Week 14 Bills Injury Review- Jets II

Breaking down the latest Bills injuries following Sunday’s loss to the Jets.

Back to back tough losses really take the wind out of the Bills sails and drops them to 4-9. This was the 3rd loss this season where the Bills had the game in hand but were unable to secure the win. I’ve said this before and I’ll say it again, we knew that they were going to take a step back this year. However, the mark of a good team is the ability to finish games and beat the teams you should beat. This wasn’t one of those times. Hopefully the Bills can learn from this season and transition into more consistent wins next season. Sunday’s loss also marked one of the most injury riddled days in recent memory and the most since I began this site. Today’s post will review the injuries sustained and what significance they have moving forward.

Starting off with the most serious injury, LB Matt Milano (fibula) suffered an ankle dislocation and fracture late in the 4th quarter at the goal line. This was the result of QB Sam Darnold attempting to dive into the end zone, landing on the back of Milano’s heel, firmly planting the foot in the turf. As the foot is planted, Milano is hit from behind by S Jordan Poyer and Darnold’s body being in the way prevents Milano from falling naturally, instead twisting to the left and snapping his fibula which is the outer portion of the ankle. I had retweeted a rather graphic picture of Milano’s ankle twisted 180 degrees with his heel facing where his toes should be. Thankfully, the tibia, which is the shin bone, was spared due to twisting to the left instead of the right. The ankle broke on what I can only assume based on video is the lower portion of the fibula which is the outside portion of the ankle. There is fairly significant ligament damage based on the twisting but can and will heal up due to the ankle being reduced or put back into place on the field and the ankle will be immobilized for some time due to surgery. Below is a picture of a fractured fibula, though not exactly represented as how Milano’s may look on x-ray.

Ankle Fx Pre-op.jpg
Credit: ankleandfootnorthwest.com

A lot of chatter on Twitter has been discussed over the Bodine injury compared to the Milano injury. Both injured the same bone but the severity is starkly different. Bodine will be back before Milano in regards to healing and normalcy due to Bodine’s fracture was fairly simple; he suffered a break, there was no dislocation or what appeared to be associated damage to the area. He just required surgery to set the bone and stabilize it in order to heal. Milano’s injury was more severe due to the corresponding ligament damage in the area. He will be immobilized and non-weightbearing post surgery, but as a result of the immobilization with the ligament damage, the ankle will become very tight due to the scarring down of the healing ligaments. This limited range of motion this will require further stretching and rehab interventions to address the tightness coming out of the surgery to regain the mobility required for his position. However, the timelines are still similar with rehab and recovery with the difference being weeks vs months in regards to return in comparison to Bodine vs Milano. I still expect Milano to take between 6-9 months to fully recover, but I’ll take the low side of that recovery which makes him possibly ready to participate in OTA’s.

The most comparable Bills injury is that of RB Travaris Cadet who suffered a similar injury late last year but was able to return in time for training camp. The only difference between the two players is that Cadet was a fringe roster player buried on the RB depth chart and couldn’t make the team. However, he was able to return to full health as evidence in his participation in training camp.

The other significant injury is RB LeSean McCoy (hamstring). Shady suffered a hamstring strain during the first offensive series against the Jets and was initially questionable to return, later downgraded to out. He appeared to pull his hamstring on a 6 yard gain right before the first Bills TD by QB Josh Allen. There was not anything specific regarding the injury; he did cut hard to his right before taking a step forward and going down. He was observed at one point running on the sidelines and cutting to test it out, but it appeared that he was not ready to return Sunday.

Hamstrings are tricky because they range in severity and affect each position differently. With McCoy’s skill set, as poor as it’s been this year, that hamstring is still more vital to his abilities than let’s say an offensive lineman. The veteran running back has since been listed as day-to-day by the team and has had an MRI to determine severity. This tells me that this is most likely a moderate Grade 1 strain. Yes I am splitting hairs here but they performed an MRI which in my observation is only reserved if the physical assessment is not matching up with typical physical examination. Day-to-day indicates that he will be limited with the possibility of playing next Sunday. However, we have seen this wording used in the past and interpreted to eventually missing some time. Typically we are not seeing players who suffer a strain come back this quickly.  But since there is a muscle tear as all strains are classified, once he rests, the muscle does tighten up and the inflammation process begins which limits his abilities. I’m going to be conservative and say he misses next week against the Lions because it’s a game that doesn’t mean anything and Shady has been absolutely been beat up this year, so a week off will only help.

Other players sustaining injuries include RB Chris Ivory (shoulder), WR Robert Foster (right thigh) WR Isaiah McKenzie (left ankle) OL Jordan Mills (left knee), CB Levi Wallace (left ankle), CB Ryan Lewis (concussion), and K Stephen Hauschka (hip/back). Ivory suffered a left shoulder injury running through the linebackers and secondary, landing hard on his left shoulder after being taken down for an 8 yard gain, appearing to favor his left shoulder coming off. If you recall, he suffered what I believed to be a left AC joint sprain back in Week 9 during a failed goal line plunge. He may have aggravated this injury again as he was slowed down and then fell hard to the turf onto the left shoulder and potentially re-spraining the area. He may also be another guy who misses a week, but he would be more likely to play Sunday than McCoy. Overall, AC joint sprains heal on their own with rehab and rest and only require surgery in the event that there is significant trauma to the area.

Foster and McKenzie got banged up on back to back plays at the end of the first half. Upon video review, McKenzie landed awkwardly on his left foot, appearing to tweak his ankle trying to haul in a pass from QB Josh Allen; this occurred with 1:26 left in the 2nd quarter. He was able to return and finish out the game. I would suspect this is nothing more than at most a mild ankle sprain that will may end up on the injury report but should not slow him for next Sunday as he was able to return very quickly after the injury. He did come into the game questionable with a toe injury but this does not appear to be related to the injury he suffered Sunday.

As for Foster, he got hurt on the very next play after hauling in a 17 yard pass from Allen before taking a very hard shot into his right thigh area that drove him out of bounds. This injury appears to be a contusion at worst as he was able to return quickly. He may be dealing with some soreness and may be limited in practice Wednesday, but this also appears to be an injury that should not keep him out Sunday as he has become a vital piece to the limited WR corps.

OL Jordan Mills suffered a left knee injury performing what appeared to be a chop block though he was withering in pain immediately after the play which required training staff to assess his knee. He was able to return the next offensive series and finish out the game. My best assessment is that he came down on his knee hard and he suffered a mild contusion. Mills has had several injuries similar to this this past season in where he goes down, needs to come off, and then quickly returns. I can’t even classify this as an injury per se, sometimes things hurt when you hit a certain way. No concerns for next Sunday.

CB Ryan Lewis suffered a blow to the head which was later diagnosed as a concussion late in the 2nd quarter. We have seen most of the younger players return from concussions quicker than older players such as QB Derek Anderson, but each concussion continues to be unique and only time will tell how Lewis responds while in the concussion protocol. Far too early to tell whether he will be available Sunday.

CB Levi Wallace suffered an odd looking left ankle injury early in the 3rd quarter. He began to suddenly stop and planted hard on his left leg, the ankle buckled as he attempted to pivot and assisted in taking down the ball carrier. I do not believe that he suffered any major injury to the area, coming off may have been more precaution to further assess the injury after the play. He was able to return after several plays and finish out the game. With his stellar play this year, we can not afford to lose anymore players in the secondary in order to finish this season. He should be available for Sunday.

Finally, K Stephen Hauschka (low back/hip) suffered a cheapest of cheap shots by Jets DE Henry Anderson after the blocked FG on the last play in the 2nd quarter. Hauschka was blindsided when he got hit, unfortunately he was unable to react properly and came down hard on his right hip and potentially jarring his back. It was reported that he had x-rays to assess for any damage but based on the hit, it appears as though he suffered a hip pointer injury. An injury such as this is basically a bruise to the bony portion of the hip that is about where most of our pants sit at on our waist. The reason this is so painful is because there are so many muscles that attach to this area which in turn affect how the core muscles perform along with the hip musculature especially with him being a right footed kicker.

The blindside hit clearly affected his ability to kick as he missed a FG try later on in the game and appeared to be limping at times afterward. This is an injury that does not appear to be long term nor should affect him next week due to the limited need of his position. We have also not had any reports that kickers were being brought in which indicates that this is not a severe issue which should make him available for Sunday.

Overall, a very rough day from an injury standpoint. The only silver lining is that we are out of the playoff race which makes these injuries hurt less. The benefit to these injuries now is that all these won’t be long term and allow all to be ready by training camp barring any setbacks or new injuries over the next several weeks.

As a result of all these injuries, the team will have some new faces in the starting lineup. LB Julian Stanford will be starting in place of Milano, RB Marcus Murphy may get the start if Ivory can’t go and RB Keith Ford may be brought up from the practice squad to backup Murphy. This is the time of year that is great for the front office to find out who else they want to keep for next year by seeing how they do in game action now. We know this roster will have more turnover next year; might as well get familiar with some new faces with the idea that they are here next training camp.

Continue to check back 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 8 Bills Injury Preview- Patriots MNF

Brush up on the latest Bills injury news prior to the MNF game against the New England Patriots.

How things have changed! Two weeks ago, the Bills demonstrated a true rarity in today’s NFL: an injury report devoid of injury. Fast forward and they are beginning to show some cracks in their base heading into a huge matchup against the vaunted New England Patriots in a rare Monday night game in Western New York. Today’s post will dive into the injuries and how they impact Monday night.

Those already ruled out for Monday’s game are QB Josh Allen (elbow), DE Trent Murphy (knee), and RB Taiwan Jones (neck). Do not expect to see Allen before the bye and possibly until he is 100% which may be towards the very end of the season. Jones continues to be a mystery dealing with a neck injury that has prevented him from participating in any football activities since the Texans game. The only information I have found is that he suffered the neck injury during the Texans game which was finally revealed Thursday. As to what he is exactly dealing with remains unclear. I have reviewed film twice watching every special teams play and while Jones did get hit several times, he never required medical attention after the play, he was never slow to get up, and appeared in 71% of special teams plays which is near the top of the reps on special teams. If anyone out there sees something that I missed, I would look forward to that conversation.

Murphy is dealing with a right knee injury that he suffered late in the loss to the Colts which ended his day. I had speculated that he suffered a right MCL sprain and that still appears to be the case. There has not been any reports that he had to have any imaging or surgical procedures which indicate that this is indeed only a sprain. To note, his sprain is in the right knee; he tore the left ACL last year. As he has battled injury all season, the Bills should be cautious to rush him back. He would benefit from sitting out the next 3 games and using the bye to get back to 100% which would be a reasonable timeline for this type of injury. There would be concern if he came back too quickly that he could place undue stress on his left leg as a result or further injure his right leg leading to injured reserve. He should be able to come back healthy but time is not on his side.

Those limited in practice this week include RB LeSean McCoy (concussion), T Jordan Mills (knee), QB Derek Anderson (back/calf), & RB Chris Ivory (hamstring). We already know that Anderson will play Monday as he’s been named the starter and is limited due to shaking off the rust as he returns to form. Ivory suffered a left foot injury Sunday that does not appear to be an issue but suffered a hamstring strain on Wednesday that thankfully will not cause him to miss the game.

Mills has a knee injury that is new to Friday’s practice but does not appear to be a concern as he practiced in full on Saturday. Going forward, the big question is RB LeSean McCoy’s concussion suffered early in Sunday’s loss. He appears to be going through the concussion protocol very well, appearing to be in stage 4 or 5 of the 5 stage process, but still needs to be able to perform full contact and activity without reproduction of symptoms for 24 hours. While he was limited in practice, it is far from a guarantee that he will be cleared. Until the team says he’s clear, there is no way to speculate the severity of the original injury and whether he will be cleared.

As of Saturday, he has been ruled questionable with things trending towards that he’ll play Monday. If he is cleared, I believe that he will be able to perform close to his expected level though may need extra rest breaks due to fatigue. He may also not be as sharp cognitively but depending on the severity of the original concussion will determine his recovery to baseline.

While it is not opportune for key players to be injured during any portion of the season, this one appears to hurt worse going into a key primetime game against the Patriots. I am sure that ABC/ESPN executives did not envision QB Derek Anderson leading the charge against Tom Brady & the Patriots when they scheduled this game. However, this is what the Bills are working with and have shown depth at all positions to allow them to stay competitive. An interesting note: the two previous numbers that the Bills have retired, they have lost each game. 2001 saw the Bills retire Jim Kelly’s #12 with the team losing to the Seattle Seahawks 23-20. 2016 saw the Bills retire Bruce Smith’s #78 with an awful loss to the Jets 37-31. We can only hope when the Bills retire Thurman Thomas’ #34, they find a way to win on the big stage that is MNF.

While I am not anticipating a win, anything can and does happen in the NFL. These Bills have a fight in them despite some of the lopsided losses this season. This is a division game, the Patriots are our most hated rival, and we will not be embarrassed! I look forward to going to the game and enjoying the atmosphere that is New Era Field & Bills Mafia.

Continue to check back for the latest updates 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 4 Bills Injury Review- Packers

Observing the multitude of injuries suffered by the Buffalo Bills in the loss to the Green Bay Packers.

After such a promising win last week against the Vikings, the Bills returned to their inconsistent ways. They limped out of Green Bay after a 22-0 loss and several injuries that could leave them vulnerable next week at home against the Tennessee Titans. Today’s article will review those injuries and the impact they have on next week.

Those coming off injury were RB LeSean McCoy (ribs), TE Jason Croom (knee), and DE Shaq Lawson (hamstring). All were able to play without limitation, though were not productive. Interestingly, CB Phillip Gaines (elbow) was ruled inactive despite practicing in full this week, indicating that it may have been a personnel decision rather than a medical one.

First up is S Micah Hyde who suffered a groin injury midway through the 1st quarter. He sustained the groin injury during a deep pass despite not being directly involved with the play. Film review shows that he injured his groin backpedaling, keeping up with TE Jimmy Graham. He then began redirecting his focus, turning right to change direction to catch up with the play on the left side and came up hobbling. It appeared that he pulled his left groin performing a move he’s done countless times, a football move, to put it simply. Hyde was able to walk off under his own power but had a noticeable limp, unable to return. It is unknown how severe the injury is; my guess is a Grade 1 groin injury, similar to what DE Trent Murphy sustained during preseason. Hyde could be out 1-3 weeks based on severity, more likely out 1-2 games due to the nature of his position. While stretching, strengthening, and a proper warm up routine can and do reduce the incidence of these injuries, there was nothing he could have done on this play to avoid it, just a hazard of the job.

Following the Hyde injury, CB Taron Johnson went down with a R shoulder injury though was able to return shortly later. He originally suffered the same injury in the season opener against the Ravens but has since re-injured his shoulder every game that he has played. He continues to re-injure by the same means; a direct blow to the shoulder during a textbook tackle.

Originally, my thoughts were a stinger due to the direct blow, but he has since been wearing a shoulder harness which indicates some type of shoulder instability seen in AC joint sprains or labral tears. As he continues to injure his shoulder in the same fashion, I am now suspecting a labral tear in his shoulder. His AC joint would have been improving weekly and would not have required a brace as he healed. He continues to require attention from the trainers after each hard hit but was able to return rather quickly to the game which is not uncommon after an injury such as his. He may have noticed pain and weakness to the area but still be able to play the position. Regrettably, Johnson may eventually require surgery similar to what WR Zay Jones had in the off season. It is possible to play with a torn labrum, but the more that the shoulder gets injured, the more damage occurs. During the hit, he is most likely subluxing his shoulder, or partially dislocating due to the direct blow to the shoulder. The more he subluxes, the more tearing/fraying that can occur to the labrum. He may reach a point where the shoulder becomes too unstable or fully dislocates with a hit which may necessitate surgery. He can play next week but his production may eventually suffer. I did note that he began changing his tackling style, leading with his left shoulder to force a QB Aaron Rodgers fumble, but this may not be the best long term solution to get through the season.

WR Kelvin Benjamin suffered a brutal hit to the head attempting to haul in a pass, instead was intercepted by CB Ha Ha Clinton-Dix. Benjamin was blindsided and went to the ground immediately. He left the game after that hit and was assessed for a head injury but was cleared and returned to the game late in the 4th quarter, though wholly ineffective throughout Sunday, bringing in 1 pass for 35 yards. I don’t anticipate this being an issue this week.

TE Charles Clay suffered a left ankle injury late in the 3rd quarter which required the athletic trainers to tape up his ankle indicating some minor instability following a sprain. He would get the ankle taped up to control for any swelling and provide support so that he could continue playing for the rest of the game. Film review showed that he got his foot caught in bodies rolling on the ground as he tried to get out of the way. Expect him to wind up on the injury report this week with a variety of injuries that may force him into not participating or being limited. However, it is far too early to tell whether these injuries will culminate into missing game time. Prior to the injury, Clay was involved but limited in the passing game, hauling in 4 passes for 40 yards.

Other injuries that did not appear to be that severe included DE Eddie Yarbrough , OT Jordan Mills, and CB Ryan Lewis. During their respective injuries, they appeared to be banged up but were able to return to play indicating that these are injuries not to be concerned with. However, with how this game went, every injury was initially be thought as concerning until ruled otherwise.

Overall, a very tough loss to deal with but one that we should have saw coming. While there will be more bright spots this season, they will also come with bitter tastes left in our mouths in between. As a PT, I want to continue to see these Bills avoid serious injury in order to continue to gel as a unit rather than replacing guys to stop the bleeding from the loss of key starters in the future.

Continue to follow 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 http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Buffalo Bills Season Injury Review- OT

Assessing the tackle position and injuries sustained this season.

Today’s post will finish up the offensive side of the ball and the offensive line by reviewing the offensive tackle position. This was a position that was beset by injury and will most likely be overhauled for next season. 3 out of the 5 players at the position dealt with some type of significant medical issues which limited their abilities and will force the front office to make some changes. There were a total of 5 players that suited up for the Bills at the tackle position.

Starting off is T Cordy Glenn who made himself at home on the injury report with foot/ankle issues. He was shut down for the season after Week 9. A detailed analysis of my thoughts on his injuries can be found here. The extended time off with surgery may finally allow him to get healthy. Thankfully, the Bills do not have to worry about his health going forward as they have recently moved him and the 21st pick to Cincinnati for the 12th pick. They also reportedly swapped 5th and 6th rd picks during this trade. This is a fantastic trade that allows the Bills to move questionable pieces and obtain the draft capital to get the quarterback and other impact players they need to build for the future!

T Dion Dawkins came in as a rookie 2nd round pick and exceeded expectations filling in for Cordy Glenn, appearing to demonstrate the long term ability to protect the quarterback and make Glenn expendable if the price is right. Dawkins saw no time on the injury report and was able to stay quite healthy this season. He will be a mainstay on the line for years as long as he performs how he did this year.

4th year pro Seantrel Henderson saw minimal time on the field and minimal time on the the injury report. Henderson was on the injury report twice with back pain causing him to miss the Indianapolis Colts game late in the season. He only saw time in 8 games with very little time on the field. With his previously mentioned back complaints this season along with his use of marijuana for his Chron’s disease make him an easy decision to not bring back. As he is a UFA, the Bills elected not to offer him a new contract and Henderson has since left, signing a one year prove it deal with the Houston Texans for hopefully a fresh start.

T Connor McDermott stayed on the roster this season despite seeing action in only 3 games with most of his play involving special teams. In addition to minimal time, McDermott suffered a chest injury during practice which forced him to miss the first Patriots game. As he is a minimal cost to the team and has some value on special teams, expect him to return next year as a depth player with the ability to grow as he is only a rookie.

The last tackle that suited up for the Bills this season is T Jordan Mills. The 5th year pro saw significant action in every game this season at the right tackle position due to T Dion Dawkins moving to the left side to fill in for Glenn. While Mills play was suspect at times, he was still durable at the position, only suffering an ankle injury in the regular season finale which did not cause him to miss the Jaguars game. Looking at the salary cap, Mills comes pretty cheap for $1.5 million and with one year left on his contract, is more beneficial to keep than to cut loose.

Expect many changes following this season. The Bills have T De’Ondre Wesley and T Josh James on futures contracts who may factor in next season with the expected turnover. Add in the recent signing of T Mitchell Newhouse and the Bills have some options at this position. This wraps up the 2017 Buffalo Bills offense injury review. Continue to check back for the defensive injury review and many other articles both with Banged Up Bills. As always, thank you for reading and GO BILLS!!

Bills Playoff Injury Breakdown- Jaguars

Assessing the latest news on McCoy’s ankle injury and assessing other players availability prior to the game.

The Buffalo Bills prepare for a showdown against the Jacksonville Jaguars in their first playoff game in 17 years. It has been a long time coming and the Bills fan base can’t wait! The big narrative for Buffalo coming into this game is whether RB LeSean McCoy will be able to play after spraining his ankle in Sunday’s win over Miami. Today’s post will analyze McCoy’s injury along with others listed on the injury report.

First things first, LeSean McCoy will play Sunday despite being listed as questionable. That’s a fact and anyone can hold me to it if he doesn’t suit up. Worst case scenario is that his workload is limited which clinically I would prefer. This would allow him to be more effective and reduce further injury. He has been reported stating that he can walk without any pain and has been able to perform stretching in practice and was limited in practice. McCoy will continue to rehabilitate until game time and limit stressing the injured area. Thankfully, the injury was not severe, the response was not severe, the outcomes will be positive.

Others questionable are LB Matt Milano (hamstring) OT Jordan Mills (ankle), WR Deonte Thompson (shoulder), and QB Joe Webb (ankle). Milano suffered a hamstring injury during some point in Sunday’s game. As he has not practiced all week and it is a soft tissue injury, it will be difficult to determine whether he will be ready to play. Milano may be a precautionary approach as is McCoy, but severity is unknown at this time. If he is unable to play, LB Ramon Humber is able to step up.

Mills, Thompson, and Webb are all dealing with their respective injuries with no surprises here with the exception of Webb with an ankle injury. Webb’s main impact is on special teams and 3rd string QB and as he is limited in practice gives hope that he will be able to play in some fashion Sunday. Mills and Thompson should be able to play as Mills injury on video was minimal for acute injury and it is still unknown what Thompson did to his shoulder in practice. Consider that they both played through their respective injuries during Sunday. I suspect that there are some smoke screens with everyone limited in practice and questionable to prevent keep the Jaguars on their toes.

Unfortunately, CB Shareece Wright is ruled out with a concussion sustained in the Patriots game. As he is still not practicing in any fashion, this may indicate that he is still in the earlier stages of the concussion protocol and is still too early to determine whether he will be available if the Bills move onto next week.

As I have said this entire season, the health of this roster has been crucial to this team’s success. While there are several starters on IR, the team has adapted to their absence and continued to sustain success despite losses. With the roster as it is now along with those on the injury report this week are able to play, the Bills can win their first playoff game in 22 years. This is a winnable game, but must be a mistake free game and capitalize on field position and force the Jaguars into mistakes.

I am looking forward to sitting down and watching a Buffalo Bills playoff game with a cold beer in hand, food on the table, and relishing the moment. Win or lose, this has been a very successful season for which the Bills can build off of and sustain success for some time with the right moves. Time will determine how Sunday plays out, but it is promising.

Continue to check back for the latest updates and articles regarding Buffalo Bills injuries. For the latest updates and game time reactions, follow me on Twitter @kyletrimble88. As always, thank you for reading, enjoy this moment as Bills fans, and GO BILLS!!

Bills Injury Recap- Dolphins & Playoffs

Detailing LeSean McCoy’s ankle injury and impact it has on Sunday’s playoff game.

THE BILLS ARE IN THE PLAYOFFS! No this is not a typo, they finally ended The Drought; it is over, dead, gone, finished! This is a wonderful feeling that I’m trying to describe in the written word and it just isn’t quite coming to fruition at this moment. I suppose that my thoughts on The Drought finally ending could be summed up in another article for another time. As for today and every previous article, today’s post will identify injuries sustained in Sunday’s game and impact that they have on Sunday’s playoff game in Jacksonville.

It has been heavily documented and discussed RB LeSean McCoy’s ankle injury sustained in the 3rd quarter of Sunday’s game. It has since been revealed that McCoy sprained his ankle and there may be a possibility that he can play next Sunday. Looking at video, a lateral ankle sprain is pretty consistent with reports. It is difficult to see due to video angles, but as McCoy steps with his right ankle, he is being tackled to the turf. While tackled, his toes are planted in the ground, he is tackled with his body going left. This puts extra torque through the ankle joint, the ankle snapped up off of the turf as a result and he suffers a sprained ankle.

I had some initial thoughts that he fell directly onto the toe/midfoot leading to a sprain of the big toe or turf toe or a Lisfranc sprain of the midfoot. Thankfully, the lateral ankle took the brunt of the injury. This is beneficial because if McCoy is unable to push off his toe or midfoot during running, he would be even more ineffective. McCoy will be limited in lateral movements but with the proper rehab he can play in some fashion Sunday. This rehab includes range of motion stretching, pain/swelling management, light strengthening, and bracing to the area to limit further damage. Based on video, the ankle was injured, but the injury to the ankle appears to be less severe than what it could have been. As I am not the evaluating therapist, I am unable to determine severity so mechanism of injury, video, and knowledge of the area will have to do.

I believe McCoy will play in his biggest game in a Buffalo Bills uniform. I do not anticipate that he will miss the game, but may require a decreased work load to decrease injury and ensure effectiveness during each run. It does help that the field conditions will be ideal for footing and assist in reduction for re-aggravation of his injury. If McCoy is limited, both FB Patrick DiMarco and FB Mike Tolbert are available along with RB Marcus Murphy are able carry the workload. The Bills also recently signed RB Aaron Green to the practice squad to be called up in the event that McCoy does not play.

OT Jordan Mills injured his ankle late in the 2nd quarter during a block where he was forced to backpedal while blocking Cameron Wake. On video replay, he has to take several hard steps backwards and steps awkwardly on his left ankle. There did not appear to be any rolling of the foot inward which rules out a lateral ankle sprain but his foot was planted and his knee buckled in which could result in a inversion sprain or midfoot sprain due to the sudden jarring motion during the forced planting. Mills was unable to return but may also be limited for Sunday’s game. If Mills is unable to go, OT Seantrel Henderson will get the start.

As for other injuries, there does not appear to be any other injuries that should impact the roster ahead of Sunday’s game. I expect to see McCoy and Mills on the injury report along with WR Kelvin Benjamin (knee), TE Charles Clay (knee), DT Kyle Williams (groin), WR Deonte Thompson (shoulder/back). All should play without question but no one is close to 100% at this point in the season. With how this season has progressed and the injuries sustained, it will take some serious injuries to keep any of the players out from attempting to play. I do not anticipate any surprises on the injury report tomorrow, but anything can happen.

Look for articles regarding changes in the injury report later this week, my thoughts on ending The Drought, and anything else that I believe is warranted to write about. For the latest updates and game time updates, follow me on Twitter @kyletrimble88. As always, thank you for reading, the Bills have finally made the playoffs, and GO BILLS!!

Week 14 Post Game Thoughts- Colts

Initial thoughts regarding injuries following yesterdays cold and exciting win!

What a game, what a game, what a game!! The Bills pulled off a spectacular win at New Era Field with a 13-7 score over the Indianapolis Colts!! Man what a game! Besides the snow and the cold, the Bills came out on the winning end of things without major injury. Today’s post will break down why the Bills are in good shape health wise for a playoff push if they still have something left in the tank.

Thankfully, injures were at a minimum during yesterday’s game due to the poor footing and snow to soften some of the blows. This doesn’t mean there wasn’t any injuries, just far fewer than usual. Starting off, QB Nathan Peterman had to leave the game late in the 3rd quarter due to a head injury sustained when he dove/fell head first and was hit helmet to helmet. He had to leave the game and was able to walk off on his own power. QB Joe Webb was able to take over and while he looked shaky, he was able to maintain the lead and give Peterman his first NFL win.

It is far too early to tell how serious Peterman’s head injury is but he is in the concussion protocol. We have seen a variety of timelines from other players this season with regards to returning after a suspected concussion. CB Tre’Davious White and RB Travaris Cadet were both able to return rather quickly while DT Jerel Worthy was out several weeks. There is no real way to determine severity based on hit alone as evident by Gronkowski’s hit on White last week. Regardless of the outcome of Peterman’s injury, QB Tyrod Taylor will be ready to play against the Dolphins.

Also injured on the same play of Peterman’s head injury, OT Jordan Mills sustained a left knee injury that took him out for several plays, but was able to return later. However, with the lack of depth at the position, Mills may have been forced to play though the injury. Video shows that he merely fell after getting twisted up during line play but did not appear to suffer any injury to the joint.

Finally, WR Kelvin Benjamin re-injured his right knee twice; first on a hard hit to the knee during landing early during the 4th quarter. He was able to return later in the game and unfortunately re-injured his knee. I do not believe that he tore his meniscus further or sustained any additional structural damage, but rather landed hard similar to what Taylor sustained last week. Analyzing video of the game supports that there were no mechanisms for injury; rather just hard hits to the knee along with adding in previous pain due to the already healing meniscus. As Benjamin is being further evaluated, I do not believe anything more will come of the injury.

After that brutal game with all the slipping and sliding, I expect the injury report to be rather long with several veterans requiring rest days and most guys being banged up with minor muscle strains and contusions due to the brutal nature of the game. I expect that the Bills will be able to be able to rest up and be ready to play an always tough Dolphins team that look to end the Bills playoff chances.

Look for the next article to dive deeper into the injury report and explain any new injuries presented to the media. Until then, continue to check back for new articles and updates as more information becomes available. For the latest injury information, follow me on Twitter at @kyletrimble88. As always, thank you for reading and GO BILLS!!