Week 2 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!!

Buffalo Bills FA Signing’s Part II

Assessing the latest Bills free agent signings and injury histories.

The Buffalo Bills continue to make moves, some at times, questionable. The Bills recently re-signed WR Kaelin Clay and signed CB Phillip Gaines and DE Terrence Fede. As the front office continues to turn over every stone in order to find those players that can help build long term success; I suppose every stone does not reveal a prize. Today’s post will assess these recent signings and their injury histories.

First up is WR Kaelin Clay. As you may recall, Clay had a short stint in Buffalo at the beginning of the season before being released and went back to Carolina. During his time here, Clay suffered foot and back injuries which slowed his production. While he is not an elite WR talent, he still provides depth and impact in the return game. Looking at the rest of his career, he has also spent time in Baltimore and Carolina. The 3rd year pro has only appeared on the injury report in 2017 with a shoulder injury which he did not miss any time. I suspect that the front office may be reassessing players who they have a known history with to find where they fit best.

However, the signing of CB Phillip Gaines is questionable in my opinion. During his 2017 season, Gaines was rated as one of the worst corners in the NFL and has only started a season’s worth of games during his career. In addition to subpar play, he also has an extensive injury history. Starting in 2014, he suffered a concussion, injuries to his quadriceps and ankle before suffering another concussion which forced him to miss the last 3 games.

2015 was no better to the 4th year pro as he suffered a torn ACL during a Week 3 tilt against the Green Bay Packers. This forced him to miss the entire season and return to form for 2016. Unfortunately, 2016 saw Gaines miss several games due to possible re-aggravation of his surgically repaired knee forcing him to miss a total of 5 games spread out over the entire season. 2017 saw him have his best season injury wise until he missed the final game of the regular season and the playoff loss to the Chiefs with a dislocated elbow. Thankfully, dislocated elbows are not severe in regards to recovery and will not have any setbacks come this season.

Finally, the Bills signed DE Terrence Fede from the Miami Dolphins to a one year contract. Fede will be added to the suddenly deep DE rotation that the front office has been addressing all off season. As for injuries, the 4th year pro has been relatively healthy during his time in the league. Fede has missed the first 3 games of his rookie year with a knee injury sustained in the preseason in 2014. The 2015 season saw him avoid injury along with 2016 with the exception of a knee injury which forced him to miss the first game. 2017 saw no missed time but saw Fede sustain a shoulder injury along with another knee injury late in the season. As injury reports do not specify which knee was injured, I cannot speculate whether these were acute or chronic complaints or what specific injuries he had at the time.

Overall, Fede has been relatively healthy during his time in the league which will help for availability and help keep the starters fresh. The overall trend for Beane & McDermott is to sign a player that promotes availability over skill. While it is rather difficult if not impossible to obtain a starting caliber player to play in a reserve role, this past season demonstrated how effective depth is to a winning football team.

As a medical professional, I like the Fede signing, I am indifferent on Clay, and I do not like the Gaines acquisition. While none of these recent signings are guaranteed to make the starting roster, the past medical issues may impact their long term effectiveness, specifically Gaines. I have found that many players deal with injury early on in their careers which force them to either take care of their bodies or they end their careers prematurely.

Continue to check back at Banged Up Bills for the latest Buffalo Bills signings, news, updates, and analysis. Follow Banged Up Bills on Facebook and at Twitter @BangedUpBills. As always, thank you for reading and GO BILLS!!