Week 12 Injury Breakdown- Chiefs

Assessing the latest Buffalo Bills injuries prior to their Week 12 match up against the Kansas City Chiefs.

Another day down, another injury report released! November has not been a great month for the Buffalo Bills. Three straight losses have brought the Bills back down to earth and exposed flaws once thought hidden by the defense. Sunday’s upcoming game against the Chiefs doesn’t make anything easier especially with their recent signing of CB Darrelle Revis. However, the Bills continue to avoid major injury and key players have better injury outlooks than initially thought.

First up on the injury report with did not practice is WR Kelvin Benjamin (knee), OT Dion Dawkins (illness), OT Cordy Glenn (foot/ankle), and G John Miller (ankle). Out of these players, Dawkins is not of concern as he may have the flu. He may be limited but could still play if needed. Glenn continues to deal with his chronic issue and there is no timeline of whether he will be able to play. Miller continues to be hampered with an ankle injury, but as he has not been activated for most of this season; he continues to be a non-factor.

Benjamin is considered “day-to-day” according to McDermott in today’s press conference. As expected, McDermott gives little information other than what is required. Due to the impact during the injury, he may have a bone bruise or a mild sprain. An MRI would demonstrate no significant damage but would still show Grade 1 sprains which are relatively inconsequential. Based on the hit he sustained Sunday, I am still fairly confident that he will be at best questionable for Sunday and learning towards missing the next game.

Those limited in practice were TE Charles Clay (knee), K Stephen Hauschka (right hip), WR Jordan Matthews (knee), WR Deonte Thompson (ankle), and RB Mike Tolbert (hamstring). Clay is still dealing with his original knee injury from October and if he wasn’t pressed to help the offense, probably would have benefited from the extra time to recover as I originally stated. I suspect he is still dealing with some swelling and pain due to the high demands of the position. His play supported the decision to return but he may still not be at 100%. He did have an impact being out on the field Sunday and was a vital cog despite the low offensive output.

Hauschka is still dealing with his right hip injury which is described as soreness. It appeared he was able to perform all his kicking duties without compensation and this should not change Sunday’s outlook. It is unknown what Matthews is dealing with in his knee, but as he missed last game and was limited after today’s practice, this is a positive sign. It was mentioned in the past he has dealt with tendonitis which is still a possibility, but may have also been a mild knee sprain. Having Matthews back in the lineup if Benjamin is unable to suit up with gives QB Tyrod Taylor another weapon he is more comfortable with.

Thompson is limited with an ankle that was rolled up on attempting to catch a pass and was able to limp off. I anticipate that he will play Sunday with a heavily taped ankle and some good painkillers. Tolbert continues to be hampered by a hamstring injury sustained in the Saints game. However, with the performance of RB Tarvaris Cadet backing up RB LeSean McCoy, this may allow Tolbert to rest another week to ensure a full recovery.

Finally, those dealing with injury but able to practice in full include WR Andre Holmes (ankle) and S Micah Hyde (knee). This is promising as there was concern that Hyde would be limited following injury his knee during a tackle late in the game. Practicing in full indicates that these injuries are not worrisome and should not affect performance for Sunday.

One interesting note, typically Wednesday’s are reserved for veteran rest days and there were none listed. It may be possible that the veteran’s didn’t require a rest day or that McDermott wants to push these guys extra to shore up the weaknesses seen over the past several weeks. Either way, none of the injuries are severe, none are key losses which includes Benjamin as Tyrod has not built up the consistency that he has with his other receivers.

If this team has a playoff push in them, they have to win this next game in the always hostile Arrowhead Stadium and continue to stay relatively healthy. This roster is not snake bitten and if some of the flaws can be reduced, this team can play at a higher level than what we have seen. As Bills fans know, we continue to remain eternally optimistic and frequently let down. Things will change though; probably not this season, but this mediocrity has to end at some point.

Continue to check back for breaking news and game day updates/assessments by following me at @kyletrimble88 on Twitter. As always, thank you for reading and GO BILLS!!

Week 11 Recap- Chargers

Assessing Kelvin Benjamin’s knee injury and other injuries following the Bills horrendous loss to the Chargers.

There are the Buffalo Bills we know and love! As Harry Dunne would say, Just when I thought you couldn’t possibly be any dumber, you go and do something like this… and totally redeem yourself! Similar to the quote, we all thought the Bills couldn’t get any worse, they go and turn in Sunday’s performance against the Los Angeles Chargers with a loss of 54-24. Where is the team that started 5-2? Now they are 5-5, losing ground in the playoff race, losing respect, and embarrassing themselves. To add to it, several key players went out with injury and made for an incredibly long day.

First man up, WR Kelvin Benjamin left early in the 1st quarter with a knee injury after a 20 yard catch. Upon replay, Benjamin got hit at the knee with the knee hyperextending while his foot was planted, similar to the Zay Jones injury. Benjamin had to be assisted off the field to the medical tent. After examination, he had difficulty placing weight through his leg and had to be carted off to be done for the day. As there are reports that he escaped serious injury, this does not mean he will play immediately next week. He may have hyperextended his knee as the video shows and may have sustained a bone bruise.

As outlined in my contusion article, there are several types of bone bruises. Bone bruises are actually a type of fracture that is less severe than a true bone fracture that we all think of. Keeping it brief, there are 3 types of bone bruises: Sub-periosteal hematoma, inter-osseous bruising, and sub-chondral lesion.

Sub-periosteal hematoma occurs when a direct high force trauma occurs and blood forms under the periosteum, which is a membrane that covers the outside of the bone. Inter-osseous bruising occurs when the bone marrow of the bone becomes damaged, specifically the blood supply. This occurs as the result of a repetitive high compressive forces on the bone, such as excessive running or jumping. These are seen more common in the knees and ankles.

Sub-chondral lesions occur when the cartilage layer of the bone becomes damaged. This area is found at the end of the bone and is the part that articulates with another bone. An extreme crushing force or rotational/shearing force may also cause this, commonly seen in injuries such as ACL tears. ACL tears typically not isolated, but MCL damage, meniscus damage, and even a sub-chondral lesion due to the forces that occur on the joint during the injury also occur.

At this point, if there is a bone bruise, further imaging is required which has already involved X-ray to rule out fracture and MRI. Imaging supported today that there was no ligament damage which would most likely end his season. If I had to speculate the type, I would suspect sub-periosteal hematoma based on the mechanism of injury and inability to play through it.

Bone bruises are tricky because depending on extent of injury, he could be out for 2-3 weeks or be out for the year in the case of Sam Bradford of the Vikings. I could easily see Benjamin out for at least the next game if not the next two with the possibility to come back against the Colts if the diagnosis is correct.

Next up is S Micah Hyde who also sustained a knee injury early in the 3rd quarter. Hyde was injured while trying to make a tackle and injured his knee. Replays initially indicate that he sustained a direct helmet to helmet hit but upon further review, he injured his knee as he was falling to the field. As there is no video replay of the incident, I can not speculate on what occurred. Sean McDermott did state that Hyde would be alright and did not elaborate. Hyde did suffer a knee injury at the beginning of October and unknown whether it is related.

Finally WR Deonte Thompson injured his ankle trying to catch a ball towards the sidelines at the end of the 3rd quarter. It appeared that he had his ankle rolled up on. He was able to exit under his own power but was clearly not moving well after the injury. McDermott did not mention him during today’s press conference; I do expect him to show up on the injury report but observing how his ankle was rolled on, it should not be something which should affect him playing next week.

Prior to the game, T Cordy Glenn, WR Jordan Matthews, and FB Mike Tolbert were all ruled out which severely limited the depth available today. Considering how the offensive line played, the injuries sustained today, this whole team fell apart today. I have mentioned in previous articles that depth will be key down the stretch, but considering the starters can’t even play up to snuff, depth becomes irrelevant. The Bills are horrendous these past few weeks and something has to change.

Continue to check back regularly for articles updating the injuries as more information is released. Follow me at @kyletrimble88 on Twitter for the latest up to date information. As always, thank you for reading and GO BILLS!

Week 11 Injury Breakdown- Chargers

Detailing the injuries prior to the LA Chargers game.

The Bills continue to make moves that make the fan base question the process. Sean McDermott benched starting QB Tyrod Taylor in favor of rookie QB Nathan Peterman, this year’s 5th round draft pick. This is curious as the Bills are sitting in the last wild card spot, owning a 5-4 record, and create many questions about the reason behind the decision. However, unless you’ve been under a rock, Tyrod has been awful the past 2 games against the Jets and Saints, exposing the Bills as a possible playoff pretender and into a potential free fall. With the Chargers game coming up and the season potentially slipping away, I do applaud the Bills for attempting to make a change instead of running with a system that is shaky as best and awful at worst. Whatever the decision is, I will trust the process. I believe in year’s past, changes would have not been made and success would have continued to elude this team.

Despite the Bills making this big change behind center, today’s post will once again be focused on the injury report, which unsurprisingly, grows longer as the season progresses. Starting off, LB Lorenzo Alexander, DT Kyle Williams, G Richie Incognitio, and RB LeSean McCoy did not practice yesterday due to a veteran rest day. TE Charles Clay (knee) was limited in practice due to a knee issue which I am quite confident that is related to the original injury that kept him out prior to this game. He is possibly dealing with some mild swelling due to the recent surge in activity, but I do not believe that he re-injured the knee. From my vantage point, it did appear that he was wearing some prophylactic bracing under his pants during the game as expected to decrease the injury risk.

Others not practicing today includes OT Cordy Glenn (foot/ankle), K Stephen Hauschka (right hip) and RB Mike Tolbert (hamstring). There is no surprise with Glenn as he has been dealing with his injuries all season. Tolbert is dealing with a hamstring injury which is unknown in severity. I did not see him leave the game or was limited with any of his runs. Hopefully this is not a long term issue as has been the issue with E.J. Gaines.

Hauschka did not practice secondary to a sore right hip which is the leg he kicks with. As Hauschka only deals with kickoffs and field goals, there is limited ability and time for him to injure his hip. Thankfully, kickers do not have to practice much so missing a day is not concerning. The Bills do not have any kickers on the practice squad, but training camp kicker Austin Rehkow is still a free agent and may be an option if Hauschka is unable to go Sunday.

Hughes did not practice yesterday and was limited today, but has been reclassified as a shin/calf injury which does open the door for a variety of other injuries including calf strain, foot flexor tendon injury, or a soleus strain. Considering that his position requires so much energy to push off around the edge, it is common to see a calf strain from time to time. If not managed correctly, this could develop into a tendonitis and could lead to further damage, but the training staff will not let it get to that. As Hughes is also a veteran, limiting him in practice may have been proactive to ensure proper rest and rehab.

Others limited in practice are WR Jordan Matthews (knee) and G John Miller (ankle). Miller is an interesting addition as he has not been active for several games with the recent improved play from G Vlad Ducasse. It is unknown what Miller is dealing with and the fact that he has not been active doesn’t warrant any concern.

Matthews is a new addition to the report after dealing with a thumb fracture earlier this season. There has not been any reports that he sustained any damage or had to leave early but there is concern for a re-aggravation of the knee tendonitis that he was dealing with when in Eagles training camp this season. Tendonitis is an issue that can continue to rear it’s ugly head even after clearing up the original symptoms. Tendonitis is an overuse injury due to repeated microtrauma to the area. If you would like to read more on the issue, please check out my previous article.

When dealing with tendonitis, this is something that a time frame can’t be definitively placed on. He could deal with this the rest of the season or could clear up with proper rehab and rest. This is something that can be played through, but pain may limit the ability to play at full strength.

Finally, WR Zay Jones and CB E.J. Gaines were full participants at practice which is an excellent sign. I originally thought that Jones sustained a high ankle sprain based on the mechanism of his injury during the Jets game, however, it appears he avoided this diagnosis. I did note that I believed that he may have sustained a regular ankle sprain as part of the differential diagnosis. Either way, Zay continues to progress back sooner than expected and this will be an extra weapon for Peterman come Sunday. As a disclaimer, I am only as good as the video available and the reports that surface.

As for Gaines, the fact that he is at full practice on a Thursday indicates that he will be starting Sunday. After seeing what the Saints did to the Bills defense this past Sunday, he is a welcome addition. As of right now, he is at a very high risk for re-injury due to his recent injuries and style of play, but if he is healthy, there is no reason that he is unable to contribute to the secondary.

As stated multiple times this season, the Bills continue to avoid the major injury bug. The Bills have four players on IR: TE Keith Towbridge, S Colt Anderson, RB Taiwan Jones, and WR Jerry Butler. This isn’t a group of players that strike fear into any team. They are still in better shape than other teams and while the team is not performing as expected, the depth that has been there since the beginning of training camp will be key down the stretch if they continue to be in the hunt for that long elusive playoff spot.

As a fan, I’m disappointed in how the team has played the past two games despite the hot start. I will still trust the process and know that McDermott is making decisions to better the current situation. I know complaining won’t change the current situation but will continue to have opinions because we are all entitled to that. If the Bills lose to the Chargers Sunday, then the season may be over. If they win, we’ll see what happens. The Drought has to end sometime, with how this season has been going, why not roll the dice?

Continue to check back with the latest articles and updates. For the latest and game day updates, follow me on Twitter at @kyletrimble88. As always, thank you for reading and GO BILLS!!

Week 10 Recap- Saints

Assessing the latest injuries including Jerry Hughes’ shin injury and what exactly happened with Saints RB Daniel Lasco’s spine injury.

The Buffalo Bills know how to keep this fan base on their toes and not in a good way. After putting up a stinker of a game against the Jets on prime time, the Bills followed up with a complete throttling at home by the New Orleans Saints by a score of 47-10. As a fan, I saw nothing good come out of this game. The offensive line didn’t look as porous as the Jets game, but still could not provide effective protection for Tyrod Taylor to make effective throws or move the ball. The entire offense looked out of sorts even with all the weapons that Tyrod had at his disposal. This was not a good game and if more is said on this topic, it will not be pretty.

Thankfully, this forum is not designed for my two cents on how the Bills play. I always leave the X’s and O’s to my friends at The Rockpile Report. Give them a listen; by far the most thorough and honest analysis of our beloved Buffalo Bills. However, the goal of today is to discuss the Buffalo Bills injuries sustained after Sunday’s drubbing.

Thankfully, the Bills continue to avoid the major season changing injuries that many other teams have sustained this season. The only injury that has been reported so far is DE Jerry Hughes. His injury was sustained at the end of the 1st half in which he injured his shin. He was observed warming up on the sidelines but did not return. It is unknown whether he was unable to return or was sat out as the game was out of reach at that point.

From my standpoint, there isn’t much that Jerry Hughes could have injured in his shin. The shin (tibia) is part of the lower leg which is the bone that makes up part of the knee and the ankle. While there are a multitude of muscle attachments that connect to the area to assist in knee and ankle movement, the shin itself doesn’t have a lot of possibility for injury. I believe that he may have suffered a contusion to the skin/tissue over the bone which made it painful to run. As mentioned above, the muscles do attach to the tibia which when moved, does pull on their attachment points, which could pull on the painful tissue.

Hughes also may have sustained an injury to his tibialis anterior which assists the foot in lifting up (dorsiflexion) and moving inward (inversion). This muscle is the meaty portion of the front and outside portion of the shin. A contusion to the muscle belly could make running painful and prevent effective pivoting, especially with the demands of his position. Either way, these aren’t injuries that keep most players down for long and Hughes is known for his durability during his career.

However, I will state that Hughes did not sustain a fracture. I do not believe this to be the case as he would have had imaging performed and ruled out if there was any possibility. He would have also had a definitive diagnosis today and most likely expected to miss several weeks if that were the case.

The only serious injury that occurred Sunday was to Saints RB Daniel Lasco on a kickoff return. Lasco hit his head directly into the hip of WR Brandon Tate and dropped immediately. It appeared initially as though he was not moving which brought back immediate thoughts of Kevin Everett 10 years ago. Thankfully, his injury was nowhere as severe but is season ending. It was determined today that he has a disc bulge in his neck and will most likely require surgery to correct the issue.

To give a better understanding to what happened, it helps to understand the anatomy in the area. The spine is comprised of bones called vertebrae which stack upon one another and allow the human body to stay upright and distribute the weight of the head and the trunk effectively. These bones allow the spinal cord to pass through it and act as a cage for the spinal cord and allow the nerves to branch off into all areas of the body. This allows for the nerves to provide input to move each muscle and allow various sensations to be felt. In between each vertebrae is a vertebral disc which acts as a shock absorber, allow for fluid movement between the vertebrae, and acts as spacer to prevent pinching of the nerves.

When Lasco’s head directly collided with Tate’s hip, it compressed the vertebrae on each other so much that it bulged or herniated one of these discs in the neck (cervical). This most likely began pushing on the spinal cord or a spinal nerve, causing radicular or traveling pain down the nerve. This is typically seen as weakness, numbness, and pain in the affected area. If you were able to see Lasco being loaded into the ambulance, he was able to raise his right arm, but it did not appear to be a strong, confident motion typically seen in the movies.

In a majority of non-sport cases, these types of injuries can be effectively managed non-operatively through physical therapy, chiropractics, injections, etc. However, due to the nature of the injury as it was quite traumatic and the impact football has on the body, that may not provide the best long term options, especially if he wants to return to football. He may get a cervical discectomy and fusion to the affected area in which the herniated portion of the disc is partially or totally removed and the vertebrae above and below the area are fused together to eliminate movement and further pressure on the nerves. He is able to return to football without any long term issues, but repeated injuries to the neck may impact his long term career prospects. This is why former Bills player S Aaron Williams found his career ending prematurely due to similar injuries.

As mentioned above, while the Bills played poorly, injuries are not being added to the insult and the Bills are not losing players to injured reserve. I would still want a tired but overall healthy starter out there in Week 15 fighting for a playoff spot rather than the backup just trying to hang on and not able to provide the same level of play. The Bills are banged up right now but should have some key players return in the coming weeks.

Continue to check back for further updates including analysis of the Bills injury report come Wednesday and when more information is known. As always, thank you for reading, follow me on Twitter at @kyletrimble88 for the latest updates and GO BILLS!!

Week 10 Injury Breakdown- Saints

Analyzing the Bills injury report including Glenn and Jones ruled out and how the rest of the report looks.

With today being Veteran’s Day, I would like to start this post off by thanking our nation’s veterans. You are the reason we are free, you are the reason we are able to enjoy our lives and watch football, you are the embodiment of this great nation. There can never be enough thanks for what you have sacrificed personally; with your family and friends; and for those no longer with us, their lives. As I grow older, I have come to realize and respect every day the efforts our veterans have put forth in order for the United States to be who they are. Thank you for your service, we as a nation are forever indebted.

Going into the showdown with the New Orleans Saints, the Bills were looking to get healthy and contend with their best talent out on the field. However, the injury report is looking a little longer from the beginning of the week with some of the key starters out for Sunday’s game. Today’s post will explain why the injury report isn’t sunshine and rainbows and the impact it will have on the game.

Already ruled out is OT Cordy Glenn and WR Zay Jones. Glenn has already missed some time this season to his forever injured ankle. I had detailed what I believe is going on during training camp and I believe this is an aggravation of this issue. If you would like to read up on more, please check out the article here; my opinion has not changed.

WR Zay Jones is out due to a newly diagnosed ankle injury. Yes, he injured his knee in the Jets game, that’s a fact. But as a result of the knee hyperextending, I believe that he suffered a high ankle sprain due to the excess force from the knee injury itself. The reason for this injury has been greatly detailed in my previous article and is well worth your time. As for return to play, until more is known, this is murky at best. A mild high ankle sprain will take 6 weeks to heal; if he only sprained his ankle by rolling it, it could be less, such as 1-2 weeks, but still miss some time. If you would like to read up more on high ankle sprains, click on this link or check out the previously linked Cordy Glenn article. Either way, Zay is missing this week and could miss more time once more information is released.

As mentioned often, TE Charles Clay has been dealing with a sprained MCL and torn meniscus. He had surgery to shave down the meniscus and has been rehabbing to regain the motion and strength in the knee to return to normal. Sunday will be 6 weeks since he originally injured the knee and is within line of expected recovery for this type of injury. I had originally anticipated that he would be out until the Colts game, however that was with IR to return designation. He was limited in practice this week, but barring any pain or swelling, should be able to return without any loss of function. He may be wearing some type of compression sleeve, but should not require any bulky bracing to prevent re-injury. As of today, he is listed as questionable going into Sunday.

CB E.J. Gaines has been dealing with soft tissue injuries all year including groin and hamstring injuries. This was clearly the right move to shut him down until he was fully healthy; nothing good comes from trying to play through injuries such as this. He was also a limited participant in practice but should return to bolster the secondary, especially with how much emphasis the Saints place on their passing game. He is also questionable for Sunday.

Finally, OT Seantrel Henderson found his way onto the injury report this week with a back injury. It is unknown when he sustained his injury, but as he has not appeared in a game this season, it most likely occurred in practice. He may be dealing with a pulled muscle in his back or a muscle contusion, but as there is little information on this, I can only speculate as to how it will affect him come Sunday if he even plays at all.

Clay, Gaines, and Henderson should play unless they do not feel they are ready when they are warming up Sunday. The team does have the depth required to keep up with some teams as they have shown already, but the Saints are a formidable opponent and the Bills even when healthy will have to bring their best in order to compete. The Bills are 4-0 at home and with the Saints being a dome team along with the poor weather bodes well for Buffalo in their chances at winning this game. As is every week in the NFL, any game can be won and this is no different. The Bills are coming off of a 10 day rest break and their poorest performance of the season. This should allow them to retool and find ways to win.

Continue to check back following the game with further injury updates and analysis. As always, thank you for reading, I enjoy writing these articles to educate my fellow Bills fans. For up to date reactions and news, follow me on Twitter at @kyletrimble88. Thank you for your time and GO BILLS!

Zay Jones Ever Changing Injury Diagnosis

Following today’s injury report and Zay Jones new injury diagnosis, this post will identify why it is an ankle injury and not solely a knee injury.

It’s a new day and a new injury report! Going into the Week 10 match up against the New Orleans Saints, the Buffalo Bills continue to get healthy to rebuild their depth just in time to take on a suddenly resurgent Drew Brees led offense and a surprisingly stingy defense. This week’s game will truly be a test to see if the Bills is the team that started 5-2 or if they are the Bills that lost to the Jets on Thursday night.

Today’s post will deviate from a general review of the injury report due to new and unexpected information released today courtesy of Chris Brown. It has been reported that the initial knee injury that WR Zay Jones sustained in Thursday nights loss is now classified as an ankle injury. My goal is to explain why there is a change in injury designation despite the obvious original injury.

As reported before, Jones injured his knee with a rather gruesome fall to the turf last Thursday. He was able to return and play, but left towards the end of the game after re-aggravating the injury. In one of my previous articles, I detailed the possible extent of the injury severity. As there was not any additional news that came out regarding further damage, it was assumed that he merely hyperextended his knee and that he may be limited.

However, the Buffalo Bills continue to throw curveballs with Chris Brown reporting that Jones’ knee injury is actually an ankle injury. When it comes from the Buffalo Bills, I’m not going to question the source. Now, everyone must be thinking, this doesn’t make any sense. And you’re right, it doesn’t make any sense. However, as the reader, you clicked on the right article as I will determine how this could be an ankle injury despite what happened to his knee.

To clarify, Zay Jones did injure his knee in Thursday night’s loss to the Jets. That is a fact, but how severe? Apparently not that severe considering it’s not listed on the official injury report and he was able to return. As for his ankle, I have reason to believe it is a high ankle sprain. Let me explain. The knee acts as a hinge joint, but the ankle has multiple planes of motion allowing for greater mobility, but decreased stability. Upon initial viewing of the injury, there are forward and side views of the mechanism of injury which offer greater insight.

As the 14 second clip plays, at around the 4-5 second mark, Jones trips over CB Buster Skrine’s leg and steps awkwardly with his right leg. However, as he plants, all his weight is being placed through his right leg. His foot is planted directly in the turf as he begins to fall forward with his knee hyperextending. His foot is in maximal dorsiflexion and eversion which translates in plain speak to the foot is maximally bent up and turned out partially. Finally, the knee buckles backwards, Zay vaults forward, and Zay goes down in pain.

Fortunately for Zay, the knee has an ability to lock out which is known as the screw home mechanism. This allows the knee to fully straighten and stay rigid. During the process, as the knee goes into full extension, a rotational component assists in fully extending. In Zay’s instance, the screw home mechanism was forced into action with the femur (thigh bone) internally rotating with the tibia (shin bone) externally rotating. The hyperextension accentuated this mechanism, placing maximal force through the knee with the remaining excess stress left was displaced back into the ankle joint.

STJclosedKinematics.jpg
Credit: http://www.pt.ntu.edu.tw/hmchai/Kinesiology/KINlower/Foot.files/FootKinematics.htm

As seen above in the picture, during normal walking, the tibia externally rotates, placing stress through the talus and calcaneus. The calcaneus is the heel bone and this is the portion that makes contact with the ground as the foot is supinating or bearing weight as in the supination diagram. The calcaneus is turned inward and the talus is dorsiflexed and abducted or bent up and pulled outward. These are normal biomechanics of the foot, but if placed through excess stress as in the case of Zay’s injury, this can cause a high ankle sprain as the mechanism of injury is extreme external rotation and dorsiflexion, which is what I believe occurred with Zay to get him the ankle injury designation. Think of this injury as a chain is only as strong as it’s weakest link. As the ankle is naturally more unstable, it is more susceptible to injury which is what happened in this case.

Considering other injuries, he may have sustained a medial ankle sprain or bone contusion according to the video. It may never be fully known the extent of his injury. This injury is confusing as it is not apparent to the naked eye. The manner in which way the knee bent is the obvious part of the injury. To the untrained eye, its hard to see, but upon further evaluation, it appears this may be a likely injury.

As I do not have insider information, only insider knowledge, I can say with only so much confidence that this is what occurred. Time will tell how this injury plays out and what further information is released. He may have also injured his ankle when he left the game the 2nd time and I have not seen video to support or refute the injury. I do not believe that this is something season ending or as serious as Clay’s injury in relation to time missed. He may miss some time depending on severity and how this week’s practice plays out.

Continue to check back for new updates and further analysis of Bills injuries. For more breaking and real time updates, follow me on Twitter at @kyletrimble88. As always, thank you for reading and GO BILLS!!

Trust the Process

Thoughts on “Trust the Process” and how it will shape the Buffalo Bills for years to come.

The Buffalo Bills are at the halfway mark, sitting at 5-3 and own the 3rd best record in the AFC, tied with the Tennessee Titans and Jacksonville Jaguars. The Bills also are 1 game back in the AFC East and currently hold the 6th seed in the playoffs. Not a bad start for a team that was expected to tank for a top pick next season. As this season has progressed, “Trust the Process” has been regularly brought up. Today’s article will attempt to define what I believe “Trust the Process” is and how it will shape the Buffalo Bills for this season and potentially years to come.

This season is already looking to be different from seasons past as they prepare for a showdown at home against the New Orleans Saints. Time will tell how the rest of the season plays out, but I believe there is already a vast improvement from last year. The reason behind this is Sean McDermott. He may be the answer that Buffalo has been looking for these past 17 years. This isn’t to say that the other coaches during The Drought have been bad, but McDermott is different in a very significant way.

Much has been said regarding McDermott’s rise to the top, starting with the Eagles, then making his mark with the Panthers as a defensive coordinator. It has been mentioned often that he was a successful wrestler in high school, forgoing a possibly successful wrestling career in college to play football at William and Mary. It is is wrestling background that sets him apart. It is why I believe he will deliver the Bills to heights not seen since Marv Levy.

Why am I so high on McDermott? Well, it is because I can relate as I dedicated 12 years of my life to the sport of wrestling. I was FAR FAR FAR less successful than McDermott, but I still understand where he comes from. He comes from a sport where there are no schemes, there are no time outs, there are no teammates to help during the match. It is just you and your opponent in the center of the mat. You control the match, the tempo, the outcome. After surviving in that mindset for as long as he did, you begin to think differently when in the heat of competition.

In wrestling, each member of the wrestling team needs to wrestle their individual match in order for the team to succeed. However, this doesn’t mean that every wrestler has to win. Sometimes a wrestler has to go out and just not get pinned to keep the score close. Sometimes a wrestler needs to get bonus points or get the pin instead of the win. At the end of the day, the wrestler has a job to do. This is the same in football, everyone has a job to do. Without each player doing their job, the team can’t win.

After seeing McDermott coach these past 8 games, watching his demeanor during the press conferences, the culture he is beginning to build, it is evident that something is taking hold. Do I expect McDermott to lead us to the playoffs this year? In a weaker AFC conference, it’s possible, but I am not expecting it. It took Marv Levy a season and a half to even get to the playoffs, starting 9-13 during his tenure in Buffalo. It takes time to build a culture, McDermott is on his way there. But what does that culture consist of?

That culture is defined as “Trust the Process”. McDermott wants a player who is determined, disciplined, and driven, among other things. McDermott wants a player who will understand their role on the team, do their individual job, and someone who realizes that those individual contributions will add up to team success. He is looking for players who can recognize that they are building towards something great. He wants a player who is not self serving and not willing to play for only stats. Every player has a role, vital to team success, and without them, they cannot achieve their goals. Trust the Process means that the Bills can trust in their coach to make the right decisions which in turn allows them to trust in their own abilities.

Trusting the Process also allows players to realize there is room for growth during this process. If this team was excellent, they wouldn’t be dropping games to the Jets and Bengals. They would be beating teams soundly, they would be winning games that they are expected to win, and frankly, we wouldn’t be discussing most of this stuff. This discussion allows the Bills to determine how they can grow as a team and realize that they always can continue to improve. It starts with having people who want to be there. The next step is fostering competition and letting the best players rise to the top. The final step is setting realistic goals and achieving them, then setting higher and more achievable goals after that.

The goal of each NFL team is to win the Super Bowl every year. One team achieves that goal, 11 other teams take steps towards that goal, and 20 teams outright fall short. To have a long term goal, there must be many short term goals. McDermott is slowly achieving that with building culture. I believe he will get there because there are many players in the NFL that are talented, that can understand the bigger picture, and understand their job. Stars will emerge, but these players will have the determination, drive, and dedication required to win. With a solid game plan, cap flexibility, and some luck, McDermott will find these players.

The Sean McDermott Buffalo Bills will have this look in the next several years if given the chance. This will be a team that will know their job, not be statistic driven, and looking to achieve the ultimate goal. This won’t be our father’s Bickering Bills either. Those teams ultimately achieved success not seen before or since. I believe this version of the Buffalo Bills will have success without sacrificing who they are. I am highly looking forward to this regardless the results of this season. Understanding the culture that he is building restores my faith in the Bills despite 17 years of poor football. Will he win a Super Bowl? Only God knows. This will take many different things to occur, but with a strong culture, there is a better shot than before.

I know this post was lengthy, I appreciate you reading this in its entirety. I did my best to educate what I believe the culture is and how this will set the team up for long term success. I believe the past coaches came in looking to win football games and expect the football players to play. McDermott is still in the business to win football games, but he realizes that there is more to football wins than player performance. Marv Levy took many years to achieve his greatest success. His autobiography details that through his years of WWII and decades of coaching at the various levels. Though he was not a wrestler, he came in with an unique set of experiences which allowed him to inspire his players to perform to the best of their abilities. McDermott brings that to the table in spades. He’s going to get it done. If he doesn’t get it done, he’s going to get the team farther than others have and will exhaust every option before then.

As always, continue to check back regularly for new articles and updates regarding my thoughts and Buffalo Bills injuries. Thank you for your time and GO BILLS!!