2020 Week 16 Bills Injury Review- Patriots

How serious is Cole Beasley’s leg injury?

The Patriots have been vanquished! A season sweep completed, the first since 1999! With a dominating 38-9 win over New England, the Buffalo Bills move to 12-3 as they continue to strive towards the AFC’s 2nd playoff seed. On top of that, the Bills continue to have excellent luck with regards to injuries following a rough stretch earlier this season. Below are Monday’s injuries. 

In-game injuries:

S Jordan Poyer (Concussion evaluation)

Poyer was briefly removed from the game following a thunderous hit on Cam Newton going out of bounds with 3:21 left in the 2nd quarter. He appeared briefly dazed standing up which likely signaled the athletic trainers above to flag the hit for a concussion check. Poyer didn’t appear thrilled that he had to leave the game but left to the locker room.

He came back out later having been cleared from the evaluation and didn’t appear to have issues throughout the game. It’s important to have these protocols in place to avoid further complications if there was truly a head injury. Fortunately, he was not diagnosed with a concussion but I don’t expect him to play a lot in Week 17 due to wanting to rest starters. 

WR Cole Beasley (Left knee/leg)

Beasley got up gingerly favoring his left leg following a missed catch with 10:30 left in the 4th quarter. Upon initial review, he either sustained a hit to the outside of his left knee or he suffered a strain of his left quadriceps muscle trying to slow down. In the Twitter thread below, the first angle shows that he may have gotten the knee hit, but the second angle shows a stutter step. 

Based on how he got up and the trainers later assessing his knee along with focusing on the outside portion, it seems like there could be a contusion rather than a strain. He didn’t return to the game but this may have been more precautionary than the actual injury. 

Unfortunately, Sean McDermott delivered some disappointing news Tuesday during his weekly post game press conference. Beasley has been termed week-to-week with a leg injury which usually isn’t a great sign when it comes to availability for next week. From what I’ve understood with Sean McDermott week-to-week is missing at least 1-2 games. 

The team termed it a leg injury which doesn’t give us much information. It could be a contusion as mentioned above, could be a quadriceps strain, or it could be something else like a meniscus injury.

Why meniscus? Because after watching this enough times and researching more, this is a possibility based on the new information we know. 

Meniscus tears usually occur with more of a rotary or pivoting motion with the foot planted, such as changing direction suddenly. They can occur in other ways such as deceleration which is not something I initially considered when looking at the injury by video. The team was focused on the left knee and in a clip from the sidelines, a trainer even motions to the lateral aspect of the knee, right along the tibial plateau area where the meniscus sits where some pain/tenderness may have been felt.

It’s possible when he stutter-stepped due to slowing down, he created a shearing force on the meniscus with the knee in flexion or bent. That sudden stop with his weight still accelerating forward could have sheared a portion of the meniscus. 

Credit: John Hopkins Medicine

Signs of a meniscus tear include clicking, popping, locking of the knee during movement. There is also joint line tenderness present during palpation of the knee along with intermittent residual pain. He may have had difficulty fully extending the leg with imaging later confirming the physical findings. 

Credit: Liberty Orthopedic

This would explain why he is now week-to-week and fits the information currently available. This is pure speculation as I am processing the newest information. I hope this is not the case but it’s something that has to be considered. There is still a lot of information that we have to see including the body part that the team designates him with on the injury report and his practice availability. 

The best-case scenario is that it’s a lateral knee contusion and the team is being cautious. The next possibility is the quadriceps strain which could be a week-to-week injury that could force him out. This would be the most opportune situation in terms of overall health.

The worst-case would be the meniscus tear and he has to battle through it for the postseason. We saw former Bills wide receiver Kelvin Benjamin deal with this during the 2017 season. I would expect Beasley to do the same. I hope I’m wrong, I want to be wrong, but I am considering all possibilities based on the information at hand.

While it is a shame that he probably won’t get his 1,000 yards, it’s best that he gets the rest he needs in order to perform in the playoffs. I’d expect him to miss Week 17 with a realistic shot at the first playoff game. He will need rest and rehab in order to get the knee well enough for the playoffs and then they can figure out how to address the area afterward. This will be a situation that changes quickly and hopefully 13 days off is enough time to get the knee healthy enough to play. 

T Dion Dawkins (Right elbow)

This wasn’t even noticed during the game until a Twitter follower pointed it out. Dawkins had a brace on his right elbow after the game in a post-game video when Josh Allen and Stefon Diggs were being interviewed. 

Looking back at the film, Dawkins doesn’t appear with a brace until later in the 3rd quarter. He appeared to get hit on the right elbow during a routine run play with 9:21 left in the 3rd. He finished the series and then the next series came out with a brace. This appears to be a general contusion to the area. It did not appear to greatly affect his play, but there may have been pain and swelling the training staff wanted to manage. 

I am not certain if he shows up on the injury report this week. If he does, this appears to be the culprit. If his play is limited next week, it would likely be due to more of the situation than injury. 

Other injury thoughts:

T Ty Nsekhe (groin)

I had thought that Nsekhe would have been ruled out for Monday’s game, but he was active despite barely practicing last week. He only played in 8 offensive snaps towards the end and 6 special teams snaps which is more in line with his overall play from this season. 

He is an older player that appears to understand his role and may have sat last week due to load management. 

WR John Brown (right high ankle sprain/COVID)

Brown was finally activated to the roster after spending time on IR since Week 10 with a high ankle sprain. He appeared on track to play Monday and the general consensus was that he would, but he was deemed a close contact with TJ Yeldon and placed on the COVID/Reserve list.

He must stay on the reserve list for at least 5 days since he last had contact with Yeldon. If he does not test positive during that time frame, then he can come off and play Sunday against the Miami Dolphins. He is one player who needs the reps prior to the playoffs in order to get ready. 

Outside of Beasley’s injury, there is little concern for injuries going into Week 17. There always appears to be an injury or two that is a surprise on the report, but that will have to wait. Otherwise, the Bills are hot and healthy as they wait to find out their Wild Card opponent as hopefully the 2nd seed. The championship window is open, the Bills can pass through and hopefully hoist the Lombardi trophy in February.

Top Photo Credit: Buffalo News

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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