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 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!!

Week 4 Bills Injury Preview- Packers

Assessing the latest Bills injuries prior to the Week 4 matchup against the Packers.

A lot can change in one week. Last week at this time we were hoping that we could stay competitive in a tough road game against the Vikings. After the major upset that the Bills pulled off in Minnesota, this has everyone thinking that they may be able to do it again in Green Bay. As I said last week, Any Given Sunday! Today’s post will look at the injury report and what this means going forward for player availability.

The biggest question going into Sunday’s matchup is whether RB LeSean McCoy (ribs) will be able to play. He has been limited all week due to the cracked rib cartilage sustained against the Chargers which forced him to miss last game. However, Shady has emphatically stated that he will play Sunday. He could reinjure the area leading to more pain and slowing down the already slow healing process. He could also cause additional damage to surrounding areas as the cracked cartilage does provide support to the area and instability within the area could lead to further injury. However, a veteran with as much time in the league as he has knows his body and whether he can be effective. He would probably benefit from additional time off, but he knows his remaining time in the NFL is fleeting and must make every opportunity count. Expect him to play this week.

RB Marcus Murphy (ribs) is also dealing with his injury that has had much less attention devoted to it than McCoy. He may be dealing with a rib contusion which could be expected to heal quicker than McCoy’s injury or even a fractured rib. As McCoy will play, RB Chris Ivory is healthy, this may allow Murphy to rest. I do not anticipate that Murphy will play considering he has been limited all week and that typically does not bode well for playing Sunday.

Others that are questionable are TE Jason Croom (knee) and TE Charles Clay (shoulder/hip). Both injuries are intriguing in that they were not reported during the game, it did not appear that they missed any time besides the plays/packages specifically designed for them, and it puts into question regarding whether they will be available for Sunday. Croom was able to practice in full on Wednesday with limitations Thursday & Friday makes me think he suffered an injury Wednesday which in turn will make it nearly impossible to identify the particular injury. As for Clay, he has a long documented history of knee troubles, however he now has shoulder and hip injuries. Looking at film, there is nothing that appears out of the ordinary with his play nor does he exit for long periods of time indicating that he is injured. While I consider myself an expert on injuries, I cannot state that I was able to determine what happened to either player. There were several instances where Clay was taken to the ground hard and it appeared that he was slow off the snap the next play but he was still able to block and run his routes without any noticeable compensation. This makes it difficult whether both him and Croom will play Sunday. Reports indicated that Clay sat out of practice this week in order to maximize the chances he could play Sunday. However, since this team is TE heavy, they could either roll with two tight ends and add some receivers or Clay could suit up and play.

Others returning to practice is CB Phillip Gaines (elbow). Recapping, he dislocated his elbow in the loss to the Chargers and missed last week’s game. I do not believe he is 100% healed, however, he must be feeling better enough that he can play. I see no reason why he shouldn’t play if he feels he is ready. He may have some protective bracing or compression to the area to prevent it from getting hit and swelling up again.

Also returning to the fold are DE Shaq Lawson and DE Trent Murphy. Lawson suffered a hamstring injury that cost him 2 games and Murphy suffered an ankle injury in the waning minutes of the Vikings win. Lawson appears healthy but may still be limited with situational play or snap count to not re-injure his hamstring and restart the process. Murphy on the other hand appears 100% and should not be limited getting into the backfield.

Overall, expect RB Marcus Murphy and TE Jason Croom to be inactive. While TE Charles Clay is limited, I expect that he will be more ready to play allowing the team to play TE Logan Thomas and TE Khari Lee. Despite the growing injury report, these are still relatively minor compared to some of the other injuries around the league.

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 www.bangedupbills.com. As always, thank you for reading and GO BILLS!!!

Week 3 Bills Injury Preview- Vikings

Assessing the latest injuries going into the Week 3 matchup against the Vikings.

The Bills travel to Minneapolis to face the Minnesota Vikings on Sunday and they could be without several key starters which will already hurt their poor chances for a victory. Today’s post will review the injuries going into the game, who could be expected to play, and how this affects the Bills overall.

Already ruled out is DE Shaq Lawson (hamstring). The 3rd year end suffered a hamstring strain in the 4th quarter of the season opener against the Ravens chasing down QB Joe Flacco. Since then, Lawson has not been able to practice, already missing one game. Unfortunately, strains such as hamstrings are common in early season games that reduce in frequency as the season progresses. It is possible Lawson returns to playing next week against the Packers based on expected healing time frames but no guarantee.

Those ruled questionable include RB Taiwan Jones (head), RB LeSean McCoy (ribs), WR Ray-Ray McCloud (knee), CB Phillip Gaines (elbow), and CB Taron Johnson (shoulder). Out of this group, I expect McCloud and Johnson to play based on their previous injuries and time frame to rehab. Recapping, McCloud injured his left knee in the preseason win over the Bears and Johnson injured his right shoulder during the season opener. McCloud’s knee appears to be a sprain and possibly the same goes for Johnson with his shoulder. Both have had an opportunity to recover and the fact that they both practiced in full Friday gives me hope that they will be available.

McCoy, Gaines, and Jones are less likely to play, though if this were later in the season, could be available to play. As mentioned last week, McCoy suffered a rib cartilage injury when C Ryan Groy fell on him towards the end of the play. While this injury is slow to heal due to a poor blood supply and covers a wider area than a broken rib would, he can still play in the face of it all. However, teams will be keying for him despite protective padding which could end his day early. I do not believe he should play in order to give his body the ability to rest, but he may try suiting up anyway. If he can’t go, RB Chris Ivory and RB Marcus Murphy will carry the load.

CB Phillip Gaines suffered a dislocated elbow during a tackle which required training staff to reduce the dislocation. He was reported to have heavy protective padding on the right elbow and was limited in practice this week. He could hypothetically play Sunday as the elbow joint is very stable when it comes to movement, but soft tissue in the area along with corresponding muscles may make playing difficult due to limited range of motion due to swelling/pain, reducing his effectiveness. He would essentially be a one armed cornerback. It would be best to let his elbow rest one more week before attempting to play due to the nature of the position.

Finally, RB Taiwan Jones suffered that gruesome cut to his forehead in the end zone during Sunday’s loss. Fortunately, he did not suffer a concussion but just the cut which required stitches. He could also play but even with a helmet, a hard hit could re-open that wound and cause further complications. While his loss on special teams will be felt, one week off will allow him to come back 100% next week.

Overall, expect Johnson and McCloud to play, expect Gaines and Jones to miss, and for McCoy to attempt to play though he may be overall ineffective. While this was one of the more injurious weeks for the Bills in recent seasons, they still have the appropriate depth right now to stay competitive. Once the starters go down for long periods of time as in previous seasons, then the Bills will truly be in trouble. As a realistic Bills fan, I am not expecting a win against the Vikings as they are considered a Super Bowl contender this year, I still expect a competitive game from the Bills as they attempt to find their identity for the 2018 season. If they play how they did in the 2nd half of the Chargers game, things may be okay. I do not expect the Bills to roll over like they did against the Ravens.

This wraps up the injury preview for Sunday’s game. Continue to check back for the latest injury 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 http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 2 Bills Injury Review- Chargers

Breaking down the latest injuries following the Week 2 loss to the Los Angeles Chargers.

Different week, same result. Another loss to the Chargers sends the Buffalo Bills to 0-2 on the season and more questions remain. Fortunately, the Bills began to look like a real NFL team in the 2nd half, holding the Chargers to just 3 points while scoring 14. Regrettably, the hole they dug in the first half down 28-6 was just too much to overcome. In addition to the poor outcome, several players found their way to the injury report with varying degrees of injury. Today’s post will assess the injuries sustained in the game and what this means going forward.

First point I would like to address before the injuries is the sudden retirement of CB Vontae Davis. As everyone by now knows, Davis “retired” at halftime and left the stadium, leaving the Bills a man down and questioning his motives. He has since stated that he felt he could no longer play up to his standard and knew when it was time to be done. He has his reasons for doing that and well, it’s his decision. Personally, this is not something I would do nor do I believe it is the right decision to make in the middle of a game. However, he made his decision, he’s sticking to it, and I believe that the coaching staff, the team, and fans all want players who want to play for this team to be there 100%. I wish Vontae the best in his retirement and the Bills can move forward without him.

First injury up is CB Phillip Gaines who suffered a dislocated elbow late in the 1st quarter. He suffered the dislocation during a tackle and came up having difficulty moving his right arm. He was observed requiring support to the forearm area walking off to the medical tent to have further assessment. Upon video review, he dislocated his elbow when he attempted to tackle RB Melvin Gordon. Quick anatomy review, the elbow is made up of 3 bones: the ulna, radius, and humerus. The ulna is the bony portion of the elbow that articulates with the humerus and fits rather snugly in against the humerus acting as a hinge joint. The radius is a lesser bone of the elbow but provides forearm support and motion to the wrist during rotation.

As he began wrapping the ankles up, his elbow hit the ground while Gordon continued to run forward, creating a rotational force which caused the ulna to dislodge either posteriorly or medially from the humerus and appeared to stay dislocated. This was why the training staff needed to support the area with his inability to bend the elbow. At some point later, they were able to successfully reduce the elbow and wrap it for protection and swelling management. The picture below describes the types of elbow dislocations including the posterior and medial dislocations mentioned above.

Elbow dislocation.jpg
Credit: www.orthopaedicsone.com

While this does sound rather gruesome, it is probably one of the best joints to dislocate for quick recovery as once the joint is reduced, it can regain normal function due to the makeup of the joint being as stable as it is compared to a shoulder or ankle which has much more mobility. There is no word yet on whether there was other damage that occurred but Gaines return to the lineup seems relatively hopeful. These types of injuries require 1-3 weeks to rest and recover along with rehab to increase motion and maintain swelling. He may be ready/forced to play against the Vikings unless the Bills make roster moves to address the depth with the loss of CB Vontae Davis. It does help that CB Taron Johnson should be back next week in order to fill the gaps.

Next up is RB Taiwan Jones who suffered a very hard hit to his forehead on a play whistled dead in the end zone off of a muffed punt midway through the 3rd quarter. During the recovery, Jones lost his helmet and while attempting to keep the play alive, got struck by a Chargers defender, drawing what looked to be a gash on his head, dropping him to the ground. When he got up, there was visible blood on his head wrap and he appeared to be in pain. He was taken back to the locker room for a concussion evaluation which later reports indicated that he did not suffer a concussion. Reports also mentioned that he had a CT scan of the head to assess for skull fractures. Thankfully, it appears that he only suffered a rather large gash on his head which required stitches to close up. Depending on how the wound is healing, it may be possible that he can play next week but more likely he would miss no more than a week so that he may let the skin fully heal. Brutal injury, but positive outcome.

Finally, RB LeSean McCoy suffered what was initially reported left broken ribs late in the 3rd quarter due to C Ryan Groy falling on top of McCoy after he had been tackled. The veteran back appeared to leave the game and return only to leave again later and ruled questionable with a rib injury. Reports came out that he suffered broken cartilage in the ribs which can be more difficult to manage than a single broken rib. The chest is made up of ribs that act as a cage around the vital organs such as heart and lungs and provide structural support for the abdominal wall and upper extremities. Connecting these ribs together is cartilage, a firm but pliable tissue that allows the rib cage to move with breathing motions and adapt to movement. This is the same type of cartilage that makes up your ears and nose. In the picture below, the blue tissue is the rib cartilage that McCoy fractured on the left side near the lower portion that connect the false ribs to the sternum.

Anterior-View-with-description_1.jpg
Credit: acuteinnovations.com

Unfortunately for McCoy, rib cartilage breaks are more difficult to manage as this tissue helps attach the ribs together and to the sternum or breastbone. So instead of one isolated rib, the pain can be all over the injured area, leading to greater deficits. As with most other tissues in the body, the cartilage will heal and pain will be reduced. Rib cartilage takes between 3-4 months to heal completely as it does not have a good blood supply which means it’s slower to heal. McCoy does not have this type of time frame to work with considering the NFL season. However, with proper bracing and pain management, he can play through this injury. However, all upcoming defenses are now aware of this and may try to target that area to knock him out of games quicker. He may benefit from a week off to get more rest so that he can play with greater effectiveness in future games.

Overall, the Bills did not suffer a lot of injuries, but the ones that did occur were rather moderate. All 3 players could come back to play next week if need be, but may benefit from at least 1 week’s rest in order to heal more effectively. As always, it comes down to whether the training staff, ownership, and the player have to agree that they are able to play.

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

Buffalo Bills Season Injury Review- CB

Assessing the injuries sustained at the cornerback position from the 2017 season.

Continuing in our off-season reporting is positional reporting at Banged Up Bills.. Today’s post addresses the cornerback position which was a bright spot this season after being outright dreadful in 2016. The cornerback position dealt with a variety of injuries that at times cost the Bills crucial games that thankfully did not cause the Bills to miss the playoffs. However, Brandon Beane realized that even though this unit was superb, there is still room for improvement going into the 2018 season.

First up is CB E.J. Gaines. The 4th year veteran came to Buffalo in a trade that included WR Sammy Watkins that worked out favorably for the Bills. Stat wise, Gaines was able to haul in one interception, 3 forced fumbles and 59 total tackles with 48 solo and 11 assisted. There was a gigantic difference between when Gaines was on the field and when he wasn’t. In games that Gaines participated in, they were 8-3, in games he missed they were 1-4 which indicated how valuable he was. However, Gaines suffered several injuries which cost him playing time during several key points during the season. He suffered a shoulder injury in the win over Atlanta that forced him to miss the Cincinnati game which was a loss. Immediately after this injury, Gaines suffered a groin injury that did not appear to be serious, but possibly led into a hamstring injury that cost him 3 games in which the Bills went 1-2. Gaines returned to health, playing in 5 straight games before injuring his knee during the first Miami game which cost him a game against New England. Prior to this season, Gaines had been fairly durable, only suffering a Lisfranc injury which cost him the 2015 season. His injuries likely stemmed from his hard-hitting reckless play. After this injury filled season, the Bills elected not to re-sign Gaines, letting him walk in free agency and taking a rather questionable one year, $4 million with the Cleveland Browns. For a player that was due a potentially big contract with limited availability, the Bills were smart to move on from Gaines despite his stellar play.

Next up is CB Leonard Johnson. The 6th year back saw time in 15 games and starting 7. Johnson managed to stay relatively healthy this season, only missing one game due to a knee injury in the loss in the first New England game. Otherwise, he suffered a quadriceps injury in the season opener and a minor hamstring injury in the loss to Cincinnati in which he did not miss any time. Johnson had been pretty healthy up to this season, only suffering a torn Achilles during his time in Carolina but was able to recover to previous form. Stat wise, he accumulated one forced fumble with one fumble recovery to go along with 51 tackles, 40 solo and 11 assisted. As with Gaines, the Bills elected not to re-sign Johnson as his veteran status most likely became cost prohibitive.

CB Shareece Wright continues the Bills exodus of cornerbacks from the 2017 season. The 7th year back saw playing time in 12 games, starting 5 with stats of one interception, one forced fumble with 2 fumble recoveries to go along with 42 tackles, 35 solo and 7 assisted. Wright suffered a minor back injury in the win over Atlanta but suffered a concussion during the second New England loss which costed him the season finale win over Miami and the playoffs. As he is no longer on this roster for what I assume are similar reasons as Johnson, I do not see him coming back unless there are several injuries which would require him to be re-signed as a depth player.

One of the true bright spots on this 2017 Buffalo Bills roster was CB Tre’Davious White. The rookie from LSU quickly became a fan favorite and helped re-establish the secondary with incredible plays that appeared to allow people to forget he was only a rookie. Numbers wise, he had 4 interceptions, one forced fumble with 2 fumble recoveries with one returned for a TD and 69 total tackles, 53 solo with 16 assists. White stayed injury free all season with the exception of a concussion from Rob Gronkowski. If you recall, Gronk gave White the People’s Elbow after a clearly dead play on the sidelines. White thankfully did not miss time, but repeated hits to the head can have a detrimental effect on a players health later in his career. As White begins his second season, look for him to hopefully stay healthy and continue to produce at a high level to establish himself as one of the best in the league at his position.

Finally, CB Lafayette Pitts rounds out players that suited up at the CB position for the Bills this season. The 2nd year pro joined Buffalo in late October after spending time with Jacksonville earlier in the season. During his time in Buffalo, Pitts only recorded one tackle and one assist on defense with most of his playing time coming on special teams. Despite the lack of stats, the Bills re-signed Pitts to a one year contract in hopes that he adds to the depth going forward.

The Bills position at cornerback appears to be solidified with CB Tre’Davious White manning one side and CB Vontae Davis manning the other. There are questions regarding Davis going into the 2018 season after he missed most of 2017 with a sports hernia that eventually required surgery. As indicated in the previous article, most players sustaining his type of injury are able to return to playing in the NFL without complications. These two players are formidable in their own right and together should really improve the quality of play at the position. Davis is an upgrade from Gaines at the position, but time will tell if the production matches.

Rounding out the rest of the cornerbacks on the roster include CB Levi Wallace, CB Phillip Gaines, CB Taron Johnson, CB Ryan Carter, and CB Breon Borders. Wallace and Carter come to the Bills via UDFA’s, Borders comes back for the 2018 season after spending the end of 2017 on the practice squad. Phillip Gaines came via free agency from the Kansas City Chiefs, and finally, CB Taron Johnson was drafted in the 4th round with the 121st pick. None of these players are guaranteed to make the roster but I expect to see Gaines and Johnson stick with the team as depth in the event a starter is unavailable. Considering the talent at the position, I could see the Bills stocking up on the position, leading one of the remaining names to sneak on to the 53 man roster with an impressive training camp.

That wraps up the cornerback review for the 2017 Buffalo Bills. Our series is nearly done, with positional reviews of safety and special teams rounding out the remaining articles. As this 6 week period between OTA’s and training camp occurs, look for remaining positional review articles along with spotlights on common injuries in the NFL. The goal at Banged Up Bills is to educate my fellow fans. I enjoy any and all feedback via Facebook at Banged Up Bills and on Twitter @BangedUpBills. As always, thank you for your time and GO BILLS!!