Week 11 Bills Injury Review- Dolphins

How severe is Nsekhe’s injury?

Another week, another win. The Bills move to 7-3 on the season with a convincing win over the Miami Dolphins in Miami Sunday afternoon. This is the best start for the Bills since 1999 & 10th time in franchise history that they started 7-3, all previous Bills teams made the playoffs with varying degrees of success. While the Bills are continuing to march towards the postseason, they will be without a key contributor moving forward. This & other injuries will be detailed below. 

WR Isaiah McKenzie (left knee)

McKenzie suffered a left knee injury when he caught a pass going out of bounds with :55 left in the 2nd quarter. CB Nik Needham was close by but unable to break up the pass, instead falling & hitting McKenzie’s lower leg. It appeared to hyperflex his left knee, causing McKenzie to get up & limp off the field. 

Thankfully this was close to halftime where he was able to get some rest & get a quick assessment to ensure he could play in the 2nd half. This injury appeared to be minor & is not something I expect him to show up on the injury report with later this week.

S Siran Neal (concussion)

Neal suffered a concussion midway through the 2nd quarter on the kickoff with 7:41 left following Hauschka’s FG. Unfortunately, the video is not available yet as there was a touchback & the camera followed the ball & not the players. It was reported he was shaken up on the play, but once All-22 comes out, we may get a clearer view of what exactly happened. Neal enters the concussion protocol with no guarantee he is cleared for next Sunday. 

OT Ty Nsekhe (right ankle)

Nsekhe suffered a rather severe right ankle injury with 9:14 left in the 3rd quarter. This was a routine run play by Singletary up the middle when Nsekhe’s foot was caught from behind by Dolphins DE Avery Moss, landing on the back on Nsekhe’s heel, forcing the ankle to roll under the big man violently before his body caught up & he falls down in obvious pain. 

He was immediately placed into in an air cast & carted off, waving to fans but in significant discomfort. The result: a likely ankle dislocation with fibula fracture. There is a concern that he suffered a tibia fracture as well, but he may have spared the more significant bone due to the ankle rolling as much as it did before he fell over. 

300px-Fibula_Fracture
Credit: physio-pedia.com

According to Monday’s press conference, more tests were being performed on Nsekhe’s ankle with no definitive answer at this time. 

This could be for several reasons: 

  • The swelling may have been so great that imaging did not show the true extent of the damage.
  • There isn’t an actual break but significant ligament damage on the lateral portion of the ankle.
  • The Bills know exactly what is going on (they likely do) & are sitting on the info because they have no reason to release it until they feel they’re ready or can sign someone to replace his roster spot. 
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Credit: physiodirectnz.com

Looking at an alternative video angle from Thad Brown, there is the possibility that Nsekhe avoided a break but dealing with quite a severe inversion ankle sprain. He would have injured the anterior talofibular & calcaneofibular ligaments when Moss landed on his ankle. There is a slight chance he avoided a fracture due to observing the heel sliding out, relieving pressure off the fibula as he went down. 

The sheer fact that he was placed into an air cast & carted off without the ability to place weight through his leg isn’t ideal. His season is possibly done, heading to IR for surgery & rehab if my original suspicions are confirmed. I am not certain but if you go on NFL Gamepass & watch the replay, it appears as though the snap of the bone is audible. I’ve played it multiple times in a row. 

This may be a similar injury to what LB Matt Milano suffered last season. if so, a recovery timeline for Nsekhe would be 6-9 months with my guess being closer to 8-9 months. There are several factors including: 

  • Nsekhe is 34 years old, Milano was 24 during his injury.
  • Nsekhe is 6’8”, 325 lbs. Milano is 6’0”, 225 lbs. 
  • Nsekhe’s bones are thicker & are required to accept more weight than Milano’s, requiring a longer healing time & associated recovery.

While 34 is still a youthful age, it is getting up there when it comes to the NFL. Nsekhe can & should make a full recovery, but considering the mileage on his body, it’ll be interesting to see whether he is able to return to full form in order to compete for a roster spot next year. He should be close to, if not fully ready for training camp & should be able to participate in OTA’s in 2020. He is clearly a talented player, the Bills have him under contract for another year, it may come down to how he looks in camp.

For the interim, OT Cody Ford slides into the starting role he has alternated with Nsekhe all season. OT Ryan Bates will likely move to back Ford up. Once Nsekhe moves to IR, the team may elect to fill his roster spot with practice squad players OT Brandon Hitner or OT Victor Salako. The other option is to find a street free agent or another player off another team’s practice squad. Either way, GM Brandon Beane already has a preliminary plan in place. 

Other observations from today’s game injury-wise include noting Nsekhe’s replacement OT Cody Ford is still wearing a hinged elbow brace with a compression sleeve on the left elbow from the injury in the Eagles game. Each week he wears this brace further confirms that he suffered some type of injury to the UCL ligament in the right elbow & the brace provides protection as the ligament heals. 

Other injury news to note is that DE Jerry Hughes was active & played his usual snap count, highest among the DL group. I had originally stated that Hughes would miss the game & I was wrong. While I did not observe every single snap, he did not appear to be compensating or limited. This also creates the thought that the team is not sold on rookie DE Darryl Johnson. While no one expects that Johnson can be an effective player such as Hughes, it shows that an injured Hughes is still better than a healthy Johnson. 

The loss is Nsekhe is going to hurt. While he is older, he showed the ability to play very well with the offensive unit. Ford is able to step in & contribute, but his play has been marred by penalties & inconsistent play. He will suffice, but the quality of play at the position will suffer. However, the Bills are 7-3 & even with a 3-3 finish to the season will give the Bills double-digit wins for the first time this millennium. The Bills are still very much in control of their destiny & can make noise in the playoffs if they played like they did Sunday.

Week 11 Bills Injury Preview- Dolphins

Will Hughes be able to go Sunday?

Going into 2019, we all felt that this Bills team was something special. This team was built through the draft in addition to key free-agent acquisitions, & hidden gems in UDFA’s. Along with a talented coaching staff leading the team to 6-3, there has not been enough credit given to the Bills training staff. Check out the tweet below from Wednesday in regards to the difference a month makes. Back at the beginning of October prior to the Titans game, the Bills had 12 players dealing with injury with 7 ruled questionable & 2 ruled out. 

What a difference a month makes.

Heading into Week 11 against the Dolphins, the injury report is minimal with only DE Jerry Hughes & TE Dawson Knox on the injury report. 

QUESTIONABLE

DE Jerry Hughes (groin)

Hughes was a surprise addition to the injury report Thursday with a groin injury in which he was limited in practice. It has since been confirmed that he re-aggravated the injury Thursday but this is something that has been lingering from before. What we don’t know is when he sustained the original injury as I went back in my records & did not find any instance where he was down on the ground or missed any time during games. He has since been designated as questionable & is a true 50/50 shot to play. Between getting treatment daily & getting down in the warm Florida weather may do good for Hughes. 

A reminder for the importance of the groin muscles: they assist with running, jumping, cutting, side shuffling, basically all motions required to bend around the edge in the case of a defensive end. Depending on the side of the groin pull, this could affect how he lines up & how effective he is throughout the game.

However, I could see him missing as this is a game that can be potentially won without him. The injury was Thursday; even 2 days of intense rehab interventions & rest may not be enough to be ready for Sunday. He’ll be a true game-time decision with myself leaning towards that he misses out of precaution. If he misses, we could see a re-emergence of rookie DE Darryl Johnson as a depth option.

TE Dawson Knox (knee)

Knox found his way onto the injury report Thursday with what HC Sean McDermott noted as “knee soreness”. It was expected that he was to return to practice Friday and that is nothing to be concerned about. I tend to want to believe what this coaching staff says, they have been fairly honest, but if it’s that minor, then why is it showing up on the injury report? 

He did have a left fractured foot and meniscus repair during his sophomore year at Ole Miss which required surgery, but there isn’t any certainty that it is the same knee or any relation to what is going on this week. 

The only other possibility is “load management”. Those dreaded words are seen commonly in today’s NBA circles. Knox may be hitting a proverbial wall & needs an occasional day off as he is progressing through his first NFL season. I think as he adjusts to the professional schedule, he will adapt, but the team clearly wants to avoid overuse injuries to their future assets. 

Possible Inactives:

TE Tommy Sweeney

OG Ike Boettger

OT Ryan Bates

S Dean Marlowe

DE Jerry Hughes

DT Vincent Taylor

RB T.J. Yeldon

As the Bills travel down to Miami, the temperature will be drastically different from the mid-teens & low 20’s felt in Buffalo after the most recent snowstorm. Miami will be a balmy 77 degrees on Sunday. Considering the temperature will be considerably higher, hydration will be a key factor in staying healthy. As the temperature increases, the body sweats more in order to help keep itself cool. The team will have to focus on hydration & ensure that all players have a good warmup to get the muscles loose & ready. 

This is a game that we could see some strains if dehydration & muscle fatigue set in during the 2nd half. The Bills are certainly healthy enough & in shape enough to overcome some injuries, but losing players to strains once the cool weather returns won’t help down this difficult stretch. The Dolphins always play the Bills tough, no matter the year, but this could be a bounce-back game for the offense to get on the same page in order to show the NFL that they can hack it. This won’t be an easy win, but hopefully, a win that can move the Bills to 7-3 before they hit the vital portion of their schedule.

Top Photo Credit

Forbes.com

 

Week 2 Bills Injury Review- Giants

Will this week’s injuries affect the Week 3 matchup against the Bengals?

Another Sunday, another game, another win! The Bills move to 2-0 on the season with a complete 28-14 win over the New York Giants. The game was never really a contest with the exception of when the Giants scored first for which the Bills answered with 21 points. Like last week, injuries remained at a minimum. Below are the injuries in Sunday’s win. 

As expected, WR Andre Roberts (quad), CB Taron Johnson (right hamstring) & TE Tyler Kroft (foot) all did not play Sunday. Roberts & Johnson are still dealing with the respective injuries that have held them out of practice all week. It’s possible both can return but will have to practice in full this week to have a chance. Kroft continues to trend in the right direction; he should be ready Week 3. 

 

RB Frank Gore (head)

The veteran back took a hard shot to his head and right shoulder which led to a trip to the blue injury tent with a minute left in the 1st quarter. He was evaluated for a concussion in which he was cleared. He shouldn’t have any lasting issues and considering how long he has played, he understands what he needs to do to recover this week, likely with a veteran rest day. 

 

OT Ty Nsekhe (knee) 

Nsekhe suffered what appeared to be a left knee injury midway through the 2nd quarter. The play that he was injured on appeared to have him slip and possibly cause a contusion to the area. He was able to sit out briefly before continuing the established rotation between him and rookie Cody Ford. Nsekhe did deal with a knee “tweak” during the preseason but this is likely unrelated. Something to watch but not much thought should be put into this. 

 

DE Darryl Johnson (neck) 

The rookie end suffered a neck/upper back injury late in the 3rd quarter. He was attempting to complete the tackle and had his neck snapped back before falling to the ground. He was tended to the trainers before able to walk off under his own power. Later, he was observed having his neck assessed by one of the medical staff before returning to the game. 

He likely suffered a generalized neck sprain that appears to be mild at best. He may be dealing with more soreness and limited range of motion in the following days but as long as he keeps the area loose, then he should be alright for next week. He may deal with other issues later on but more information would need to be known before discussing further. Right now, at worst he misses 1 game.

 

RB Devin Singletary (left hamstring)

The shifty back suffered a left hamstring strain following a run to the outside late in the 4th quarter. He took a hard step with his left leg and hobbled out of bounds with obvious limping back across the field. Considering the heat and fatigue, either cramping or a mild Grade 1 hamstring strain is the culprit. He was ruled out for the rest of the game but considering the game was nearly finished, it was a smart move. 

Considering this is a hamstring, it’s unknown how long he’ll be out. HC Sean McDermott noted that he is day-to-day at Monday’s press conference. If this was truly cramping, he shouldn’t have any issues and be able to practice in full for the week to play on Sunday. If this is a true hamstring strain, it could be anywhere from 1-3 games he could be out. The hamstring can tighten up overnight, limiting him more than the original injury did Sunday. However, Wednesday & Thursday’s practice will be a true litmus test for Singletary to whether he suits up Sunday. 

 

Overall, the Bills should have several players return from injury & if Singletary is unable to go, Gore & Yeldon will carry the load. As the season progresses, the slowly cooling temperatures will only help with the early season strains and dehydration issues. However, the temperature for Sunday’s game is predicted to be at 82 F, which doesn’t help at all. This team continues to show excellent depth to overcome these injuries and move to 3-0 over the Bengals. 

Buffalo Bills Draft Recap

Analyzing the newest Bills draft picks and their injury histories including where they may end up after training camp.

The 2019 NFL draft has come and gone! Like a speeding train, you could hear and see it from a mile away, louder and louder as it neared, then gone as quickly as it came! Aboard that speeding train was a bounty of draft picks that have nearly filled out the Bills roster as the off-season continues. Today’s post will briefly review the players selected, their injury history, and where I believe they may end up at the end of training camp.

The Bills 1st round draft choice was DT Ed Oliver out of Houston. The junior defensive tackle was a 3x All American which demonstrates how special of a talent he was entering the draft. Regarding his injury history, he was relatively healthy throughout his career at Houston before suffering a knee injury in the game against Navy during this most recent season. As a result, he missed 4 games with what was described as a bruised knee. He was able to come back but reportedly wasn’t himself. Still, he was able to garner another AA nod and he was ready to cash in. The bruised knee is not something I am concerned about and it did not come up in the draft process indicating that this is a moot point. He should be a Day 1 starter and make noise his rookie year.

2nd round draft choice OL Cody Ford out of Oklahoma was the Bills top Day 2 pick.  The big lineman out of the midwest helped block for 2 Heisman winners and was the recipient of the Joe Moore award, given to the nation’s top offensive line group.  Reviewing his injury history, 2016 saw him play 3 games before suffering a broken fibula, causing him to miss the rest of the season. 2017 saw him miss 2 games with undisclosed injuries for which I was unable to find specific information. He avoided injury in 2018 and as a result, was highly sought after in the draft, falling to the Bills at pick 38. The previous injuries are not concerning as broken bones typically heal well and are unlikely to become chronic issues. Like Oliver, Ford should be a Day 1 starter and shore up the offensive line.

3rd round draft choice RB Devin Singletary out of Florida Atlantic was the 74th overall pick by the Bills. Looking at his injury history, there does not appear to be any concerns during his time at FAU. He appeared to stay healthy which would explain his insane level of production of 714 attempts for 4,287 yards and 66 TD’s over his career. While he was productive, there is a concern about how much tread is left on the tires despite his youthful age. Singletary will see the field during his rookie year, but he will not be the feature back which will allow him to acclimate to the game and avoid some of the wear and tear he’s had the past few years. Expect him to make the roster, but see minimal playing time unless there is a shake-up at the RB position.

3rd round draft choice TE Dawson Knox out of Ole Miss was the Bills 2nd pick in the 3rd round, 96th overall. Similar to Singletary, Knox has a limited injury history outside of a dislocated ankle during his senior season in high school. The ankle should not give him any issues as it has been several years since the original injury. One reason he may have been able to avoid injury in college was due to the fact that he only had 39 receptions for 605 yards and 0 TD’s. The lack of production is worrisome, but considering how WR Robert Foster performed last year despite a lackluster performance at Alabama, Knox’s numbers do not worry me. In fact, I believe he may exceed his career stats in his rookie year if he manages to secure a starting spot on the offense. Knox should make the 53 man roster with playing time available with a strong training camp.

(Note: after finding more information regarding Knox, it was later discovered that he suffered a stress fracture in his left foot along with a torn meniscus later in the 2017 season, both which required surgery. Both are concerning injuries as stress fractures are overuse injuries and the meniscus act as shock absorbers in the knee. There is potential for future complications but considering he made it through the 2018 season without apparent complications, this is a good indicator moving forward.)

5th round draft choice LB Vosean Joseph out of Florida is the next man up. The versatile linebacker was taken with the 147th overall pick and also demonstrated a propensity to avoid injury during his time as a Gator. He appeared in every game the past 2 seasons in Florida and showed ability on both the defensive side of the ball and on special teams. There has been talking that he could be a solid replacement for LB Lorenzo Alexander upon his retirement. Joseph will be another depth piece going into the regular season, earning playing time on special teams with the chance to get back up play as injuries occur.

6th round draft choice S Jaquan Johnson out of Miami was the 181st pick on Day 3. Johnson, like most others in this article, has minimal injury concerns, only missing 2 games during his senior season due to a right hamstring strain. Considering his position, these types of soft tissue injuries do occur but this does not appear to be a chronic issue, unlike other individuals around the league. Johnson also appears versatile and may make the roster as a depth piece behind S Jordan Poyer & S Micah Hyde, possibly seeing playing time if either goes down injured.

7th round draft choice DL Darryl Johnson out of North Carolina A&T makes his way to the Bills as the 225th overall pick. Like many others on this list, Johnson has no known injury history. He did have an injury senior year of high school that cost him scholarship opportunities but he was still able to receive an offer from NC A&T, allowing him to play well enough to be a draft selection. While there is the opportunity for him to make the roster with the turnover on the defensive line, he will most likely see the practice squad barring injury in training camp.

The final pick for the Bills in the 2019 NFL Draft was TE Tommy Sweeney out of Boston College. The 228th overall draft choice comes to the Bills without injury concern. During his time at BC, he proved to be durable, appearing in every possible game while in college. Sweeney is another player that could be destined for the practice squad, however, with the uncertainty at the TE position, it is possible he could sneak onto the roster with the right circumstances falling his way.

Continue to check back for the latest updates and 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!!