Week 1 Bills Injury Review – Jets

How serious is Johnson’s latest injury?

The Bills make me wanna shout! Yes sir, indeed they did with a thrilling 17 point comeback to seal a 17-16 win over the New York Jets on Sunday. Despite 3 rather subpar quarters of football, QB Josh Allen rallied in the 4th quarter & went 8/10 with 102 yards and a TD to seal the deal. Wins like this indicate that this may be a team that doesn’t roll over when down in years past. The Bills won’t win every game in this fashion, but defeating a division rival to start the season is key in the march to the playoffs.

The only notable injury sustained in Sunday’s win was CB Taron Johnson (hamstring). The 2nd year cornerback suffered a hamstring strain early in the 3rd quarter with 12:58 left on a 2 & 10 play in which Jets C Ryan Kalil was called for hands to the face. Replay doesn’t show Johnson in the TV view & an alternate angle only shows him briefly running over the middle going left before coming up with what looked to be a painful hop.

Reviewing All-22 footage, the sideline view is the only instance where the injury can be observed. Johnson was tasked with covering WR Jamison Crowder in the slot. Crowder runs forward & then to his left up the middle with Johnson keeping pace with him. This occurs for about 25 yards & the injury occurs about when the play shows to be whistled dead.

It appears that Johnson is beginning to decelerate or slow down causing the hamstring to eccentrically contract. An eccentric contraction is when the muscle lengthens under load. In this case, running forces the hamstring to contract but lengthen while stepping forward and trying to slow down. Considering he was going full speed, this is most likely the cause. The video angle is tough to determine but it looks like his right hamstring is the side affected when he came up hopping.

Johnson was later interviewed by ESPN’s Marcel Louis-Jacques in which Johnson reports he felt a pop as he was running. He was scheduled to have an MRI Monday to determine the severity.

Considering Johnson felt a pop, this was the muscle tissue tearing as it does when a strain occurs. How much tearing indicates the graded severity. Reports indicated he was able to walk under his own power to the locker room.

On the knowledge that he felt a pop, he was able to walk off, & he was dealing with a groin injury during the preseason, my initial assumption is that he suffered a Grade 1 or mild Grade 2 strain. This may have been a compensation injury due to the groin not fully assisting in slowing the speed down. Based on this information, I suspect that he misses at least 1-3 games, possibly more if the injury is more severe than I theorize.

If Johnson is unable to go as expected, CB Captain Munnerlyn or CB Lafayette Pitts may be an option to bring in for a short stint. He is a veteran with minimal injury history & understands the defense. He may be best suited for this over S Siran Neal who appeared to be at times a liability when having to fill in for Johnson.

Besides Johnson’s injury, WR/KR Andre Roberts missed the opener with what sounds like a quadriceps strain. He was able to practice last Monday which consisted of stretches and individual drills. He then missed Wednesday & Friday’s practices, ruling him out. Quad strains typically require stretching, rest, and light strengthening along with ramping up activity as tolerated. The team may have been cautious in holding him out to avoid further problems.

TE Tyler Kroft continues to work back from the broken foot sustained in OTA’s without any apparent setbacks. There are several clips of him over the past 2 weeks working through drills without any compensation. I believe that he has to get up to game speed & conditioning which may take another 2 weeks which could put him at the home opener barring any setbacks.

Outside of those injuries, the only other issues I saw were QB John Allen having to scramble and take several hard hits with one appearing to faze him for a moment early on. While his legs are a weapon, the Jets knew this & keyed in to reduce his chances. While scrambling is great to have, opening himself to injury is not ideal.

Overall, it was a great win & minimal injuries. The next two weeks of Giants & Bengals may provide some early key wins for momentum going into the Patriots Week 4 showdown. Considering the Patriots added in WR Antonio Brown to their stables of WR Josh Gordon, WR Julian Edelman, & WR Phillip Dorsett, the Bills will have to be at their healthiest to keep the playing field level.

If an injury does occur, the Bills finally have depth at each position that will allow them to still play effective football until starters return. This team is finally built for depth, hopefully, the depth keeps the ship afloat. 

Preseason Review & Week 1 Bills Injury Preview- Jets

Reviewing the starters preseason injuries & Week 1 injury preview.

Week 1 is days away & the Bills appear to be healthy after a successful preseason. Despite the team reporting that the roster is mostly healthy, several players are still dealing with the effects of the preseason. Below is a list of players who have suffered injuries through the preseason. This is broken into 3 tiers to identify severity level and what to watch out for in the coming weeks.

Minor but noteworthy:

LB Corey Thompson- Groin

Thompson missed the Panthers as the result of a groin strain suffered during the Colts game. Groin injuries can linger if not addressed with rest & rehab. Considering Thompson is a backup & special teams contributor, the likelihood of re-injury is low.

WR Zay jones- Back soreness/hamstring

According to video, Jones appeared to be working through general back soreness early in camp. This was concerning as he had missed minicamp with undisclosed reasons. It was later revealed that he had been dealing with a hamstring issue that did not get re-aggravated during the preseason.

Jones was able to play a various positions during the preseason & played late into games. As a result, there is always concern that he could suffer an overuse injury. Hydration along with proper warm up will can reduce the chances the hamstring flares up.

S Micah Hyde- Neck

Hyde battled a neck injury early in camp, causing him to miss the Colts game. Looking back now, it appears that he suffered a mild strain. This isn’t likely to be a chronic or recurring issue, but still worth taking note. As he’s such a vital part of the secondary, any injury to Hyde is worth watching.

OG Quinton Spain- Thumb surgery/ankle contusion/foot soreness

Spain has battled several injuries since signing with the team in free agency. He first suffered a thumb injury which required surgery. Once training camp began, he dealt with foot soreness early in camp which forced him to miss some time. He appeared to be on the mend & play well until he got stepped on by RB Frank Gore during the Lions game.

This appears to be a bruise to the area that control the foot arch and help to push off during running. These muscles will also be effective in pushing forward to hold during blocking. For Spain, this shouldn’t be a long term issue. The only limitation will be if pain is still affecting him at that time. This shouldn’t be a problem for Week 1, but we don’t know every single bit of info that goes into the decision.

WR Andre Roberts- Quadriceps

Roberts suffered a quadriceps injury sometime during Monday’s practice. McDermott reports that he day-to-day which bodes well for his availability for Sunday. Considering that practice was stretching and individual drills, I suspect that he suffered more of a quadriceps strain. This could have been during a routine drill, stopping suddenly, or jumping for a ball. Without video or specific injury information, my assumption is that he will play Sunday and is out of precaution to ensure that he is healthy.

Worried but should be alright:

CB Tre’Davious White- Quadriceps contusion

White suffered a quadriceps contusion in the Lions game that initially appeared to be worse at first glance. After the injury, he was observed moving around on the sidelines without much difficulty and has since been able to practice without restriction. The quad contusion actually protects him from further injury at the moment as he may not have 100% function, but he won’t be able to push past it and overwork it. This isn’t something that typically lingers either, needs rest and proper healing.

TE Dawson Knox- Hamstring

Knox missed most of the preseason with a hamstring strain suffered early in camp. Hamstrings are tricky as even though they heal, they can be re-injured if the muscle group maxes out & fails. This is the problem as the player may feel good and then suffer a setback. I hope that Knox doesn’t have any further issues, but it’s far from a guarantee.

CB Taron Johnson- Groin

Johnson’s groin in itself isn’t the biggest concern, but rather his past injury history & his style of play. He missed the 2nd preseason game with the groin injury, but was able to play without apparent issues in the 3rd game. Groin issues can reoccur, especially with the positional demands of the cornerback position. However, with his torpedo type tackles and smaller frame, he may suffer further injuries this season unless he puts some finesse on his game to allow him to stay healthy.

G Spencer Long- MCL sprain

Long missed early parts of the preseason with what was described as “knee soreness”. However, he was seen with a compression sleeve followed by a hinge knee brace that provides lateral support to the knee which indicates he may have suffered a mild MCL sprain. These heal up quite well and as Long is a lineman who works in small spaces, he doesn’t rely on the MCL for cutting as much as a RB or CB would need. He shouldn’t have issues from this injury.

OT Ty Nsekhe- Knee sprain

Nsekhe is another player who suffered a “tweak” in his knee that caused him to miss parts of the preseason. On what the tweak is, hard to say without a mechanism of injury or further details. Considering his age and experience in the league, this may have been more precautionary. He, like Long, works in small spaces and should be able to perform his job without difficulty.

Can play, concerned for further issues:

WR Robert Foster- Turf toe/shoulder

Foster had an emergence last season after getting cut early on before changing his attitude and becoming a favorite target of QB Josh Allen’s. Foster was dealing with a shoulder injury early in camp that didn’t limit him but the turf toe that he has battled in the spring returned. Turf toe is a sprain of the great toe joint which is essential for push off during walking & balance. This is essential for sprinting as most of Foster’s activity is short bursts and pivots. He will most likely need a stiff sole or orthosis to restrict movement in the toe and frequent rehab to heal the injury & to prevent it from getting worse. He should be able to play Week 1, but he is coming in not quite 100%.

DE Jerry Hughes- Ankle/R hand/wrist

Hughes dealt with an ankle injury that limited him early in training camp but didn’t appear to be a factor during preseason games. It may have been general ankle soreness but more of a veteran rest injury. As for his wrist, he has worn a brace on the right side but hasn’t missed practice. It appears he injured it sometime during the win over the Panthers. Reviewing game film didn’t reveal any specific instance of injury. Having the wrist in a brace will limit his ability to hand-fight to get inside but shouldn’t affect the ability provide pressure. Wrist sprains in itself aren’t too concerning & should remedy within the next week barring any new information.

OT Conor McDermott- Concussion

While McDermott has been cleared from the concussion protocol, there is always a greater chance that he could suffer a future one later this season. From what I have found, this is his only documented NFL concussion, but his college career regarding injury is unknown. As he is a reserve player, the chances for concussion are less but still present.

C Mitch Morse- Concussion

Much has been said about Morse’s concussion including the moment when he sustained the injury back in late July. He has since cleared the protocol and returned to practice, but this is now his 4th documented concussion. It’s unknown if he will have further issues this season or if he has another concussion, only time will tell.

TE Tyler Kroft- R foot fx

Kroft has been working back from a fracture in his foot suffered during the first day of OTA’s back in the spring. Despite staying on the PUP all preseason, he made the 53 man roster and has been limited in practice though appearing to take part in individual drills. Video has shown the ability to push off the foot with conviction and pivot to turn up the field in the videos shown below. It appears that he will be ready soon, it may be a conditioning limitation at this point until he is fully ready to go. We may see him as soon as Week 3 for the home opener.

Despite the above mentioned players, outside of Roberts & Kroft, the team is actually very healthy. Understand that it will not stay this way, but there are several teams such as the Bengals who have been decimated by injury before Week 1. This can be a special year, the health of key players mentioned above will determine the course of the season.

Week 14 Bills Injury Review- Jets II

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Week 14 Bills Injury Preview- Jets II

Assessing the latest Bills injuries including Taron Johnson’s shoulder surgery and Jason Croom’s groin prior to the Jets game.

This has been one of the more busier weeks of the Bills season as the front office is demonstrating “The Process” with moves preparing the team for 2019. If you’ve been under a rock, the team released WR Kelvin Benjamin & WR Andre Holmes, signing CB Denzel Rice & DE Mike Love from the practice squad, and placing C Russell Bodine on injured reserve as the result of a fibula fracture during last week’s game. With all this upheaval along with several injuries, this leaves many questions going into the Week 14 match up against the Jets. As one may fondly recall, the Bills absolutely destroyed the Jets 41-10 in their Week 11 match up behind an effective performance by QB Matt Barkley. This time around, it will be QB Josh Allen vs QB Sam Darnold with both teams jockeying to avoid the AFC East cellar. Today’s post will identify the injuries going into the game and how things may shake out.

Those already ruled out are QB Derek Anderson (concussion) and CB Taron Johnson (shoulder). Anderson continues to be limited indicating he is in stage 3-4 of the concussion protocol. I’m waiting for the other foot to drop and he gets placed on IR. At this point, he is taking a roster spot for someone else but his tutelage of Allen appears to be the reason he is still active despite not playing.

Johnson suffered a dislocated shoulder resulting in a torn labrum in his right shoulder during Week 1. He has since then re-injured the shoulder several times, missing only one game right after the initial injury along with wearing a shoulder harness to limit recurrence. He had been reportedly been in a non-contact jersey the past several weeks, giving his shoulder the rest and protection it required to get through the season until the Bills were officially eliminated from the playoffs. As a result, Johnson had successful shoulder surgery on Tuesday to repair his labrum and has since announced his season is done. I am not sure why the Bills are hesitating to place him on injured reserve; this may be due to a contract issue which we as fans are not privy to. The shoulder labrum recovery is a ~6-9 month recovery which will allow Johnson to ready for OTA’s in May-June at least in a limited fashion and fully healthy by training camp. To read more about the surgery that Johnson had, make sure to check out my article on WR Zay Jones who had the same procedure last year with great success.

Listed as doubtful is TE Jason Croom (groin). Upon video review, Croom doesn’t appear to have one play in where he injured his groin. He did not have any targets during the game but was involved in 35% of the offensive snaps and was playing until the final offensive series. Based on the knowledge we have, this appears to be a mild strain and the team is being proactive, allowing him to heal completely before rushing him back onto the field. We have seen most of the muscle strains this season result in minimum 1 game missed and this is no exception. I believe that this is a Grade 1 strain with Croom having the ability to return next week fully healthy. As he is listed as doubtful, most players listed as doubtful do not even play. In the event that he is active, he will likely be limited in offensive packages and used more likely as a decoy. Regardless of status, he should not play.

Listed as questionable is WR Isiah McKenzie (toe). Reports indicated that McKenzie injured his toe late in practice Thursday and was limited Friday, making him officially questionable for the game Sunday. Fortunately, publications state that he feels as though he will be able to go on Sunday which is a good thing as the Bills are expected to only have 5 WR’s available. My suspicion is that he sprained his great toe running a route pushing off too hard or pivoting. It is possible to injure the other toes on the foot, but when it comes to running, the great toe is essential for effective push off required for sprinting. He is truly a questionable decision, but considering the personnel available and his thoughts in the article, I expect that he plays.

G John Miller (oblique) is coming off a strained oblique suffered in the win over the Jaguars. He missed last week but is able to return which fits the timeline regarding muscle strains; I had suspected that he would miss 1-2 games based on the location. There is possibility to re-injure the area, but I would not consider the risk to be significantly greater than when he originally sustained the injury.

Those injured earlier during the Miami game that did not appear on the injury report were LB Tremaine Edmunds (knee/ankle) and S Jordan Poyer (finger). While they may be dealing with some soreness, this was not enough to warrant an injury report slot. Expect both to be key players to slow the Jets offense.

While the Bills are slowly losing players to injured reserve as the season winds down, most starters continue to stay healthy or at least available in order to help the team finish strong over these last 4 games. I believe the Bills will be able to finish this season with a 6-10 or 7-9 record. The big question marks I have are this upcoming Jets game and maybe the second Dolphins game. A 7-9 record would be a great finish after such a terrible start to the season. There’s a lot of promise on this team going into next year, we just have to see how the draft and free agency play to our favor. I believe the Bills will complete the season sweep of the Jets to move to 5-8.

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

Week 9 Bills Injury Recap- Bears

Read the latest about RB Chris Ivory’s shoulder injury, TE Charles Clay hamstring, and other concerns following the loss to the Bears.

This 2018 season is really testing our patience. 2017 was a new regime and we ended The Drought! After such a high, the 2017 off season saw several key players leave and well, we thought the team would take a step back. Though we expected this, we still go crazy with the results. I think what drives most of us nuts is how bad they have lost some of these games. They have not had a loss yet that came down to the final minutes nor have they had a loss that was defined by a single play or two. These losses have come during blow outs and mind numbingly horrible offense. Though the defense continues to hold their own, not even the best players in the league can play for 60 consecutive minutes of football; essentially what the Bills defense has been forced to do due to the ineptitude of the offense. Along with the lack of production, the Bills continue to lose offensive producers to injury. Today’s post will review the injuries sustained in the soul crushing loss to the Bears.

While the Bills did not lose much on Sunday, what they did lose was still painful. First up is TE Charles Clay (right hamstring). The veteran TE suffered the injury on the last Bills offensive possession in the 1st quarter running a route to the middle of the field. He appeared to slow down, turn to his right and begin to try and run towards where the play was taking place, but appeared to take a step and began limping. He was observed on the sidelines getting assessed and stretched by the training staff but was unable to return to the game. He suffered a hamstring strain that appears to be Grade 1 but will unfortunately cause him to miss some time. He has been since listed week to week.

Hamstring strains can and do happen at any point in the season but are more frequent early in the season as players are still ramping up into game shape. As this injury was in the 1st quarter and not the 4th, fatigue does not appear to be a contributing factor. He may have decelerated too fast and felt a pull when attempting to turn direction. Unfortunately, the video available is limited and the injury is subtle in nature, limiting the ability to confirm the specific action. This may have been an unfortunate circumstance or as the result of cumulative injuries as he’s had hip, ankle, and shoulder injuries this season along with a well known knee issue. If this upcoming game meant more or he was desperately needed, it’s possible he would be able to play, but considering he’s had several injuries already, he’s a veteran, and the bye is coming up, it would not make sense to rush him back out there. I’d expect him to miss next week with him coming back after the bye.

The other injury noted was RB Chris Ivory (left shoulder). He suffered his injury on a goal line plunge that was unsuccessful halfway through the 4th quarter. He got hit hard up in the air by LB Danny Trevathan and was stopped cold in his tracks. Ivory immediately went down and began motioning to his left shoulder, requiring assistance to get off the field and eventually carted to the locker room. There was initial speculation that he may have suffered a painful contusion but reports have since come out indicating that he suffered a shoulder sprain.

The most likely sprain that Ivory suffered is an AC joint sprain. The joint that is injured is known as the acromioclavicular joint which is near the top of the shoulder. This joint is made up of the distal or far portion of the clavicle and the acromion which is the hook portion of bone that creates the bony edge of the shoulder. This joint helps connect the shoulder to the thorax via the clavicle and allows for shoulder movement throughout its range. This allows for overhead, pushing, and pulling motions required for activities in every day life.

When a AC joint sprain occurs, the ligaments holding the clavicle and acromion together are damaged due to a direct blow to the shoulder, as in the case of Ivory. These types of injuries can also occur as the result of falling on an outstretched arm, or FOOSH injury. However, most of these injuries occur as direct blows and cause immediate pain and loss of function. This will be evident by the limitation in motion to the shoulder, pain with movement, possible visual deformity as the result of the clavicle rising up higher than the shoulder, and bruising. There are specific grades that allow us to identify the severity as seen below. While MRI may be helpful to identify specific ligament damage, a physical examination and x-ray will typically tell a medical professional the grade level. While we are unable to identify the grade level on Ivory as he had his shoulder pads on, my best guess is that he suffered a Grade 1-2 AC joint sprain which would put him at 2-4 weeks for recovery.

AC-Joint-Separation-Image.jpg
Credit: sportsinjuryclinic.net

Rehab will include rest and stretching to allow for proper healing to the area. Once he is able to move the arm without causing further discomfort, he will begin strengthening and stabilization activities to challenge the joint to perform its function and ensure proper healing to the area. These are injuries that a player can play through if minor enough, however considering the hit that Ivory suffered and the fact that he had to go to the hospital due to initial concern for internal organ damage makes me believe that this is not minor. I can realistically see Ivory missing next game and then using the bye week to recover fully enough to resume playing against the Jaguars. He may be healthy enough to return to play by that time but he may also have taping to the affected area to help provide some type of additional support in order to get through the game. There is a possibility that he will be out longer if the severity is worse than I anticipate, but this is not something that the team would consider placing him on IR at this time. Had he had a Grade 3-5 injury, reports would have surfaced and he would have most likely been placed on IR by this point.

Overall, this upcoming bye will be a welcome reprieve for this team trying to get healthy for the final stretch to salvage any respectability for this season. Ideally, most of those on the injury report will be healthy enough to return and play out the rest of the season. Fortunately, one player will not be completing the final home stretch of the season with the Bills. CB Phillip Gaines has been released with CB Levi Wallace replacing him on the roster. Gaines has been a liability all season and even in his absence due to injury, his replacements demonstrated why he was expendable on this roster. As a fan, I will not miss his giant pass interference calls giving the opposing offense an easy trip down the field.

This wraps up another post for Banged Up Bills injury review. Continue to follow 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 10 Recap- Saints

Assessing the latest injuries including Jerry Hughes’ shin injury and what exactly happened with Saints RB Daniel Lasco’s spine injury.

The Buffalo Bills know how to keep this fan base on their toes and not in a good way. After putting up a stinker of a game against the Jets on prime time, the Bills followed up with a complete throttling at home by the New Orleans Saints by a score of 47-10. As a fan, I saw nothing good come out of this game. The offensive line didn’t look as porous as the Jets game, but still could not provide effective protection for Tyrod Taylor to make effective throws or move the ball. The entire offense looked out of sorts even with all the weapons that Tyrod had at his disposal. This was not a good game and if more is said on this topic, it will not be pretty.

Thankfully, this forum is not designed for my two cents on how the Bills play. I always leave the X’s and O’s to my friends at The Rockpile Report. Give them a listen; by far the most thorough and honest analysis of our beloved Buffalo Bills. However, the goal of today is to discuss the Buffalo Bills injuries sustained after Sunday’s drubbing.

Thankfully, the Bills continue to avoid the major season changing injuries that many other teams have sustained this season. The only injury that has been reported so far is DE Jerry Hughes. His injury was sustained at the end of the 1st half in which he injured his shin. He was observed warming up on the sidelines but did not return. It is unknown whether he was unable to return or was sat out as the game was out of reach at that point.

From my standpoint, there isn’t much that Jerry Hughes could have injured in his shin. The shin (tibia) is part of the lower leg which is the bone that makes up part of the knee and the ankle. While there are a multitude of muscle attachments that connect to the area to assist in knee and ankle movement, the shin itself doesn’t have a lot of possibility for injury. I believe that he may have suffered a contusion to the skin/tissue over the bone which made it painful to run. As mentioned above, the muscles do attach to the tibia which when moved, does pull on their attachment points, which could pull on the painful tissue.

Hughes also may have sustained an injury to his tibialis anterior which assists the foot in lifting up (dorsiflexion) and moving inward (inversion). This muscle is the meaty portion of the front and outside portion of the shin. A contusion to the muscle belly could make running painful and prevent effective pivoting, especially with the demands of his position. Either way, these aren’t injuries that keep most players down for long and Hughes is known for his durability during his career.

However, I will state that Hughes did not sustain a fracture. I do not believe this to be the case as he would have had imaging performed and ruled out if there was any possibility. He would have also had a definitive diagnosis today and most likely expected to miss several weeks if that were the case.

The only serious injury that occurred Sunday was to Saints RB Daniel Lasco on a kickoff return. Lasco hit his head directly into the hip of WR Brandon Tate and dropped immediately. It appeared initially as though he was not moving which brought back immediate thoughts of Kevin Everett 10 years ago. Thankfully, his injury was nowhere as severe but is season ending. It was determined today that he has a disc bulge in his neck and will most likely require surgery to correct the issue.

To give a better understanding to what happened, it helps to understand the anatomy in the area. The spine is comprised of bones called vertebrae which stack upon one another and allow the human body to stay upright and distribute the weight of the head and the trunk effectively. These bones allow the spinal cord to pass through it and act as a cage for the spinal cord and allow the nerves to branch off into all areas of the body. This allows for the nerves to provide input to move each muscle and allow various sensations to be felt. In between each vertebrae is a vertebral disc which acts as a shock absorber, allow for fluid movement between the vertebrae, and acts as spacer to prevent pinching of the nerves.

When Lasco’s head directly collided with Tate’s hip, it compressed the vertebrae on each other so much that it bulged or herniated one of these discs in the neck (cervical). This most likely began pushing on the spinal cord or a spinal nerve, causing radicular or traveling pain down the nerve. This is typically seen as weakness, numbness, and pain in the affected area. If you were able to see Lasco being loaded into the ambulance, he was able to raise his right arm, but it did not appear to be a strong, confident motion typically seen in the movies.

In a majority of non-sport cases, these types of injuries can be effectively managed non-operatively through physical therapy, chiropractics, injections, etc. However, due to the nature of the injury as it was quite traumatic and the impact football has on the body, that may not provide the best long term options, especially if he wants to return to football. He may get a cervical discectomy and fusion to the affected area in which the herniated portion of the disc is partially or totally removed and the vertebrae above and below the area are fused together to eliminate movement and further pressure on the nerves. He is able to return to football without any long term issues, but repeated injuries to the neck may impact his long term career prospects. This is why former Bills player S Aaron Williams found his career ending prematurely due to similar injuries.

As mentioned above, while the Bills played poorly, injuries are not being added to the insult and the Bills are not losing players to injured reserve. I would still want a tired but overall healthy starter out there in Week 15 fighting for a playoff spot rather than the backup just trying to hang on and not able to provide the same level of play. The Bills are banged up right now but should have some key players return in the coming weeks.

Continue to check back for further updates including analysis of the Bills injury report come Wednesday and when more information is known. As always, thank you for reading, follow me on Twitter at @kyletrimble88 for the latest updates and GO BILLS!!

Zay Jones Ever Changing Injury Diagnosis

Following today’s injury report and Zay Jones new injury diagnosis, this post will identify why it is an ankle injury and not solely a knee injury.

It’s a new day and a new injury report! Going into the Week 10 match up against the New Orleans Saints, the Buffalo Bills continue to get healthy to rebuild their depth just in time to take on a suddenly resurgent Drew Brees led offense and a surprisingly stingy defense. This week’s game will truly be a test to see if the Bills is the team that started 5-2 or if they are the Bills that lost to the Jets on Thursday night.

Today’s post will deviate from a general review of the injury report due to new and unexpected information released today courtesy of Chris Brown. It has been reported that the initial knee injury that WR Zay Jones sustained in Thursday nights loss is now classified as an ankle injury. My goal is to explain why there is a change in injury designation despite the obvious original injury.

As reported before, Jones injured his knee with a rather gruesome fall to the turf last Thursday. He was able to return and play, but left towards the end of the game after re-aggravating the injury. In one of my previous articles, I detailed the possible extent of the injury severity. As there was not any additional news that came out regarding further damage, it was assumed that he merely hyperextended his knee and that he may be limited.

However, the Buffalo Bills continue to throw curveballs with Chris Brown reporting that Jones’ knee injury is actually an ankle injury. When it comes from the Buffalo Bills, I’m not going to question the source. Now, everyone must be thinking, this doesn’t make any sense. And you’re right, it doesn’t make any sense. However, as the reader, you clicked on the right article as I will determine how this could be an ankle injury despite what happened to his knee.

To clarify, Zay Jones did injure his knee in Thursday night’s loss to the Jets. That is a fact, but how severe? Apparently not that severe considering it’s not listed on the official injury report and he was able to return. As for his ankle, I have reason to believe it is a high ankle sprain. Let me explain. The knee acts as a hinge joint, but the ankle has multiple planes of motion allowing for greater mobility, but decreased stability. Upon initial viewing of the injury, there are forward and side views of the mechanism of injury which offer greater insight.

As the 14 second clip plays, at around the 4-5 second mark, Jones trips over CB Buster Skrine’s leg and steps awkwardly with his right leg. However, as he plants, all his weight is being placed through his right leg. His foot is planted directly in the turf as he begins to fall forward with his knee hyperextending. His foot is in maximal dorsiflexion and eversion which translates in plain speak to the foot is maximally bent up and turned out partially. Finally, the knee buckles backwards, Zay vaults forward, and Zay goes down in pain.

Fortunately for Zay, the knee has an ability to lock out which is known as the screw home mechanism. This allows the knee to fully straighten and stay rigid. During the process, as the knee goes into full extension, a rotational component assists in fully extending. In Zay’s instance, the screw home mechanism was forced into action with the femur (thigh bone) internally rotating with the tibia (shin bone) externally rotating. The hyperextension accentuated this mechanism, placing maximal force through the knee with the remaining excess stress left was displaced back into the ankle joint.

STJclosedKinematics.jpg
Credit: http://www.pt.ntu.edu.tw/hmchai/Kinesiology/KINlower/Foot.files/FootKinematics.htm

As seen above in the picture, during normal walking, the tibia externally rotates, placing stress through the talus and calcaneus. The calcaneus is the heel bone and this is the portion that makes contact with the ground as the foot is supinating or bearing weight as in the supination diagram. The calcaneus is turned inward and the talus is dorsiflexed and abducted or bent up and pulled outward. These are normal biomechanics of the foot, but if placed through excess stress as in the case of Zay’s injury, this can cause a high ankle sprain as the mechanism of injury is extreme external rotation and dorsiflexion, which is what I believe occurred with Zay to get him the ankle injury designation. Think of this injury as a chain is only as strong as it’s weakest link. As the ankle is naturally more unstable, it is more susceptible to injury which is what happened in this case.

Considering other injuries, he may have sustained a medial ankle sprain or bone contusion according to the video. It may never be fully known the extent of his injury. This injury is confusing as it is not apparent to the naked eye. The manner in which way the knee bent is the obvious part of the injury. To the untrained eye, its hard to see, but upon further evaluation, it appears this may be a likely injury.

As I do not have insider information, only insider knowledge, I can say with only so much confidence that this is what occurred. Time will tell how this injury plays out and what further information is released. He may have also injured his ankle when he left the game the 2nd time and I have not seen video to support or refute the injury. I do not believe that this is something season ending or as serious as Clay’s injury in relation to time missed. He may miss some time depending on severity and how this week’s practice plays out.

Continue to check back for new updates and further analysis of Bills injuries. For more breaking and real time updates, follow me on Twitter at @kyletrimble88. As always, thank you for reading and GO BILLS!!