Week 10 Bills Injury Review- Jets

Analyzing the latest Bills injuries following the beat down of the Jets and how the roster looks going into the bye.

This team, one week you’re ready to swear them off for good, next week, can’t get enough. What a complete win by the Bills over the Jets 41-10 to move to 3-7 sliding into the much needed bye week! There are so many positives coming out Sunday’s game, I will leave that to the pundits who know football more than I do to diagram the X’s and O’s. It was a fun win and reassures me that there is talent on the team, the coaching staff does have a plan, and hopefully next year they begin to bring personnel in to turn their grand plans into solid results. However, I am always here to assess the injuries sustained in the blowout and how they affect the Bills going into the Jaguars game two weeks from now.

Going in chronological order of injuries, starting off with WR Robert Foster (thumb). The rookie wide out sustained some type of left thumb injury early in the 1st quarter which required an assessment by trainers. At one point he was questionable to return, eventually returning to haul a huge pass from QB Matt Barkley in the 3rd quarter and finish with 105 yards on the day. As to the specific injury, he may have suffered a dislocated thumb.  He was observed going to the locker room with a trainer stabilizing the left hand at the carpometacarpal joint which is the lower portion of the thumb that connects to the wrist. While that does sound nasty, it is relatively minor. My guess is he somehow injured it on the fake punt play, it appeared he may have hit his thumb against a Jets defender coming down with the ball or he suffered it where there is no video available. In the event of a thumb dislocation, the thumb would be reduced and put back into place, he would be fitted with a thumb spica which is a small brace which would allow him some mobility to the area but reduce further injury. Foster was wearing gloves on both of his hands which prevent us from identifying if there is bracing under for support next time we got a close up. As he was able to return to the game, the week off should be good enough to allow him to heal effectively.

DE Jerry Hughes suffered a right knee injury during a tackle in the backfield and was able to walk off midway through the 2nd quarter. Upon review, he was pivoting up on his toe and rotating to the left, the mechanism suggested a minor MCL sprain but Hughes was observed jumping around and shaking his knee out, also grabbing at the front of the knee. He also did come down hard on the knee which then we are considering a contusion to the area which would explain the limping. Either way, he was able to return and continue to provide pressure on QB Josh McCown all day. The injury appeared to be minor and something that does not concern me moving forward.

CB Taron Johnson (shoulder) exited the game once again midway in the 2nd quarter and did not return. It appears that he suffered a re-aggravation of his right shoulder injury he has been dealing with all season. It is quite possible he subluxed the shoulder once again despite bracing to the affected area, though I was not able to see him wearing it Sunday. He suffered the injury on a hard tackle midway through the second quarter, tackling the offensive player with his left shoulder, and coming down hard on his right. After the play he was able to move it around, giving several high fives after shaking it out briefly. Interestingly, despite the upbeat activity after the play, Johnson did not return to the game which makes me suspect a subluxation as there is already laxity in the joint from previous injury. This means that less force is required to disrupt the joint, leading to easier and easier injures. This is something that he has experienced previously and may require rest and rehab in order to get ready for Week 12. It may be realistic that the Bills shut him down later this season if he continues to re-injure the area so that he can have surgery and be ready for OTA’s.

OG John Miller suffered what appeared to be a right knee injury on the scoring play by WR Zay Jones late in the 3rd quarter. Video is limited but he was pancaked and rolled back onto his own leg, appearing to twist his knee going down. He was able to walk off with a minor limp but yet another injury that does not appear to be serious. In the event that he needs to sit out any time, the coaching staff have been working in additional lineman to find the right scheme fits to spring the running game which appeared to be the case Sunday.

The most serious injury of the day is LB Matt Milano (head). The stalwart linebacker suffered a hard hit early in the 4th quarter that snapped his neck to the left upon contact with Milano going down instantly. It is unknown whether he lost consciousness but he was eventually able to stand up and enter the medical tent. On broadcast and initially getting up, he was favoring his left arm which may indicate that he suffered a stinger based on how he hit and the angle of his head/neck upon impact, but the more concerning injury is the blow to the head. He was eventually brought to the locker room for further evaluation but looking at video, there is cause for concern with a concussion. Whether he actually sustained one is not known yet, but in the event that he did, he will enter the concussion protocol as QB Derek Anderson is currently working through. Time will tell how he responds and hopefully he is cleared as he is having another standout season after a stellar rookie campaign.

Those that were questionable today going into the game were LB Tremaine Edmunds (concussion) and WR Andre Holmes (neck). Both appeared to play with full effectiveness and did not appear to be limited in their availability during Sunday’s win. I do not anticipate that they will continue to deal with their recent complaints and use the bye to rest up.

Overall, the Bills are in good shape going into the bye. While they are missing a lot of starters now, everyone with the exception of QB Derek Anderson appear to be ready to come back 100%. After the performance of QB Matt Barkley, there is question whether he should continue playing or to hand the reins over to QB Josh Allen. If Allen is 100%, play him and see what he can do. If there is any lingering issues which are possible considering the injury, rest him until he has no complaints or concerns. Barkley will eventually get figured out by opposing defenses which supports the idea that Allen should start, but at least the Bills have options moving forward. Personally, I would like to see Barkley or Allen starting Week 12 against the Jaguars, Anderson tutoring Allen as the 3rd QB, and QB Nathan Peterman cut and brought back on the practice squad to develop and be available if things go south.

As a fan, I am looking forward to having a week off from football. I do love the Bills, but they are mentally fatiguing at times and we all need rest. I suggest you all do the same. Over here at Banged Up Bills, continue to look for new content to help gear up for the remainder of the season. Feel free to ask questions or engage in discussions, I want you, the reader, to learn and understand these injuries so that you are a more educated fan and not a mindless lemming that is confused by clueless media reports regarding the health of the Buffalo Bills.

Continue to follow for the latest news and updates coming out of One Bills Drive. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills, on Reddit u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and 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 @ProFootballDoc based out of San Diego. In this role, I provide real time updates regarding injuries during the game. 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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