Week 14 Bills Injury Preview- Jets II

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

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

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

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

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

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

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

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

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

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

Week 13 Bills Injury Preview- Dolphins

The latest Bills injuries going into Week 13 agains the Miami Dolphins.

The Bills are on a two game winning streak and getting healthy! As they travel down to balmy Miami for Sunday’s matchup, they do so with nearly their entire roster available and an offense starting to find its groove. Today’s post will review the injuries going into Sunday’s game.

Already ruled out is G John Miller (oblique). The veteran guard suffered an oblique injury late in the 1st half of the win over the Jaguars and did not return. Since Sunday, he has been unable to participate in practice which due to the location of the injury, is not surprising. As obliques are vital to the duties of his position in relation to bending forward, twisting, and pushing, it is already known that he he will not suit up Sunday. Even if the Bills were in the thick of a playoff race, this injury would sideline the big man for at least a week. Expect Miller to miss 1-2 games due to this injury. Starting in his place may be G Jeremiah Sirles who has shown effective play in limited time this year.

QB Derek Anderson (concussion) has also been ruled out due to continued symptoms of a concussion sustained during the Monday Night Football game against the Patriots. The more we know about concussions, the greater understanding we have of its effects. This is why Anderson’s symptoms are not concerning overall because we know that the brain heals at different rates and each concussion is unique. However, I do believe that if Anderson wasn’t mentoring QB Josh Allen, he would have been placed on IR long ago. As he is limited, there is hope that he will be able to practice in full next week and at least be available game day in Week 14.

TE Charles Clay (hamstring) has been ruled questionable, which in the case of Bills players ruled questionable, whether they play is ~50% based on this season statistics. I believe Clay will play as he’s missed several games, he has given his injury ample time to heal, and if this video is any indication of his abilities, then I am fairly confident that he will play against his old team. Add in the fact that he will be playing in 85 degree weather will help the muscles warm up easier and stay warm, reducing the incidence of re-injury during the game. I also believe that he will want to hang some stats on his old team to let them know what they lost.

Others dealing with injury coming off the report this week are CB Lafayette Pitts (concussion) & CB Taron Johnson (shoulder). Pitts suffered a hard hit to his head on a punt return early in last weeks win and was unable to finish playing. He has since been cleared to play in full and will continue to be a key piece in secondary depth and on special teams.

Johnson continues to deal with his injured right shoulder which he will eventually require surgery on the torn labrum. He has been quite effective despite being limited but has a much higher risk to be re-injured during hard hits. Hopefully he can get through these remaining 5 games and then work hard on recovering fully for training camp.

Fortunately, the Bills are in much better shape health wise than the Miami Dolphins who have been hit hard by injuries which may limit their ability to effectively play both sides of the ball despite having home field advantage. The relative lack of injuries for the Bills has been a key reason why the Bills have been able to stay in more games and build for the future effectively as they are not relying on 2nd and 3rd string players starting for significant chunks of the season. I hope this trend continues in a positive direction with next year allowing the Bills to bring in some top end talent they are sorely missing this year.

As an eternal optimist, I believe the Bills will win this one against the Dolphins. However, coming off two straight wins may set the Bills up for a trap game and they could lose a very winnable game. Even though each win represents a worsening draft position, these young Bills must know how to win now to win bigger games later.

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 u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 12 Bills Injury Preview- Jaguars

Read on the latest injuries coming off the bye as the Bills get ready to face the Jaguars.

I hope you all enjoyed your week free of Bills football along with Thanksgiving! As a devoted Bills fan, make sure you are recharged and ready to hunker down to take on the last 6 games of this season. This season has been a dramatic step back from last season’s successes and while it is tough to see that the Bills lose more than they win, they are still building towards something greater than the 2018 season. Regardless of outcomes, I do I enjoy watching the Bills every Sunday and today’s post will review the injuries going into the Jaguars game.

Those coming off injury from the Jets game include LB Matt Milano (concussion) & CB Taron Johnson (shoulder). Milano has cleared the concussion protocol and practiced in full which is an excellent sign and should continue his stellar 2nd season as an integral part of the defense. As for Johnson, unfortunately suffered another injury to his right shoulder in where he continues to sublux/dislocate his shoulder during direct blows to the area. He was observed to not wearing his shoulder harness during the Jets game which reduces the shoulder movement in order to limit dislocation which may have resulted in the most recent re-injury. The direct hits to the shoulder continue to dislodge the humerus from the socket, causing pain, weakness, and limited strength. This in turn has caused him to miss short stretches of the season. This is something that he will continue to play through until he feels he cannot anymore or until the end of the season, whichever comes first. He was limited in practice this week and will continue to play at less than 100% until he gets surgery to correct the problem. To note, we have full confirmation of his shoulder injury based on GM Brandon Beane’s appearance on One Bills Live this afternoon, outlined in this tweet here. I expect that Johnson will still suit up come Sunday.

Others practicing in full include RB Chris Ivory (shoulder) and QB Josh Allen (elbow). Ivory was dealing with a left AC joint sprain that caused him to miss the Jets game after suffering the injury during the loss to the Bears. He should have no limitations on Sunday and relieves RB LeSean McCoy as a change of pace back. Allen has been a big talking point when it comes to injury this season, missing 4 games due to the sprained right UCL suffered in the loss to the Texans. He has progressed as expected; Allen himself has reported that his elbow continues to feel better and news reports are showing him making all his passes without obvious compensation. Interestingly, he is still wearing a brace on his right elbow which does concern me, but he may play with the bracing on the elbow as he may be comfortable with the throwing motion with it on. I would prefer to see him play without it, but the medical staff knows best and will ensure that he will minimize re-injury. The only benefit to the brace would be to provide protection in case of a direct blow to the area. While he could re-injure it throwing, the chances are significantly reduced as he has given himself an appropriate time to heal to where he is able to play at a high level. He may not be 100% healed but enough that the medical staff feels he can perform without causing further injury. 

Others limited in practice include: C Russell Bodine (shoulder), QB Derek Anderson (concussion), and DE Trent Murphy (knee). I am not sure what Bodine did to his shoulder as he did not appear to require medical attention during the Jets game but this could be an injury sustained in a previous game with re-aggravation or could be a new injury. Until we have more information, I cannot even speculate what he is dealing with.

Anderson continues to battle back from the concussion sustained late in the 4th quarter of the Patriots loss on MNF. He has been slowly working his way back into shape with his limited designation, but is clearly not ready yet. Based on being limited, he appears to be in Stage 3-4 of the concussion protocol, allowing him to go through sport specific activities and perform aerobic activities. Unfortunately, he has since been ruled out for Sunday’s game, dealing with concussion symptoms for nearly a month now. While this is atypical from what we usually see during a concussion recovery, this would be considered normal for concussion management outside of the NFL as not all concussions are mild with a quick turnaround time. Hopefully he continues to improve and help Josh Allen develop.

Murphy continues to battle back from injury after injury. The latest injury is a right MCL sprain suffered halfway through the 4th quarter in the loss to the Colts. He has since missed 3 games and is slow to return but the vibe is that he will be ready come Sunday to help contain the rushing attack. The veteran DE has had 4 weeks to fully recover which is within the expected recovery times for an MCL injury. With his recent injury history, the Bills training staff were not in a position to rush him back and cause further complaints.

Those not practicing are TE Charles Clay (hamstring) and DE Shaq Lawson   (elbow). Clay pulled his hamstring running a route early in the Bears game and was unable to return. He since missed the Jets game and right now could potentially miss the Jaguars game. Lawson suffered an elbow injury during practice early in the week which makes it nearly impossible to diagnose. Reports indicate that he tweaked his elbow and is considered day-to-day. Until we get further information, I will not speculate as to what he is dealing with at the moment. 

Overall, while the list does look long, with QB Derek Anderson ruled out, TE Charles Clay is doubtful, and those questionable include: C Russell Bodine, CB Taron Johnson, DE Shaq Lawson, and DE Trent Murphy. Clay will not play and even if he somehow suits up, he will not be effective. Those questionable that I expect to play are Murphy and Johnson. We do not know whether Bodine or Lawson are ready to play based on the fact that we do not know the extent of their injuries. If they do indeed sit out, this fits with the roughly 50% of questionable’s not playing this year. I do have a feeling Lawson will be available.

With injuries beginning to take their toll, this is also the time of year where we begin to see players go on IR quickly if they have an injury that will take longer to heal than the remainder of the season so that the team can roster healthy players or guys they want to take a longer look at in game action. Do not be surprised if we see players such as QB Derek Anderson and CB Taron Johnson go on IR in the near future so they can fully address their medical complaints in order to be healthy next season.

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

Week 10 Bills Injury Review- Jets

Analyzing the latest Bills injuries following the beat down of the Jets and how the roster looks going into the bye.

This team, one week you’re ready to swear them off for good, next week, can’t get enough. What a complete win by the Bills over the Jets 41-10 to move to 3-7 sliding into the much needed bye week! There are so many positives coming out Sunday’s game, I will leave that to the pundits who know football more than I do to diagram the X’s and O’s. It was a fun win and reassures me that there is talent on the team, the coaching staff does have a plan, and hopefully next year they begin to bring personnel in to turn their grand plans into solid results. However, I am always here to assess the injuries sustained in the blowout and how they affect the Bills going into the Jaguars game two weeks from now.

Going in chronological order of injuries, starting off with WR Robert Foster (thumb). The rookie wide out sustained some type of left thumb injury early in the 1st quarter which required an assessment by trainers. At one point he was questionable to return, eventually returning to haul a huge pass from QB Matt Barkley in the 3rd quarter and finish with 105 yards on the day. As to the specific injury, he may have suffered a dislocated thumb.  He was observed going to the locker room with a trainer stabilizing the left hand at the carpometacarpal joint which is the lower portion of the thumb that connects to the wrist. While that does sound nasty, it is relatively minor. My guess is he somehow injured it on the fake punt play, it appeared he may have hit his thumb against a Jets defender coming down with the ball or he suffered it where there is no video available. In the event of a thumb dislocation, the thumb would be reduced and put back into place, he would be fitted with a thumb spica which is a small brace which would allow him some mobility to the area but reduce further injury. Foster was wearing gloves on both of his hands which prevent us from identifying if there is bracing under for support next time we got a close up. As he was able to return to the game, the week off should be good enough to allow him to heal effectively.

DE Jerry Hughes suffered a right knee injury during a tackle in the backfield and was able to walk off midway through the 2nd quarter. Upon review, he was pivoting up on his toe and rotating to the left, the mechanism suggested a minor MCL sprain but Hughes was observed jumping around and shaking his knee out, also grabbing at the front of the knee. He also did come down hard on the knee which then we are considering a contusion to the area which would explain the limping. Either way, he was able to return and continue to provide pressure on QB Josh McCown all day. The injury appeared to be minor and something that does not concern me moving forward.

CB Taron Johnson (shoulder) exited the game once again midway in the 2nd quarter and did not return. It appears that he suffered a re-aggravation of his right shoulder injury he has been dealing with all season. It is quite possible he subluxed the shoulder once again despite bracing to the affected area, though I was not able to see him wearing it Sunday. He suffered the injury on a hard tackle midway through the second quarter, tackling the offensive player with his left shoulder, and coming down hard on his right. After the play he was able to move it around, giving several high fives after shaking it out briefly. Interestingly, despite the upbeat activity after the play, Johnson did not return to the game which makes me suspect a subluxation as there is already laxity in the joint from previous injury. This means that less force is required to disrupt the joint, leading to easier and easier injures. This is something that he has experienced previously and may require rest and rehab in order to get ready for Week 12. It may be realistic that the Bills shut him down later this season if he continues to re-injure the area so that he can have surgery and be ready for OTA’s.

OG John Miller suffered what appeared to be a right knee injury on the scoring play by WR Zay Jones late in the 3rd quarter. Video is limited but he was pancaked and rolled back onto his own leg, appearing to twist his knee going down. He was able to walk off with a minor limp but yet another injury that does not appear to be serious. In the event that he needs to sit out any time, the coaching staff have been working in additional lineman to find the right scheme fits to spring the running game which appeared to be the case Sunday.

The most serious injury of the day is LB Matt Milano (head). The stalwart linebacker suffered a hard hit early in the 4th quarter that snapped his neck to the left upon contact with Milano going down instantly. It is unknown whether he lost consciousness but he was eventually able to stand up and enter the medical tent. On broadcast and initially getting up, he was favoring his left arm which may indicate that he suffered a stinger based on how he hit and the angle of his head/neck upon impact, but the more concerning injury is the blow to the head. He was eventually brought to the locker room for further evaluation but looking at video, there is cause for concern with a concussion. Whether he actually sustained one is not known yet, but in the event that he did, he will enter the concussion protocol as QB Derek Anderson is currently working through. Time will tell how he responds and hopefully he is cleared as he is having another standout season after a stellar rookie campaign.

Those that were questionable today going into the game were LB Tremaine Edmunds (concussion) and WR Andre Holmes (neck). Both appeared to play with full effectiveness and did not appear to be limited in their availability during Sunday’s win. I do not anticipate that they will continue to deal with their recent complaints and use the bye to rest up.

Overall, the Bills are in good shape going into the bye. While they are missing a lot of starters now, everyone with the exception of QB Derek Anderson appear to be ready to come back 100%. After the performance of QB Matt Barkley, there is question whether he should continue playing or to hand the reins over to QB Josh Allen. If Allen is 100%, play him and see what he can do. If there is any lingering issues which are possible considering the injury, rest him until he has no complaints or concerns. Barkley will eventually get figured out by opposing defenses which supports the idea that Allen should start, but at least the Bills have options moving forward. Personally, I would like to see Barkley or Allen starting Week 12 against the Jaguars, Anderson tutoring Allen as the 3rd QB, and QB Nathan Peterman cut and brought back on the practice squad to develop and be available if things go south.

As a fan, I am looking forward to having a week off from football. I do love the Bills, but they are mentally fatiguing at times and we all need rest. I suggest you all do the same. Over here at Banged Up Bills, continue to look for new content to help gear up for the remainder of the season. Feel free to ask questions or engage in discussions, I want you, the reader, to learn and understand these injuries so that you are a more educated fan and not a mindless lemming that is confused by clueless media reports regarding the health of the Buffalo Bills.

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

Week 7 Bills Injury Preview- Colts

Read up on the latest Bills injury news heading into Week 7 against the Colts!

Things are finally starting to calm down after an eventful start to the week. Between the regrettable loss to the Texans, initial speculation about QB Josh Allen’s elbow injury, followed by the hysterical fallout of the details following the injury, it’s been a week. Today’s post will review the Bills injuries going into the Colts game.

Those already ruled out at QB Josh Allen (right elbow) & RB Taiwan Jones (neck). We know all the nitty gritty details of the Allen injury along with reports are indicating he is expected to miss 2-3 weeks. I believe the team should use the bye week to its advantage and shelve him for 4 games with rest for 5 total weeks. Time will tell how he responds but the extra time can and will help him heal to prevent further issues or complications of the injury. As mentioned in my previous article, it can take 6-10 weeks for a ligament injury such as this to heal properly.

RB Taiwan Jones (neck) is however, a mystery. Jones presented on the injury report with a neck injury and did not practice all week. Reviewing film from the last game, he did not appear to suffer any jarring hits or injuries to his head/neck that would have led to an early exit from the game. He was also able to play in most of the special teams snaps, having one of the highest percentages on the team. We also know that he did not suffer a concussion, fracture, or any injury publicly reported. So at this point, things get tricky. There is no video to even consider a diagnosis, no reports to identify what is specifically going on with the complaint; only “DNP” & “neck”.

The next section is entirely speculation and does not infer or imply that this is what is he is dealing with. Just trying to identify possibilities so as to give a timeline for a return. Reviewing injury reports since Jones came in the league did not reveal any previous neck injuries which could identify chronic conditions. There also has not been any reported concussions during his time with Oakland & Buffalo. This leads me to believe this neck injury is more acute in nature. We also know that not all injuries are always reported which means he may have been dealing with a neck injury that finally became painful enough to sideline him. This could have been something a hit could have aggravated a minor injury, another possibility that something could have occurred in practice we are not aware of, or something totally unrelated. We did see last year that C Eric Wood suffered a now career ending neck injury that was largely unknown until a season ending physical. This is not to imply that Jones is dealing with an injury or situation as dire as Wood’s, but I am stating that we never quite know the whole story. Jones may be having localized neck pain limiting his ability to move his neck; he may be having pain along with numbness going down his arm classified as radiculopathy; he may be having cervicogenic headaches related to neck pain; just a small sample of issues that could be possible, though far from exhaustive. This neck pain could also be related to the horrific shot he took against the Chargers resulting in his gnarly head wound. He may only miss a week and return without limitations, or this may leave him sidelines for several weeks if symptoms persist. Without more information, I cannot confidently state what he may be dealing with. This will be something that we will have to wait for more information to come out or if the front office begins making roster moves as a result.

Others that dealt with injury from Sunday include DE Trent Murphy (ankle) and OG Vladimir Ducasse (left knee). Both are cleared to play and their injuries were relatively minor. Based on film, I can’t even quite specifically identify the exact injuries they sustained. Murphy took what appeared to be an awkward step which slowed him on that particular play and as a result, missed several plays after but was able to return. Ducasse was hit from behind and had another lineman fall onto him but was able to jog off though with a mild limp. He may have just fell on his knee directly, plus adding in ~300 lbs from another body could certainly cause some type of discomfort. We know the defensive line is on a rotation, it’s possible that Ducasse may be on rotational play if he continues to experience issues.

Others to watch out for is CB Taron Johnson (shoulder) and P Corey Bojorquez (shoulder). Both have some type of right shoulder instability evident with bracing. This could continue to limit their effectiveness, though much more apparent in Johnson’s case due to his position. Both have not been on the injury report recently and hopefully can continue to play until the end of the season when they can address the issue with possible surgery.

This wraps up another Bills injury preview with the Bills continuing to stay healthy. On the opposite end of the spectrum lies the Colts, who have been beset by injury which helps explain their 1-5 start. Here is a link to an overview of their injury report; they are still missing key contributors at this time. Despite QB Derek Anderson making his first start for the Bills, I expect the Bills defense to contain the Colts offense, forcing turnovers, and pulling out a win to move to 3-4.

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 Review- Titans

Read up on the latest injuries following the win over the Titans.

Leave it to the Bills to wait until the last second to pull out a win like that! K Stephen Hauschka’s game winning kick to give the Bills a 13-12 win over the Tennessee Titans propels Buffalo to a 2-3 record and momentum going into their Week 6 showdown in Houston. As always, today’s post will review the injuries sustained in Sunday’s win.

Those ruled out prior to the game include S Micah Hyde (groin), S Rafael Bush (shoulder), and RB Marcus Murphy (ribs). Hyde and Bush were not expected to play this week after not practicing all week and their availability may improve with this week’s practice. However, Murphy was inactive despite practicing in full all week and demonstrating that he was healthy. There is precedent for the Bills to rule a player inactive despite appearing healthy. Just the prior week, CB Phillip Gaines was ruled inactive with an elbow injury despite practicing in full. These may be personnel decisions or may be allowing these players to heal up more before rushing back to full contact.

Those injured during the game were minimal included P Corey Bojorquez (shoulder), CB Taron Johnson (shoulder), CB Tre’Davious White (ankle), and DT Kyle Williams (knee). However, only White made his way to the injury report. Possibly the most serious injury out of the bunch is Bojorquez. He suffered a right shoulder injury on a botched fake field goal attempt and sustained an unlikely injury in the process. He was observed later having had the shoulder wrapped with limited motion during running and in obvious pain at times. Based on the mechanism of injury, it appears that he may have suffered a SLAP lesion of the shoulder. SLAP stands for Superior Labral Anterior and Posterior which means that the top portion of the labrum tears; this is where the long head tendon of the biceps connects at.

Bojorquez suffered the shoulder injury late in the 2nd quarter as the result of the tackle and came up with significant discomfort. The reason why this is at least a SLAP lesion or subluxation and not dislocation is due to the fact that he was able to move his shoulder around and did not appear to require immediate manual reduction of the joint. This injury occurred as he was tackled; his arm was in an abducted and externally rotated position which places a lot of stress on the front part of the shoulder. This is also the motion that is required to throw a football.

As he is falling with his arm in that position, he has a defender falling on his body, preventing him from falling to allow him to brace for impact. When Bojorquez hits the ground, the body weight of the defender plus the ground lead to the arm to hyperflex which possibly led to the SLAP tear. During impact, it is also possible that he may have suffered an anterior subluxation of the shoulder, which is a partial dislocation to the area but able to self relocate. However, of all subluxations/dislocations, this is the most common with 97% of all these injuries occurring in this manner. In dislocations, the labrum tears and leads to instability in the shoulder. In the case of subluxation, there is a joint shift but a lesser chance of injury to the labrum. However, in most dislocations/subluxations, damage does occur and instability is present. This is also evident in SLAP lesions.

Symptoms seen with Bojorquez after the injury would most likely include difficulty with overhead motions, general strength deficits, and complaints of popping, locking, or clicking during movement, among other complaints. As with labral tears, this is not an injury that will heal up on its own and would require surgery to repair the damage. A normal person could live with this injury without surgery but due to the demands of the NFL, he would most likely require surgery later.

Despite this grim prognosis, Bojorquez may not miss any time or have any deficits come next game. He will have to strengthen the area and give it time to reduce pain and weakness, but otherwise he will be able to perform his regular punting duties as required. Thankfully he is not out of the field often and he can still play with his full ability without compensation. The only major deficit he may have is if the Bills want to run a fake field goal play; this may limit his abilities to throw the football effectively. He may eventually need surgery if it continues to give him problems but will not require it immediately; he may use bracing as seen with CB Taron Johnson.

Unfortunately, following with another shoulder injury, CB Taron Johnson suffered a re-aggravation to the right shoulder, as he has had in previous games. He did have to sit out several plays after but was able to return with overall effective play. He will have to continue to tackle with his left side to reduce further injury and missed time. While he continues to injure the area, this can and will lead to less forces required to sublux the shoulder, leading to greater instability and eventual surgery.

DT Kyle Williams suffered a right knee injury in the 3rd quarter but eventually resumed participation. Williams did return to his place in the rotation after sitting out 1-2 series but based on the injury, does not appear to be serious. Williams injured his knee as the result of having his right leg kicked out from under him which resulted in him falling directly on his knee without bracing for impact. This may have been more of falling directly on it and requiring some rest to reduce the initial shock of the impact. While Williams is on the injury report, he is listed as requiring a veteran rest day as he does every week. I do not see this injury causing any long term issues.

Finally, CB Tre’Davious White suffered an ankle injury during Sunday’s win and was limited in practice today. Reviewing film, there was not one specific play that revealed the injury. Add in the fact that White played in every defensive snap and all defensive field goal attempts makes this difficult to diagnose. This may have been an injury that he played through and did not realize until after the game or this may have been an injury that he sustained in practice today. Without conclusive video, it is rather difficult to identify what type of ankle injury he sustained. Either way, he was only limited in practice which on Wednesday is a good sign in order to play Sunday. Based on this information alone, this does not appear to be a serious injury but something that the Bills should be proactive about. This is far from a guarantee, but history serves us well when looking at availability.

This wraps up the injury review from Sunday. The Bills continue to be fortunate when dealing with injuries in terms of severity. While some of these injuries are significant in nature, they are able to be conservatively managed until there is a more opportune time to address the long term management of these conditions.

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 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!!