Week 10 Bills Injury Review- Jets

Analyzing the latest Bills injuries following the beat down of the Jets and how the roster looks going into the bye.

This team, one week you’re ready to swear them off for good, next week, can’t get enough. What a complete win by the Bills over the Jets 41-10 to move to 3-7 sliding into the much needed bye week! There are so many positives coming out Sunday’s game, I will leave that to the pundits who know football more than I do to diagram the X’s and O’s. It was a fun win and reassures me that there is talent on the team, the coaching staff does have a plan, and hopefully next year they begin to bring personnel in to turn their grand plans into solid results. However, I am always here to assess the injuries sustained in the blowout and how they affect the Bills going into the Jaguars game two weeks from now.

Going in chronological order of injuries, starting off with WR Robert Foster (thumb). The rookie wide out sustained some type of left thumb injury early in the 1st quarter which required an assessment by trainers. At one point he was questionable to return, eventually returning to haul a huge pass from QB Matt Barkley in the 3rd quarter and finish with 105 yards on the day. As to the specific injury, he may have suffered a dislocated thumb.  He was observed going to the locker room with a trainer stabilizing the left hand at the carpometacarpal joint which is the lower portion of the thumb that connects to the wrist. While that does sound nasty, it is relatively minor. My guess is he somehow injured it on the fake punt play, it appeared he may have hit his thumb against a Jets defender coming down with the ball or he suffered it where there is no video available. In the event of a thumb dislocation, the thumb would be reduced and put back into place, he would be fitted with a thumb spica which is a small brace which would allow him some mobility to the area but reduce further injury. Foster was wearing gloves on both of his hands which prevent us from identifying if there is bracing under for support next time we got a close up. As he was able to return to the game, the week off should be good enough to allow him to heal effectively.

DE Jerry Hughes suffered a right knee injury during a tackle in the backfield and was able to walk off midway through the 2nd quarter. Upon review, he was pivoting up on his toe and rotating to the left, the mechanism suggested a minor MCL sprain but Hughes was observed jumping around and shaking his knee out, also grabbing at the front of the knee. He also did come down hard on the knee which then we are considering a contusion to the area which would explain the limping. Either way, he was able to return and continue to provide pressure on QB Josh McCown all day. The injury appeared to be minor and something that does not concern me moving forward.

CB Taron Johnson (shoulder) exited the game once again midway in the 2nd quarter and did not return. It appears that he suffered a re-aggravation of his right shoulder injury he has been dealing with all season. It is quite possible he subluxed the shoulder once again despite bracing to the affected area, though I was not able to see him wearing it Sunday. He suffered the injury on a hard tackle midway through the second quarter, tackling the offensive player with his left shoulder, and coming down hard on his right. After the play he was able to move it around, giving several high fives after shaking it out briefly. Interestingly, despite the upbeat activity after the play, Johnson did not return to the game which makes me suspect a subluxation as there is already laxity in the joint from previous injury. This means that less force is required to disrupt the joint, leading to easier and easier injures. This is something that he has experienced previously and may require rest and rehab in order to get ready for Week 12. It may be realistic that the Bills shut him down later this season if he continues to re-injure the area so that he can have surgery and be ready for OTA’s.

OG John Miller suffered what appeared to be a right knee injury on the scoring play by WR Zay Jones late in the 3rd quarter. Video is limited but he was pancaked and rolled back onto his own leg, appearing to twist his knee going down. He was able to walk off with a minor limp but yet another injury that does not appear to be serious. In the event that he needs to sit out any time, the coaching staff have been working in additional lineman to find the right scheme fits to spring the running game which appeared to be the case Sunday.

The most serious injury of the day is LB Matt Milano (head). The stalwart linebacker suffered a hard hit early in the 4th quarter that snapped his neck to the left upon contact with Milano going down instantly. It is unknown whether he lost consciousness but he was eventually able to stand up and enter the medical tent. On broadcast and initially getting up, he was favoring his left arm which may indicate that he suffered a stinger based on how he hit and the angle of his head/neck upon impact, but the more concerning injury is the blow to the head. He was eventually brought to the locker room for further evaluation but looking at video, there is cause for concern with a concussion. Whether he actually sustained one is not known yet, but in the event that he did, he will enter the concussion protocol as QB Derek Anderson is currently working through. Time will tell how he responds and hopefully he is cleared as he is having another standout season after a stellar rookie campaign.

Those that were questionable today going into the game were LB Tremaine Edmunds (concussion) and WR Andre Holmes (neck). Both appeared to play with full effectiveness and did not appear to be limited in their availability during Sunday’s win. I do not anticipate that they will continue to deal with their recent complaints and use the bye to rest up.

Overall, the Bills are in good shape going into the bye. While they are missing a lot of starters now, everyone with the exception of QB Derek Anderson appear to be ready to come back 100%. After the performance of QB Matt Barkley, there is question whether he should continue playing or to hand the reins over to QB Josh Allen. If Allen is 100%, play him and see what he can do. If there is any lingering issues which are possible considering the injury, rest him until he has no complaints or concerns. Barkley will eventually get figured out by opposing defenses which supports the idea that Allen should start, but at least the Bills have options moving forward. Personally, I would like to see Barkley or Allen starting Week 12 against the Jaguars, Anderson tutoring Allen as the 3rd QB, and QB Nathan Peterman cut and brought back on the practice squad to develop and be available if things go south.

As a fan, I am looking forward to having a week off from football. I do love the Bills, but they are mentally fatiguing at times and we all need rest. I suggest you all do the same. Over here at Banged Up Bills, continue to look for new content to help gear up for the remainder of the season. Feel free to ask questions or engage in discussions, I want you, the reader, to learn and understand these injuries so that you are a more educated fan and not a mindless lemming that is confused by clueless media reports regarding the health of the Buffalo Bills.

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

Buffalo Bills Season Injury Review- DE

Assessing the 2017 season injuries and expectations for the 2018 season.

As the off season progresses and the fallout from the explosive 2018 NFL draft has passed, 2017 season positional reviews continue! Today’s post will be on the defensive end position. As always, Banged Up Bills will review all injuries and determine outlook for 2018.

There were 5 players that suited up at defensive end for the Bills this season. First up is DE Eddie Yarbrough. The 2nd year player out of Wyoming burst onto the Buffalo Bills roster in training camp after spending the 2016 on the Denver Broncos practice squad. Yarbrough recorded 1 sack, 23 tackles with 11 assisted tackles. He impressed the front office with his work ethic and ability to adapt to a new defense which earned him a roster spot. Injury wise, Yarbrough only suffered a chest injury following the Kansas City game for which he did not miss any time. He has earned a contract for next season and should be in Buffalo for the foreseeable future.

Next up is DE Ryan Davis. Unfortunately, Davis has recently been cut from the team but may find his way back to Buffalo under the right circumstances. As for playing time, the journeyman appeared in 16 games producing 3 sacks for 17 tackles and 9 assisted with 1 forced fumble. Despite not starting any games and being cut, Davis is still jobless but could return in camp on a veteran minimum with the option to return as a depth player.

Filling out the reserve players is DE Nordly Capi. The rookie spent time with the Giants during pat of the season before finding his way to Buffalo for the last 4 games of the season. During his time here, he recorded 1 sack with 3 tackles and 2 assisted tackles along with 1 forced fumble. Similarly to Davis, Capi has recently hit the free agent market to sign with anyone else in the league. Whether he returns on a vet minimum contract to Buffalo or elsewhere is up in the air.

Rounding out the starters is DE Jerry Hughes. The 8th year pro has been in slow decline over the past several years after back to back 10 sack seasons 5 years ago. Hughes season stat line was 4 sacks for 28 tackles and 16 assisted with 1 forced fumble. While Hughes is not as productive as in years past and may be a cap casualty in the near future, he continues to stay healthy, only suffering a shin/calf injury halfway through the season that he did not miss any games. Hughes should find his way back to the Bills this season and may be effective for another season or two before calling it a career.

Finally, DE Shaq Lawson. The former first round pick has been overall underwhelming during his time in Buffalo, appearing in 11 games with 10 starts. Lawson’s stat line consists of 4 sacks, 17 tackles along with 16 assists. He also caused one forced fumble and 2 pass deflections. Injury wise, Lawson had difficulty staying on the field with several injuries causing missed time. Lawson suffered a groin injury in the win over the Denver Broncos which caused him to miss the Atlanta Falcons game. Lawson also suffered a nerve contusion in his lower leg which was described as a foot injury on the injury report. This did not force him to miss any time but his injury was certainly unique and initially caused some concern for the season. Unfortunately, Lawson’s season came to an abrupt end with a high ankle sprain in the loss to New England during a goal line stand. Despite Lawson’s checkered season, he was still relatively productive and should not have any long term issues going into this season as long as his ankle healed up correctly.

Overall, this is another position that will see extensive turnover with the return of Hughes, Lawson, and Yarbrough along with the addition Marquavius Lewis, Trent Murphy, Owa Odighizuwa, and Terrence Fede. I expect this position to have several additions following the draft and several free agents for camp. Unless Lawson continues to grow into the first round talent he was predicted to be and if Yarbrough explodes into his 2nd season, then I expect this position to look drastically different within the next few years. As this team continues to be molded into McDermott & Beane’s image, players that fit “The Process” will continue to be brought in to take this team to the next level.

Continue to follow Banged Up Bills on Facebook and on Twitter @BangedUpBills for the latest Bills news and injury updates. 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!!