Week 4 Recap- Falcons

Breaking down the Bills latest injuries including thumb fractures, surgical approaches, and long term outlook.

This is a Bills team that continues to impress so far into the 2017 season. The defense is looking better than ever, Tyrod Taylor is moving the ball well, and serious injuries continue to be at a minimum. The Bills pulled out a solid win against the defending NFC champions, winning 23-17. These Bills look good, but I am not getting my hopes up yet. This happened in 2008 and 2011, both of which became lost seasons.

Unfortunately, with a hard nose win, comes some tough injuries which does affect how the next few weeks play out. A total of 4 players went out with some significant injuries that some will miss extended time. LB Ramon Humber and WR Jordan Matthews are out with broken thumbs, also known as the first metacarpal, the portion of the thumb that is highlighted as the broken area in the picture. Reports indicate that both will have surgery with Matthews requiring a pin to hold the fracture in place. There are not reports that Humber will require the same technique which may indicate a different type of fracture which may affect healing time.

fr_metacIllustration 1: Credit: http://www.mdguidelines.com/fracture-metacarpal-bones

While there are multiple ways to break a thumb and various ways the bone can break, the surgical options are fairly straight forward. For Matthews’, he will require a pin or “K-wire” which is inserted into the bone to hold it in place while it heals, which typically takes 3 weeks until it can be pulled out. A small piece of the wire sticks out of the skin and is protected to reduce infection. This is called a Bennett’s type approach. He may require this surgery due to a portion of the bone that has become fractured and requires stabilization to ensure proper healing.

Humber’s surgery may take the approach known as a Rolando’s type approach due to the nature of the break. Humber may have had several small breaks in the first metacarpal requiring a surgical approach to bring together all the various pieces together using a plate and screws to secure the area while it heals. Considering that the surgical area will be sewed shut, it is possible to have a cast placed over the area and continue playing. To better understand the difference between the thumb surgeries, please check out this link. While it does have basic drawings, it is the best resource that makes understanding the differences easily.

Next up is S Colt Anderson with a broken forearm. Any of my readers, please tell me what the Bills see in this guy? He continually gets hurt and I personally fail to see the value in him being on the roster. However, he suffered a broken forearm and has since been placed on IR. Typically, an injury such as this is sustained due to a direct blow to the arm such as during blocking or hitting the arm against a helmet. It is unknown which bone he broke in his arm, but he will require surgery which typically places a rod and screws to stabilize the area to ensure that it heals properly.

Finally, E.J. Gaines suffered a pulled groin on a hard tackle after changing direction in the 4th quarter and left the game. As of now, it is unknown how severe the injury is, but if it is similar to Shaq Lawson’s injury, then he should recover well. He was able to walk off on his own power and did not need any immediate attention which may indicate a mild strain. To understand further what the groin is and how it affects the football player, check out this article.

Expect to see Gaines at worst miss the next game, but considering he has more time than Lawson to recover, it’s possible for him to play in some fashion Sunday. Depending on the severity of the Humber fracture, he could come back after the bye and play in a cast while he continues to heal. Matthews on the other hand, makes his money using his hands and will require a longer recovery time because of this and the nature of the surgery. He will come back at some point during the season, but I wouldn’t expect him to come back until the Saints game on November 12th. This will give him at least 4 weeks to recover and then with the Jets playing the Bills on Thursday night, no sense in rushing him back and gives him an extra week to recover.

To make up for these losses, the Bills signed WR Philly Brown, S Trae Elston, and S Shamarko Thomas, moving S Colt Anderson to IR and releasing S Robert Blanton and DE Eric Lee. The Bills continue to make moves to keep the depth at a premium and sign players who know the system, allowing for a smaller learning curve.

Continue to check back for updates and any new injuries. These Bills may be real, let’s see how real they can get! Go Bills!!

Author: Dr. Trimble

My name is Dr. Kyle Trimble and I am, first and foremost, a Buffalo Bills fan!! When I am not cheering on the Buffalo Bills, I am a Physical Therapist. To give a background on myself; I was born and raised in Erie, PA, moved to Buffalo in 2006 to begin my studies at D'Youville College towards becoming a Physical Therapist at which time I became a devoted Buffalo Bills fan.  I graduated in 2013 with my Doctorate in Physical Therapy and moved home for several years. Moving back to the Buffalo area in 2016, I have gained extensive experience in outpatient orthopedics, skilled nursing, acute care hospital, and home care. Having obtained a significant wealth of knowledge that continues to grow, along with a undying fandom of the Bills, puts me in the unique position to educate my fellow fans about our great team. 
I am currently an injury spotter working with Dr. David Chao, Orthopedic Surgeon based out of San Diego. In this role, I provide real time updates regarding injuries during the game. I also currently write for Grandstand Sports Network and all content is published on both Banged Up Bills and Grandstandsportsnetwork.com. I hope you enjoy what I publish and I welcome any comments or questions you may have.
Disclaimer: My opinions are my own.  Any thoughts I have on the injuries is based on media reports, my knowledge of the injury, and speculation based on the information currently available.


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