Extra Points

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Injury Aftermath: Week 10

by Andrew Potter

Rams Receiver Cooper Kupp -- Knee (IR)

Last week, Cooper Kupp made an uncommonly quick return from a sprained MCL to score a touchdown for the Rams in New Orleans. This week, he paid a heavy (though unrelated) price: Kupp suffered a torn ACL against the Seahawks and will miss the rest of the season. Now that we are into mid-November, the likely timeline for ACL recovery begins to impinge on next year's preseason; Kupp is likely to miss most of the team's offseason program as he rehabilitates his injured knee. He may begin the year on the Reserve (Physically Unable to Perform) list, but should at least have a strong chance to be healthy for the 2019 season opener.

During Kupp's previous absence, his draft classmate Josh Reynolds saw an uptick in snaps, targets, and receptions. Reynolds also looks the most likely replacement this time around, but despite a two-touchdown showing against the Packers, he has yet to come close to Kupp's usual target share, number of catches, or yardage production in any game of his young career.

Eagles Cornerback Ronald Darby -- Knee (IR)

Eagles head coach Doug Pederson confirmed today that starting cornerback Ronald Darby, who missed a chunk of last season after dislocating his ankle, will now miss the rest of this season after tearing his ACL against the Cowboys. With safety Rodney McLeod already on injured reserve after rupturing his MCL in October, the struggling Eagles now have half of their preferred secondary on injured reserve. With Jalen Mills and Sidney Jones also hurt, they were forced to turn to undrafted rookie Chandon Sullivan against the Cowboys. They visit New Orleans in Week 11, so their secondary woes could hardly have come at a worse time. Darby is an unrestricted free agent after this season and looked set to be one of the top free agents at his position, but he will probably now spend most of the offseason rehabilitating his knee.

Chargers Linebacker Denzel Perryman -- Knee/Hamstring (IR)

Ian Rapoport reports that Denzel Perryman injured both his hamstring and his lateral collateral ligament (LCL) on the second play of the Chargers' victory in Oakland. A high-grade LCL tear -- an unusual isolated ligament injury, as with Martavis Bryant's PCL injury below -- would probably be enough on its own to keep Perryman out for the rest of the regular season. The addition of the hamstring injury, which is severe enough to require surgery, means that he will not return for a potential playoff campaign either. In Perryman's absence, Jatavis Brown played 97 percent of defensive snaps -- a season high for him -- and the outside linebacker is expected to move inside to Perryman's spot.

Jaguars Center Brandon Linder -- Knee (IR)

Head coach Doug Marrone confirmed that center Brandon Linder will require surgery on the knee injury he suffered against the Colts, and Linder will be placed on injured reserve. He becomes the second Jaguars lineman to have season-ending knee surgery, after left tackle Cam Robinson tore his ACL in September. Tyler Shatley, who filled in at center when Linder missed time last season, will start in Linder's stead. The Jaguars are expected to add another interior lineman when Linder is placed on injured reserve -- possibly recently-released Patrick Omameh, who played for the team last season before joining the Giants as a free agent.

Recently signed tackle Ereck Flowers, making his first start for the Jaguars, also injured his knee; no further specifics are available for Flowers.

Raiders Receiver Martavis Bryant -- Knee

Martavis Bryant suffered an apparent mid- to high-grade PCL (posterior cruciate ligament) sprain against the Chargers and is expected to miss time. This is relatively uncommon as an isolated injury; most PCL tears are collateral damage in more severe knee injuries such as ACL, MCL, or cartilage tears. As a result, we do not have specific return-to-play data for isolated PCL sprains. The Raiders hope that Bryant will avoid the need for surgery, which should mean that he will not be placed on injured reserve. He is expected to miss the rest of November, but he should be able to return in December in the likely event that the Raiders choose to keep him on the active roster.


The following players left their respective games with concussion symptoms and enter the league protocol:

  • Bengals cornerback Dre Kirkpatrick
  • Bills linebacker Matt Milano
  • Dolphins cornerback Bobby McCain
  • Packers guard Lucas Patrick

Patrick's injury is particularly notable as the offensive lineman sustained it while returning a squibbed kickoff. With the Packers playing the Seahawks on Thursday night, he is very unlikely to clear the protocol in time to suit up.

Other Injuries

Bills cornerback Taron Johnson has been battling a shoulder injury for most of the season, and this forced him out of the game against the Jets. The score was probably a factor; Johnson is managing his pain, but he is expected to continue to play through the injury. The Bills have a bye in Week 11, so Johnson will at least have an opportunity to rest and recuperate for a few days before they host the Jaguars in Week 12.

Buccaneers linebacker Lavonte David hurt his knee against Washington, but he was able to return to the game in the third quarter. He is not expected to miss time.

Cardinals guard Justin Pugh injured his left knee against the Chiefs and did not return to the game. No further specifics are yet available.

Colts defensive end Carroll Phillips left Sunday's game with a groin injury and did not return. Just over half of groin injuries cause defensive linemen to miss time; around 25 percent result in absences of three or more weeks. Most players (around 80 percent) are off the injury report within four weeks.

Cowboys defensive tackle Daniel Ross injured his calf against the Eagles and did not return. Around 60 percent of calf injuries to defensive linemen cause at least one missed game, and around 25 percent cause absences of four or more weeks. Ross may be only a depth player, but he has played around 25 percent of defensive snaps this season so his absence may mean an increased workload for the other interior linemen. Guard Zack Martin left with a knee injury after La'El Collins unwittingly drove an Eagles pass-rusher into the back of Martin's legs, but Martin was able to return. Martin has been playing through a sprained MCL, so the fact that he was able to return is very good news for the Cowboys. Martin's temporary replacement against the Eagles was Adam Redmond.

Dolphins kick returner Jakeem Grant aggravated his Achilles injury while running a route on offense against the Packers and did not return to the game. Though the initial fear was an Achilles rupture, MRI scans have confirmed that the tendon is intact. Grant is expected to miss time, but the Dolphins do not believe his season to be over as initially feared. Receiver Devante Parker hurt his shoulder and left the stadium with his arm in a sling, but the exact injury has not yet been confirmed. As with Grant, Parker may miss time but is not expected to miss the remainder of the season. Historically, only around 40 percent of shoulder sprains cause receivers to miss time; the numbers are even more favorable for unspecified shoulder injuries. Absent a severe sprain, fracture, or dislocation, Parker is unlikely to miss more than a couple of weeks with the injury.

Lions receiver Marvin Jones hurt his knee against the Bears, but the injury is not considered serious. Halfback Kerryon Johnson hurt his ankle but is likewise not expected to miss time. Punter Sam Martin was taken to hospital in an ambulance when he spat up blood after the game, but after being evaluated he was cleared to fly home with the team.

Packers safety Kentrell Brice suffered a reported bone bruise in his ankle, and is unlikely to play on Thursday night against the Seahawks. He is considered week-to-week, giving him a chance to return against the Vikings in Week 12. Linebacker Nick Perry also left the game with a knee injury, also did not return, and is also likely to miss the trip to Seattle. Perry was already struggling with an ankle injury ahead of the game against the Dolphins. Cornerback Bashaud Breeland hurt his groin, but was able to return to the game.

Patriots receiver Julian Edelman, tight end Dwayne Allen, and left tackle Trent Brown all left the team's blowout defeat in Tennessee with injuries, but all are expected to be available following the team's Week 11 bye. The same is true of star tight end Rob Gronkowski, who has been in and out of the lineup this season with back trouble.

Redskins stand-in left tackle Ty Nsekhe left Sunday's win in Tampa Bay with an ankle injury, but did return to the game. He is not expected to miss time. His backup, however, rookie Geron Christian, has been placed on injured reserve after tearing his MCL against the Buccaneers.

Saints receiver Dez Bryant, who was only signed last week, tore his Achilles at the end of his first practice and will miss the rest of the season. The team signed fellow veteran Brandon Marshall this week to replace Bryant. Left tackle Terron Armstead left Sunday's game with a shoulder injury and did not return, but no further news is yet available. Given that the Saints led 38-7 at the time, his removal from the game may have been precautionary. We will update if further news comes available.


5 comments, Last at 15 Nov 2018, 6:13am

1 Re: Injury Aftermath: Week 10

by Raiderjoe // Nov 12, 2018 - 5:29pm

Reynolds ir G. Everett to replace Kupp. Hard to get street freee agent to replace Kupp especially simce b. Marshall did or alresdy wiol sign with zsaimts. Everett looks like potrntial good player. Reminds of Q. Enunwa wr NyJ and J. Smith TE Oil/Tit.

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2 Re: Injury Aftermath: Week 10

by Jose21crisis // Nov 12, 2018 - 9:26pm

James Conner also left (Or was pulled out) the game against the Panthers with a concussion. Don't know if he cleared the league's concussion protocol, but it's still worth mentioning.

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3 Re: Injury Aftermath: Week 10

by Megamanic // Nov 14, 2018 - 7:40pm

Just a request for some injury analysis which seems timely because he's listed as Limited Practice - What "Foot Injury" could keep Joey Bosa sidelined for over 10 weeks?

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4 Re: Injury Aftermath: Week 10

by Andrew Potter // Nov 15, 2018 - 5:38am

Reports I've read suggest that it's a bone bruise or a tendon issue -- those could be closely aligned if the bruise is at the spot where the tendon meets the bone. A bone bruise isn't like a soft tissue bruise, and takes longer to heal. It's similar to a fracture, except the surface of the bone (periosteum) remains intact; only the interior of the bone is damaged. That could then mean the bone isn't quite strong enough to anchor the tendon under the load of a full-speed Joey Bosa. It's complicated by the fact that he aggravated the injury after the start of the regular season, so it's not just the initial injury that's kept him out this long.

Incidentally, this relates to the reason a mere "bone bruise" ended Sam Bradford's season last year. At the end of long, load-bearing bones that lead into joints, the periosteum is replaced by joint cartilage. As I understand it (standard I Am Not A Doctor disclaimer applies) in Bradford's case, the cartilage in his knee is completely eroded after repeated ACL injuries and the resultant surgeries. Hence, a layer of bone tissue that would normally be protected by either periosteum or cartilage is left exposed. That internal tissue is then much more likely to be damaged, and be damaged more severely due to the lack of any protective layer. Added to the fact that the knee joint necessarily bears the full weight of a professional quarterback, that was enough to keep Bradford out for almost the entire season.

That are other foot injuries that could have Bosa's timetable, including Lisfranc sprains and fractures, but I'm fairly confident either of those injuries would have been reported as such.

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5 Re: Injury Aftermath: Week 10

by Megamanic // Nov 15, 2018 - 6:13am

Thanks Andrew for the prompt and extensive reply. Might be a good addition to a column when / if Bosa plays or if a similar injury occurs (which I wish on no player - even Raiders :) so all this work gets a bigger readership.

I'll admit to being a shade frustrated in how long it's taken to resolve. Gates was getting pain killing injections when he had plantar fasciitis a few years back so my inexpert mind was equating the two...

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