Week 6 Bills Injury Preview- Texans

Assessing the latest Bills injuries despite a rare injury free game report.

The Bills roll into Houston with a noted distinction rarely seen in today’s NFL. They have no one on the injury report in a league where each player is one injury away from never playing again. I am not a statistician or have extensively researched this, but the incidence of this is rather low if you ever took a look at www.pro-football-reference.com injury report for any team during any season. Despite this week’s rarity, today’s article will still review injuries from this week and impact they can have on the game.

Those on the injury report this week were S Micah Hyde (groin), S Rafael Bush (shoulder), CB Tre’Davious White (ankle), & G John Miller (ankle). As previously mentioned, Hyde and Bush missed last week with their respective injuries and White & Miller appeared to have either injured or aggravated previous injuries in practice.

However, all are cleared to play though may not be 100%, as most players aren’t fully healthy during the grind of an NFL season. Miller and White appeared to have generalized sprains based on limited reporting out of practice this week. Miller did deal with what I believed was a high ankle sprain last season. I do not believe he is dealing with an aggravation of this, but is a concern if he has repeated appearances on the injury report. White did not miss an defensive snap which makes me believe this is a minor injury. These generalized sprains can be managed well with rest, rehab, and proper bracing/taping to play the next week.

Bush is coming off a shoulder injury that by video, appeared to be an AC sprain. He was able to play though the rest of the game which makes me believe this to be the case. It is possible that he could have sustained a more serious injury, but we will know if there is any bracing or additional support on the shoulder that would signify any other injury.

With those on the injury report, the only one I am concerned about is Hyde. With groin injuries, they can linger as most strains do and are at a higher risk for re-injury if coming back too soon. There is a precedent for healthy players to be ruled inactive as CB Phillip Gaines and RB Marcus Murphy were ruled out in past weeks despite practicing in full that particular week. As Hyde is a vital cog to the secondary, it is possible that he may miss the game, but less likely as he is a starter. Add in the fact that the team released S Dean Marlowe indicates that Hyde will most likely play.

This fortunate injury report allows the Bills to go into Houston with a healthy roster and everyone mentioned above active. This will give them the best chance possible to get to 3-3. These are the games that fit “The Process” exactly; games that while tough, are games that can be won with the right game plan and personnel available. I do not anticipate the Bills to have results that mirror the Ravens and Chargers games. I believe that the Bills will walk away with a win and keep pace with their AFC counterparts.

This is one of the shorter articles this season and in my book, that is an excellent thing. 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 5 Bills Injury Review- Titans

Read up on the latest injuries following the win over the Titans.

Leave it to the Bills to wait until the last second to pull out a win like that! K Stephen Hauschka’s game winning kick to give the Bills a 13-12 win over the Tennessee Titans propels Buffalo to a 2-3 record and momentum going into their Week 6 showdown in Houston. As always, today’s post will review the injuries sustained in Sunday’s win.

Those ruled out prior to the game include S Micah Hyde (groin), S Rafael Bush (shoulder), and RB Marcus Murphy (ribs). Hyde and Bush were not expected to play this week after not practicing all week and their availability may improve with this week’s practice. However, Murphy was inactive despite practicing in full all week and demonstrating that he was healthy. There is precedent for the Bills to rule a player inactive despite appearing healthy. Just the prior week, CB Phillip Gaines was ruled inactive with an elbow injury despite practicing in full. These may be personnel decisions or may be allowing these players to heal up more before rushing back to full contact.

Those injured during the game were minimal included P Corey Bojorquez (shoulder), CB Taron Johnson (shoulder), CB Tre’Davious White (ankle), and DT Kyle Williams (knee). However, only White made his way to the injury report. Possibly the most serious injury out of the bunch is Bojorquez. He suffered a right shoulder injury on a botched fake field goal attempt and sustained an unlikely injury in the process. He was observed later having had the shoulder wrapped with limited motion during running and in obvious pain at times. Based on the mechanism of injury, it appears that he may have suffered a SLAP lesion of the shoulder. SLAP stands for Superior Labral Anterior and Posterior which means that the top portion of the labrum tears; this is where the long head tendon of the biceps connects at.

Bojorquez suffered the shoulder injury late in the 2nd quarter as the result of the tackle and came up with significant discomfort. The reason why this is at least a SLAP lesion or subluxation and not dislocation is due to the fact that he was able to move his shoulder around and did not appear to require immediate manual reduction of the joint. This injury occurred as he was tackled; his arm was in an abducted and externally rotated position which places a lot of stress on the front part of the shoulder. This is also the motion that is required to throw a football.

As he is falling with his arm in that position, he has a defender falling on his body, preventing him from falling to allow him to brace for impact. When Bojorquez hits the ground, the body weight of the defender plus the ground lead to the arm to hyperflex which possibly led to the SLAP tear. During impact, it is also possible that he may have suffered an anterior subluxation of the shoulder, which is a partial dislocation to the area but able to self relocate. However, of all subluxations/dislocations, this is the most common with 97% of all these injuries occurring in this manner. In dislocations, the labrum tears and leads to instability in the shoulder. In the case of subluxation, there is a joint shift but a lesser chance of injury to the labrum. However, in most dislocations/subluxations, damage does occur and instability is present. This is also evident in SLAP lesions.

Symptoms seen with Bojorquez after the injury would most likely include difficulty with overhead motions, general strength deficits, and complaints of popping, locking, or clicking during movement, among other complaints. As with labral tears, this is not an injury that will heal up on its own and would require surgery to repair the damage. A normal person could live with this injury without surgery but due to the demands of the NFL, he would most likely require surgery later.

Despite this grim prognosis, Bojorquez may not miss any time or have any deficits come next game. He will have to strengthen the area and give it time to reduce pain and weakness, but otherwise he will be able to perform his regular punting duties as required. Thankfully he is not out of the field often and he can still play with his full ability without compensation. The only major deficit he may have is if the Bills want to run a fake field goal play; this may limit his abilities to throw the football effectively. He may eventually need surgery if it continues to give him problems but will not require it immediately; he may use bracing as seen with CB Taron Johnson.

Unfortunately, following with another shoulder injury, CB Taron Johnson suffered a re-aggravation to the right shoulder, as he has had in previous games. He did have to sit out several plays after but was able to return with overall effective play. He will have to continue to tackle with his left side to reduce further injury and missed time. While he continues to injure the area, this can and will lead to less forces required to sublux the shoulder, leading to greater instability and eventual surgery.

DT Kyle Williams suffered a right knee injury in the 3rd quarter but eventually resumed participation. Williams did return to his place in the rotation after sitting out 1-2 series but based on the injury, does not appear to be serious. Williams injured his knee as the result of having his right leg kicked out from under him which resulted in him falling directly on his knee without bracing for impact. This may have been more of falling directly on it and requiring some rest to reduce the initial shock of the impact. While Williams is on the injury report, he is listed as requiring a veteran rest day as he does every week. I do not see this injury causing any long term issues.

Finally, CB Tre’Davious White suffered an ankle injury during Sunday’s win and was limited in practice today. Reviewing film, there was not one specific play that revealed the injury. Add in the fact that White played in every defensive snap and all defensive field goal attempts makes this difficult to diagnose. This may have been an injury that he played through and did not realize until after the game or this may have been an injury that he sustained in practice today. Without conclusive video, it is rather difficult to identify what type of ankle injury he sustained. Either way, he was only limited in practice which on Wednesday is a good sign in order to play Sunday. Based on this information alone, this does not appear to be a serious injury but something that the Bills should be proactive about. This is far from a guarantee, but history serves us well when looking at availability.

This wraps up the injury review from Sunday. The Bills continue to be fortunate when dealing with injuries in terms of severity. While some of these injuries are significant in nature, they are able to be conservatively managed until there is a more opportune time to address the long term management of these conditions.

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 5 Bills Injury Preview- Titans

Dissecting the latest injuries prior to the AFC matchup against the Tennessee Titans.

The Bills roll into Orchard Park with a 1-3 record and much to play for when they host the Tennessee Titans on Sunday. While it is quickly becoming a reality that this team will not look like last year’s surprise playoff team; the fan base is still hoping that there are some positives that can be squeezed out of this season.

According to Friday’s injury report, no one has been ruled out prior to Sunday’s game. Three players have been ruled questionable including: S Rafael Bush (shoulder), S Micah Hyde (groin), and TE Charles Clay (ankle).

Reviewing video, Hyde’s injury was fairly straight forward, pulling his left groin midway through the 1st quarter attempting go upfield and get involved with the play, coming up lame. He was on the injury report the prior week with a toe injury but this is not something that would have caused compensation patterns leading to the injury. He simply performed a football move and it caught him. While he is questionable, he has not practiced all week which historically is not favorable when predicting whether he will play Sunday. He will realistically need at least one more week before he can even consider playing in a game. Expect him to miss this Sunday.

S Rafael Bush injured his shoulder on the last play of the 1st quarter tackling RB Aaron Jones out of bounds. He injured his left shoulder when he got spun around off Jones, falling directly onto his shoulder without having the ability to brace for the fall. He was able to play the rest of the game but was not really directly involved in many plays regarding physical contact after that. His injury was not immediately apparent until reported on the injury report Tuesday. I believe he suffered an AC joint sprain or possible contusion to the general area. Other possibility of a SC joint sprain, though less likely. Typical mechanisms of injury are similar to what was described above; a direct blow to his shoulder. Considering that he was able to play the rest of the game, but take the entire week of practice off suggests that it is a mild sprain/contusion that may take a week to heal.

From my previous article from the Tampa Bay game last year, edited for relevancy:

“On average, the Grade 1 shoulder sprain that Bush possibly could have sustained typically takes 9.8 days to fully recover from according to Dr. David Geier. He will be at day 7 by kickoff Sunday, which may affect his ability.”

It’s possible that he could play, but not practicing all week may have allowed him to heal in order to play, but more realistically, he is not quite ready for contact. Like Hyde, he was unable to practice which almost certainly seals his fate.

TE Charles Clay suffered an ankle injury that on film did not appear serious. He had a Packers defender falling to the ground and fell into Clay’s ankle while he was trying to get out of the way. He was able get the ankle taped up, continue playing and finish the game. It appeared that he got his ankle rolled up on or tweaked as a result. While he was limited Wednesday, did not practice Thursday, he was able to practice in full Friday which is a strong indicator that he will play. In addition to the ankle, he is also dealing with previous shoulder and hip issues from the previous game. He is also a veteran and requires more maintenance which is why he is unable to practice during the week yet play Sunday’s. I would expect him to suit up to be QB Josh Allen’s safety valve.

Other injuries on the report include RB Marcus Murphy (rib), and DE Shaq Lawson (hamstring). Murphy appears to have a generalized rib injury that cost him last week but it appears healed enough to perform this week. Hopefully it is a contusion that continues to heal rather than a broken rib. Lawson missed two games with his hamstring strain and while he did play the entire game, he may have developed soreness as a result, requiring conservative maintenance on it so as to not further irritate the healing tissues. While it is possible to re-injure the area, giving it rest through the week gives him the best shot to play at 100% Sunday.

Others dealing with injury but did not make the injury report: RB LeSean McCoy (ribs/hand), CB Taron Johnson (shoulder), and CB Phillip Gaines (elbow). McCoy has been dealing with cracked rib cartilage that is physically impossible to be healed yet which still limits him despite what he says otherwise. However, reports indicated that he injured his left hand with it visibly wrapped up after the game. Film review was inconclusive whether he suffered any particular injury. To note, he was able to demonstrate effective ball safety, gripping the ball in each hand respectively without compensation during his limited playing time.

CB Taron Johnson has been a bright spot in the defense 4 games into his rookie year. However, he continues to deal with a shoulder injury that appears to be a torn labrum in his right shoulder. This is evident with the use of visible bracing on the right side, he continually injures the area on hard hits but is quicker to return in the game, and the original mechanism of injury. He can continue to play on the shoulder but eventually he may require surgery for long term correction. Until then, he has altered his tackling style, he is wearing bracing, and I’m certain he is doing rehab to strengthen the surrounding muscles around the joint in order to get through the season.

Finally, CB Phillip Gaines is coming off a right dislocated elbow that forced him to miss one game. However, he was inactive despite practicing in full the week of the Packers game which indicated that he may have been held out due to personnel needs rather than injury. Regardless of reason, the extra time off allowed him to heal even more and he may not require any bracing given the time frame.

Overall, anticipate Hyde and most likely Bush to miss the Titans game with Clay playing with several nagging injuries. These thoughts are further solidified with the signing of S Dean Marlowe and releasing TE Khari Lee. This indicates that at least one safety is certain to miss and the thinning of the TE depth chart indicates Clay is playing. The others mentioned above are expected to play but have injuries that do not require treatment by training staff but could still limit their effectiveness. This game should allow the Bills to get their first home win of the season and move to 2-3 to maintain some level of respectability in the AFC.

Continue to follow Banged Up Bills 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 4 Bills Injury Review- Packers

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

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

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

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

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

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

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

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

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

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

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

Buffalo Bills Season Injury Review- S

Assessing the safety position injuries from the 2017 season and personnel expectations going forward.

We are 3 weeks away from the opening of the 2018 NFL season with the beginning of training camp! Here at Banged Up Bills, I have been trying to stay cool and sane despite the excessive heat and lack of football. Today’s post will finish up the injuries on the defensive side of the ball at the safety position. The secondary overall was an incredibly strong position for the Bills this past season and going into the 2018 season, this does not appear to change.

Stepping up first for review is S Jordan Poyer. The transplant from Cleveland spent the first 4 seasons mostly with Cleveland along with a cup of coffee in Philadelphia before signing a free agent deal with the Bills in 2017. He rewarded the Bills handsomely with 5 interceptions with one TD, one fumble recovery, 2 sacks along with 95 total tackles 63 solo and 32 assisted. These are fantastic stats for a player that Cleveland did not want back. In addition to his versatile abilities on the field, Poyer was able to stay relatively healthy, appearing in 15 games, missing only the Raiders game with a knee injury. He was incredibly durable this season despite the high injury risks that the position comes with. As Poyer is a veteran, he understands how to take care of his body and prepare for each game. Expect another standout year from Poyer!

Next up is S Micah Hyde who was also a castoff from the Green Bay Packers after 4 years. The dynamic play maker appeared in all 16 games producing 5 interceptions along with 82 total tackles, 65 solo and 17 assisted. The 5th year veteran has also been incredibly durable during his time in the league, rarely missing any games which demonstrate why this coaching staff values Hyde so highly. Despite Hyde not missing any time, he also dealt with several minor knee injuries that limited his play at times but did not signify any longer term issues. Similar to Poyer, expect Hyde to continue to prepare like a veteran and come ready to play every week.

Another player who saw time at the safety position this year was S Shamarko Thomas. The 5th year veteran saw action in 12 games but did not record any defensive statistics, making the most of his playing time on special teams. As he did not see many defensive snaps, he was able to avoid injury. Thomas finds himself a free agent going into the 2018 season and could be a candidate to come back at a veteran minimum but that is most likely the reason he was not retained as he became cost prohibitive.

Rounding out players who saw playing time at safety is S Colt Anderson. The oft-injured safety was used more frequently as a special teams ace in years past but his time in Buffalo was forgettable. In 2 years, he appeared in 7 games and not recording any defensive statistics. He had dealt with hand, foot, and forearm injury which cost him significant playing time. This past year, a broken forearm cost him 11 games and when he finally returned, was largely ineffective. As one may guess, he was not re-signed to the team going into the 2018 season. After the multitude of injuries over his career, he may see fit to hang it up rather than try to find another team due to his lack of availability. I do not even envision him coming back as a camp body in any fashion. My final thought on Anderson, he was a holdover from the Rex Ryan staff, I do not understand what the Bills saw in him as he was unable to stay healthy.

As for new personnel, there are many new faces coming into the secondary with the addition of S Dean Marlowe, S Kelcie McCray, S LJ McCray via the practice squad this past season. In addition, S Rafael Bush was brought in via free agency; a more detailed report can be found here. Finally, the Bills brought in S Siran Neal via a 5th round pick who could project to be a top backup with a strong training camp performance.

While this group is veteran heavy with Poyer and Hyde, they will need Bush and Neal to step up and provide effective depth as it is difficult to totally avoid injuries. With strong training camps, Marlowe, McCray & McCray can step up and add another dimension to the already strong unit. This is a position group I do not worry about due to the talent level, but could drastically change with a serious injury.

Continue to check back at Banged Up Bills for training camp content, injury reviews, and any other breaking news to come out of One Bills Drive. Follow Banged Up Bills on Facebook and on Twitter @BangedUpBills. Feel free to contact me with any questions or content you would like to see. As always, thank you for reading and GO BILLS!!

Bills Injury Recap- Jaguars

Detailing the injuries sustained following the Bills playoff loss and thoughts on this special season.

Well, it was fun while it lasted! The Buffalo Bills ended their 2017 season with a 10-3 loss to the Jacksonville Jaguars in the Wild Card Playoffs. While the game left the fan base expecting more than 3 points, it was still a fantastic season. This unexpected campaign has created stability within the franchise, allowing for the entire front office to mold the team in their vision and find the pieces they need to take that next step.

Even though the season is done, my job is not. Today’s post will outline the injuries sustained in Sunday’s loss and determine the level of severity and identify any possible long term side effects. Starting off, G Richie Incognitio suffered a shoulder injury in the 1st quarter with 5:20 left that removed him from the game for a short duration. Video observation shows that he injures his left shoulder while being spun around to the ground, colliding with DT Marcell Dareus. He was able to walk off the field under his own power and required some time to rest on the bench. There does not appear to be any specific mechanism of injury; just two big men that collided and Incognitio took more of the force.

Next up is TE Charles Clay who suffered a right hamstring injury running a route with 3 minutes left in the 1st quarter. The injury did not appear to be anything more routine than a minor Grade 1 strain. Clay was able to return later in the game and it appeared that most of the players injured tried to return in order to give the Bills the best chance at winning.

The Bills were relatively injury free for over a quarter of the game until the 3rd quarter when S Micah Hyde suffered a head injury with 13:25 in the 3rd quarter when he collided with DT Kyle Williams during a tackle. Hyde was forced to leave the game for a short time, eventually returning before hitting his head during a low tackle on Marcedes Lewis with 6:30 left in 3rd quarter which ended his day. Neither hit appeared to severely injure him, but as he appeared to be having some symptoms of a concussion as trainers tended to him; he was entered into the concussion protocol which ended his day. I question whether he should have left after the first hit, but he was tested and cleared to return by training staff.

As the game progressed, S Colt Anderson sustained an injury attempting to catch an interception. It was reported that he injured his hand while diving but was observed to be placing weight through both hands while trainers tended to him. Upon further review, it appears that he hit his right shoulder or forearm. He did have a compression sleeve on his right forearm indicating his broken forearm from earlier in the season and may have hit it in such a way that sent significant pain through his body. Either way, there has not been any updates and his presence all season has been irrelevant at best.

Finally, QB Tyrod Taylor suffered a hard hit to the head during a tackle by Dante Fowler late in the 4th quarter and then suffered another lesser hit from Fowler falling into him while attempting to get up. He initially appeared to be unconscious while medical staff assessed him. Taylor presented as dazed coming off the field and as he went into the tunnel to be evaluated for a concussion. However, the effects of the hit appeared to have little impact on him as he was observed attending a Toronto Raptors game with RB LeSean McCoy on Tuesday. This indicates two things; either the hit was not as severe as initially thought and has since recovered, or he is not following doctor’s protocols. If he did sustain a concussion, flashing lights, loud noises, lots of activity would exasperate his symptoms and he wouldn’t be there. Either way, it is irrelevant as the season is over and he can take time to recover on his own schedule.

I believe there were other injuries that the players played through, giving their all in order to win the game. RB LeSean McCoy played through a sprained ankle and did not appear to miss a step. He allegedly declined a cortisone shot prior to the game to prevent him from not feeling whether he injured the ankle worse. The entire team played incredibly tough and gave everything they had until the very end. Thankfully, none of the observable injuries appear to be foreshadowing problems going into the off-season.

As disappointed as I am in the final score, I am overall incredibly happy with how this season ended. The Bills ended the playoff drought, they began to build a culture that players want to be a part of, and they brought hope and excitement to a city starved for a winner. I am thrilled to note that the front office realizes that while they took a step in the right direction, they still have a lot of work to do and will not rest on the successes of this season. I cannot wait to see the changes the Bills make in the off-season and how they continue to mold this franchise back into a winner.

With the season ending, this does not mean that my blog will take a hiatus. While there may not be Bills football to watch, there are still many topics to discuss. Some topics I will look to cover in no particular order, but not limited to: my thoughts on the Bills finally making the playoffs, surgeries Bills players are scheduled for and impact for next season, reviewing position specific injuries from this season, and evaluating players injury histories that the Bills may draft.

Thank you for reading this season, this has been an incredibly special season that I was glad to provide my thoughts and assist in giving a new perspective that has been found in limited spaces. As I continue to grow as a Physical Therapist, I intend to broaden my knowledge base to evaluate injuries via video, provide a greater in depth understanding of the injury to the reader, and improve my writing skills to share my knowledge with everyone.

Please continue to follow me on Twitter @kyletrimble88 for the latest Bills news, playoff thoughts, and feel free to ask any injury related questions. While I cannot diagnose and offer treatment interventions without evaluating someone, I can still answer general questions, discuss injuries and assist in providing resources for further education. Thank you for your support and GO BILLS!!

Week 16 Recap- Patriots II

Assessing injuries observed following the Patriots game including Travaris Cadet’s ankle injury.

The Bills are still in the playoff hunt! Despite losing to the New England Patriots 37-16 Sunday, the Bills still have a very realistic shot at ending the long suffering playoff drought. With a win at Miami along with a Ravens loss to Cincinnati, or losses by the Chargers to the Raiders and Titans to the Jaguars, the Bills can enter the playoffs with an actual shot at winning the Super Bowl! While it is an incredible long shot, just making the playoffs is a step in the right direction. Regardless of the playoff implications, players continue to get injured leading to constant changes to the roster.

The only major injury sustained during Sunday’s game was to RB Travaris Cadet with a gruesome ankle dislocation/fracture. This occurred during a routine play late in the 2nd quarter in which he got wrapped around as he tackled while his foot got caught up underneath. The play ended with Cadet lying on his stomach with his ankle lying at an unnatural 90 degrees to the right. While not surprising, Cadet did suffer a dislocation and fracture to the right ankle which landed him on IR for the rest of the season.

During a dislocation of the ankle, the foot becomes dislodged from the area that articulates with the tibia/fibula and is pulled out of alignment. Due to the forces associated with this injury along with the rotational forces in play, the outside portion of the ankle (lateral malleolus) which is the bottom portion of the fibula broke. Had he solely dislocated like former Bills CB Ronald Darby during the season opener, he may have been able to return at a later date in the playoffs. As it was fractured, he is done for the season. While on the field, he has his ankle relocated and placed into a compression sleeve to maintain stability and manage swelling. He will require surgery to stabilize the fibula with the use of a plate and screws while assessing for any other damage. As there are so many variations of types and location for the hardware to be placed, it is difficult to obtain an accurate picture to the procedure he is going to have. He should be able to make a full recovery for 2018 to continue to build off the solid season he had this year.

Others injured during the game included WR Deonte Thompson (back) and CB Micah Hyde (abdomen/chest). Thompson was hit from behind early in the 2nd quarter and had to leave the field from several plays. He was eventually able to return but would be expected to end up on the injury report on Wednesday. Hyde managed to tackle TE Rob Gronkowski late in the 3rd quarter and got a hard heel to the chest/abdomen area. Hyde appeared in acute distress but was able to return. It appeared as though he had the wind knocked out of him but was able to return.

Other injuries to note include WR Andre Holmes going to IR due to a lingering neck injury. This injury was sustained during the Colts game and while Holmes was able to play the next week, but at some point aggravated it at which time the team decided that he needed to be shut down. As of right now, it is unknown what occurred to his neck. I continue to maintain that he strained his neck in some fashion and it was not healing as quickly as expected. Up until being ruled inactive this week, he had been involved in ~20% of the offensive plays and ~65% of special teams plays which indicate lack of serious injury. The WR corps was thin at the beginning of the season; it continues to be hurt by injuries but the impact has been limited secondary to the anemic passing game. Hopefully with a better QB next year will allow the receivers to blossom and improve the offense vastly.

The injury report comes out tomorrow as it does every Wednesday and I expect TE Charles Clay (knee), WR Kelvin Benjamin (knee), and DT Kyle Williams (groin) to remain on the report but not expected to miss any time. As always, there are new additions but thankfully, the team continues to be relatively healthy with the idea that the team still can make the playoffs.

It is hard to believe this is Week 17 and the Bills are still in the mix. It has been 13 years since they have played a meaningful Week 17 game with playoff implications. There are many things that can happen Sunday, but one thing is clear: this team has talent to contend in the NFL, but it is far away from contending from championships. Even though the AFC is weak this year, 6 teams still have to make the playoffs and the Bills potentially are one of them.

I hope everyone had a wonderful Christmas and for those Bills fans that don’t celebrate Christmas, I hope you enjoyed your holidays and continue to enjoy this rare playoff push. Whatever comes of Sunday’s game, I can look forward to next season with the idea that the front office and coaching staff have a plan in place to execute and bring the Bills back to glory.

Continue to check back for the latest articles and updates regarding Bills injuries. For breaking news and thoughts on new injuries, follow me on Twitter @kyletrimble88. As always, thank you for reading and GO BILLS!!