Week 17 Bills Injury Preview- Dolphins II

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

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

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

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

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

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

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

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

Week 16 Bills Injury Review- Patriots

Read the latest injuries to Julian Stanford and Deonte Thompson following the loss to the Patriots.

The Bills came into the Patriots game with a lot of hope that this was going to be the beginning of the end of the dynasty. While the pass defense did hold Tom Brady in check, the run defense did not do their part and offensively, never really got going. The only upside to the 24-12 loss is that the carnage of the past two weeks injury wise appeared to simmer down and allow the Bills to play with a mostly healthy roster of what’s left. Today’s post will dive into the injuries and what they mean going forward into the final game against Miami.

Those ruled out prior to the game were CB Ryan Lewis (concussion), RB Chris Ivory (shoulder), and TE Charles Clay (healthy scratch). Lewis is limited but still working through concussion protocol; there is a realistic chance that he is able to play next week if cleared. Ivory is still dealing with a shoulder injury that has kept him out the past 2 weeks. He is able to practice in full but still questionable which makes me believe that pain and shoulder function appear to be the main limiting factors. I still believe he’s dealing with an AC joint sprain that he keeps re-aggravating. It is quite possible he is dealing with a torn labrum, strained/torn rotator cuff, or nerve issue, but if he was dealing with the previously mentioned issues, the team would want to get surgery done in order to have him be healthy in time for training camp as he still has one year left on his deal. Thankfully, the team has reported that he should be in good shape this week which indicates that he may be ready to play the season finale.

As for TE Charles Clay, it appears the writing is on the wall. There is a strong youth movement on this team and Clay has not been producing. While his availability would have been beneficial on Sunday, he still has not produced to the level that his contract dictates. He does have a spotty injury history plus his age does not make him a viable candidate to finish out his contract and the team take a cap hit. Pending other offensive weapons availability, he may be inactive for the season finale.

Those injured on Sunday included LB Julian Stanford (ankle) and WR Deonte Thompson (right toe). LB Julian Stanford (ankle) sustained an injury to his ankle on a punt return with 5:50 left in 1st quarter. Upon video review, there is concern for a high ankle sprain as he was hit from behind and a body fell onto his right leg with foot in eversion or turned out. However, video is very poor and there were not any additional angles at time of writing. Considering he was questionable, eventually downgraded to out with the team reporting an ankle injury makes me believe the injury is more severe than an inversion sprain. There has not been any additional reports that state that he suffered any fractures, but it appears his season may be done even with a mild high ankle sprain. It was reported that he would not practice Wednesday which indicates that he is not going to IR but his availability will be determined by practice this week.

WR Deonte Thompson (toe) suffered a toe injury with 11:10 left in 3rd quarter. Thompson sustained the injury attempting to catch a pass when DB Johnathan Jones tackled him early, falling on his feet before Thompson took another step in vain to catch the ball. Thompson came up and began hopping on his left leg before going down to take his right shoe off. He was later taken into the medical tent and the sideline reporter initially reported a right ankle injury that was taped up. However, he was unable to return for the remainder for the game. The team later designated him with a toe injury. There are several possibilities for injury including turf toe, plantar plate injury, midfoot sprain or fracture. The most likely ones are turf toe or plantar plate. This is supported by the fact that the team taped up the area and he tested it out which indicates that a fracture or midfoot sprain was likely ruled out.

The mechanism of injury also supports either injury due to Jones falling on his foot as he was running forward, placing his toes into hyperdorsiflexion. In the event of turf toe, this is when the great or big toe is placed into hyperdorsiflexion with a force placed through the heel, pushing the toe past its normal limits. These are unfortunately common in football players and would greatly affect Thompson’s ability to push off during walking/running and make pivoting very difficult.

There is also concern for a plantar plate injury as the mechanism is similar in presentation to the turf toe. The difference is that this affects the attachment point that connects the plantar fascia to the metatarsals which are the smaller toe bones of the foot. To understand why this is possible a quick understanding of the plantar fascia must be understood. The plantar fascia connects from the heel to the bottom of the toe bones or metatarsals and acts as a lever when we walk/run to allow us to have a rigid area to push off effectively. As the medial arch elongates due to weight bearing, the plantar fascia tightens and becomes rigid to allow effective push off and prevent the feet from flattening out further. The plantar plate acts as a bridge between the plantar fascia and bones and also acts as a transverse attachment to prevent the foot from splaying out during push off.

It is difficult to identify which injury occurred without more information or physical examination. Both injuries would present with immediate pain/swelling with palpation, loss of range of motion, possible deformity if injury is severe along with bruising. Either way, it would be difficult for Thompson to play this upcoming game unless either injury is very mild. Reports indicates that he was not practicing Wednesday. In the event that Thompson is unable to play, this might allow WR Ray-Ray McCloud to get one more shot to prove his worth to the team before the season is over. They also have WR Di’Mari Scott, WR Victor Boldin Jr, along with WR Cam Phillips and WR Tanner McEvoy on the practice squad if Thompson goes to IR. To note, Thompson was dealing with an Achilles injury earlier in the week but that issue would not have any bearing on this most recent injury.

Going into the final game of the season, the Bills host the Miami Dolphins in the friendly confines of New Era Field with favorable weather conditions suited for the Bills. I believe the Bills can overcome the special teams mistakes of the first meeting resulting in a loss, finding a way to win, and finish 6-10. The team can then move into the offseason focused on how to find the best players in both free agency and the draft in order to build the team that is envisioned to compete for division, conference, and Super Bowl titles.

I hope you all enjoyed the holidays and glad that you all made it to the end of another disappointing Bills season. Continue to follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at http://www.bangedupbills for the latest updates and news coming out of One Bills Drive. Thank you for reading and GO BILLS!!

Week 16 Bills Injury Preview- Patriots

Assessing the rash of Bills injuries prior to the Week 16 matchup against the New England Patriots!

The end of the season is rapidly approaching and the Bills roster is showing its cracks. The Week 16 injury report is quite lengthy and while there are positives coming out of this week, the players are clearly hoping to get through these last two games despite giving it their all for Coach McDermott. One player who will be giving his all for another 2 years is QB Matt Barkley who signed a 2 year extension which will give the Bills an effective veteran backup to QB Josh Allen as he matures. Today’s post will review all the injuries with greater clarity and determine how these injuries affect Sunday’s game.

A total of 11 players found their way onto the injury report, 6 alone from this past game. All the players listed are available to play besides CB Ryan Lewis (concussion) ruled out and RB Chris Ivory (shoulder) ruled questionable. However, each week at Banged Up Bills, we will still assess the injuries sustained from this week and how it will affect Sunday’s contest. First up is FB Patrick DiMarco (ankle) who suffered an ankle injury during a punt return in Sunday’s game. I had originally thought that he suffered a thigh/knee injury but it appears as though he tweaked his ankle as a result. As he was able to return to the game Sunday plus practice this week doesn’t concern me in his performance this Sunday or worry for long term issues.

K Stephen Hauschka (back) was able to practice in full this week after being limited all last week with his performance still clearly limited. This was most evident when the Bills were forced to punt early in Sunday’s win despite being in Hauschka’s normal range. He was still able to complete kickoffs and extra points but the team currently doesn’t have faith that he is able to make the long kicks right now. I still believe that he is dealing with a hip pointer injury which is essentially a contusion to the area. He may also still be dealing with back soreness following the hit which will affect his kicking motion secondary to the muscles pulling on the painful area when planting and kicking. This is an injury that takes time along with stretching and slow resumption of activity in order to heal properly. As he was practicing in full this week, there is hope that he is healed enough that he is able to resume making the long kicks that has allowed him to be one of the best in the NFL.

RB Chris Ivory (shoulder) continues to deal with a re-aggravation of his left shoulder injury originally sustained in Week 9 and then aggravated against in Week 13, forcing him to miss last game. I have suspected that he suffered an AC joint sprain that was healing but after the re-aggravation, this set him back in his recovery and may continue to limit his participation in Sunday’s contest. He was able to practice in full last week but still missed the game as a result. At this point, my guess is that he is still dealing with pain with direct contact along with limited range of motion in that shoulder, restricting his abilities to effectively carry and catch the football. He could receive interventions to assist him with pain, but if he continues to demonstrate instability in the region, the pain interventions will only make it more difficult to listen to his body if he re-injures the area. Right now, rehab and rest will get him back to normal in the off-season. If he continues to injure the area further, surgery may be required and those rehabilitation procedures are not fun to go through. Ideally, he would benefit from rest, but considering the Bills only have 3 “healthy” running backs on the roster, he may not be afforded the ability to rest. He is truly questionable and without further information, it is very difficult to determine whether he will play.

CB Ryan Lewis (concussion) is still working through the concussion protocol and appears to be in Stage 4 with light football activity participation as determined by the limited designation. He has since been ruled out and may be available for the season finale.

RB LeSean McCoy (hamstring) continues to work back from his hamstring strain from 2 weeks ago and appears to be moving quite well in the video provided by Josh Reed. Shady has also indicated that he is ready and able to play Sunday. He is a player that despite the down season he has had, will still want to go out and give it everything he has especially against a hated divisional rival to end the season.

WR Isaiah McKenzie (ankle) appears to still be recovering from the cramping episode from Sunday that appeared much worse than the eventual diagnosis. While he is listed as an ankle, this may still be the ankle/calf region as its very possible he is dealing with soreness to the area along with activity specific pain, preventing him from going full speed. As he practiced in full, I expect him to play Sunday but it is clearly evident that the long season has been taking it’s toll.

DE Trent Murphy (chest) apparently suffered a non-descript chest injury in Sunday’s win over the Lions. He did not appear to require assessment from the trainers nor indicate anything was wrong. He may have sustained a contusion to the area from a hard hit or suffer a minor strain to his pectoral muscle as he engaged offensive blockers. While chest muscles are very important to defensive ends, practicing in full gives support to the notion that he will play Sunday.

TE Logan Thomas (hamstring) missed last week’s game with the same injury. He was able to practice in full the past 2 days and appears to be fully healed at this time. Most strains we have seen all season have taken the player roughly 1 game to rest and recover from and Thomas is no exception. Thomas, along with TE Jason Croom, have to be available to assist TE Charles Clay in the passing game in order to keep the ball moving against the Patriots. Expect Thomas to play Sunday.

LB Corey Thompson (ankle) also suffered an ankle injury on the same play as DiMarco. He got tied up with a Lions defender and limped off the field, eventually returning. Similar to DiMarco, he was able to return to the game and practice in full this week which indicates that this was a minor injury and should be good to go Sunday.

WR Deonte Thompson (Achilles) was listed with an Achilles injury Thursday, having practiced in full. He was not listed on Wednesday’s injury report which indicates that he may have suffered this injury during Wednesday’s practice. As there is no video and he practiced in full, this appears to be a minor strain which may limit Thompson from pushing off effectively and decelerating. However, he should still be able to stretch the field and provide QB Josh Allen another target downfield.

Finally, DT Kyle Williams (back) suffered a back injury during some point on Sunday. He was DNP Wednesday, Limited Thursday, and Full on Friday. As there does not appear to be any conclusive video of the type of injury that he sustained or any assessment by training staff, it is quite difficult to identify the specifics. All I know is that the only way Kyle Williams misses a game is if he breaks something. Otherwise, he will be playing Sunday in hopes of putting a hurting on QB Tom Brady.

One interesting omission from the injury report is RB Keith Ford (ankle). Ford injured his left ankle late in the 3rd quarter which forced the Bills to get creative with the playbook as all the RB’s were out, leaving them with DiMarco and Allen in the backfield. Ford’s injury did not appear to be serious as he was not on the injury report which means he will be available Sunday. There is potential that he is the backup to McCoy in very possible event that Ivory is unable to play.

While this was a lengthy article for injuries, most appear to be relatively minor with most of the players expected to play through these ailments. At this point in the season, every guy is aching and hurting, requiring limited participation just to get through the week. While us Bills fans would love for them to still be playing for the playoffs, the recent rash of injuries would make it very difficult to compete with some of the high powered offenses come playoff time. The hope is that the back up’s playing now will get invaluable playing time to bolster depth going into next season with everyone expected to come back healthy.

The prevailing thought going into Foxboro is that the Patriots are finally starting to show cracks in their dynasty having lost 2 straight. A third loss would be unprecedented with the Patriots and send them to a rare 6th loss on the season and a spot in the Wild Card round where they have typically not fared well in season’s past. The Bills did play relatively well in their previous game on Monday Night Football in October’s loss, but, it’s still the Patriots. If the Bills play lights out defense and QB Josh Allen is able to move the ball effectively to his new weapons Foster and McKenzie, anything can happen. I would love to see the Bills win and send Tom Brady packing, but I do not know whether this will be the game or next season. We all see the end coming for the Patriots, we just don’t know when it will get here.

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

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 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 3 Bills Injury Recap- Vikings

Dissecting the latest injuries coming out of the Bills win over the Vikings.

Wow, all I can say is, wow! That was quite the performance by both QB Josh Allen and the entire Bills squad as they came in as one of the biggest underdogs in recent memory and blew the Vikings out of the water in their own stadium. While I did predict a loss and many others did, I am quite okay with the results. This win gives true meaning to the term “Any Given Sunday”. As the Bills walk away with a gigantic “W”, letting the NFL know they are not dead in the water, they also walk away with minimal injuries. Today’s post will identify injuries sustained in the game and what this means going forward.

The biggest injury to come out of Sunday’s win is DE Trent Murphy (ankle). The veteran end from Washington in some fan’s eyes has been a disappointment so far after missing the entire preseason with a groin injury with lackluster performances in the 1st two weeks. However, as he has rounded into game shape, his presence was felt in the most recent game with a sack, forced fumble, and two tackles. He continually provided pressure against Minnesota’s woeful O-line which prevented QB Kirk Cousins from showing why he earned that massive contract in the off season.

Murphy sustained a right ankle injury late in the 4th quarter with the game already in hand. During the play, he was in the backfield when one of the Vikings offensive lineman got knocked down and rolled into his ankle. The mechanism initially appeared to favor a high ankle sprain due to him falling down with his foot twisted out. However, it appears that the ankle was merely rolled up on, causing a what appears to be a minor sprain which during Monday’s presser was termed as “day-to-day”. This indicates that this is not severe, he should be available Sunday, and there is no long term damage. To note: this is his right ankle he injured; he tore his left ACL last season. Injuries to the contralateral side can and do occur after major injury such as an ACL, but I believe this is a garden variety sprain and he could be back next week.

Others dealing with injury are CB Taron Johnson (shoulder) and CB Ryan Lewis (cramps). Johnson injured his right shoulder during a tackle in the 3rd quarter, similar to the hit that ended his day in Baltimore. Upon getting up, it was observed that Johnson was wearing a shoulder harness which typically is indicated for shoulder instability. I believe this is the direct result from the Ravens game and reason why he re-injured his shoulder Sunday. I had originally considered the possibility that he injured his AC joint, resulting in a sprain, or suffering a partially dislocated shoulder or subluxation. Reviewing film again, Johnson moves his arm freely walking off the field in Week 1. In Week 3, Johnson was able to return to playing but the hard hits continued to take its toll.

I believe Johnson sprained his AC joint during the initial tackle in Week 1 and is still dealing with some instability. AC joints can and do heal up quicker but still take their required time to rest. That is the most favorable result based on the initial injury. If he suffered a torn labrum via subluxation, he could still play but he may realize that he is not effective, eventually leading him to surgery. However, it is really difficult to determine without further information at this time. I am obviously hoping for the former.

CB Ryan Lewis never had a specific injury identified by the team but I believe that he was dealing with cramping initially as was C Russell Bodine and WR Kelvin Benjamin earlier in the game. However, Lewis went down again late in the game for what appeared to be unknown reasons. During the play, he changed direction suddenly and took a hard step on his right foot and appeared to be favoring it as he jogged into where the play ended. He was standing up, motioning to the training staff before getting down on his hands and knees while he was tended to.  Whether this means anything is to be seen. He may show up on the injury report with some type of ailment such as a calf or ankle or it may have just been fatigue. This was his first NFL game action, he had already been dealing with cramps, and the intensity of his first game plus nerves may have tired him out quicker. They say the game moves even faster at that level; it would stand to reason it requires more thought which could lead to greater fatigue. I do not expect any long term issues.

Other than the above mentioned injuries, those coming off injury appeared to have no ill effects. WR Ray-Ray McCloud was able to make his NFL debut and field at least one punt return for some yardage. It was observed that he wells wearing bracing on the left knee to give medial/lateral support supporting the notion that he had a knee sprain. This was most likely due to requiring extra support to the previously injured knee in the preseason win over the Bears. I do not see this being an issue moving forward with him ditching the brace soon.

Others coming off injury include RB Taiwan Jones. Previously mentioned, he suffered the nasty gash to his forehead in the loss to the Chargers. It appears that his wound was healed up enough in order to play without issue. His wound will only continue to heal without any further issues.

Even with the above mentioned injuries, the Bills continue to show strong depth which allows them to stay competitive in games. The Bills should be able to come in healthier against the Packers next week and set themselves up to steal another win from the NFC North.

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!!