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!!