2020 Week 10 Bills Injury Review- Cardinals

The football gods giveth, they also taketh. The Hail Mary pass from Kyler Murray to DeAndre Hopkins was truly something else. Those are the kind of plays that demonstrate why the Cardinals traded for him and gave him a big contract extension. I understand he isn’t making those plays week in and week out, but to know you’re never out of a game because a player like him can’t be discounted. Bills fans saw the exact same thing with Josh Allen to Stefon Diggs for the go-ahead touchdown just moments before. 

The loss sucks, but sometimes that’s just how things are. For every loss like the Cardinals, we can get a win as we did against the Rams. The Bills are still 7-3 heading into a much needed and deserved bye week with the ability to get a lot of key players back very soon and others to get healthy. I understand that after years of suffering through the drought, we want every win, we want the ability to leave no doubt in our minds who is the better football team in the NFL. I would also rather take this loss now and have a deep postseason run when compared to the Ravens 14-2 record last year and getting bounced in the divisional round of the playoffs. 

As we head into the bye week, there are several new injuries to monitor that may impact the injury report next week.

DE AJ Epenesa (Concussion)

Epenesa missed the second half of the game due to a concussion possibly sustained with 3:32 left in the 2nd quarter when he took down Kyler Murray from behind to set up 4th down. The play below shows how Epenesa attempted to knock the ball out of Murray’s hand as he took him down, regrettably slamming his head into the turf. He stood up quickly and appeared to be momentarily unsteady before walking off to the sideline motioning to his head. 

He was quickly taken to the locker room for further evaluation of a head injury where he was later ruled out with a concussion. He will enter concussion protocol as does every other NFL player, but time will tell how long it will take him to return. According to what I could find from his injury analysis this summer, this is Epenesa’s first publicly documented concussion. 

There is potential he could move through the protocol quickly, but no guarantees either. Fortunately, he has the bye to work through things to get right for the Chargers game.

CB Dane Jackson (right knee)

Jackson went down with a right knee injury tackling Christian Kirk in the 3rd quarter. He completed the tackle and rolled over, holding his right knee. It’s still not clear what he did to the knee even on the film below. I had initially thought he suffered a hamstring strain as he extended his leg out to grab Kirk, but I’m not certain that is the case. 

It’s very possible he hit the knee on the ground as both he and Kirk were falling. There is also the possibility that Jackson got a cleat to his knee, though slowing down the film, I personally couldn’t see anything. Jackson was observed later on the exercise bike appearing to keep the knee loose to prevent any potential swelling which also dissuades me from considering a hamstring. 

Jackson did return in the final moments of the game as DeAndre Hopkins caught the game-winner. Either Jackson gutted it out because the coaching staff knew he was the best option over Daryl Worley or the injury wasn’t as significant as originally thought. I am going to go with the latter in this case. 

I am also not certain that Jackson will show up on the injury report next week for two reasons. While he is continued to be used as a regular call up or COVID replacement call up, he is not officially on the active roster. Practice squad players are not placed on the regular injury report released through the week. Sometimes they are acknowledged as former Bills offensive lineman Evan Boehm was earlier this season, but I do not believe the team has any obligation to publicly release these details. 

If Jackson gets signed to the open roster spot available due to Del’Shawn Phillips going to IR, then Jackson could be on the injury report. I also don’t believe that the injury is serious enough without more information to determine that he will be on the report.

WR John Brown (right ankle)

Brown suffered yet another lower-body injury, this time on a 24-yard catch midway through the 4th quarter. The play was ultimately negated due to a Brian Winters holding penalty, but Brown made a great catch before coming down hard on his right ankle. Per Sean McDermott, Brown tweaked his ankle.

In the video below, you can clearly see that Brown lands on the right foot, the ankle bows inward before the rest of Brown’s momentum drags him down to the turf, lifting his heel up off the ground before being officially downed.

I had initially thought of an MCL sprain due to how he fell and the valgus angle with the knee pointing inward as he fell, but his medial ankle took the brunt of the injury it appeared. From the video alone, it looks to be a medial eversion ankle sprain, similar to what Tre’Davious White suffered last week. I would say this one was more severe when comparing the two, but Brown may have escaped a worse fate.

When the ankle bows out like that, there isn’t a lot of room for the ankle to move outward, potentially leading to a fracture of the lateral malleolus. However, Brown was able to walk around later under his own power on the sidelines indicating that not to be the case and the fact that the team said he tweaked the ankle. Right now, it seems as though he suffered a medial eversion ankle sprain and may need some time to rehab. 

Thankfully he has the bye next week to allow him at least a full week off to allow for healing. There’s potential that he shows up on the injury report with the ankle injury, but we will have to wait and see. At worst, there is the possibility that he misses 1-2 games which include the Chargers and 49ers games which appear winnable without him. However, there is also a very good chance he suits up against the Chargers and plays if the injury is mild. Next week will tell us much more.

Other injury thoughts:

DT Justin Zimmer (right elbow)

I bring Zimmer up because I noted that he had a hinged brace on his right elbow that I had not noted before Sunday’s game. Looking back at game footage, he has had a brace on the area going back to Week 7 against the Jets. The reason it wasn’t noticeable then was due to the fact that he would wear a sleeve over the area or had a long sleeve shirt on, downplaying the brace.

Prior to the hinged braced, he was wearing a compression sleeve on the area in the Chiefs game. If he had suffered an injury, it’s not publicly known and he still appears to be playing well. I have seen a lot of linemen wearing various bracing on their arms and legs to likely manage general complaints and provide some stability to the area as they play. 

C Mitch Morse (concussion)

Morse did not play despite being active for Sunday’s contest. It was termed as coach’s decision by Sean McDermott. Jon Feliciano played the entire game at center in his place. There are some possible theories that I have behind why Morse ultimately did not play that I will address below.

Due to several other injuries and open roster spots, Morse may not have had the ability to be a healthy scratch. However, they could have scratched Morse and had Cody Ford active and not play. They have had injured players active before and not play.

The Bills may have also wanted Jon Feliciano to get more reps at the center position as he acclimates back to game action. McDermott did state that they are going week-to-week with offensive lineup combinations and wanted to get another look at them. But Feliciano is better suited at the guard position from what we’ve seen.

His risk to sustain another concussion following this most recent one is higher, but I have not found an exact number that says a person is at X% more likely to suffer another concussion within X days/weeks from the last one after full recovery. He’s at greater risk to suffer another concussion, just like he was prior to the latest head injury. I also see this study and say it has some value, but the research is nearly 20 years old, I do question how accurate it is now.

There has been speculation that Morse needed extra rest and to use the bye along with not playing in order to make sure he’s healthy. Looking at the NFL return to play concussion protocol, from my interpretations, once you pass through the NFL concussion protocol, you are cleared for play. There isn’t any gray area when it comes to this decision. Either you are cleared or not. Extra rest would not necessarily reduce his risk even further.

There are concerns for second-impact syndrome and post-concussive symptoms. I can say with some confidence that neither are in play here. If he was to have the second-impact syndrome, that would imply that he was not fully healthy as he tried to return. That would go against how the protocol’s purpose. The same thing goes for the post-concussive syndrome. If he was still having symptoms, he doesn’t pass through the protocol. Even if he suffered another concussion in warmups, they would have reported it, similar to when Quinton Spain had his foot soreness as a surprise inactive.

The only reason I can consider is that Morse is a veteran player, I am sure he is dealing with the effects of a physical season and it’s possible that McDermott wanted to give him the day off to preserve him for the playoff push. Not allowing Morse to play also eliminates a chance to sustain another concussion or injury in general. However, if a player is healthy enough to play, he was per the concussion protocol, then he should have played. I don’t believe Morse was benched either.

Bottom line, he was deemed healthy per the concussion protocol, he should have played based on that logic. If McDermott wanted to give him the game off, then he probably should have made him a healthy scratch, they have done that in other games for other players when it did not matter. If they wanted to avoid Morse suffering a further injury, then you inactivate him. Extra rest from a head injury could make sense, but not when applying it to the NFL concussion protocol.

Overall, the Bills head into a much-deserved bye week with the ability for most of the team to address some of their injuries as they prepare for the final stretch. There are a lot of injuries to fix along with a lot of game strategies including the anemic run game. Hopefully, there is more news that comes out regarding these injuries and more over the next week and the injury report will be something to watch with regards to how many players are on it and who is on it. I hope the Bills enjoy their week off as they prepare for the final stretch of the season.

Top Photo Credit: DraftKings Nation

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