during the grind of an NFL season. Miller and White appeared to have generalized sprains based on limited reporting out of practice this week. Miller did deal with what I believed was a high ankle sprain last season. I do not believe he is dealing with an aggravation of this, but is a concern if he has repeated appearances on the injury report. White did not miss an defensive snap which makes me believe this is a minor injury. These generalized sprains can be managed well with rest, rehab, and proper bracing/taping to play the next week.

Bush is coming off a shoulder injury that by video, appeared to be an AC sprain. He was able to play though the rest of the game which makes me believe this to be the case. It is possible that he could have sustained a more serious injury, but we will know if there is any bracing or additional support on the shoulder that would signify any other injury.

With those on the injury report, the only one I am concerned about is Hyde. With groin injuries, they can linger as most strains do and are at a higher risk for re-injury if coming back too soon. There is a precedent for healthy players to be ruled inactive as CB Phillip Gaines and RB Marcus Murphy were ruled out in past weeks despite practicing in full that particular week. As Hyde is a vital cog to the secondary, it is possible that he may miss the game, but less likely as he is a starter. Add in the fact that the team released S Dean Marlowe indicates that Hyde will most likely play.

This fortunate injury report allows the Bills to go into Houston with a healthy roster and everyone mentioned above active. This will give them the best chance possible to get to 3-3. These are the games that fit “The Process” exactly; games that while tough, are games that can be won with the right game plan and personnel available. I do not anticipate the Bills to have results that mirror the Ravens and Chargers games. I believe that the Bills will walk away with a win and keep pace with their AFC counterparts.

This is one of the shorter articles this season and in my book, that is an excellent thing. Continue to check back for the latest updates and news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 5 Bills Injury Review- Titans

Read up on the latest injuries following the win over the Titans.

Leave it to the Bills to wait until the last second to pull out a win like that! K Stephen Hauschka’s game winning kick to give the Bills a 13-12 win over the Tennessee Titans propels Buffalo to a 2-3 record and momentum going into their Week 6 showdown in Houston. As always, today’s post will review the injuries sustained in Sunday’s win.

Those ruled out prior to the game include S Micah Hyde (groin), S Rafael Bush (shoulder), and RB Marcus Murphy (ribs). Hyde and Bush were not expected to play this week after not practicing all week and their availability may improve with this week’s practice. However, Murphy was inactive despite practicing in full all week and demonstrating that he was healthy. There is precedent for the Bills to rule a player inactive despite appearing healthy. Just the prior week, CB Phillip Gaines was ruled inactive with an elbow injury despite practicing in full. These may be personnel decisions or may be allowing these players to heal up more before rushing back to full contact.

Those injured during the game were minimal included P Corey Bojorquez (shoulder), CB Taron Johnson (shoulder), CB Tre’Davious White (ankle), and DT Kyle Williams (knee). However, only White made his way to the injury report. Possibly the most serious injury out of the bunch is Bojorquez. He suffered a right shoulder injury on a botched fake field goal attempt and sustained an unlikely injury in the process. He was observed later having had the shoulder wrapped with limited motion during running and in obvious pain at times. Based on the mechanism of injury, it appears that he may have suffered a SLAP lesion of the shoulder. SLAP stands for Superior Labral Anterior and Posterior which means that the top portion of the labrum tears; this is where the long head tendon of the biceps connects at.

Bojorquez suffered the shoulder injury late in the 2nd quarter as the result of the tackle and came up with significant discomfort. The reason why this is at least a SLAP lesion or subluxation and not dislocation is due to the fact that he was able to move his shoulder around and did not appear to require immediate manual reduction of the joint. This injury occurred as he was tackled; his arm was in an abducted and externally rotated position which places a lot of stress on the front part of the shoulder. This is also the motion that is required to throw a football.

As he is falling with his arm in that position, he has a defender falling on his body, preventing him from falling to allow him to brace for impact. When Bojorquez hits the ground, the body weight of the defender plus the ground lead to the arm to hyperflex which possibly led to the SLAP tear. During impact, it is also possible that he may have suffered an anterior subluxation of the shoulder, which is a partial dislocation to the area but able to self relocate. However, of all subluxations/dislocations, this is the most common with 97% of all these injuries occurring in this manner. In dislocations, the labrum tears and leads to instability in the shoulder. In the case of subluxation, there is a joint shift but a lesser chance of injury to the labrum. However, in most dislocations/subluxations, damage does occur and instability is present. This is also evident in SLAP lesions.

Symptoms seen with Bojorquez after the injury would most likely include difficulty with overhead motions, general strength deficits, and complaints of popping, locking, or clicking during movement, among other complaints. As with labral tears, this is not an injury that will heal up on its own and would require surgery to repair the damage. A normal person could live with this injury without surgery but due to the demands of the NFL, he would most likely require surgery later.

Despite this grim prognosis, Bojorquez may not miss any time or have any deficits come next game. He will have to strengthen the area and give it time to reduce pain and weakness, but otherwise he will be able to perform his regular punting duties as required. Thankfully he is not out of the field often and he can still play with his full ability without compensation. The only major deficit he may have is if the Bills want to run a fake field goal play; this may limit his abilities to throw the football effectively. He may eventually need surgery if it continues to give him problems but will not require it immediately; he may use bracing as seen with CB Taron Johnson.

Unfortunately, following with another shoulder injury, CB Taron Johnson suffered a re-aggravation to the right shoulder, as he has had in previous games. He did have to sit out several plays after but was able to return with overall effective play. He will have to continue to tackle with his left side to reduce further injury and missed time. While he continues to injure the area, this can and will lead to less forces required to sublux the shoulder, leading to greater instability and eventual surgery.

DT Kyle Williams suffered a right knee injury in the 3rd quarter but eventually resumed participation. Williams did return to his place in the rotation after sitting out 1-2 series but based on the injury, does not appear to be serious. Williams injured his knee as the result of having his right leg kicked out from under him which resulted in him falling directly on his knee without bracing for impact. This may have been more of falling directly on it and requiring some rest to reduce the initial shock of the impact. While Williams is on the injury report, he is listed as requiring a veteran rest day as he does every week. I do not see this injury causing any long term issues.

Finally, CB Tre’Davious White suffered an ankle injury during Sunday’s win and was limited in practice today. Reviewing film, there was not one specific play that revealed the injury. Add in the fact that White played in every defensive snap and all defensive field goal attempts makes this difficult to diagnose. This may have been an injury that he played through and did not realize until after the game or this may have been an injury that he sustained in practice today. Without conclusive video, it is rather difficult to identify what type of ankle injury he sustained. Either way, he was only limited in practice which on Wednesday is a good sign in order to play Sunday. Based on this information alone, this does not appear to be a serious injury but something that the Bills should be proactive about. This is far from a guarantee, but history serves us well when looking at availability.

This wraps up the injury review from Sunday. The Bills continue to be fortunate when dealing with injuries in terms of severity. While some of these injuries are significant in nature, they are able to be conservatively managed until there is a more opportune time to address the long term management of these conditions.

Continue to check back for the latest updates and news coming out of One Bills Drive. Follow on Facebook at Banged Up Bills, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 5 Bills Injury Preview- Titans

Dissecting the latest injuries prior to the AFC matchup against the Tennessee Titans.

The Bills roll into Orchard Park with a 1-3 record and much to play for when they host the Tennessee Titans on Sunday. While it is quickly becoming a reality that this team will not look like last year’s surprise playoff team; the fan base is still hoping that there are some positives that can be squeezed out of this season.

According to Friday’s injury report, no one has been ruled out prior to Sunday’s game. Three players have been ruled questionable including: S Rafael Bush (shoulder), S Micah Hyde (groin), and TE Charles Clay (ankle).

Reviewing video, Hyde’s injury was fairly straight forward, pulling his left groin midway through the 1st quarter attempting go upfield and get involved with the play, coming up lame. He was on the injury report the prior week with a toe injury but this is not something that would have caused compensation patterns leading to the injury. He simply performed a football move and it caught him. While he is questionable, he has not practiced all week which historically is not favorable when predicting whether he will play Sunday. He will realistically need at least one more week before he can even consider playing in a game. Expect him to miss this Sunday.

S Rafael Bush injured his shoulder on the last play of the 1st quarter tackling RB Aaron Jones out of bounds. He injured his left shoulder when he got spun around off Jones, falling directly onto his shoulder without having the ability to brace for the fall. He was able to play the rest of the game but was not really directly involved in many plays regarding physical contact after that. His injury was not immediately apparent until reported on the injury report Tuesday. I believe he suffered an AC joint sprain or possible contusion to the general area. Other possibility of a SC joint sprain, though less likely. Typical mechanisms of injury are similar to what was described above; a direct blow to his shoulder. Considering that he was able to play the rest of the game, but take the entire week of practice off suggests that it is a mild sprain/contusion that may take a week to heal.

From my previous article from the Tampa Bay game last year, edited for relevancy:

“On average, the Grade 1 shoulder sprain that Bush possibly could have sustained typically takes 9.8 days to fully recover from according to Dr. David Geier. He will be at day 7 by kickoff Sunday, which may affect his ability.”

It’s possible that he could play, but not practicing all week may have allowed him to heal in order to play, but more realistically, he is not quite ready for contact. Like Hyde, he was unable to practice which almost certainly seals his fate.

TE Charles Clay suffered an ankle injury that on film did not appear serious. He had a Packers defender falling to the ground and fell into Clay’s ankle while he was trying to get out of the way. He was able get the ankle taped up, continue playing and finish the game. It appeared that he got his ankle rolled up on or tweaked as a result. While he was limited Wednesday, did not practice Thursday, he was able to practice in full Friday which is a strong indicator that he will play. In addition to the ankle, he is also dealing with previous shoulder and hip issues from the previous game. He is also a veteran and requires more maintenance which is why he is unable to practice during the week yet play Sunday’s. I would expect him to suit up to be QB Josh Allen’s safety valve.

Other injuries on the report include RB Marcus Murphy (rib), and DE Shaq Lawson (hamstring). Murphy appears to have a generalized rib injury that cost him last week but it appears healed enough to perform this week. Hopefully it is a contusion that continues to heal rather than a broken rib. Lawson missed two games with his hamstring strain and while he did play the entire game, he may have developed soreness as a result, requiring conservative maintenance on it so as to not further irritate the healing tissues. While it is possible to re-injure the area, giving it rest through the week gives him the best shot to play at 100% Sunday.

Others dealing with injury but did not make the injury report: RB LeSean McCoy (ribs/hand), CB Taron Johnson (shoulder), and CB Phillip Gaines (elbow). McCoy has been dealing with cracked rib cartilage that is physically impossible to be healed yet which still limits him despite what he says otherwise. However, reports indicated that he injured his left hand with it visibly wrapped up after the game. Film review was inconclusive whether he suffered any particular injury. To note, he was able to demonstrate effective ball safety, gripping the ball in each hand respectively without compensation during his limited playing time.

CB Taron Johnson has been a bright spot in the defense 4 games into his rookie year. However, he continues to deal with a shoulder injury that appears to be a torn labrum in his right shoulder. This is evident with the use of visible bracing on the right side, he continually injures the area on hard hits but is quicker to return in the game, and the original mechanism of injury. He can continue to play on the shoulder but eventually he may require surgery for long term correction. Until then, he has altered his tackling style, he is wearing bracing, and I’m certain he is doing rehab to strengthen the surrounding muscles around the joint in order to get through the season.

Finally, CB Phillip Gaines is coming off a right dislocated elbow that forced him to miss one game. However, he was inactive despite practicing in full the week of the Packers game which indicated that he may have been held out due to personnel needs rather than injury. Regardless of reason, the extra time off allowed him to heal even more and he may not require any bracing given the time frame.

Overall, anticipate Hyde and most likely Bush to miss the Titans game with Clay playing with several nagging injuries. These thoughts are further solidified with the signing of S Dean Marlowe and releasing TE Khari Lee. This indicates that at least one safety is certain to miss and the thinning of the TE depth chart indicates Clay is playing. The others mentioned above are expected to play but have injuries that do not require treatment by training staff but could still limit their effectiveness. This game should allow the Bills to get their first home win of the season and move to 2-3 to maintain some level of respectability in the AFC.

Continue to follow Banged Up Bills for the latest updates and news coming out of One Bills Drive. Follow on Facebook at Banged Up Bills, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at www.bangedupbills.com. As always thank you for reading and GO BILLS!!

Week 4 Bills Injury Review- Packers

Observing the multitude of injuries suffered by the Buffalo Bills in the loss to the Green Bay Packers.

After such a promising win last week against the Vikings, the Bills returned to their inconsistent ways. They limped out of Green Bay after a 22-0 loss and several injuries that could leave them vulnerable next week at home against the Tennessee Titans. Today’s article will review those injuries and the impact they have on next week.

Those coming off injury were RB LeSean McCoy (ribs), TE Jason Croom (knee), and DE Shaq Lawson (hamstring). All were able to play without limitation, though were not productive. Interestingly, CB Phillip Gaines (elbow) was ruled inactive despite practicing in full this week, indicating that it may have been a personnel decision rather than a medical one.

First up is S Micah Hyde who suffered a groin injury midway through the 1st quarter. He sustained the groin injury during a deep pass despite not being directly involved with the play. Film review shows that he injured his groin backpedaling, keeping up with TE Jimmy Graham. He then began redirecting his focus, turning right to change direction to catch up with the play on the left side and came up hobbling. It appeared that he pulled his left groin performing a move he’s done countless times, a football move, to put it simply. Hyde was able to walk off under his own power but had a noticeable limp, unable to return. It is unknown how severe the injury is; my guess is a Grade 1 groin injury, similar to what DE Trent Murphy sustained during preseason. Hyde could be out 1-3 weeks based on severity, more likely out 1-2 games due to the nature of his position. While stretching, strengthening, and a proper warm up routine can and do reduce the incidence of these injuries, there was nothing he could have done on this play to avoid it, just a hazard of the job.

Following the Hyde injury, CB Taron Johnson went down with a R shoulder injury though was able to return shortly later. He originally suffered the same injury in the season opener against the Ravens but has since re-injured his shoulder every game that he has played. He continues to re-injure by the same means; a direct blow to the shoulder during a textbook tackle.

Originally, my thoughts were a stinger due to the direct blow, but he has since been wearing a shoulder harness which indicates some type of shoulder instability seen in AC joint sprains or labral tears. As he continues to injure his shoulder in the same fashion, I am now suspecting a labral tear in his shoulder. His AC joint would have been improving weekly and would not have required a brace as he healed. He continues to require attention from the trainers after each hard hit but was able to return rather quickly to the game which is not uncommon after an injury such as his. He may have noticed pain and weakness to the area but still be able to play the position. Regrettably, Johnson may eventually require surgery similar to what WR Zay Jones had in the off season. It is possible to play with a torn labrum, but the more that the shoulder gets injured, the more damage occurs. During the hit, he is most likely subluxing his shoulder, or partially dislocating due to the direct blow to the shoulder. The more he subluxes, the more tearing/fraying that can occur to the labrum. He may reach a point where the shoulder becomes too unstable or fully dislocates with a hit which may necessitate surgery. He can play next week but his production may eventually suffer. I did note that he began changing his tackling style, leading with his left shoulder to force a QB Aaron Rodgers fumble, but this may not be the best long term solution to get through the season.

WR Kelvin Benjamin suffered a brutal hit to the head attempting to haul in a pass, instead was intercepted by CB Ha Ha Clinton-Dix. Benjamin was blindsided and went to the ground immediately. He left the game after that hit and was assessed for a head injury but was cleared and returned to the game late in the 4th quarter, though wholly ineffective throughout Sunday, bringing in 1 pass for 35 yards. I don’t anticipate this being an issue this week.

TE Charles Clay suffered a left ankle injury late in the 3rd quarter which required the athletic trainers to tape up his ankle indicating some minor instability following a sprain. He would get the ankle taped up to control for any swelling and provide support so that he could continue playing for the rest of the game. Film review showed that he got his foot caught in bodies rolling on the ground as he tried to get out of the way. Expect him to wind up on the injury report this week with a variety of injuries that may force him into not participating or being limited. However, it is far too early to tell whether these injuries will culminate into missing game time. Prior to the injury, Clay was involved but limited in the passing game, hauling in 4 passes for 40 yards.

Other injuries that did not appear to be that severe included DE Eddie Yarbrough , OT Jordan Mills, and CB Ryan Lewis. During their respective injuries, they appeared to be banged up but were able to return to play indicating that these are injuries not to be concerned with. However, with how this game went, every injury was initially be thought as concerning until ruled otherwise.

Overall, a very tough loss to deal with but one that we should have saw coming. While there will be more bright spots this season, they will also come with bitter tastes left in our mouths in between. As a PT, I want to continue to see these Bills avoid serious injury in order to continue to gel as a unit rather than replacing guys to stop the bleeding from the loss of key starters in the future.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 4 Bills Injury Preview- Packers

Assessing the latest Bills injuries prior to the Week 4 matchup against the Packers.

A lot can change in one week. Last week at this time we were hoping that we could stay competitive in a tough road game against the Vikings. After the major upset that the Bills pulled off in Minnesota, this has everyone thinking that they may be able to do it again in Green Bay. As I said last week, Any Given Sunday! Today’s post will look at the injury report and what this means going forward for player availability.

The biggest question going into Sunday’s matchup is whether RB LeSean McCoy (ribs) will be able to play. He has been limited all week due to the cracked rib cartilage sustained against the Chargers which forced him to miss last game. However, Shady has emphatically stated that he will play Sunday. He could reinjure the area leading to more pain and slowing down the already slow healing process. He could also cause additional damage to surrounding areas as the cracked cartilage does provide support to the area and instability within the area could lead to further injury. However, a veteran with as much time in the league as he has knows his body and whether he can be effective. He would probably benefit from additional time off, but he knows his remaining time in the NFL is fleeting and must make every opportunity count. Expect him to play this week.

RB Marcus Murphy (ribs) is also dealing with his injury that has had much less attention devoted to it than McCoy. He may be dealing with a rib contusion which could be expected to heal quicker than McCoy’s injury or even a fractured rib. As McCoy will play, RB Chris Ivory is healthy, this may allow Murphy to rest. I do not anticipate that Murphy will play considering he has been limited all week and that typically does not bode well for playing Sunday.

Others that are questionable are TE Jason Croom (knee) and TE Charles Clay (shoulder/hip). Both injuries are intriguing in that they were not reported during the game, it did not appear that they missed any time besides the plays/packages specifically designed for them, and it puts into question regarding whether they will be available for Sunday. Croom was able to practice in full on Wednesday with limitations Thursday & Friday makes me think he suffered an injury Wednesday which in turn will make it nearly impossible to identify the particular injury. As for Clay, he has a long documented history of knee troubles, however he now has shoulder and hip injuries. Looking at film, there is nothing that appears out of the ordinary with his play nor does he exit for long periods of time indicating that he is injured. While I consider myself an expert on injuries, I cannot state that I was able to determine what happened to either player. There were several instances where Clay was taken to the ground hard and it appeared that he was slow off the snap the next play but he was still able to block and run his routes without any noticeable compensation. This makes it difficult whether both him and Croom will play Sunday. Reports indicated that Clay sat out of practice this week in order to maximize the chances he could play Sunday. However, since this team is TE heavy, they could either roll with two tight ends and add some receivers or Clay could suit up and play.

Others returning to practice is CB Phillip Gaines (elbow). Recapping, he dislocated his elbow in the loss to the Chargers and missed last week’s game. I do not believe he is 100% healed, however, he must be feeling better enough that he can play. I see no reason why he shouldn’t play if he feels he is ready. He may have some protective bracing or compression to the area to prevent it from getting hit and swelling up again.

Also returning to the fold are DE Shaq Lawson and DE Trent Murphy. Lawson suffered a hamstring injury that cost him 2 games and Murphy suffered an ankle injury in the waning minutes of the Vikings win. Lawson appears healthy but may still be limited with situational play or snap count to not re-injure his hamstring and restart the process. Murphy on the other hand appears 100% and should not be limited getting into the backfield.

Overall, expect RB Marcus Murphy and TE Jason Croom to be inactive. While TE Charles Clay is limited, I expect that he will be more ready to play allowing the team to play TE Logan Thomas and TE Khari Lee. Despite the growing injury report, these are still relatively minor compared to some of the other injuries around the league.

Continue to follow for the latest updates and news coming out of One Bills Drive! Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills and www.bangedupbills.com. As always, thank you for reading and GO BILLS!!!

Week 3 Bills Injury Recap- Vikings

Dissecting the latest injuries coming out of the Bills win over the Vikings.

Wow, all I can say is, wow! That was quite the performance by both QB Josh Allen and the entire Bills squad as they came in as one of the biggest underdogs in recent memory and blew the Vikings out of the water in their own stadium. While I did predict a loss and many others did, I am quite okay with the results. This win gives true meaning to the term “Any Given Sunday”. As the Bills walk away with a gigantic “W”, letting the NFL know they are not dead in the water, they also walk away with minimal injuries. Today’s post will identify injuries sustained in the game and what this means going forward.

The biggest injury to come out of Sunday’s win is DE Trent Murphy (ankle). The veteran end from Washington in some fan’s eyes has been a disappointment so far after missing the entire preseason with a groin injury with lackluster performances in the 1st two weeks. However, as he has rounded into game shape, his presence was felt in the most recent game with a sack, forced fumble, and two tackles. He continually provided pressure against Minnesota’s woeful O-line which prevented QB Kirk Cousins from showing why he earned that massive contract in the off season.

Murphy sustained a right ankle injury late in the 4th quarter with the game already in hand. During the play, he was in the backfield when one of the Vikings offensive lineman got knocked down and rolled into his ankle. The mechanism initially appeared to favor a high ankle sprain due to him falling down with his foot twisted out. However, it appears that the ankle was merely rolled up on, causing a what appears to be a minor sprain which during Monday’s presser was termed as “day-to-day”. This indicates that this is not severe, he should be available Sunday, and there is no long term damage. To note: this is his right ankle he injured; he tore his left ACL last season. Injuries to the contralateral side can and do occur after major injury such as an ACL, but I believe this is a garden variety sprain and he could be back next week.

Others dealing with injury are CB Taron Johnson (shoulder) and CB Ryan Lewis (cramps). Johnson injured his right shoulder during a tackle in the 3rd quarter, similar to the hit that ended his day in Baltimore. Upon getting up, it was observed that Johnson was wearing a shoulder harness which typically is indicated for shoulder instability. I believe this is the direct result from the Ravens game and reason why he re-injured his shoulder Sunday. I had originally considered the possibility that he injured his AC joint, resulting in a sprain, or suffering a partially dislocated shoulder or subluxation. Reviewing film again, Johnson moves his arm freely walking off the field in Week 1. In Week 3, Johnson was able to return to playing but the hard hits continued to take its toll.

I believe Johnson sprained his AC joint during the initial tackle in Week 1 and is still dealing with some instability. AC joints can and do heal up quicker but still take their required time to rest. That is the most favorable result based on the initial injury. If he suffered a torn labrum via subluxation, he could still play but he may realize that he is not effective, eventually leading him to surgery. However, it is really difficult to determine without further information at this time. I am obviously hoping for the former.

CB Ryan Lewis never had a specific injury identified by the team but I believe that he was dealing with cramping initially as was C Russell Bodine and WR Kelvin Benjamin earlier in the game. However, Lewis went down again late in the game for what appeared to be unknown reasons. During the play, he changed direction suddenly and took a hard step on his right foot and appeared to be favoring it as he jogged into where the play ended. He was standing up, motioning to the training staff before getting down on his hands and knees while he was tended to.  Whether this means anything is to be seen. He may show up on the injury report with some type of ailment such as a calf or ankle or it may have just been fatigue. This was his first NFL game action, he had already been dealing with cramps, and the intensity of his first game plus nerves may have tired him out quicker. They say the game moves even faster at that level; it would stand to reason it requires more thought which could lead to greater fatigue. I do not expect any long term issues.

Other than the above mentioned injuries, those coming off injury appeared to have no ill effects. WR Ray-Ray McCloud was able to make his NFL debut and field at least one punt return for some yardage. It was observed that he wells wearing bracing on the left knee to give medial/lateral support supporting the notion that he had a knee sprain. This was most likely due to requiring extra support to the previously injured knee in the preseason win over the Bears. I do not see this being an issue moving forward with him ditching the brace soon.

Others coming off injury include RB Taiwan Jones. Previously mentioned, he suffered the nasty gash to his forehead in the loss to the Chargers. It appears that his wound was healed up enough in order to play without issue. His wound will only continue to heal without any further issues.

Even with the above mentioned injuries, the Bills continue to show strong depth which allows them to stay competitive in games. The Bills should be able to come in healthier against the Packers next week and set themselves up to steal another win from the NFC North.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!