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. 

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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 8 Bills Injury Review- Eagles

Get the latest updates on Ford & Wallace following Sunday’s loss.

We knew this day would come. The dud game. The game where we just get beat like a drum. This is the game where the boo birds came out and the luster of a 5-1 start dulled following Sunday’s loss. Despite the Bills sitting at 5-2 with the 2nd best record in the AFC along with a firm lock on the 5th seed in the playoffs, visions of 2008 still dance in our heads. Until the Bills lock up the playoff spot, we all have realized we cannot get ahead of ourselves. 

Fortunately, the Bills are heading into the 3rd game of their homestand against the lowly Washington Redskins with a chance to bounce back to 6-2. The team also suffered minimal injury compared to the past few games in which it appeared that half the team was injured in some way. One big surprise Sunday was the return of LB Matt Milano (left hamstring) suffered in the win over the Titans. He missed last week & appeared to be in danger of missing this week due to the poor weather & how the team approaches hamstring injuries. Luckily, he was able to play, keeping the Philly tight ends to 5 yards, 42 yards, and 1 TD. As bad as the overall team was, he led the defense with 13 tackles, 10 solo, making his presence known in his return. 

Below are the injuries following the Bills loss Sunday & what they mean for next week.

 

CB Levi Wallace (left shoulder)

Wallace injured his left shoulder on the TD run by Eagles RB Boston Scott with 5:43 left in the 3rd quarter. He came from the right side inward to attempt to tackle the ball carrier and got blasted as Scott entered the end zone. Wallace’s shoulder absorbed nearly the entire force of Scott’s helmet/shoulder, forcing Wallace to spin around and land on his back. 

Up to that point, Wallace simply wasn’t having a good game and that blow may have been the death knell for him. He was not ruled out of the game or even really made mention of again afterward. 

Following Monday’s presser, Wallace was noted as having a shoulder injury with a day-to-day designation. This fits more of a general contusion that was viewed on film. He may be limited Wednesday but could possibly practice in full later & not miss Sunday.

 

OT Cody Ford (left elbow)

Ford suffered a left elbow injury with 6:06 left in the 4th quarter on an incomplete pass to TE Dawson Knox. Unfortunately, the video angle is incredibly poor with the TV broadcast panning away from the offensive line play just before it appears the injury occurred. The camera comes back on Ford with his left elbow extended & trainers quickly rushing to him. Shots after that show him being assessed on the sidelines, rotating his left hand between pronation & supination before squeezing the training staff’s hand with what appears to be a firm grip. 

Until we get further information, it’s hard to identify the exact nature of the injury. All-22 footage when available should assist in identifying the specifics of the injury. Just prior to the camera panning away, there was a flurry of bodies in the area around Ford, indicating that he may have struck his medial epicondyle of the elbow. Same injury as hitting the funny bone. The ulnar nerve passes by the medial epicondyle, which is the inside portion of the elbow. When this area is struck, pain/weakness is elicited down the 4th and 5th digits of the hand with numbness in the area. 

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Extending the elbow following the play which would put slack on the nerve to prevent compression of the nerve with elbow flexion. Assessing the grip strength on the sidelines is further assessing the ulnar nerve as 40% of the grip strength comes from the ulnar innervated muscles in the hand. So if the ulnar nerve is injured, grip strength would be decreased. 

Like Wallace, Ford has also been listed day-to-day following Monday’s presser. Most of us would say a few choice swear words & shake off the injury. However, getting your elbow hit by an NFL lineman would hurt slightly more with some temporary loss of range of motion with possible swelling present. He shouldn’t have any long term issues, more limitations secondary to pain. 

Hopefully, he just hit his funny bone and this is not something that he needs to worry about next week. If he is unable to go, then veteran OT Ty Nsekhe would get the start.

 

CB Kevin Johnson (unknown)

Johnson was able to play Sunday in relief for the injured CB Levi Wallace. This comes following an injury last week where he suffered a stinger at the end of the game. He was limited all week but was cleared to play Sunday, performing admirably in the loss. Unfortunately, Johnson dealt with some type of injury following the game, necessitating a trip to the X-ray room according to ESPN reporter Marcel-Louis Jacques.

It is unknown what he had x-rays on or if it is related to last week’s stinger. He was in the game until the very end & nothing appeared to be out of the ordinary. This may be nothing & doesn’t appear on the injury report, but I do my best to follow every lead & report to give the most thorough assessment. If there is something to it, we will get much more information with the ability to explain in detail.

Overall, this is one game that just needs to be taken out back & put out of its misery. There is a lot to take from this game, the players know this, the coaching staff knows this. But as fans, we can’t lament on this; if they’re going to lose a game, let it be to an NFC opponent who really doesn’t count in tiebreakers for playoffs. The Eagles won the Super Bowl two years ago; they weren’t going to just roll over & die for us to win. Let’s move forward to Week 9 against the Redskins, a very winnable game & get back on track towards the march towards the playoffs.

 

Top Photo Credit:

Buffalonews.com

Week 8 Bills Injury Preview- Eagles

Will Milano, Thompson, & Duke play Sunday?

The Bills continue their homestand hosting the 3-4 Philadelphia Eagles on Sunday. They are looking to defend their 2 game winning streak to move to 6-1 for their best start since 1993. While the Super Bowl is always the ultimate goal, this team continues to work towards sustained success in taking each game week by week. Following a 37-10 beating by the Cowboys on Sunday night football. Despite injuries on their side, they still come in hungry & on a mission. Fortunately, the Bills appear to be in better shape both talent & injury-wise. Below are the latest injuries prior to Sunday’s game.

QUESTIONABLE:

CB Kurt Coleman- hamstring

Coleman suffered a hamstring injury late in the 2nd quarter on Sunday on a punt play in where he was the gunner, running downfield towards the return man before pulling up lame with a hamstring injury which knocked him out of the game. This past week, he was unable to practice with the exception of Friday in which he was limited. This is not a surprise considering the conservative nature that the team takes with hamstrings. While he is questionable for Sunday, he is not expected to play until Week 10 when the Bills play the Browns. 

 

CB Kevin Johnson- neck stinger

Johnson suffered what was initially described as a head injury on a tackle to Dolphins WR DaVante Parker in where his head got twisted around and got landed on by Parker & LB Tremaine Edmunds. He suffered a stinger due to the abrupt compression to the neck area which limited him Wednesday-Friday. These types of injuries usually need rest & work back into regular activity which appears to be the case. He has a good shot chance to play Sunday, but may sit if he doesn’t feel he’s ready. 

 

LB Matt Milano- left hamstring 

The big question for the team going into Sunday is the health of Milano. His absence was noticeable in the win over the Dolphins with the offense moving the ball effectively at times. This is concerning as the Eagles offense has far more firepower than Miami brought. So far, Milano has had two weeks to fully rest and referencing reports, “maximizing his treatments”. He has looked good on film available on practice moving in a variety of directions & without obvious compensation. 

As to whether Milano plays Sunday, the jury is still out. He may feel he’s not ready, he may not be able to hit his top-end speed as he wants, or the weather may impact his decision. I am leaning towards him playing Sunday if the weather is perfect, but it will truly be up to Milano. 

 

LB Corey Thompson- ankle surgery

Thompson continues to work back from ankle surgery with the exact details not known. However, he has continued to practice on a limited basis & has moved well on film. I believe at this point he is getting back into game shape. Whether he is ready this week or next will be up to him. However, I believe that either Milano or Thompson will play, both certainly can but I don’t think both will miss, especially with how thin they are at linebacker. 

 

WR Duke Williams- right shoulder 

Williams suffered a right shoulder injury after catching a pass towards the sidelines. He landed hard on the right shoulder & missed most of the game afterward, returning in a red zone package towards the end. He later had x-rays and has been limited in practice all week. At worst, he has a mild AC joint sprain, at best, he has a contusion which is more pain limiting. 

Video has been limited, but he has been able to catch balls without any apparent bracing or compensation. According to our friends at the Coldfront Report, Duke was on the other day & indicated that his shoulder was doing fine; straight from the horse’s mouth. However, he has been wearing a red non-contact jersey indicating that they are trying to avoid re-injuring the area. Along with a pregame injection, this could potentially allow him to play Sunday. 

 

EXPECTED TO PLAY

OG Quinton Spain- foot

Spain came up on the injury report with a foot injury and did not practice Wednesday. Looking at the film, there is not anything specific that led to his foot injury which may indicate that he had his foot stepped on that wasn’t available to see on film or tweaked the foot somehow. He did deal with an ankle contusion in the preseason which wouldn’t have any impact on his current complaints. He was able to practice in full Thursday & Friday which was very promising. I do not believe this is something that will affect his performance coming Sunday unless he goes down with another injury which could shed light on the original injury. 

 

FB Patrick DiMarco- right ankle

The veteran fullback suffered what appears to be an ankle contusion late in the 4th quarter during a routine run play. DiMarco got caught from behind with a flurry of bodies landing on his ankle, dropping him to the turf. Thankfully, it appears his foot was pointed down and got hit more from the back than the side, forcing his body to go down rather than the ankle taking the brunt of the hit. There were concerns for a high ankle but considering that he was able to play in several more plays indicates that this may be more soreness than anything else leading to him not practicing Wednesday. 

He was able to return to practice Thursday confirming the contusion & will play Sunday. 

Possible Inactives:

S Kurt Coleman

OG Ike Boettger

OT Ryan Bates

LB Matt Milano

RB TJ Yeldon

TE Tommy Sweeney

WR Robert Foster

Overall, the Bills still come into the game far healthier than the Eagles. The Bills will have the upper hand if Milano & Williams are available. Getting Thompson back will also be a key depth piece in order to contain the explosive Eagles offense. The weather is forecasted to be damp and cool which may have an effect on whether they suit up. This is a game that both teams match up well & the Bills could come out with a win if they have a strong start. We can only hope that the Bills control the tempo and move to 6-1.

Top Photo Credit:

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Week 7 Bills Injury Review- Dolphins

Breaking down the severity of Williams, Coleman, & Johnson’s injuries.

I love the Buffalo Bills, I really do. But that was one hard game to watch on Sunday. The Bills, coming off a 4-1 start & a bye week, hosted the 0-5 Miami Dolphins at New Era Field. While the final score of 31-21 was not as close the game really was, the Bills nearly gave Miami a win which would have dealt a blow to their playoff chances. Fortunately, the Bills moved to 5-1 with fewer injuries than they had following the Titans win. 

Prior to the game, it was announced that both LB Corey Thompson (ankle sx) & Matt Milano (hamstring) were ruled out indicating that the Bills would be short at the position Sunday. While Milano’s presence was missed, it was still the right move to not rush him back as there is still much more football to be played.

Others coming back from injury included WR John Brown (groin), TE Tyler Kroft (ankle), RB Devin Singletary (hamstring), & CB Taron Johnson (hamstring) were all able to return and did not appear to demonstrate any restrictions, though their production in play greatly varied. Moving to the Dolphins game, reviewing the injuries below:

 

CB Kurt Coleman (hamstring)

Going in chronological order, Coleman suffered a hamstring strain late in the 2nd quarter with 2:15 left on a punt return. It was difficult to see on the broadcast, but this occurred as he ran down the field as a gunner before coming up lame before the ball was even caught. 

Like all the other hamstring injuries this season, expect the Bills to be conservative in slowly bringing Coleman back into the special teams fold. Look for a minimum of 2 games before he is able to return. Observing the hamstring injuries so far this season, most have come on full out sprinting with some change of direction or deceleration incorporated into the injury. This doesn’t mean that the Bills are doing anything wrong in preventing these injuries, it just shows that going all out on every play, even the best, most conditioned athletes can get hurt. 

 

WR Duke Williams (right shoulder)

Williams suffered a right shoulder injury on a 23-yard completion late in the 3rd quarter. After hauling in the catch, Williams fell hard onto his right shoulder before rolling out of bounds in obvious pain. Miraculously, he was able to return late in the 4th quarter in a red zone package on the WR Cole Beasley touchdown. Later, it was reported that he went in for x-rays following the game.

Looking at the actual injury itself, it appears as though Williams suffered either a contusion or AC joint sprain, also known as a separated shoulder. The mechanism of injury for this is falling directly onto a shoulder without the ability to brace against the fall. Considering that he fell more on the top of the shoulder, I believe he may have sustained an AC joint sprain. This is the area that the acromion connects with the collarbone. This allows the collarbone to connect to the scapula and create a framework for the shoulder muscles to connect in order to move freely during arm motion and overhead movement.

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Credit: http://www.dovemed.com

There is a slight chance he could have suffered a glenoid labrum tear, but that is relatively unlikely considering the shoulder was slammed into the ground versus falling on an outstretched arm. If he sustained this, then I expect to see bracing on the area which will be a dead giveaway. There was also a chance he could have sustained some type of clavicle fracture due to the hit, but if he had sustained that, he would not have been cleared to return & a public report would have been made.

The fact that he was able to return to the game even in a limited fashion indicates that this may be more of the AC sprain/contusion variety. He may be limited in practice this week as he recovers, but his availability in practice will further dictate the specifics of the injury. Looking back at past research from other articles, the average time for a player to miss is 9.8 days according to data obtained from the NFL injury surveillance system. The fact that he doesn’t have to throw a football may accelerate his return. It’s very possible he plays next week. If he does miss any time, it should be minimal one game as a precaution.

 

LB Maurice Alexander (left hip)

Alexander, filling in for the injured Matt Milano, suffered a left hip injury while tackling Dolphins TE Mike Gesicki going out of bounds. The tackle itself was clean; the injury occurred when Alexander’s left hip fell on Gesicki’s foot while going down. He attempted to walk back to the field but quickly went down for medical attention, motioning to his left hip/back region.

Thankfully, he was able to return as the Bills were only carrying four linebackers Sunday. This injury may have been a hip pointer which is a deep bruise to the iliac crest. This is the portion of the hip where the core muscles attach and give that distinctive flair out seen in the hips. Considering the muscles attach there; twisting, side-bending, & engaging the core muscles further aggravate the injury with pain being the major limitation.

This may be an injury that Alexander doesn’t miss anytime with or even show up on the injury report. If he does miss anytime, I wouldn’t expect any more than one game. But noting these minor injuries here explain why the player went down & the possibilities of the injury.

 

CB Kevin Johnson (stinger)

Johnson suffered what has now been termed a stinger following evaluation for a head injury Sunday. These injuries are subtle on film and may not be apparent, but Johnson’s last play during the game came with 3:27 left in the 4th quarter. Johnson managed to tackle Dolphins WR DeVante Parker with assistance from Bills LB Tremaine Edmunds. 

While we are not certain that this play caused the stinger injury, it’s likely due to the fact that his head bent awkwardly & was rolled over as he hit the turf. He initially appeared dazed for a moment following the play & did not return. 

A stinger occurs as the result of the neck getting forcefully sideways and down, putting pressure on the cervical nerve roots coming from the spinal cord. These can be pinched by the vertebrae stacked above & below the nerve or can be the result of a disc protruding out & pushing on the nerve root. The nerve roots can also be overstretched due to traction from the neck getting hit in the opposite direction. A direct blow is yet another way for this to occur.  The pain associated with this is what gives it the name burner or stinger. The nerve root that is compressed sends a pain signal down that nerve & gives the unwelcome sensation. 

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Credit: http://www.aafp.org

This pain would only be produced in the affected nerve roots which means if someone sustains a stinger, they could feel it down in the specific parts of the arm/hand based on which nerve has impinged. This could be felt in places such as the 4th and 5th digits on the hand with resulting grip weakness or difficulty lifting the arm up overhead, indicating the specific nerve root affected. The effects of the stinger may linger for several days or the symptoms could resolve quickly.

Most of the time, these injuries are minor & don’t cause further issues. Return to sport would be indicated when the player is pain-free, full strength and range of motion have returned, and no flare-up of symptoms occurs. If this becomes recurring or linger, then further examination is warranted. This could involve getting an MRI or nerve conduction studies to further identify the specifics of the injury. It could lead to surgical consults if there was a need for cervical fusion due to instability or if the injury was high enough in the cervical region, potentially career-ending as in the case of former Bills C Eric Wood

I do not believe this to be the case. I merely lay out the possibility of the severity of the injury & what this means regarding stingers. It is still too early to determine if he misses any games or will be limited in practice.

Fortunately, the Bills walked away from Sunday with far fewer injuries than in previous contests. The injury report will be far smaller than in past weeks & indicates that the Bills are getting healthy as a critical stretch in their season approaches. While the quality of the opponent’s vary, they still all pose a threat to the Bills playoff chances. This team is built for depth but there is a clear difference between starter & replacement level players, evident over the past few games. This week’s practice will hopefully show progress for Thompson, Milano, and Johnson as the Bills prepare to host the Eagles next Sunday. 

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Week 7 Bills Injury Preview- Dolphins

Will Kroft, Johnson, & Singletary finally make their home debuts?

The Bills are back into the swing of things following a well deserved & well-timed bye week. The team has been preparing all week getting ready for a tire fire that is the Miami Dolphins franchise, looking to move to 5-1. While most fans are overlooking this game as a win, nothing is guaranteed in the NFL & this is no exception. Regardless of the opponent, the Bills are getting healthier for the next 11 games. The injury concerns are as follows:

QUESTIONABLE:

LB Matt Milano (left hamstring)

Milano resumed practice Monday performing ladder drills off to the side while everyone else ran through regular drills. Considering that Milano plays such a vital role in the defense & has to react to what he’s seeing in front of him, forcing him to keep up with the play. He will have to backpedal, change directions suddenly, and sprint. These activities will require a full recovery before attempting to return to play.

Milano was limited in practice Wednesday but was running and performing drills, indicating that he may be further along than originally anticipated. He was running a straight line, albeit, not full speed. He was performing tackling drills without much compensation. He is moving well considering he had a hamstring injury, but doesn’t appear to be fully healthy. He has been ruled questionable & I don’t expect him to play. 

LB Corey Thompson (ankle surgery)

As it’s well known now, Thompson has been working back from ankle surgery that has kept him out the past 2 games.

The video showed that Thompson returned to practice in a limited fashion Wednesday indicating that he is approaching his return. He may be nearly healthy & just working to get back into game shape. It is still unknown what ankle he had the surgery on but the video appears to show some greater bulk on the right ankle which may indicate bracing for extra support. He has since been ruled questionable, but I believe he has a shot to play in a special teams role to work back into game shape. He could also be available as an emergency backup in the likely event that Milano doesn’t play. 

CB Taron Johnson (right hamstring)

Johnson has been an enigma this season, coming back from a torn labrum last season that ended his season prematurely. He appeared incredibly healthy & ready to take the next step until he suffered a right hamstring strain during the Jets game. He has since missed the past 4 games that makes me believe he suffered some type of setback prior to the Patriots game. 

It’s a shame that his body does not appear to withstand the rigors of the NFL game. This doesn’t mean he won’t even be able to play again, but he may need to reinvent himself in order to last longer than 1 season in the league. 

This week’s practice was promising that he was practicing in full, but no other updates other than his availability was noted. Interestingly though, he has been ruled questionable. The only possibility is that he wants to test it out to ensure that he is truly ready. He’s been out long enough that he should be fully healthy & regain his starting role in the secondary.

WILL PLAY:

WR Robert Foster (turf toe/groin)

Foster continues to battle through a recent groin injury & what is now a possible lingering turf toe injury. While the groin injury is more pronounced, the toe is still likely causing issues regarding running efficiency. 

However, things are looking promising for Foster as he was able to practice in full this week indicating that while he may not be 100%, he is closer to playing this week as indicated by the practice designation. Players are deemed to practice in full if they take all the normal reps at that position. They are limited if they miss reps by design or due to injury. If they did not take reps, but practiced on the side, then they are did not participate.  Thankfully, Foster will be able to play Sunday. 

OT Ty Nsekhe (right ankle)

We still don’t know the specifics dealing with Nsekhe, coming off a minor Week 3 ankle injury followed by a Week 4 injury that appears to have been either a contusion or high ankle sprain. According to still pictures from Monday’s practice, this may be more of a contusion as he did not appear to have any bracing on the right ankle. Other shots showed that he was able to go through blocking drills without any significant issues. 

Wednesday’s practice noted that he did not practice due to requiring a veteran rest day, but the video showed him performing warm-ups and side-stepping drills. Fortunately, Nsekhe was able to practice in full Thursday despite the cold & rainy weather which indicates that this supports the contusion theory. Friday’s injury report states that he will play Sunday.

There is a concern that Nsekhe is unable to hold up through an entire game, much less than an entire season. He is 33 years old in a physically demanding position with nearly a decade of professional football to his resume. Whether he can withstand full games anymore is only something that Nsekhe & the training staff know. If OT Cody Ford continues through his development, there is hope that Nsekhe can sink back into a reserve role. Until then, he will rotate with Ford unless the team says otherwise.

TE Tyler Kroft (left ankle/right foot)

Kroft is finally looking good after an incredibly trying season thus far. The video below shows that the right foot appears to be completely healed up & the left foot/ankle accepting dynamic weight bearing activities during the cone drill. He doesn’t appear to miss a step, he doesn’t appear to favor one side or slow down when pushing off. I’m very optimistic about him finally making his season debut. He was able to practice in full this week which is about as good of a sign as one can get.

RB Devin Singletary (left hamstring)

Without question, Singletary will play Sunday! He looks excellent on video, there haven’t been any changes in how he looks from the last video available & barring a meteor hitting Buffalo, he should play, even if the weather isn’t ideal. At some point, an athlete has to play. The conditions will only be so ideal or so much rest will help. He may get injured, but any guy can be injured on any given play. Singletary continues to look good in practice this week & there should be no reason why he can’t play Sunday. 

OT Cody Ford & DE Trent Murphy (concussions)

Both Ford & Murphy are working back from concussions sustained in the Titans game and appear to be making some progress. Reports from Monday’s practice indicated that both were working through the protocol performing light aerobic exercise which indicates that appear to be in Stage 2 of the concussion protocol.

However, this week’s practices indicated that both were able to practice in full signifying that were in Stage 5, requiring that they needed to be cleared by an independent neurologist. Monday’s practice may have been just the nature of the activities they were performing rather than the actual stage of recovery. They have both appeared to have been cleared by the neurologist which indicates they will play Sunday. 

WR John Brown (groin)

Brown was a surprise addition to the injury report Wednesday with a groin injury & was limited in practice. His snap counts from the past 5 games can be seen below & did not greatly differ from game to game. 

Reviewing game footage from the Titans game didn’t reveal any specific instances of injury which leads me to believe that he suffered the injury during Wednesday’s practice. Thursday’s practice was more promising in that he moved well on film, but did not show his full abilities. However, he has since been ruled in to play but it will be interesting to see if his snap count is affected by the groin & addition of Foster. 

C Mitch Morse (right ankle)

Morse sat out the rest of the Titans game as what appeared to be a precaution to avoid worsening any injuries. He appeared to be dealing with a contusion suffered midway through the 2nd quarter. While there is pain, there isn’t much that is functionally wrong. He should not have any issues come Sunday & continue to demonstrate why he’s one of the highest paid centers in the NFL. This week’s practice supported how he is recovering with no bracing or difficulties observed according to reports. He at most may have had his ankle wrapped in prewrap & tape, but this would not be concerning for his ability to play Sunday.

QB Josh Allen (hand)

Allen appeared on the injury report this week with a hand injury but was able to practice in full. To specify, he injured his left hand when he threw his interception against the Titans in where he hit his hand against Harold Landry III’s shoulder pads.

This may a contusion that he is still having some pain with, this may also be a minor sprain of the metacarpophalengeal joint due to the direct hit on the shoulder pads. He may have some bracing to the area at worst, but unlikely as it would restrict his ability to grip the football if he were to run or have to protect the ball. 

However, as pointed out by a follower on Twitter, the injury report indicated the right hand was injured. This is a new development & previously unknown what caused this. As he practiced in full, this may not be an issue, but certainly, something to monitor. 

My predictions for inactive’s are:

LB Matt Milano

OG Ike Boettger

OG Ryan Bates

S Jaquan Johnson

S Dean Marlowe

WR Isaiah McKenzie

TE Tommy Sweeney

This is a very winnable game to get to 5-1. This Bills team is not what we are used to seeing, getting full of themselves, beating them at their own game when cupcakes like this come up on the schedule. This is a team that is built to play, a team that knows their role each and every Sunday. This team may not be the most talented, but they are certainly one of the hardest working. The bye week really made a difference in health & allowed the Bills to get back in the right frame of mind for the next 11+ games. 

 

Week 5 Bills Injury Review- Titans

Will the Bills survive Sunday’s injury massacre?

Thank god that game is over. For all you new readers, this is my 3rd season covering Buffalo Bills injuries & while there have been some tough injuries to stomach, today’s game as a whole was painful both literally & figuratively. I do not remember a time where I nearly lost track because the injuries came in so fast. Fortunately, the Bills have a bye next week & it couldn’t have come at a better time. Last time this year, the Bills walked into Houston with no one on the injury report. Amazing how one year can change so much. This is a team that will bend, bend, bend, but not break. As always, injury recap below in chronological order. 

Those ruled inactive prior to the game included: 

WR Robert Foster (groin/turf toe)

TE Tyler Kroft (ankle)

LB Corey Thompson (ankle sx)

CB Taron Johnson (hamstring)

RB Devin Singletary (hamstring)

OG Ike Boettger 

OT Ty Nsekhe (ankle)

Thompson & Kroft continue to be out until further notice. Foster, Johnson & Singletary are all dealing with soft tissue strains which could have been aggravated by the slick conditions. Nsekhe is dealing with an ankle injury that appears to have been an aggravation from 2 weeks ago. 

C Mitch Morse (ankle)

Morse was the first injury of the day, dealing with what appears to be a left ankle injury. The injury appears when RB Frank Gore ran up the middle with 9:25 left in the 2nd quarter and appeared to kick Morse by accident. Morse rolls over and appears to be favoring the ankle before getting up, walking with a slightly labored effort. 

He was able to play several more snaps before getting removed in favor of OG Jon Feliciano. Morse did not appear in the game the rest of the day but was on the sidelines appearing to stay loose. 

This may be more of a contusion, similar to an injury observed with a leg whip. There may have been other possibilities such as a low ankle sprain or mild high ankle sprain not readily noted on film, but this is most likely. This isn’t something that should hold him out for long, but reports indicated he was limping around the locker room after the game as evident by the video below.

During Monday’s presser, HC Sean McDermott noted that if it was needed, Morse could have gone back in and played if further injury occurred. This is incredibly promising as this indicates that the injury alone doesn’t appear to be serious if they were willing to play him. I believe he will be able to play against Miami.

C/G Jon Feliciano (right leg)

Feliciano was injured with 10:40 left in the 3rd quarter when QB Josh Allen threw a costly interception. The offensive mauler was attempting to bring down S Kevin Byard when he fell down attempting to get a tackle. Unfortunately, OT Dion Dawkins fell onto his right leg, leading to the injury. Friendly fire is never ideal but is a part of the game. 

He limped off but amazingly did not miss a snap, keenly aware of the lack of depth at the offensive line Sunday. I’m sure that he has some pain in the leg, but injury-wise, this doesn’t appear to be anything that should cause lasting effects. 

QB Josh Allen (left hand)

On the same play as Feliciano, Allen threw the costly interception and had a minor collision with Titans LB Harold Landry III in where his left hand appears to hit the shoulder pad, namely at the metacarpophalangeal joint. He may have jammed his left thumb or suffered a contusion, causing him to favor the area briefly after the play. Considering this isn’t his throwing hand & he didn’t miss a snap, this isn’t something that the team should be worried about. Even if something did happen such as a minor sprain, this is something that could potentially heal during the bye week. Worst case, he could wear a brace as it’s his non-throwing hand. Unless there is an injury update, consider this injury, like Feliciano’s to be a dead matter. 

OG Cody Ford (concussion)

Ford, unfortunately, suffered a holding penalty on the play that led to his exit from the game due to injury. With 4:53 left in the 3rd quarter, Ford engaged with his defensive lineman assignment & got pulled down, driven headfirst into the ground. It initially appeared as though he got the wind knocked out of him, but reports later indicated he was assessed for a head injury. 

He has since been placed into the concussion protocol since Monday’s press conference. To note, it’s not a guarantee that he moves through the protocol quickly like some of his counterparts. However, having the bye week to recover only benefits him. 

LB Matt Milano (left hamstring)

Milano, a beast all season, continued his stellar play this week until the injury bug hit. Milano tweaked his left hamstring while attempting to slow down & possibly change direction in preparation to take down the Titans TE Jonnu Smith on the long reception. On film, it shows that he grabs at his hamstring towards the very end but is able to walk around afterward.

He was able to participate in one more play before motioning to come out & did not return. Regrettably, the deceleration in slowing down due to the eccentric contraction of the muscle caused the injury. Considering the grass was slick due to the rain, it was smart for him to not return. 

Taking into account the fact that CB Taron Johnson & RB Devin Singletary did not play today due to the same injury, this led to Milano not returning. Based on identifying how the team manages hamstring injuries, it’s very possible Milano misses the Dolphins game. Even then, he could miss the Eagles game as well, but until we have more information, his timeline for return will be very fluid. 

To make a note, Milano dealt with some hamstring issues during his rookie year early on during the Panthers game in ‘17 & missed the playoff game after suffering a hamstring strain against the Dolphins. He did not appear to have any issues last year according to records. While he has a history of hamstring strains, I cannot find evidence that this was the same side nor do I believe that the rookie year strains are affecting his most recent injury.

DE Trent Murphy (concussion)

Murphy has been incredibly healthy all season up until early in the 4th quarter. With 14:12 left, he was closing in for a sack on the left side while LB Lorenzo Alexander was coming from the right. Alexander came in slightly more direct on Titans QB Marcus Mariota before Murphy came slightly outside and collided. As expected with any possible head injury, Murphy was assessed for a possible concussion, ending his day. 

Like Ford, he has since been placed in the protocol & the hope is that he progresses through swiftly. We will probably not know where he or Ford stand until next Wednesday when practice resumes. 

S Jordan Poyer (head)

Similar to Murphy’s hit, Poyer attempted to help take down the ball carrier, assisting LB Lorenzo Alexander before colliding with him with 8:20 left in the 4th quarter. He was quickly assessed, missing several plays. Based on his ability to return to the game, he did not have any concussion-related symptoms, but this doesn’t prevent him from developing issues later on.

Thankfully, there have been no reports of concussion protocol for Poyer, though Matthew Fairburn & Joe Buscaglia of The Athletic reported on the Buffalo Beat podcast that he got a stinger on the play. I haven’t been able to confirm this anywhere else, but when there are questionable head injuries, the team is required to remove the player for further evaluation until a determination has been made. I don’t expect that Poyer will miss anytime or end up on next week’s injury report barring any new information. 

DT Ed Oliver (left foot/ankle)

Finally, the carnage is over, the last injury of the game. Oliver appeared to injure his left foot/ankle with 4:53 left in the 4th as he attempted to tackle Titans RB Derrick Henry. He did succeed in his quest, but in the process, for flipped over & his left foot hit the turf. He was able to get to all fours but appeared in distress immediately. He was able to walk off under his own power after a brief assessment by trainers. He may have suffered a contusion or jammed his ankle as a result of the hard slam. He did not return to the game, but there was not an opportunity to as the offense was able to close out the final minutes of the game & seal the win. This may be yet another injury that may not make much noise & be quickly forgotten about.

This game is done, finito, finished, ceased to continue. The Bills escape Nashville with a hard-fought 14-7 win & a bevy of injuries, but a bye to look forward to next week. As for those still working through injury, this week off will ideally help several key players to recover to make their triumphant return to New Era Field against the Dolphins in Week 7.

Top Photo Credit:

Syracuse.com

Bills Season Injury Review-Linebackers

Read up on the returning & new faces of the LB corps going into 2019 including how injuries may impact them.

As training camp approaches, optimism is high for the linebacking corps in 2019. The spotlight is placed on this unit due to the lack of availability in 2018 that was apparent as key injuries occurred. During the off-season, Brandon Beane made it an effort to find more talent in order to create competition at the position in the event that starters go down. Today’s post will review the injuries from 2018 and if it will impact 2019.

First up is LB Corey Thompson. The rookie UDFA out of LSU appeared in 6 games with 1 start. During his playing time, he was able to rack up 1 forced fumble, 14 combined tackles, 8 solo, 6 assisted, 1 tackle for loss, 1 QB hit. Injury-wise, he suffered a minor ankle injury during the loss to the Patriots. Thankfully, this was not an injury that appeared to be serious and does not have any repercussions going into 2019. However, Thompson will have a difficult time making the roster with all the additional depth and will have to make his mark on special teams to have a chance.

Next up is LB Deon Lacey. The veteran linebacker appeared in all 16 games with 0 starts, completing 7 combined tackles, 5 solo, 2 assisted. Most of Lacey’s playing time was spent on special teams where he did not appear to suffer any injuries but he will once again have to fight tooth and nail to earn another spot on the 53 man roster for 2019.

LB Julian Stanford makes the list as another primary special teams contributor from 2018. He appeared in 13 games with 1 start. He accumulated 1 forced fumble, 1 sack, 15 tackles, 13 solo, 2 assisted, 1 tackle for loss. While his contributions appear to be more versatile compared to his other special teams’ counterparts, he still is also not a lock to make the roster. Injury-wise, he suffered a broken nose during the last preseason game which caused him to miss the season opener. He also missed the last game of the season due to what appeared to be a high ankle sprain during the loss to the Patriots. This isn’t an injury that lingers but he will still have to fight in order to make this roster in 2019.

Next up is the ageless LB Lorenzo Alexander. Despite his age and time in the league, Alexander continues to produce, appearing in 16 games with 8 starts. During the season, he recorded 2 interceptions, 2 forced fumbles, 1 fumble recovery, 6.5 sacks, 74 combined tackles, 55 solo, 19 assisted, 11 tackles for loss, and 10 QB hits. On top of his stellar play, he continues to avoid injury through his rigorous recovery routine during the season. He is coming back to the team in 2019 as he is an incredibly vocal leader and will still prove to be valuable on both defense and special teams.

LB Tremaine Edmunds arrives next on the list with a solid rookie campaign but at times had injuries which limited his ability to fully showcase what made him a 1st round pick in 2018. His stats are as follows: 15 games, 15 starts with 2 interceptions, 2 forced fumbles, 2 sacks, 121 combined tackles, 80 solo, 41 assisted, 5 tackles for loss, 7 QB hits. While he was incredibly productive as the quarterback of the defense, injuries certainly impacted the ability to maximize his potential.

Edmunds suffered a concussion early in the season during the first Patriots game on MNF in where he collided with FB James Devlin and caused him to miss the next game against the Bears. Edmunds also suffered injuries to his right leg and low back during the season. The right leg injury was due to the foot getting caught in the turf and being hit by a falling body which could have caused some serious damage if he was falling the other way but thankfully he just tweaked things. He also suffered a back injury during the win over the Lions which did not cause him to miss anytime but he was labored in his movements following the hit from OL Frank Ragnow. None of the injuries were serious outside the concussion, but Edmunds has a lot of work to do to improve off his rookie season in 2019.

Finally, LB Matt Milano rounds out the linebacker group from the 2018 season. Milano was on pace for a Pro Bowl season appearing in 13 games with 13 starts accumulating 3 interceptions, 3 fumble recoveries, 1 sack, 78 combined tackles, 52 solo, 26 assisted, 12 tackles for loss, 3 QB hits before injury struck. Reviewing all his injuries, Milano suffered a head injury during the first game against the Jets. Considering he had the bye week right after the game, it was unknown if he was officially diagnosed with a concussion, but it was not something that appeared to cause any long term issues.

Unfortunately, Milano’s season was cut short with a gruesome ankle injury in where he broke his fibula as the result of QB Sam Darnold falling onto his ankle and Milano getting hit from behind. There was and still is much concern regarding how he is progressing in his rehab which I have detailed in my article with Buffalo Rumblings. He should be 100% going into the season and this is supported by his full participation in OTA’s. He is another component that will continue to shore up the linebacking corps in 2019 and take the defense to the next level.

New faces to the team include 5th round draft pick LB Vosean Joseph, UDFA’s Tyrel Dodson & Juwan Foggie, and FA Maurice Alexander. It’s likely that L. Alexander, Milano, Edmunds, Joseph, and M. Alexander all make the team with Dodson, Thompson, and Foggie possibly making the practice squad as they still have eligibility. As for Lacey, he still has a shot to earn a roster spot but as he is a veteran, there may be cheaper options on special teams. This will be a strong corps regardless who makes the final roster as McDermott has a penchant for linebackers and safeties on special teams. The top half of the linebackers is set, the bottom half will be fun to watch!

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!!

Phase 3 OTA Week 1 Recap

Assessing the latest injuries following the first week of Phase 3 of OTA’s.

In an offseason that appeared to be going well for the Bills with lots of new faces, a promising outlook, and possible long lasting stability, a jarring reality set in on Day 2. Tuesday brought a wide variety of injury news, some good, mostly bad that puts worry into every Bills fan even though it is May.

The most serious injury of OTA’s came in newly signed TE Tyler Kroft (foot). Unfortunately, he suffered a foot fracture on the first day which will require surgery. Regrettably, this is the same foot that he fractured last year that cost him 11 games. According to Ian Rapaport, this will sideline him for up to 3-4 months. While this is bad news, it’s not totally awful. The 3-4 months recovery timeline tells us several things. This tells us that this injury wasn’t as serious as it could have been. This rules out a Lisfranc as a conservative recovery would be 6 months.

We know that it’s not trauma or a stress fracture as trauma most likely would have been reported and a stress fracture wouldn’t require immediate surgery. This leads us to several possibilities. He could have had an avulsion fracture in where a portion of the bone is pulled away from the bone. He could have a metatarsal fracture in any of the long toe bones of the foot. Or he could have a Jones fracture.

Considering he injured the same foot last year, had surgery, and then fractured again, I am leaning towards the Jones fracture. It’s a surgery that requires stabilization with a screw, it has a known failure rate after the first surgery, and the timeline fits with the reported recovery time. The mechanism of injury is similar to an ankle sprain which can be rather innocent when dealing with positional drills, someone tweaks their ankle, steps funny, pushes off differently. Kroft most likely woke up the next day having issues, had imaging, and found out the bad news.

While he is still a near lock to make the roster, losing him for 3-4 months will allow some of the younger tight ends to get more reps and make the roster. Kroft will likely start the preseason on the PUP list, possibly paving the way to allow someone to get some playing time in place during the preseason. If he is on PUP at the start of the regular season, he wouldn’t be able to return until Week 6 when he is eligible. By then, there could be corresponding roster moves such as injury or insufficient play from other players which may prevent having to cut another TE before the regular season. This designation would also not count against an IR-to-return spot.

Others coming off injury are RB Frank Gore (foot/ankle) and RB TJ Yeldon (groin). There has been a documented injury for Gore at the end of last season which sent him to IR. There has been no known surgeries, but considering that Gore is ancient in NFL terms and these practices are voluntary, it’s an easy out to not participate in drills.

As for Yeldon, he may have tweaked something early on and decided to avoid making things worse rather than trying to go through meaningless drills. For both backs, there is no concern moving forward unless new information comes to light.

Many became worried with the revelation that both newly signed C Mitch Morse and WR Cole Beasley required core stabilization surgery, better known as a sports hernia repair. This is the same type of injury that infamous Bills CB Vontae Davis suffered 2 seasons ago. I detailed his injury when he originally signed with the team, make sure to click the link above for more information. While there is concern that they may not be ready for Week 1, it was revealed that they had their surgery several weeks ago with a general recovery timeline of roughly 12 weeks.

Both could certainly come back sooner than that based on the amount of damage in the region, but having surgery in April gives them a return to full ability in July. These injuries do unfortunately happen considering the positional requirements throughout the season but are able to play through. While there is always concerns for complications, the return to play rate is ~90% for NFL players, I do not expect anything less for Morse and Beasley.

Others nicked up include S Rafael Bush (groin/shoulder) and CB Taron Johnson (shoulder). Bush was seen wearing a red non-contact jersey alongside Johnson, but considering these workouts are voluntary, he may be just be cautious as he was dealing with a groin injury last season, according to research by Nick Wojton. Bush also did suffer a shoulder injury last season that may have lingered to the point where he didn’t want to risk anything and could be the true cause of why he was sitting out OTA’s.

Johnson is coming off his labral repair and has made excellent progress to this point. Considering he is 5.5 months out from surgery, he is able to participate in drills but contact is not advised yet, he’ll be ready come training camp. To read more, please check out the article here from Buffalo Rumblings.

Rookie WR David Sills V (hamstring) suffered a hamstring strain in rookie mini camp, these injuries occur despite the best preventative methods out there. He just needs rest and rehab. TE Jason Croom (undisclosed) was seen walking with a trainer, dealing with something, but no further information has come out regarding what he injured.

Finally, C Russell Bodine (shoulder) did not participate in OTA’s as he recovers from offseason shoulder surgery. I had noted last year that he was wearing a compression sleeve later in the season. He most likely had a shoulder debridement, possible subacromial decompression. This would be similar to what Panthers QB Cam Newton had recently. The procedure would smooth down any arthritic changes in the shoulder or trim back the acromion which could cause impingement leading to weakness, pain, and possible further complications with the rotator cuff if left untreated. He is also coming off a broken fibula requiring surgery that appears to fully healed. Regarding both injuries, he will be fine for camp and this is not worth any further words.

Players that suffered injuries last season that practiced in full were LB Matt Milano (ankle), P Corey Bojorquez (shoulder), and P Cory Carter (knee). Milano is coming off his gruesome fibula fracture with dislocation practicing in full. He appears to be on schedule and working back into football shape as expected.

Bojorquez suffered a torn labrum last season on his bonehead fake FG attempt, he was practicing in full and his shoulder won’t give any issues as he likely had surgery in October and he doesn’t take the regular contact or use the shoulder in a way that Taron Johnson would.

Carter is coming off his ACL tear that cost him all of 2018 due to a direct blow to the knee. He is roughly 9 months out from surgery and should be cleared to resume full activities. There is less concern for him returning from the injury than we saw last year with DE Trent Murphy.

Despite all the doom and gloom of Tuesday, there are still positives to take away as they still have 3 months before a meaningful snap is taken. All will be fine. We will also get to see more action on the 28th which will give us some glimpses into what the mandatory minicamp participation will be like. I believe most of these injuries will not be mentioned in June.

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!!

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 12 Bills Injury Preview- Jaguars

Read on the latest injuries coming off the bye as the Bills get ready to face the Jaguars.

I hope you all enjoyed your week free of Bills football along with Thanksgiving! As a devoted Bills fan, make sure you are recharged and ready to hunker down to take on the last 6 games of this season. This season has been a dramatic step back from last season’s successes and while it is tough to see that the Bills lose more than they win, they are still building towards something greater than the 2018 season. Regardless of outcomes, I do I enjoy watching the Bills every Sunday and today’s post will review the injuries going into the Jaguars game.

Those coming off injury from the Jets game include LB Matt Milano (concussion) & CB Taron Johnson (shoulder). Milano has cleared the concussion protocol and practiced in full which is an excellent sign and should continue his stellar 2nd season as an integral part of the defense. As for Johnson, unfortunately suffered another injury to his right shoulder in where he continues to sublux/dislocate his shoulder during direct blows to the area. He was observed to not wearing his shoulder harness during the Jets game which reduces the shoulder movement in order to limit dislocation which may have resulted in the most recent re-injury. The direct hits to the shoulder continue to dislodge the humerus from the socket, causing pain, weakness, and limited strength. This in turn has caused him to miss short stretches of the season. This is something that he will continue to play through until he feels he cannot anymore or until the end of the season, whichever comes first. He was limited in practice this week and will continue to play at less than 100% until he gets surgery to correct the problem. To note, we have full confirmation of his shoulder injury based on GM Brandon Beane’s appearance on One Bills Live this afternoon, outlined in this tweet here. I expect that Johnson will still suit up come Sunday.

Others practicing in full include RB Chris Ivory (shoulder) and QB Josh Allen (elbow). Ivory was dealing with a left AC joint sprain that caused him to miss the Jets game after suffering the injury during the loss to the Bears. He should have no limitations on Sunday and relieves RB LeSean McCoy as a change of pace back. Allen has been a big talking point when it comes to injury this season, missing 4 games due to the sprained right UCL suffered in the loss to the Texans. He has progressed as expected; Allen himself has reported that his elbow continues to feel better and news reports are showing him making all his passes without obvious compensation. Interestingly, he is still wearing a brace on his right elbow which does concern me, but he may play with the bracing on the elbow as he may be comfortable with the throwing motion with it on. I would prefer to see him play without it, but the medical staff knows best and will ensure that he will minimize re-injury. The only benefit to the brace would be to provide protection in case of a direct blow to the area. While he could re-injure it throwing, the chances are significantly reduced as he has given himself an appropriate time to heal to where he is able to play at a high level. He may not be 100% healed but enough that the medical staff feels he can perform without causing further injury. 

Others limited in practice include: C Russell Bodine (shoulder), QB Derek Anderson (concussion), and DE Trent Murphy (knee). I am not sure what Bodine did to his shoulder as he did not appear to require medical attention during the Jets game but this could be an injury sustained in a previous game with re-aggravation or could be a new injury. Until we have more information, I cannot even speculate what he is dealing with.

Anderson continues to battle back from the concussion sustained late in the 4th quarter of the Patriots loss on MNF. He has been slowly working his way back into shape with his limited designation, but is clearly not ready yet. Based on being limited, he appears to be in Stage 3-4 of the concussion protocol, allowing him to go through sport specific activities and perform aerobic activities. Unfortunately, he has since been ruled out for Sunday’s game, dealing with concussion symptoms for nearly a month now. While this is atypical from what we usually see during a concussion recovery, this would be considered normal for concussion management outside of the NFL as not all concussions are mild with a quick turnaround time. Hopefully he continues to improve and help Josh Allen develop.

Murphy continues to battle back from injury after injury. The latest injury is a right MCL sprain suffered halfway through the 4th quarter in the loss to the Colts. He has since missed 3 games and is slow to return but the vibe is that he will be ready come Sunday to help contain the rushing attack. The veteran DE has had 4 weeks to fully recover which is within the expected recovery times for an MCL injury. With his recent injury history, the Bills training staff were not in a position to rush him back and cause further complaints.

Those not practicing are TE Charles Clay (hamstring) and DE Shaq Lawson   (elbow). Clay pulled his hamstring running a route early in the Bears game and was unable to return. He since missed the Jets game and right now could potentially miss the Jaguars game. Lawson suffered an elbow injury during practice early in the week which makes it nearly impossible to diagnose. Reports indicate that he tweaked his elbow and is considered day-to-day. Until we get further information, I will not speculate as to what he is dealing with at the moment. 

Overall, while the list does look long, with QB Derek Anderson ruled out, TE Charles Clay is doubtful, and those questionable include: C Russell Bodine, CB Taron Johnson, DE Shaq Lawson, and DE Trent Murphy. Clay will not play and even if he somehow suits up, he will not be effective. Those questionable that I expect to play are Murphy and Johnson. We do not know whether Bodine or Lawson are ready to play based on the fact that we do not know the extent of their injuries. If they do indeed sit out, this fits with the roughly 50% of questionable’s not playing this year. I do have a feeling Lawson will be available.

With injuries beginning to take their toll, this is also the time of year where we begin to see players go on IR quickly if they have an injury that will take longer to heal than the remainder of the season so that the team can roster healthy players or guys they want to take a longer look at in game action. Do not be surprised if we see players such as QB Derek Anderson and CB Taron Johnson go on IR in the near future so they can fully address their medical complaints in order to be healthy next season.

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