2020 Week 17 Bills Injury Review- Dolphins

Are there any injury concerns from Sunday?

Just start calling the Buffalo Bills “Rawhide”! Rollin’, Rollin’, Rollin’, Rawhide!!! That’s all they seem to do over these past few weeks, Rollin’ over anyone that is in their way, hanging 142 points over the last 3 games on their way to 13-3. This was really a point of emphasis with a 56-26 win over the Miami Dolphins Sunday.

This is simply incredible football that we are watching and it sure is fun! I always had this prevailing thought that they would be good again, but it’s here now and it’s really exciting. To see what this team has done not observed in 30 years and they continue to improve is scary. 

On top of that, they enter the postseason with very few injuries after dealing with many around midseason. In fact, they’ve only lost one starter in Cody Ford to a season-ending injury and have weathered many others with their incredible depth. Below are the injuries from Sunday, though it is important to note that the team only reported one injury for the entire day. 

CB Taron Johnson (right shoulder)

Johnson appeared to injure his right shoulder while trying to tackle Durham Smythe early in the game and unfortunately hit Matt Milano’s upper right thigh. He was down briefly while trainers assessed him before coming off for part of the first quarter.

Johnson briefly went to the medical tent to be examined before later returning. The fact that he returned to the game rather quickly indicates that there isn’t much going on other than recovering from a hard hit. He certainly could have had his neck jarred or had the wind knocked out of him, but there doesn’t appear to be any long term concerns for Saturday. 

LB Matt Milano (upper right thigh)

Milano got hit on the upper right thigh area tackling Durham Smythe before fellow teammate Taron Johnson hit him with his right shoulder. Milano was walking gingerly briefly before returning for the next play. 

He didn’t miss time, he will probably be sore, but there doesn’t appear to be anything limiting him for the playoff game. Just a hard hit that’s part of football. 

G Jon Feliciano (left knee)

Feliciano briefly limped around early in the 2nd quarter following a routine running play in the red zone. He continued his block as Zack Moss passed him and as the play began to end, a Dolphins defender rolled into the outside portion of his left leg, knocking him over.

He did not miss any snaps for the remainder of the drive which resulted in the Bills first touchdown of the day. Like all the other injuries, this doesn’t appear to be much of anything to be concerned about for Saturday. 

S Siran Neal (concussion check)

Neal briefly left the game following a knee to the head while trying to tackle DeVante Parker late in the 3rd quarter. The team assessed him for a concussion due to the hit by using his head to take out Parker’s left leg and initially requiring the training staff to meet him on the field. Fortunately, he returned 5 minutes later and resumed playing without missing a beat. 

The only other concern was when Stefon Diggs got hit from behind after he had already slid down midway through the 2nd quarter. Christian Wilkins came in late and hit Diggs on the back of the head, momentarily causing concern for a concussion. Thankfully, Diggs popped right back up and was also able to draw an unnecessary roughness call on Wilkins to continue the drive. 

The Bills did sit some starters and played others through the half which fortunately did not cause any injuries. This also allowed them to keep focused and in their routine for the playoffs.

Overall, this injury report should look pretty clean heading into Saturday’s matchup against the Colts. I expect Cole Beasley and Reggie Gilliam to be on the report with their respective injuries with a close eye on Beasley’s participation availability. Slight chance that Johnson and Feliciano make an appearance, but I don’t see their injuries being significant. Of course, there’s always surprises too. 

It’s the playoffs, Beasley has a chance to play. His practice participation will likely dictate whether he does. The team has indicated that Isaiah McKenzie can fill in for Beasley in the slot which may allow Beasley to get another week off which would be beneficial if it is indeed a meniscal tear of quadricep strain as I had speculated before. 

This will be a short week practice wise and much more will be known by Thursday. Enjoy the week Bills Mafia, this is what we’ve dreamed of for years.

Top Photo Credit: Vincent Carchietta/BillsWire-USA Today 

2020 Week 17 Bills Injury Preview- Dolphins

Who will sit on Sunday to prevent injury?

To rest the starters or let them play, that appears to be the big question for the Buffalo Bills heading into Week 17 against the Miami Dolphins. With the #2 seed hanging in the balance with a win, the Bills must balance the roster properly to ensure maximum health but to ensure that they can still win the game. If they do lose and so does the Pittsburgh Steelers, then the Bills still secure the #2 seed. But if the Bills lose and Pittsburgh wins over a hungry Cleveland Browns team, then they secure the #3 seed. I don’t believe it is in Sean McDermott’s DNA to not try and win a game, especially if home-field advantage hangs in the balance.

The roster management will be significantly different from past weeks and we will see more inactives due to preserving health rather than true injuries. This doesn’t mean that everyone will sit, only those that don’t have anything to gain by playing. Below are the injuries and inactives.

OUT 

TE Reggie Gilliam (knee/hamstring)

Gilliam misses his second straight game with a likely left knee injury in addition to a hamstring injury. He has not practiced over the past two weeks and quietly left the game against the Broncos without a clear mechanism of injury other than having his knee taken out from behind him on a special teams play from which he returned later in the game.

We will have to watch the injury report to see if he begins practicing and returns for the playoffs or whether he gets sent to IR to activate someone else from the practice squad. This would then let the Bills sign others to the practice squad as insurance in case further injuries occur.

WR Cole Beasley (left knee)

Beasley missed the past week of practice as expected due to a left knee injury that forced him to leave the game early in the 4th quarter Monday. I had detailed the possibilities of his knee injury that you can find in my article from Wednesday. To summarize, he could have suffered a contusion to the lateral knee, a quadriceps strain, or a meniscus injury. 

My thoughts have not changed from Wednesday and it may be possible that he plays in the Wild Card round of the playoffs, but it is far from guaranteed. Looking at recent Bills who have played through meniscus injuries including Kelvin Benjamin and Charles Clay in 2017. Benjamin missed 2 games with his meniscus tear and gutted out the remaining 5 games to the playoffs.

Clay missed 3 total games but 4 weeks total due to having the bye week. His recovery was longer due to requiring surgery to trim the meniscus in order to play and allow his MCL sprain to heal. Both were hot and cold with their production, but let’s face it, Benjamin and Clay are nowhere near the talent level that Beasly possesses. 

The Bills could survive the first round game without Beasley, but if he can play, he will try to perform. Practice next week will be telling as to whether he is trending towards playing or if the team is more cautious.

ACTIVE

G Jon Feliciano (illness)

Feliciano was a surprise addition to the injury report with illness but practiced in full on Friday and had no game day designation. As long as the illness is not COVID, things happen, and as long as he can play, then there are no worries. I am not certain he plays a lot unless Josh Allen plays. This is a game that the Bills can look at backups or find out if any of their pending free agents are worth re-signing. 

Inactives:

TE Reggie Gilliam

WR Cole Beasley

CB Tre’Davious White

C Mitch Morse

WR Stefon Diggs

QB Josh Allen

LB Matt Milano

Outside of Gilliam and Beasley, these inactives are a total guess based on value to the team. To lose Tre’Davious White would be a huge issue and Matt Milano certainly would benefit from being fresh working back from his pectoral injury. While Stefon Diggs did reach his statistical benchmarks for the season for his contract and could rest, Josh Allen is only 40 passing yards from claiming the top spot in Bills history for passing yards. I am sure Allen would want the record, but not if it potentially could mean injury. 

Mitch Morse is a smart bet to not play if Allen does not and with his previous concussion this season, to avoid losing him for the playoffs would not be ideal. I would not be surprised if I am wrong on 5/7 picks because Sean McDermott has been coy on if he would rest starters or not. We will know Sunday at 11:30 am as to their plans. 

The team does have their two standard practice squad call-ups and protected practice squad players which were used on offensive lineman Trey Adams, Jordan Devey, Jonotthan Harrison, and Darron Lee. They also have a COVID emergency callup which could be used on Dane Jackson or Davis Webb. The team has plenty of options in terms of resting players with the use of practice squad guys if they need.

Other injury thoughts:

We do know that John Brown will finally play for the first time since Week 10 to get reps to be ready for the postseason. He would be one that would benefit from time off, but to get even a half of football in would ensure that he is ready for next weekend. His high ankle sprain should be pretty close to if not fully healed up by now and most of the other injuries he was dealing with should be fairly well managed by now. 

The Dolphins are dealing with several injuries for themselves including Jakeem Grant (high ankle), Solomon Kindley (knee/foot), Shaq Lawson (shoulder), and DeVante Parker (hamstring). I would expect all play with the exception of Grant who was reported to miss the game but is currently listed as questionable. Even if he did play, I doubt he would be effective on special teams and offense. 

Either way, this is a must-win game for the Dolphins to control their playoff fate. They could still make the playoffs if the Baltimore Ravens, Indianapolis Colts, or Browns lose which could allow them to enter the postseason, but none of those are guaranteed which forces the Dolphins to play for their lives.

I believe the Bills can still win even with most of the starters resting or seeing minimal playing time. If the Bills do lose this game, this could set up the Dolphins to come back up the next week for the Wild Card game if things fall just right. Either way, this will be enjoyable to watch this game knowing there is little to be concerned for as the team prepares for a home playoff game. The pressure to win will increase following 4:30 pm on Sunday but until then, the fanbase can relax and enjoy the game.

Top Photo Credit: ESPN

2020 Week 16 Bills Injury Review- Patriots

How serious is Cole Beasley’s leg injury?

The Patriots have been vanquished! A season sweep completed, the first since 1999! With a dominating 38-9 win over New England, the Buffalo Bills move to 12-3 as they continue to strive towards the AFC’s 2nd playoff seed. On top of that, the Bills continue to have excellent luck with regards to injuries following a rough stretch earlier this season. Below are Monday’s injuries. 

In-game injuries:

S Jordan Poyer (Concussion evaluation)

Poyer was briefly removed from the game following a thunderous hit on Cam Newton going out of bounds with 3:21 left in the 2nd quarter. He appeared briefly dazed standing up which likely signaled the athletic trainers above to flag the hit for a concussion check. Poyer didn’t appear thrilled that he had to leave the game but left to the locker room.

He came back out later having been cleared from the evaluation and didn’t appear to have issues throughout the game. It’s important to have these protocols in place to avoid further complications if there was truly a head injury. Fortunately, he was not diagnosed with a concussion but I don’t expect him to play a lot in Week 17 due to wanting to rest starters. 

WR Cole Beasley (Left knee/leg)

Beasley got up gingerly favoring his left leg following a missed catch with 10:30 left in the 4th quarter. Upon initial review, he either sustained a hit to the outside of his left knee or he suffered a strain of his left quadriceps muscle trying to slow down. In the Twitter thread below, the first angle shows that he may have gotten the knee hit, but the second angle shows a stutter step. 

Based on how he got up and the trainers later assessing his knee along with focusing on the outside portion, it seems like there could be a contusion rather than a strain. He didn’t return to the game but this may have been more precautionary than the actual injury. 

Unfortunately, Sean McDermott delivered some disappointing news Tuesday during his weekly post game press conference. Beasley has been termed week-to-week with a leg injury which usually isn’t a great sign when it comes to availability for next week. From what I’ve understood with Sean McDermott week-to-week is missing at least 1-2 games. 

The team termed it a leg injury which doesn’t give us much information. It could be a contusion as mentioned above, could be a quadriceps strain, or it could be something else like a meniscus injury.

Why meniscus? Because after watching this enough times and researching more, this is a possibility based on the new information we know. 

Meniscus tears usually occur with more of a rotary or pivoting motion with the foot planted, such as changing direction suddenly. They can occur in other ways such as deceleration which is not something I initially considered when looking at the injury by video. The team was focused on the left knee and in a clip from the sidelines, a trainer even motions to the lateral aspect of the knee, right along the tibial plateau area where the meniscus sits where some pain/tenderness may have been felt.

It’s possible when he stutter-stepped due to slowing down, he created a shearing force on the meniscus with the knee in flexion or bent. That sudden stop with his weight still accelerating forward could have sheared a portion of the meniscus. 

Credit: John Hopkins Medicine

Signs of a meniscus tear include clicking, popping, locking of the knee during movement. There is also joint line tenderness present during palpation of the knee along with intermittent residual pain. He may have had difficulty fully extending the leg with imaging later confirming the physical findings. 

Credit: Liberty Orthopedic

This would explain why he is now week-to-week and fits the information currently available. This is pure speculation as I am processing the newest information. I hope this is not the case but it’s something that has to be considered. There is still a lot of information that we have to see including the body part that the team designates him with on the injury report and his practice availability. 

The best-case scenario is that it’s a lateral knee contusion and the team is being cautious. The next possibility is the quadriceps strain which could be a week-to-week injury that could force him out. This would be the most opportune situation in terms of overall health.

The worst-case would be the meniscus tear and he has to battle through it for the postseason. We saw former Bills wide receiver Kelvin Benjamin deal with this during the 2017 season. I would expect Beasley to do the same. I hope I’m wrong, I want to be wrong, but I am considering all possibilities based on the information at hand.

While it is a shame that he probably won’t get his 1,000 yards, it’s best that he gets the rest he needs in order to perform in the playoffs. I’d expect him to miss Week 17 with a realistic shot at the first playoff game. He will need rest and rehab in order to get the knee well enough for the playoffs and then they can figure out how to address the area afterward. This will be a situation that changes quickly and hopefully 13 days off is enough time to get the knee healthy enough to play. 

T Dion Dawkins (Right elbow)

This wasn’t even noticed during the game until a Twitter follower pointed it out. Dawkins had a brace on his right elbow after the game in a post-game video when Josh Allen and Stefon Diggs were being interviewed. 

Looking back at the film, Dawkins doesn’t appear with a brace until later in the 3rd quarter. He appeared to get hit on the right elbow during a routine run play with 9:21 left in the 3rd. He finished the series and then the next series came out with a brace. This appears to be a general contusion to the area. It did not appear to greatly affect his play, but there may have been pain and swelling the training staff wanted to manage. 

I am not certain if he shows up on the injury report this week. If he does, this appears to be the culprit. If his play is limited next week, it would likely be due to more of the situation than injury. 

Other injury thoughts:

T Ty Nsekhe (groin)

I had thought that Nsekhe would have been ruled out for Monday’s game, but he was active despite barely practicing last week. He only played in 8 offensive snaps towards the end and 6 special teams snaps which is more in line with his overall play from this season. 

He is an older player that appears to understand his role and may have sat last week due to load management. 

WR John Brown (right high ankle sprain/COVID)

Brown was finally activated to the roster after spending time on IR since Week 10 with a high ankle sprain. He appeared on track to play Monday and the general consensus was that he would, but he was deemed a close contact with TJ Yeldon and placed on the COVID/Reserve list.

He must stay on the reserve list for at least 5 days since he last had contact with Yeldon. If he does not test positive during that time frame, then he can come off and play Sunday against the Miami Dolphins. He is one player who needs the reps prior to the playoffs in order to get ready. 

Outside of Beasley’s injury, there is little concern for injuries going into Week 17. There always appears to be an injury or two that is a surprise on the report, but that will have to wait. Otherwise, the Bills are hot and healthy as they wait to find out their Wild Card opponent as hopefully the 2nd seed. The championship window is open, the Bills can pass through and hopefully hoist the Lombardi trophy in February.

Top Photo Credit: Buffalo News

Week 11 Bills Injury Review- Dolphins

How severe is Nsekhe’s injury?

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

WR Isaiah McKenzie (left knee)

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

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

S Siran Neal (concussion)

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

OT Ty Nsekhe (right ankle)

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

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

300px-Fibula_Fracture
Credit: physio-pedia.com

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

This could be for several reasons: 

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

images (1)
Credit: physiodirectnz.com

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

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

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

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

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

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

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

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

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

Week 11 Bills Injury Preview- Dolphins

Will Hughes be able to go Sunday?

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

What a difference a month makes.

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

QUESTIONABLE

DE Jerry Hughes (groin)

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

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

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

TE Dawson Knox (knee)

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

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

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

Possible Inactives:

TE Tommy Sweeney

OG Ike Boettger

OT Ryan Bates

S Dean Marlowe

DE Jerry Hughes

DT Vincent Taylor

RB T.J. Yeldon

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

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

Top Photo Credit

Forbes.com

 

Week 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.

shutterstock_121783264
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. 

Top Image Credit:

http://www.predictem.com

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

Week 17 Bills Injury Review- Dolphins II

Read the latest Bills injury news following the Week 17 win over the Miami Dolphins & final thoughts going into the offseason!

The season is finally over. The Bills have finished 6-10 with a exciting win over the Miami Dolphins 42-17 and lots of hope going into the 2019 season. QB Josh Allen was recently named AFC Offensive player of the week, the first time a Buffalo QB has been given this honor since QB Drew Bledsoe in 2002. The front office has stability moving into the offseason with both coach and GM in place with a solid game plan stacked with draft picks and cap money to contend with a favorable schedule next year. The only downside to the season ending is the retirement of DT Kyle Williams. Sunday’s win marked the last game for him in a Buffalo uniform and he made the most of it. He was able to get in on several offensive plays including a reception and continued to be a force up front until his curtain call late in the 4th quarter. To make his retirement even more memorable, he proceeded to circle the entire stadium, giving thanks to everyone before entering the end zone tunnel one last time. While he didn’t win a Super Bowl or have the team accolades that veteran players can accumulate over time, he still was able to lay the foundation for potentially greater success in the coming seasons. Personally as a fan, I am happy to have seen him give everything he had in a Bills uniform and leave on his own terms.

With all the positivity coming out of that season finale win, the only injury noted on Sunday was CB Tre’Davious White (head). He suffered this injury with 1 minute left in the 2nd quarter during a collision with a Dolphins offensive player. This was right before the 2nd scoring play for the Dolphins which allowed them to even it up going into halftime. The Bills announced that White was later downgraded to out with a head injury which is typically reserved for concussion protocol. It was not announced that he suffered a concussion but as it was the season finale, there was no purpose to re-insert him back in the game with 2 quarters left. If White was indeed diagnosed with a concussion, this would be his 2nd documented NFL concussion after last season’s hit by Patriots TE Rob Gronkowski. Regardless, the season is over; White will be able to go through the concussion protocol if needed and recover during the offseason with no long term concerns.

Overall, it was another decent year for injuries. We did lose a lot of man games due to injury with several starters lost late in the season, but major injuries such as ACL’s, Achilles, Bicep tears, and pectoral tears which could affect next season continued to avoid the Bills and allowed the team to grow further. It is expected to see the roster turn over considerably with a host of draft picks & free agents brought in along with several veterans moving on due to ineffective play or team unfriendly contracts. The 2019 Bills will come out guns blazing and begin to make some noise!

Continue to follow Banged Up Bills on Facebook, on Twitter at @BangedUpBills, on Reddit u/BangedUpBills, and online at http://www.bangedupbills.com. Look for offseason position injury reviews, additions to the NFL Injury Series, any pressing injury news/surgeries, and anything else that Bills fans need to know. Thank you for reading and GO BILLS!!

Week 17 Bills Injury Preview- Dolphins II

Assessing the latest Bills injuries prior to the final game of the 2018 season & Kyle Williams final game.

The final game of the 2018 season is upon us! Another season of Bills football is nearly complete and the final pages of a storied career will be written Sunday by DT Kyle Williams. Bills Mafia knows by now how Williams announced his retirement on Friday after 13 years in the NFL. It is only fitting to see that Kyle is able to have one last home game in Buffalo, in front of his most diehard fans, and against a division rival. Williams has not only been able to survive 13 years of up and down football here in Western NY, but he has managed to produce at a high level, and been an absolutely excellent representative of what a Buffalo Bills player should be. Because of his presence on the roster over 13 years, I believe his demeanor and work ethic will rub off on some of the newer guys, helping pave the way for the great heights that the team aspires to achieve. It’s a shame that Kyle will not be able to reap the rewards of the next few seasons pending idealistic outcomes, but he will be able to look back and see the groundwork he laid for it to happen. I suspect that he will be at peace knowing he brought a unique part of the puzzle to a franchise ready for a winner. Forever in our minds will be that moment in Miami when Kyle picked up his boys as he realized his dreams of finally going to the playoffs materialized. I know I can speak for all Bills fans when I say how much we will miss his presence on the field every Sunday. Thank you Kyle Williams for giving it your all during your time here in Buffalo.

Today’s post will dive into the injuries going into the season finale. Already ruled out is WR Deonte Thompson (toe) & LB Julian Stanford (ankle). In my last article, I detailed my thoughts on each injury and why they were unlikely to play Sunday. I believe that Stanford suffered a high ankle sprain and Thompson suffered turf toe or plantar plate injury. These injuries are not season ending in themselves, but considering the timeline for recovery is greater than one week and they did not practice, their season is effectively over. If the Bills were in the playoffs, there is a chance they would stay on the active roster and attempt to heal. Instead, it appears the team decided not to place them on IR and sign two new players for one game. Both should make full recoveries for next year.

Those questionable include RB Chris Ivory (shoulder) & CB Ryan Lewis (concussion). Ivory has practiced in full this past week which is typically a good indication of playing on Sundays. In addition, HC Sean McDermott stated that Ivory was looking in good shape for playing this week. I still believe he has an AC joint sprain and will need time and rest to recover fully in the offseason.

Lewis is still working back from the concussion sustained in the loss to the Jets and as a result, missed the past 2 games. He has been limited the past 2 weeks in practice and is questionable for Sunday. It will be up to the independent neurological consultant to determine if he is cleared to play. He is truly questionable for Sunday, however, since he has not had a full practice yet, the chances of him playing appear to be slim.

I expect Ivory to suit up for the final game of the season and Lewis to miss. As for inactives, that always appears to be difficult based on personnel needs but I am surmising that QB Derek Anderson, OL Vladimir Ducasse, Thompson, Stanford, and Lewis to be inactive along with two other players that will probably be healthy scratches.

Overall, it should be a very competitive game between two clubs who have nothing to play for besides pride. I do expect the Bills to use the friendly weather at home along with motivation to win in Kyle Williams last game to close out the 2018 season.

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