Week 10 Bills Injury Review- Browns

The Bills are healthy but not in the win column, will that change next week?

Well, this is awkward. I was expecting to write about how the Buffalo Bills earned yet another win to move to 7-2 over the lowly Cleveland Browns. Yet, they are now 6-3 with a ton of questions, questions that I don’t have the answers. On top of this, there weren’t any publically reported injuries during Sunday’s game which is unique in that rarely does a team enter a game fully “healthy” & exit the same. The only difference is that the Bills leave Cleveland with a loss.

Here I am, Banged Up Bills, a Buffalo Bills injury based site & I have no new injuries to discuss. But I will soldier on because when I mention “healthy”, there are still several players dealing with injury that are cleared to play. To note, McDermott did not note any injuries following Monday’s press conference.

OT Cody Ford (left elbow) 

The rookie tackle from Oklahoma played only 4 special teams snaps last week during the win over the Redskins after being listed as questionable heading into the game. This may have been by design, but considering that the team resumed their rotation between Nsekhe & Ford, this shows that Ford’s injury appeared to be more severe than I had originally anticipated. The snap counts didn’t show anything out of the ordinary, though Nsekhe once again won the numbers battle, 60% to 40%.

Ford may be dealing with a UCL sprain considering the hit he took against the Eagles late in the game. He could play through this as he doesn’t really have to put strain through his elbow like someone who throws the ball would deal with. The compression sleeve & hinge bracing may allow him to play while avoiding stress to the healing ligament. It will be interesting to note if he ditches the brace in the coming weeks, but he may wear it as another form of protection as it continues to get colder. 

There is also a possibility that he has elbow bursitis due to the hit, but there is more swelling & loss of range of motion associated with this injury. It’s unlikely that he would have a hinged brace with this, but as we don’t have the specific information, there is only speculation. 

CB Kurt Coleman (left hamstring)

Coleman returned to the fold this week after missing the last 2 games after suffering the injury against Miami. As expected, he did not appear to miss a step & was a contributor on special teams along with several defensive snaps. Coleman continues to be the latest example of the talent of this training staff to ensure players are fully healthy returning from soft tissue injuries. 

CB Kevin Johnson (left knee)

Johnson briefly appeared on the injury report Wednesday with a knee injury following the win against Washington. It’s possible he may have suffered a minor hyperextension of his knee after getting tripped up during a routine punt. He didn’t appear to be out of place with his contributions on special teams or his availability on defense according to the numbers.

WR Duke Williams (right shoulder)

Williams has now been inactive the past 2 games after suffering what appeared to be a right AC joint sprain during a hard fall following a catch in the Miami game. He did play in the loss to the Eagles, garnering 2 targets with 1 catch for 6 yards. Considering he is essentially a rookie despite having several years of experience in the CFL, I believe that he is inactive due to his inexperience in the NFL passing game compared to WR Isaiah McKenzie & WR Robert Foster. Recalling, Williams was a feel-good story but started the year on the practice squad. Due to the entire roster being healthy, someone has to sit & Williams is closer to the 53rd roster spot than McKenzie or Foster. I believe his time will come as inevitable injuries rear its ugly head. 

CB Levi Wallace (left shoulder)

Wallace suffered a left shoulder injury after getting run over by RB Boston Scott in the loss to the Eagles. Despite suffering a painful contusion, he did not miss anytime but his play appears to be more suspect over the last 2 weeks. I do not believe that he is limited by the shoulder, but rather his actual abilities as a player. This coaching staff does favor veterans over younger players but will give preference to individuals that have been in their system over guys like CB Kevin Johnson. If Wallace’s play does not improve soon, I wonder when the hook will come because getting burned like he does continue to create unfavorable matchups during this upcoming stretch of games. 

The Bills are healthy now with a 6-3 record; imagine how bad it would be if they were rife with injury & did not have the depth available. Regardless of the current health status of the roster, the quality of play & offensive production must improve in order to have any type of shot at making the playoffs, much less actually winning a game. We’ll have to see how this pans out with the Bills going to balmy Miami with a very winnable game against the Dolphins.

Week 10 Bills Injury Preview- Browns

The Bills are healthy?

So hey Bills Mafia, what do you want to talk about? Clearly not about this injury report, I mean, there are all of two names on there. By the way, it’s Week 10. Week 10 of an NFL season. An NFL season which consists of broken bones, torn tendons, ligaments, concussions, & an endless supply of heartbreak. Yet, here we are at Week 10 with a “healthy” roster. I say nearly healthy because there are still injuries that linger, injuries that are unknown, injuries that are still on the mend. 

The Bills are 6-2 with a “healthy” roster coming into Week 10 against the 2-6 Cleveland Browns. That’s an awesome sentence to think about, write, & read. While the Bills still have to go & play the game, 7-2 is looking quite good right now. Before I get ahead of myself, there are a few injuries below, take a few moments to check them out, it’ll be brief!

Injuries during the game included WR Andre Roberts (leg), DE Trent Murphy (neck), & S Micah Hyde (knee) were all minor enough that they did not show up on the injury report & shouldn’t be a concern moving forward. To note, all did return to play after getting quickly evaluated by the medical staff. 

LB Maurice Alexander (knee/calf) was placed on IR this past week clearing the way for the Bills to sign DT Corey Liuget to help shore up the run game. The exact specifics behind Alexander going to IR is right now a mystery & may not be revealed until much later. To get more information about Liuget, make sure to check the tweet below. 

S Kurt Coleman (left hamstring)

Coleman suffered a hamstring strain on a special teams play against the Dolphins back in Week 7. He has since missed 2 games & frankly, the team has soldiered on without him. He continues to fit what the Bills training staff has done in managing hamstring strains. He was limited Wednesday when it was cold & windy outside, but since able to practice in full on Thursday & Friday. I expect he’ll play Sunday as he’s fresher than some of the other players who may be able to play but could use a week off.

CB Kevin Johnson (left knee)

Johnson was a surprise addition to the injury report Wednesday with a knee injury. Looking at the video below, it appears that he gets tripped up before landing hard on his left knee as he continued downfield.

He may have slightly hyperextended his knee, he may have twisted or tweaked the knee where it was sore, it’s not quite known what he’s dealing with. However, while he didn’t practice Wednesday, he was a full participant on Thursday & Friday. Johnson has been incredibly durable this year, only suffering a stinger which limited in practice during the week prior to the Eagles game but otherwise appears to have avoided serious injury that derailed multiple seasons when he was in Houston.  Either way, he should be good to go for Sunday to continue to special teams & defensive depth.

Probable Inactive’s:

TE Tommy Sweeney

S Jaquan Johnson

OG Ike Boettger

OT Ryan Bates

WR Robert Foster

RB T.J. Yeldon

DT Vincent Taylor

The Bills are looking to move to 7-2 following a trip to Cleveland in a battle for Lake Erie supremacy. All the talk about soft schedules, DVOA, power rankings; what does it matter if a win is a win in the NFL? Previous iterations of the Bills have received winnable games on paper & blown them, leading to a loss. So if the Bills get a win on Sunday, then they’re 7-2 & that much closer to a playoff spot and that much closer to a Super Bowl, even though that seems so far off. For now, I hope the Bills keep stacking wins, soft schedules be damned! Let’s hope for minimal to no injuries Sunday as the Bills march towards the difficult portion of their schedule.

 

Week 9 Bills Injury Review- Redskins

Are Murphy, Roberts, & Hyde’s injuries going to keep them out for Sunday?

The Bills secured a virtually expected win with a score of 24-9 on a cold Sunday afternoon at New Era Field. The Washington Redskins hung around a little longer than most people would have liked with the score 17-9 until the very end but a win is a win. The Bills still moved the ball effectively with the run game & held rookie QB Dwayne Haskins in check in his first NFL start. In addition to the win, the Bills move to 6-2 for the first time since 1993 when they started 7-1. Along with the excellent record, little to no injuries occurred during the game which should prevent altering the game plan for Cleveland. 

Prior to the game, it was announced that both OT Cody Ford & CB Levi Wallace were both active as I had predicted. Wallace was able to play in 100% of defensive snaps but Ford did not appear in any offensive snaps. He did appear in 4 special teams plays consisting of extra points which show he was able to play, but with how well OT Ty Nsekhe played, the coaching staff may have made the determination that he plays in the event that Nsekhe was injured. To note, he was wearing padding with what appeared to be bracing on the left elbow, fitting the expected protection he required in order to play.

 

DE Trent Murphy (left shoulder/neck)

Murphy, who for the most part, has been incredibly healthy this year following an injury-plagued 2018 season suffered a minor injury early in the 2nd half. The play occurred with 10:54 in the 3rd quarter on a routine run play. Murphy got sucked into the middle and got hit/stepped on under a pile of bodies. 

Trainers quickly reached him on the field with Murphy repeatedly motioning to his left trapezius/shoulder area as he walked off. He went to the medical tent to get assessed and was briefly out, able to return later in the game. 

He may be day to day with a minor neck/left trapezius muscle strain but shouldn’t cause any long term issues. It’s incredibly promising that he was able to return but he may be sore this week. 

 

S Micah Hyde (right knee)

When Hyde had to be assessed by trainers early in the 4th quarter, it put a scare into all fans that thankfully didn’t appear to be serious. Video review showed that he got clipped by a cleat in the right knee as he went down. Football players are tough, but getting clipped is painful no matter which way you look at it. 

This isn’t an injury that would likely appear on the injury report unless he is dealing with some swelling. This may be more pain-related but like Murphy, he was able to return to continue playing. Barring any new updates, he should be fine for Sunday. 

 

WR Andre Roberts (left hamstring/quadricep/calf)

Shortly after Micah Hyde went out, Roberts suffered a minor injury of his own. At 10:18 in the 4th quarter, he ran up to catch the punt, kneeling down on his left leg to fair catch the football. He briefly walked around before trainers checked him out. Reports indicate that he was motioning towards his hamstring but broadcast video available doesn’t show this. It’s possible that he tweaked his hamstring running up to catch the ball, attempting to slow down, but there’s always a chance he suffered a minor quad or calf injury. 

As with the others above, he was later able to return indicating that this may also be minor. Unless there is a better view or media reports, then this is what we will be working with. While the team is conservative in managing hamstring injuries, I do not believe that this may be anything to be concerned with as Monday’s press conference did not highlight the injury. I am not convinced that he suffered a hamstring injury based on the video alone.

This Bills team isn’t built to blow out teams, this isn’t a team that imposes its will on any team it wishes, but it is a team that finds ways to win. Considering the coaching staff is solidified & most of the team positions aren’t experiencing high turnover, this allows the team to stack wins rather than trying to piece together a game plan to just survive. We’ll see how the week progresses but things are looking up injury-wise as they move onto Week 10 against Cleveland. 

 

Top Photo Credit:

Washington Post

Week 9 Bills Injury Preview- Redskins

Get the latest updates on Ford, Wallace, & Coleman.

What I do on a regular basis in observing & reporting Bills injuries at times can be simple or complex. Think of it as like an iceberg, in fact, think of it like the Titanic when it hit that god damn iceberg. Some of the injuries are easy & straightforward, as the top of the iceberg, easy to see. Some take some digging & detective work, real use of my professional degree to determine the true injuries. This is the part of the iceberg that you know is under the water, it exists, but the size or extent is not known. And then there are other injuries, injuries that just aren’t explainable & either won’t know the true story until either much later or really, ever. This is the Titanic, you can’t see it, you aren’t sure it’s even there, but you know its there somewhere. And maybe, the truth will eventually be found.

Why do I bring up a shipwreck that’s over 107 years old? BECAUSE IT GRABS YOUR ATTENTION!! How does the Titanic & football go together? IT DOESN’T!  But it gets one thinking about the complexities of determining injuries from not only video analysis, but from the reporting, news, & information available to the public. The Buffalo Bills fan base has been through enough with the Super Bowl losses, the Drought, the weather & nothing to do here jokes, you’ve heard them all. We deserve the best content because we love this team! From the beat reporters to the blogs to the pods, we are all trying to give our fellow fans the best insight possible so that we can be the best fan base ever. If I can use my education to connect with my fellow fan, then that makes me a better fan. So wrapping this all up, I do what I do because I love the Bills & love this fan base if I can add my two cents, then I feel I have done something positive.

Ok, passion-filled rant over. 

The Bills host the lowly Washington Redskins on what will appear to be a blustery and rather crappy day in Western New York. But we wouldn’t have it any other way. Buffalo weather baby!! In addition to the declining weather, the number of names on the injury report is also declining. As of this week’s count, there are only 4 names on the entire report dealing with injuries that could potentially cause them to miss Sunday. This is a far cry from 11 players for several weeks in a row. Below are the injuries & how it will affect their availability for Sunday.

 

OUT:  

LB Maurice Alexander (knee)

Alexander is a mystery as he appeared on the injury report Wednesday without any known mechanism of injury. He has not been able to practice the past week & there aren’t any specifics of what is going on. However, he was briefly on the injury report prior to the Patriots game in Week 4. He was a DNP the Friday before the game, was questionable, but able to play. He did have a hip injury in the win over the Dolphins but he did not show up on the injury report afterward. It’s also unknown if the knee injury from last month is related to this most recent injury. 

There is something that just isn’t know right now. See, iceberg, all coming full circle!

Until we get an injury that is a smoking gun, more information on what he’s dealing with, or really anything, this will be an injury that we simply don’t know. My initial speculation is he could be dealing with some type of tendonitis or small meniscal tear that he’s attempting to play through, but has flared up to the point he needs rest. Both could have been well managed until the issue was aggravated through regular play.

He is a key special team player so missing him Sunday will hurt. Fortunately, the return of LB Corey Thompson will help soften the blow as he is finally healthy from the recent ankle surgery that kept him out the past 3 games. 

 

QUESTIONABLE:

CB Levi Wallace (left shoulder)

Wallace has been ruled questionable following a shoulder contusion in the loss to the Eagles. To recall, he suffered the contusion as the result of getting run over by Eagles RB Boston Scott late in the 3rd quarter as seen below.

He has been limited all week but HC Sean McDermott was pleased by the workouts in practice the past few days which sounds promising for his availability for Sunday. While upper-body injuries are more difficult to assess on film in regards to practice, there is a strong chance that he plays Sunday. He will likely have additional padding to the area in order to protect the healing tissues, but there shouldn’t really be any reason that he can’t play unless he personally says he can’t go. I expect him to play Sunday.

 

OT Cody Ford (left elbow)

Ford suffered a left elbow contusion late in the 4th quarter which forced him to miss the last several minutes for a game that was clearly out of hand by that point. Ford has been limited all week but video available has been promising showing him shedding the red non-contact jersey and performing blocking drills despite having his elbow wrapped with a hinged brace to the area. The bracing will limit medial/lateral movement to reduce stress on the elbow if, for example, a defensive end is coming around the edge. This will also prevent hyperextension to the elbow during blocking and cause further damage. 

Considering how he had the elbow struck, coming from up underneath, there is a slight possibility that he suffered a UCL injury, similar to what QB Josh Allen had last year against the Texans. If this is the case, it’s quite possible to play through the injury with bracing, but I also don’t believe they would be putting him back out there so quickly if he had an injury of that magnitude to the area. 

He likely had the elbow struck & is dealing with more pain and swelling to the area, hence the extra protection. I expect that he plays Sunday, considering the injury & the lack of consistency that OT Ty Nsekhe is able to bring to the table this season. I also expect that he suits up with the bracing to get through the game. Continue the rotation that we have seen all season between Ford & Nsekhe.

 

S Kurt Coleman (hamstring)

Coleman continues to work back from a hamstring injury sustained in the win over the Dolphins 2 weeks ago. Like all other hamstring injuries this year, the team has been cautious in their approach & does not appear to be rushing anyone back well before they are ready. I have not observed any video of him in practice, but the fact that he is limited is promising. 

However, the weather is expected to be poor this weekend with a slick surface & cool weather. These are not the type of conditions ideal to play through with a hamstring injury. He may also be pressed into service if either starter goes down which, if he has a not 100% hamstring, could create a liability. I don’t anticipate that he suits up, taking the extra week before he gets a 2nd shot at Miami in the warmer weather.

 

Projected Inactive’s:

TE Tommy Sweeney

OT Ryan Bates

OG Ike Boettger

S Kurt Coleman

S Jaquan Johnson

RB TJ Yeldon

LB Maurice Alexander

 

Going up against a 1-7 Washington Redskins team should be an easy win. It should allow the Bills to move to 6-2 as they march towards the playoffs. But while the Bills see what appears to be an inferior opponent on the surface, below is still an NFL team with talented players that want to desperately win.

The Bills need to come out and control the line of scrimmage, punching the Redskins in the mouth right away to let them know they don’t belong at New Era Field. That loss to the Eagles last week hurt, I don’t expect the Bills to drop another, especially at home. I expect the Bills to finish their homestand with a win. On Sunday, at 4:30 pm, we will have an answer.

Top Photo Credit

BleacherReport.com

Week 8 Bills Injury Review- Eagles

Get the latest updates on Ford & Wallace following Sunday’s loss.

We knew this day would come. The dud game. The game where we just get beat like a drum. This is the game where the boo birds came out and the luster of a 5-1 start dulled following Sunday’s loss. Despite the Bills sitting at 5-2 with the 2nd best record in the AFC along with a firm lock on the 5th seed in the playoffs, visions of 2008 still dance in our heads. Until the Bills lock up the playoff spot, we all have realized we cannot get ahead of ourselves. 

Fortunately, the Bills are heading into the 3rd game of their homestand against the lowly Washington Redskins with a chance to bounce back to 6-2. The team also suffered minimal injury compared to the past few games in which it appeared that half the team was injured in some way. One big surprise Sunday was the return of LB Matt Milano (left hamstring) suffered in the win over the Titans. He missed last week & appeared to be in danger of missing this week due to the poor weather & how the team approaches hamstring injuries. Luckily, he was able to play, keeping the Philly tight ends to 5 yards, 42 yards, and 1 TD. As bad as the overall team was, he led the defense with 13 tackles, 10 solo, making his presence known in his return. 

Below are the injuries following the Bills loss Sunday & what they mean for next week.

 

CB Levi Wallace (left shoulder)

Wallace injured his left shoulder on the TD run by Eagles RB Boston Scott with 5:43 left in the 3rd quarter. He came from the right side inward to attempt to tackle the ball carrier and got blasted as Scott entered the end zone. Wallace’s shoulder absorbed nearly the entire force of Scott’s helmet/shoulder, forcing Wallace to spin around and land on his back. 

Up to that point, Wallace simply wasn’t having a good game and that blow may have been the death knell for him. He was not ruled out of the game or even really made mention of again afterward. 

Following Monday’s presser, Wallace was noted as having a shoulder injury with a day-to-day designation. This fits more of a general contusion that was viewed on film. He may be limited Wednesday but could possibly practice in full later & not miss Sunday.

 

OT Cody Ford (left elbow)

Ford suffered a left elbow injury with 6:06 left in the 4th quarter on an incomplete pass to TE Dawson Knox. Unfortunately, the video angle is incredibly poor with the TV broadcast panning away from the offensive line play just before it appears the injury occurred. The camera comes back on Ford with his left elbow extended & trainers quickly rushing to him. Shots after that show him being assessed on the sidelines, rotating his left hand between pronation & supination before squeezing the training staff’s hand with what appears to be a firm grip. 

Until we get further information, it’s hard to identify the exact nature of the injury. All-22 footage when available should assist in identifying the specifics of the injury. Just prior to the camera panning away, there was a flurry of bodies in the area around Ford, indicating that he may have struck his medial epicondyle of the elbow. Same injury as hitting the funny bone. The ulnar nerve passes by the medial epicondyle, which is the inside portion of the elbow. When this area is struck, pain/weakness is elicited down the 4th and 5th digits of the hand with numbness in the area. 

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Extending the elbow following the play which would put slack on the nerve to prevent compression of the nerve with elbow flexion. Assessing the grip strength on the sidelines is further assessing the ulnar nerve as 40% of the grip strength comes from the ulnar innervated muscles in the hand. So if the ulnar nerve is injured, grip strength would be decreased. 

Like Wallace, Ford has also been listed day-to-day following Monday’s presser. Most of us would say a few choice swear words & shake off the injury. However, getting your elbow hit by an NFL lineman would hurt slightly more with some temporary loss of range of motion with possible swelling present. He shouldn’t have any long term issues, more limitations secondary to pain. 

Hopefully, he just hit his funny bone and this is not something that he needs to worry about next week. If he is unable to go, then veteran OT Ty Nsekhe would get the start.

 

CB Kevin Johnson (unknown)

Johnson was able to play Sunday in relief for the injured CB Levi Wallace. This comes following an injury last week where he suffered a stinger at the end of the game. He was limited all week but was cleared to play Sunday, performing admirably in the loss. Unfortunately, Johnson dealt with some type of injury following the game, necessitating a trip to the X-ray room according to ESPN reporter Marcel-Louis Jacques.

It is unknown what he had x-rays on or if it is related to last week’s stinger. He was in the game until the very end & nothing appeared to be out of the ordinary. This may be nothing & doesn’t appear on the injury report, but I do my best to follow every lead & report to give the most thorough assessment. If there is something to it, we will get much more information with the ability to explain in detail.

Overall, this is one game that just needs to be taken out back & put out of its misery. There is a lot to take from this game, the players know this, the coaching staff knows this. But as fans, we can’t lament on this; if they’re going to lose a game, let it be to an NFC opponent who really doesn’t count in tiebreakers for playoffs. The Eagles won the Super Bowl two years ago; they weren’t going to just roll over & die for us to win. Let’s move forward to Week 9 against the Redskins, a very winnable game & get back on track towards the march towards the playoffs.

 

Top Photo Credit:

Buffalonews.com

Week 8 Bills Injury Preview- Eagles

Will Milano, Thompson, & Duke play Sunday?

The Bills continue their homestand hosting the 3-4 Philadelphia Eagles on Sunday. They are looking to defend their 2 game winning streak to move to 6-1 for their best start since 1993. While the Super Bowl is always the ultimate goal, this team continues to work towards sustained success in taking each game week by week. Following a 37-10 beating by the Cowboys on Sunday night football. Despite injuries on their side, they still come in hungry & on a mission. Fortunately, the Bills appear to be in better shape both talent & injury-wise. Below are the latest injuries prior to Sunday’s game.

QUESTIONABLE:

CB Kurt Coleman- hamstring

Coleman suffered a hamstring injury late in the 2nd quarter on Sunday on a punt play in where he was the gunner, running downfield towards the return man before pulling up lame with a hamstring injury which knocked him out of the game. This past week, he was unable to practice with the exception of Friday in which he was limited. This is not a surprise considering the conservative nature that the team takes with hamstrings. While he is questionable for Sunday, he is not expected to play until Week 10 when the Bills play the Browns. 

 

CB Kevin Johnson- neck stinger

Johnson suffered what was initially described as a head injury on a tackle to Dolphins WR DaVante Parker in where his head got twisted around and got landed on by Parker & LB Tremaine Edmunds. He suffered a stinger due to the abrupt compression to the neck area which limited him Wednesday-Friday. These types of injuries usually need rest & work back into regular activity which appears to be the case. He has a good shot chance to play Sunday, but may sit if he doesn’t feel he’s ready. 

 

LB Matt Milano- left hamstring 

The big question for the team going into Sunday is the health of Milano. His absence was noticeable in the win over the Dolphins with the offense moving the ball effectively at times. This is concerning as the Eagles offense has far more firepower than Miami brought. So far, Milano has had two weeks to fully rest and referencing reports, “maximizing his treatments”. He has looked good on film available on practice moving in a variety of directions & without obvious compensation. 

As to whether Milano plays Sunday, the jury is still out. He may feel he’s not ready, he may not be able to hit his top-end speed as he wants, or the weather may impact his decision. I am leaning towards him playing Sunday if the weather is perfect, but it will truly be up to Milano. 

 

LB Corey Thompson- ankle surgery

Thompson continues to work back from ankle surgery with the exact details not known. However, he has continued to practice on a limited basis & has moved well on film. I believe at this point he is getting back into game shape. Whether he is ready this week or next will be up to him. However, I believe that either Milano or Thompson will play, both certainly can but I don’t think both will miss, especially with how thin they are at linebacker. 

 

WR Duke Williams- right shoulder 

Williams suffered a right shoulder injury after catching a pass towards the sidelines. He landed hard on the right shoulder & missed most of the game afterward, returning in a red zone package towards the end. He later had x-rays and has been limited in practice all week. At worst, he has a mild AC joint sprain, at best, he has a contusion which is more pain limiting. 

Video has been limited, but he has been able to catch balls without any apparent bracing or compensation. According to our friends at the Coldfront Report, Duke was on the other day & indicated that his shoulder was doing fine; straight from the horse’s mouth. However, he has been wearing a red non-contact jersey indicating that they are trying to avoid re-injuring the area. Along with a pregame injection, this could potentially allow him to play Sunday. 

 

EXPECTED TO PLAY

OG Quinton Spain- foot

Spain came up on the injury report with a foot injury and did not practice Wednesday. Looking at the film, there is not anything specific that led to his foot injury which may indicate that he had his foot stepped on that wasn’t available to see on film or tweaked the foot somehow. He did deal with an ankle contusion in the preseason which wouldn’t have any impact on his current complaints. He was able to practice in full Thursday & Friday which was very promising. I do not believe this is something that will affect his performance coming Sunday unless he goes down with another injury which could shed light on the original injury. 

 

FB Patrick DiMarco- right ankle

The veteran fullback suffered what appears to be an ankle contusion late in the 4th quarter during a routine run play. DiMarco got caught from behind with a flurry of bodies landing on his ankle, dropping him to the turf. Thankfully, it appears his foot was pointed down and got hit more from the back than the side, forcing his body to go down rather than the ankle taking the brunt of the hit. There were concerns for a high ankle but considering that he was able to play in several more plays indicates that this may be more soreness than anything else leading to him not practicing Wednesday. 

He was able to return to practice Thursday confirming the contusion & will play Sunday. 

Possible Inactives:

S Kurt Coleman

OG Ike Boettger

OT Ryan Bates

LB Matt Milano

RB TJ Yeldon

TE Tommy Sweeney

WR Robert Foster

Overall, the Bills still come into the game far healthier than the Eagles. The Bills will have the upper hand if Milano & Williams are available. Getting Thompson back will also be a key depth piece in order to contain the explosive Eagles offense. The weather is forecasted to be damp and cool which may have an effect on whether they suit up. This is a game that both teams match up well & the Bills could come out with a win if they have a strong start. We can only hope that the Bills control the tempo and move to 6-1.

Top Photo Credit:

Buffalonews.com

Week 7 Bills Injury Review- Dolphins

Breaking down the severity of Williams, Coleman, & Johnson’s injuries.

I love the Buffalo Bills, I really do. But that was one hard game to watch on Sunday. The Bills, coming off a 4-1 start & a bye week, hosted the 0-5 Miami Dolphins at New Era Field. While the final score of 31-21 was not as close the game really was, the Bills nearly gave Miami a win which would have dealt a blow to their playoff chances. Fortunately, the Bills moved to 5-1 with fewer injuries than they had following the Titans win. 

Prior to the game, it was announced that both LB Corey Thompson (ankle sx) & Matt Milano (hamstring) were ruled out indicating that the Bills would be short at the position Sunday. While Milano’s presence was missed, it was still the right move to not rush him back as there is still much more football to be played.

Others coming back from injury included WR John Brown (groin), TE Tyler Kroft (ankle), RB Devin Singletary (hamstring), & CB Taron Johnson (hamstring) were all able to return and did not appear to demonstrate any restrictions, though their production in play greatly varied. Moving to the Dolphins game, reviewing the injuries below:

 

CB Kurt Coleman (hamstring)

Going in chronological order, Coleman suffered a hamstring strain late in the 2nd quarter with 2:15 left on a punt return. It was difficult to see on the broadcast, but this occurred as he ran down the field as a gunner before coming up lame before the ball was even caught. 

Like all the other hamstring injuries this season, expect the Bills to be conservative in slowly bringing Coleman back into the special teams fold. Look for a minimum of 2 games before he is able to return. Observing the hamstring injuries so far this season, most have come on full out sprinting with some change of direction or deceleration incorporated into the injury. This doesn’t mean that the Bills are doing anything wrong in preventing these injuries, it just shows that going all out on every play, even the best, most conditioned athletes can get hurt. 

 

WR Duke Williams (right shoulder)

Williams suffered a right shoulder injury on a 23-yard completion late in the 3rd quarter. After hauling in the catch, Williams fell hard onto his right shoulder before rolling out of bounds in obvious pain. Miraculously, he was able to return late in the 4th quarter in a red zone package on the WR Cole Beasley touchdown. Later, it was reported that he went in for x-rays following the game.

Looking at the actual injury itself, it appears as though Williams suffered either a contusion or AC joint sprain, also known as a separated shoulder. The mechanism of injury for this is falling directly onto a shoulder without the ability to brace against the fall. Considering that he fell more on the top of the shoulder, I believe he may have sustained an AC joint sprain. This is the area that the acromion connects with the collarbone. This allows the collarbone to connect to the scapula and create a framework for the shoulder muscles to connect in order to move freely during arm motion and overhead movement.

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There is a slight chance he could have suffered a glenoid labrum tear, but that is relatively unlikely considering the shoulder was slammed into the ground versus falling on an outstretched arm. If he sustained this, then I expect to see bracing on the area which will be a dead giveaway. There was also a chance he could have sustained some type of clavicle fracture due to the hit, but if he had sustained that, he would not have been cleared to return & a public report would have been made.

The fact that he was able to return to the game even in a limited fashion indicates that this may be more of the AC sprain/contusion variety. He may be limited in practice this week as he recovers, but his availability in practice will further dictate the specifics of the injury. Looking back at past research from other articles, the average time for a player to miss is 9.8 days according to data obtained from the NFL injury surveillance system. The fact that he doesn’t have to throw a football may accelerate his return. It’s very possible he plays next week. If he does miss any time, it should be minimal one game as a precaution.

 

LB Maurice Alexander (left hip)

Alexander, filling in for the injured Matt Milano, suffered a left hip injury while tackling Dolphins TE Mike Gesicki going out of bounds. The tackle itself was clean; the injury occurred when Alexander’s left hip fell on Gesicki’s foot while going down. He attempted to walk back to the field but quickly went down for medical attention, motioning to his left hip/back region.

Thankfully, he was able to return as the Bills were only carrying four linebackers Sunday. This injury may have been a hip pointer which is a deep bruise to the iliac crest. This is the portion of the hip where the core muscles attach and give that distinctive flair out seen in the hips. Considering the muscles attach there; twisting, side-bending, & engaging the core muscles further aggravate the injury with pain being the major limitation.

This may be an injury that Alexander doesn’t miss anytime with or even show up on the injury report. If he does miss anytime, I wouldn’t expect any more than one game. But noting these minor injuries here explain why the player went down & the possibilities of the injury.

 

CB Kevin Johnson (stinger)

Johnson suffered what has now been termed a stinger following evaluation for a head injury Sunday. These injuries are subtle on film and may not be apparent, but Johnson’s last play during the game came with 3:27 left in the 4th quarter. Johnson managed to tackle Dolphins WR DeVante Parker with assistance from Bills LB Tremaine Edmunds. 

While we are not certain that this play caused the stinger injury, it’s likely due to the fact that his head bent awkwardly & was rolled over as he hit the turf. He initially appeared dazed for a moment following the play & did not return. 

A stinger occurs as the result of the neck getting forcefully sideways and down, putting pressure on the cervical nerve roots coming from the spinal cord. These can be pinched by the vertebrae stacked above & below the nerve or can be the result of a disc protruding out & pushing on the nerve root. The nerve roots can also be overstretched due to traction from the neck getting hit in the opposite direction. A direct blow is yet another way for this to occur.  The pain associated with this is what gives it the name burner or stinger. The nerve root that is compressed sends a pain signal down that nerve & gives the unwelcome sensation. 

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This pain would only be produced in the affected nerve roots which means if someone sustains a stinger, they could feel it down in the specific parts of the arm/hand based on which nerve has impinged. This could be felt in places such as the 4th and 5th digits on the hand with resulting grip weakness or difficulty lifting the arm up overhead, indicating the specific nerve root affected. The effects of the stinger may linger for several days or the symptoms could resolve quickly.

Most of the time, these injuries are minor & don’t cause further issues. Return to sport would be indicated when the player is pain-free, full strength and range of motion have returned, and no flare-up of symptoms occurs. If this becomes recurring or linger, then further examination is warranted. This could involve getting an MRI or nerve conduction studies to further identify the specifics of the injury. It could lead to surgical consults if there was a need for cervical fusion due to instability or if the injury was high enough in the cervical region, potentially career-ending as in the case of former Bills C Eric Wood

I do not believe this to be the case. I merely lay out the possibility of the severity of the injury & what this means regarding stingers. It is still too early to determine if he misses any games or will be limited in practice.

Fortunately, the Bills walked away from Sunday with far fewer injuries than in previous contests. The injury report will be far smaller than in past weeks & indicates that the Bills are getting healthy as a critical stretch in their season approaches. While the quality of the opponent’s vary, they still all pose a threat to the Bills playoff chances. This team is built for depth but there is a clear difference between starter & replacement level players, evident over the past few games. This week’s practice will hopefully show progress for Thompson, Milano, and Johnson as the Bills prepare to host the Eagles next Sunday. 

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