Week 9 Bills Injury Recap- Bears

Read the latest about RB Chris Ivory’s shoulder injury, TE Charles Clay hamstring, and other concerns following the loss to the Bears.

This 2018 season is really testing our patience. 2017 was a new regime and we ended The Drought! After such a high, the 2017 off season saw several key players leave and well, we thought the team would take a step back. Though we expected this, we still go crazy with the results. I think what drives most of us nuts is how bad they have lost some of these games. They have not had a loss yet that came down to the final minutes nor have they had a loss that was defined by a single play or two. These losses have come during blow outs and mind numbingly horrible offense. Though the defense continues to hold their own, not even the best players in the league can play for 60 consecutive minutes of football; essentially what the Bills defense has been forced to do due to the ineptitude of the offense. Along with the lack of production, the Bills continue to lose offensive producers to injury. Today’s post will review the injuries sustained in the soul crushing loss to the Bears.

While the Bills did not lose much on Sunday, what they did lose was still painful. First up is TE Charles Clay (right hamstring). The veteran TE suffered the injury on the last Bills offensive possession in the 1st quarter running a route to the middle of the field. He appeared to slow down, turn to his right and begin to try and run towards where the play was taking place, but appeared to take a step and began limping. He was observed on the sidelines getting assessed and stretched by the training staff but was unable to return to the game. He suffered a hamstring strain that appears to be Grade 1 but will unfortunately cause him to miss some time. He has been since listed week to week.

Hamstring strains can and do happen at any point in the season but are more frequent early in the season as players are still ramping up into game shape. As this injury was in the 1st quarter and not the 4th, fatigue does not appear to be a contributing factor. He may have decelerated too fast and felt a pull when attempting to turn direction. Unfortunately, the video available is limited and the injury is subtle in nature, limiting the ability to confirm the specific action. This may have been an unfortunate circumstance or as the result of cumulative injuries as he’s had hip, ankle, and shoulder injuries this season along with a well known knee issue. If this upcoming game meant more or he was desperately needed, it’s possible he would be able to play, but considering he’s had several injuries already, he’s a veteran, and the bye is coming up, it would not make sense to rush him back out there. I’d expect him to miss next week with him coming back after the bye.

The other injury noted was RB Chris Ivory (left shoulder). He suffered his injury on a goal line plunge that was unsuccessful halfway through the 4th quarter. He got hit hard up in the air by LB Danny Trevathan and was stopped cold in his tracks. Ivory immediately went down and began motioning to his left shoulder, requiring assistance to get off the field and eventually carted to the locker room. There was initial speculation that he may have suffered a painful contusion but reports have since come out indicating that he suffered a shoulder sprain.

The most likely sprain that Ivory suffered is an AC joint sprain. The joint that is injured is known as the acromioclavicular joint which is near the top of the shoulder. This joint is made up of the distal or far portion of the clavicle and the acromion which is the hook portion of bone that creates the bony edge of the shoulder. This joint helps connect the shoulder to the thorax via the clavicle and allows for shoulder movement throughout its range. This allows for overhead, pushing, and pulling motions required for activities in every day life.

When a AC joint sprain occurs, the ligaments holding the clavicle and acromion together are damaged due to a direct blow to the shoulder, as in the case of Ivory. These types of injuries can also occur as the result of falling on an outstretched arm, or FOOSH injury. However, most of these injuries occur as direct blows and cause immediate pain and loss of function. This will be evident by the limitation in motion to the shoulder, pain with movement, possible visual deformity as the result of the clavicle rising up higher than the shoulder, and bruising. There are specific grades that allow us to identify the severity as seen below. While MRI may be helpful to identify specific ligament damage, a physical examination and x-ray will typically tell a medical professional the grade level. While we are unable to identify the grade level on Ivory as he had his shoulder pads on, my best guess is that he suffered a Grade 1-2 AC joint sprain which would put him at 2-4 weeks for recovery.

AC-Joint-Separation-Image.jpg
Credit: sportsinjuryclinic.net

Rehab will include rest and stretching to allow for proper healing to the area. Once he is able to move the arm without causing further discomfort, he will begin strengthening and stabilization activities to challenge the joint to perform its function and ensure proper healing to the area. These are injuries that a player can play through if minor enough, however considering the hit that Ivory suffered and the fact that he had to go to the hospital due to initial concern for internal organ damage makes me believe that this is not minor. I can realistically see Ivory missing next game and then using the bye week to recover fully enough to resume playing against the Jaguars. He may be healthy enough to return to play by that time but he may also have taping to the affected area to help provide some type of additional support in order to get through the game. There is a possibility that he will be out longer if the severity is worse than I anticipate, but this is not something that the team would consider placing him on IR at this time. Had he had a Grade 3-5 injury, reports would have surfaced and he would have most likely been placed on IR by this point.

Overall, this upcoming bye will be a welcome reprieve for this team trying to get healthy for the final stretch to salvage any respectability for this season. Ideally, most of those on the injury report will be healthy enough to return and play out the rest of the season. Fortunately, one player will not be completing the final home stretch of the season with the Bills. CB Phillip Gaines has been released with CB Levi Wallace replacing him on the roster. Gaines has been a liability all season and even in his absence due to injury, his replacements demonstrated why he was expendable on this roster. As a fan, I will not miss his giant pass interference calls giving the opposing offense an easy trip down the field.

This wraps up another post for Banged Up Bills injury review. Continue to follow for the latest updates and news coming out of One Bills Drive. Follow on Facebook at Banged Up Bills, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 9 Bills Injury Preview- Bears

Read up on the latest Bills injury news & why Josh Allen is still not ready despite practicing this week.

The Bills enter the 2nd half of the season in the friendly confines of New Era Field with 5 of their next 8 games at home and hopes that the 2nd half is better than the first. We all knew that this season would be a step back, but none of us are ever truly ready for the enormity of the situation when a season goes off the rails. However, with a favorable schedule and home field advantage, this is the opportunity that the Bills can use to regain some respect and build for the future. Today’s post will break down the injuries prior to Sunday’s game.

The past several weeks has been tough dealing with several key injuries which has made this season harder to digest. Ruled out already as a result of Monday’s loss include QB Derek Anderson (concussion) & LB Tremaine Edmunds (concussion). Anderson suffered his late in the 4th quarter with the game essentially over and Edmunds sustained his sometime in the first half. Both were unable to practice during the week which is standard protocol while in the concussion protocol until they have worked their way up to tolerating mild exercise without symptom reproduction. The fact that they haven’t practiced doesn’t always equate to a more severe concussion, but rather that each concussion is unique and is on its own timeline. As it was a short week, both players will have another week to recover. It stands to reason that they could be ready next week against the Jets. Starting in place is QB Nathan Peterman & LB Julian Stanford, respectively.

Others ruled out include DE Trent Murphy (knee) & QB Josh Allen (elbow). Murphy suffered a right MCL sprain in the waning minutes of the Colts loss and has not practiced in two weeks. He may be practicing on a limited basis at best this coming week but I really don’t expect to see him return until after the bye. These types of injuries take 2-6 weeks to heal and considering his previous contralateral ACL injury, the training staff is not rushing him back. Thankfully the defense is playing lights out and can absorb his loss until he is ready to return.

The biggest change in the injury report is by far that QB Josh Allen is practicing on a limited basis. If you are reading my articles, you will have seen that he will not be ready until after the bye. This still stands true at this time. The reason he is limited is due to the fact that he is cleared for conditioning as outlined in rehab protocols for conservative management. He is most likely not having pain at rest or with simple movements which would let him to run with a normal motion, allowing the upper body to move naturally. In between this conditioning, he still continues to perform activities and exercises that encourage strengthening of the wrist and shoulder with healing to the medial elbow.

Within the next two weeks, Allen will ideally begin a throwing program, allowing him to slowly ramp up the speed and distance of his throws. If he begins having pain, training staff would back him off and reduce activity until pain is gone with activity and resume the program when ready. At no point will there be an opportunity for Allen to air it out to “see how it feels”. There is a systematic approach towards his recovery and the training staff will not deviate from this. I expect the rookie signal caller to be practicing on a limited basis into the bye. Pending his progress, he could be ready to play but not be 100% for the Jaguars game. The team may also continue to limit him until they are comfortable that he can perform to his maximum ability potentially causing further missed time. Overall, I believe he will return after the bye and regain his starting job.

It does not appear that there are any other injuries that were not on the injury report but could limit player effectiveness. RB LeSean McCoy is still recovering from his cracked rib cartilage from earlier this season, but his ineffectiveness is more due to the offensive line and play calling rather than his maladies. Many other players are dealing with minor injuries that they continue to play through, minimizing their time missed.

The Bills have to get through the bye, heal up a little bit, and can hopefully attack the rest of the season to end on a high note. Injuries are a part of the game, but thankfully we continue to avoid the ACL’s, Achilles, fractures, and freak accidents that can destroy a season. The Bills will get through this, they always do. As the front office build for the future, these losses now will begin to turn into wins in future seasons as their core players continue to gel and they get players to execute the game plan. This season will come to define “The Process” when we look back years from now, hopefully with a Lombardi trophy in view. I believe the Bills will snap this 3 game losing streak and send the Bears to a 4-4 record. Despite its offensive shortcomings, the Bills still have talent that can produce.

This completes another Bills injury preview. Continue to check back for the latest Bills injury news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!