Monday Injury Rounds: Week 3

Jene Bramel's Monday Injury Rounds: Week 3 Jene Bramel Published 09/16/2019

Inseason injury coverage

Footballguys will again provide comprehensive injury coverage during the regular season.

My writing and podcast schedule will include:

Monday Injury Rounds > Published as soon as complete Sunday night and updated through Tuesday morning, this feature will review all the major injuries from the weekend's games, provide follow up analysis on injured players who have yet to return to play, and project when every injured player will return.

Waiver Wire Podcast > Tuesday morning release reviewing all injuries at the quarterback, running back, wide receiver, and tight end positions with Cecil Lammey and Sigmund Bloom heading into your weekly waiver run.

Midweek Injury Expectations > Published late Wednesday night after the first weekly practice participation report and updated through Thursday's practice report, this feature will detail the current practice participation of every listed player and project the likelihood each player will play in the coming week.

Thursday Live Audible podcast > Joining Cecil Lammey, Sigmund Bloom, and Matt Waldman at 900 ET every Thursday night for a comprehensive Q&A updating all player injuries.

Gameday Injury Expectations > Published Saturday, this feature will review the practice status of every injured player, provide analysis on player/coach/beat writer comments throughout the week, and discuss how likely and how effective each injured player will be on Sunday.

Injury Rounds

Drew Brees | Right thumb injury | Week 2 | 6-8 Weeks | Out Week 3

Brees hit his right hand on Aaron Donald's outstretched hand and did not return. Television angles did not show the injury clearly but did show the Saints' team physician examining the ligaments of Brees' thumb closely. My interpretation of the exam on replay is that there was more movement in the joint where the thumb meets the hand than there should be. That strongly suggests an ulnar collateral ligament injury, a theory that is supported by the method in which Brees' thumb was later taped and his inability to grip a football on the sideline.

Brees will undoubtedly have an MRI to further define his injury. If my interpretation is accurate, the severity of Brees' injury is important. It's possible the injury is minor and rest and rehab will be indicated, with Brees' return dependent on the stability of the ligament and ability to return to full grip strength. If the injury is higher-grade, surgical options become more likely. Either way, Brees is at risk of a multiple-week absence.

Expect the national media to follow Brees closely over the next 24 hours. Brees told reporters he was planning to see a hand specialist Sunday evening. Still, it's unlikely Brees will have imaging studies completed tonight and I don't expect to hear a specific update on his condition until Monday afternoon.

I'll update with any additional news as it's reported.

Sunday Update: Adam Schefter and Chris Mortensen are reporting Drew Brees will remain in Los Angeles to see noted orthopedic hand expert Steven Shin on Monday. Surgical options are likely to be discussed.

Monday Update: Ian Rapoport tweeted the Saints suspect a ligament injury. Brees will be evaluated by Dr. Steven Shin today, who developed a surgical procedure that allows quicker rehab and a shorter recovery timeline in athletes with the ligament injury Brees is presumed to have. Shin has returned baseball and basketball players in 5-6 weeks. That timeline may not prove accurate for a quarterback but provides a reasonable initial goal should Brees choose surgery.

A six-week recovery would put Brees up against the team’s Week 9 bye. New Orleans gets a divisional matchup against Atlanta in Week 10. If Brees has surgery, Week 10 may prove more realistic than Week 8. More to come on Brees throughout the day.

Monday Update: Earlier today, multiple reports suggested Brees was likely to have surgery and miss 6-8 weeks. However, Brees is continuing to evaluate his options. He has told local writer Mike Triplett he will meet with another hand specialist in Houston on Tuesday before making a decision on surgery. It's still likely Brees will have no recourse other than surgery but a final decision has not been made.

Ben Roethlisberger | Right elbow injury | Week 2 | Injured reserve | 2020 return

Roethlisberger reached for his right forearm and elbow after a second-quarter pass. He continued to look uncomfortable on subsequent pass attempts and did not return in the second half. Following the game, there were reports Roethlisberger was dealing with elbow pain and inflammation during practice.

The most concerning injury to a quarterback's elbow would be an ulnar collateral ligament (UCL) sprain. That's the ligament on the inside of the elbow commonly injured by baseball pitchers and repaired by the well-known Tommy John surgery. While it's impossible to rule out that injury in Roethlisberger's case, there are multiple clues arguing against it. First, it's unlikely Roethlisberger would have been allowed to continue to practice and play with a known UCL concern. Second, Roethlisberger reached to a different area of the forearm more consistent with a tennis elbow like injury or forearm muscle strain. Finally, the continued hand-shaking after his pass attempts might suggest tingling or burning related to a nerve injury.

Unfortunately, all of the above is speculation. Roethlisberger will have an MRI to further define the injury on Monday.

As with Brees, I'll update here with any additional news as it's reported.

Monday Update: Both Adam Schefter and Ian Rapoport are reporting concern about Roethlisberger’s status this morning. Schefter's tweet implies surgery will be a consideration, though Roethlisberger wants to — obviously— avoid having any procedures. While the precise details of Roethlisberger’s injury remain unknown, this morning’s reports portend an extended absence.

Monday Update: Unfortunately, my hopeful speculation above was incorrect. Though the Steelers have not confirmed a UCL injury, Roethlisberger's MRI showed damage requiring surgical reconstruction. Pittsburgh has already stated Roethlisberger will be placed on injured reserve. He'll need a minimum of six months to recover after surgery.

James Conner | Left knee injury | Week 2 | Awaiting Information | Questionable Week 3

Video showed Conner hyperextending his left knee on his final carry in the fourth quarter. After limping off the field and discussing his status with the Steelers' medical staff, Conner did not return.

Hyperextension injuries can lead to multiple types of injuries, including ligament sprains (primarily PCL injuries), bone bruises, and cartilage injuries. Without knowing more specifics, it's difficult to put an accurate timetable together. Low grade PCL sprains and bone bruises to non-weight bearing surfaces would not keep Conner out long. More severe sprains or structural damage could mean multiple weeks of rehab -- or more.

While it's the frustrating theme of the week, Monday's imaging studies will provide the necessary information to narrow Conner's recovery timetable.

Monday Update: Conner told a radio host there were no findings on his MRI that would keep him from playing this week. Limited practice participation is possible but Conner is trending toward playing this week.

Fast Track News and Notes

***Damien Williams did not return after a late third quarter run. Video was not conclusive but Williams went to the ground awkwardly before having a defender land hard on his lower thigh / knee area. Expect the Chiefs to update further on Monday.

***Devin Singletary pulled up on a fourth-quarter run and did not return. While it's possible to be fooled by a player's reaction to an injury, Singletary's hamstring injury looked like more than a low-grade strain.

***Michael Gallup will have arthroscopic surgery on his left knee to trim a damaged section of meniscus this week. The early timetable is 2-4 weeks. While DK Metcalf met the 2-3 week recovery estimate in time to play in Week 1, there's no guarantee Gallup will do the same. More extensive damage than expected during surgery or a slow start to rehab and recovery could extend the timetable.

Follow Up Appointments

Hunter Henry | Left tibial plateau fracture | Week 1 | 4-6 Weeks | Out Week 3

Henry continued to play after suffering a tibial plateau fracture -- a crack to the joint surface inside the knee on top of the shin bone -- in Week 1. There are variations of this injury. Some are large and displaced fractures to important weight-bearing areas of the knee joint. Those require surgery and carry long rehab timelines. Others aren't as significant and carry shorter timetables. Henry's injury is likely in the latter category.

Early estimates have Henry returning in 4-6 weeks, a timetable supported by the Chargers decision to carry him on the active roster rather than move him to injured reserve. A return in six weeks is much more likely than four weeks and he could be out longer. I'll have updates on Henry in future weeks as we learn more about his progress in rehab.

Sam Darnold | Mononucleosis | Week 1 | 3-6 Weeks | Out Week 3

Darnold was diagnosed with mono last week and ruled out for multiple weeks. While mono sometimes causes only a brief respiratory illness, the virus can also cause swelling of the spleen and liver inflammation. Any swelling of the spleen increases the risk of rupture of the organ, a life-threatening complication much more likely during contact sports. Stephania Bell of ESPN reported that one NFL team's medical protocol requires a minimum of three weeks recovery and observation before clearance to return. Although Darnold told reporters on Sunday he did not feel significantly ill, he acknowledged a similar timetable.

Darnold will have weekly examinations and imaging studies to continue to evaluate his spleen. It's possible Darnold will be cleared to practice with a Week 5 return in mind. However, any ongoing inflammation and enlargement of his spleen will lengthen his return timetable.

INJURED PLAYERS ON ACTIVE ROSTER

Quarterbacks Injured | On the Active Roster
Player
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Drew Brees NO Right thumb injury Week 2 6-8 Weeks Week 8++ Return Out Week 3
Ben Roethlisberger Pit Right elbow sprain Week 2 Injured reserve (exp) IR | Eligible to return W12 2020 return
Sam Darnold NYJ Mononucleosis Week 1 3-6 Weeks Week 5++ Return Out Week 3
Trevor Siemian NYJ Left ankle injury Week 2 Awaiting information Awaiting information Out Week 3
Colt McCoy Was Right fibula fracture fixation Dec 2018 - April 2019 Week-to-Week Week 4+ Return Out Week 3
Blaine Gabbert TB Left shoulder dislocation Preseason Week 3 Week-to-Week Week 3+ Return Questionable Week 3
Nate Sudfeld Phi Left forearm fracture Preseason Week 1 6 Weeks Week 3+ Return Questionable Week 3
Running Backs Injured | On the Active Roster
Player
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Pit
Left knee hyperextension
Week 2
 Day-to-Day Week 3+ Return Questionable Week 3
Ari
Left wrist injury
Week 2
 Day-to-Day Week 3 Return Probable Week 3
KC
Knee injury
Week 2
 Awaiting Information Awaiting Information Questionable Week 3
KC
Ankle injury
Week 2
 Awaiting Information Awaiting Information Questionable Week 3
Buf
Left hamstring strain
Week 2
 Awaiting Information Week 3+ Return Questionable Week 3
SF
High ankle sprain
Week 1
 Week-to-Week Week 5+ Return Out Week 3
Phi
 Right shoulder subluxation
Week 2
 Week-to-Week Week 4+ Return Out Week 3
Cle
Core abdominal muscle repair
Preseason Week 4
 4-6 Weeks Week 10 Return Suspended thru Week 8
Cin
Left foot injury
Preseason Week 1
 Week-to-Week Week 3 Return Questionable Week 3
NE
Hamstring strain
Week 1
 Week-to-Week Week 3+ Return Questionable Week 3
Wide Receivers Injured | On the Active Roster
Player
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Tyreek Hill KC Right sternoclavicular dislocation Week 1 5-6 Weeks Week 7 Return Out Week 3
A.J. Green Cin Left ankle injury Early preseason 6-8 Weeks Week 4++ Return Out Week 3
Alshon Jeffery Phi Calf strain Week 2 Day-to-Day Week 3+ Return Questionable Week 3
DeSean Jackson Phi Groin injury Week 2 Awaiting Information Week 3+ Return Questionable Week 3
Michael Gallup Dal Left knee meniscectomy Week 2 2-4 Weeks Week 5+ Return Out Week 3
Sterling Shepard NYG Concussion Week 1 Concussion protocol Week 3+ Return Questionable Week 3
Cody Latimer NYG Concussion Week 2 Concussion protocol Week 3+ Return Questionable Week 3
Darius Slayton NYG Hamstring strain Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Albert Wilson Mia Aggravated calf strain Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Tre'Quan Smith NO Left high ankle sprain Week 2 Awaiting Information Week 3++ Return Doubtful Week 3
Marqise Lee Jac Knee soreness Chronic Week-to-Week Week 3+ Return Questionable Week 3
Demaryius Thomas NYJ Aggravated hamstring strain Week 2 Week-to-Week Week 5+ Return Doubtful Week 4
Tavon Austin Dal Concussion Week 1 Concussion protocol Week 3+ Return Questionable Week 3
David Moore Sea Humerus fracture Preseason Week 3 4-6 Weeks Week 3+ Return Doubtful Week 3
Trent Taylor SF Right fifth metatarsal fracture Preseason Week 1 4-6 Weeks Week 4++ Return Out Week 3
Jalen Hurd SF Back injury Preseason Week-to-Week Week 3+ Return Questionable Week 3
Tight Ends Injured | On the Active Roster
Player
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Hunter Henry LAC Left tibial plateau fracture Week 1 4-6 Weeks Week 7+ Return Out Week 3
David Njoku Cle Concussion Week 2 Concussion protocol Week 3+ Return Doubtful Week 3
Dallas Goedert Phi Calf strain Week 2 Awaiting Information Week 3+ Return Doubtful Week 3
Jordan Reed Was Concussion Preseason Week 3 Concussion protocol Week 3+ Return Questionable Week 3
Tyler Higbee LAR Lung contusion Week 2 Week-to-Week Week 4+ Return Doubtful Week 3
Ben Watson NE Concussion Preseason Week 3 Concussion protocol Week-to-Week Suspended four games
Tyler Kroft Buf Right foot fracture fixation revision May 2019 Week-to-Week Week 3+ Return Probable Week 3
Josh Oliver Jac Hamstring strain Early preseason Day-to-Day Week 4+ Return Doubtful Week 3
Offensive Linemen Injured | On the Active Roster
Tackles
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Joe Staley SF Left fibula fracture Week 2 6-8 Weeks Week 10+ Return Out Week 3
Taylor Decker Det Back injury Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Isaiah Wynn NE Toe injury Week 2 Awaiting Information Week 4+ Return Doubtful Week 3
Caleb McGary Atl Left leg injury Week 2 Day-to-Day Week 3+ Return Probable Week 3
Cam Robinson Jac Right knee sprain Week 1 Week-to-Week Week 3+ Return Probable Week 3
Cedric Ogbuehi Jac Hamstring strain Preseason Week 4 Week-to-Week Week 4+ Return Doubtful Week 3
Marcus Cannon NE Left shoulder injury Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Greg Little Car Concussion Preseason Week 3 Concussion protocol Week 3+ Return Doubtful Week 3
Cordy Glenn Cin Concussion Preseason Week 2 Concussion protocol Week 4+ Return Doubtful Week 3
Andre Smith Cin Groin strain Week 2 Day-to-Day Week 3+ Return Probable Week 3
Kendall Lamm Cle Knee injury Week 1 Week-to-week Week 3+ Return Doubtful Week 3
Guards
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Gabe Jackson Oak Left MCL sprain Preseason Week 1 6-8 Weeks Week 3+ Return Doubtful Week 3
Pat Elflein Min Knee injury Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Austin Blythe LAR Left ankle injury Week 2 Awaiting Information Week 3+ Return Doubtful Week 3
Senio Kelemete Hou Wrist injury Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Kevin Pamphile Ten Left knee injury Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Michael Jordan Cin Knee injury Week 2 Week-to-Week Week 4+ Return Doubtful Week 3
Centers
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Jason Kelce Phi Concussion Week 2 Concussion protocol Week 3+ Return Questionable Week 3
Defensive Players Injured | On the Active Roster
Edge Rushers
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Dee Ford SF Quadriceps tendinitis Chronic Day-to-Day Week 3 Return Probable Week 3
Robert Quinn Dal Left hand fracture Preseason Week 1 Week-to-Week Week 3+ Return Probable Week 3
Yannick Ngakoue Jac Hamstring strain Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Ezekiel Ansah Sea Shoulder labrum repair / Groin strain Preseason Week 2 Day-to-Day Week 3 Return Probable Week 3
Bruce Irvin Car Hamstring strain Preseason Week-to-Week Week 3+ Return Questionable Week 3
Jabaal Sheard Ind Knee inflammation Early preseason Week-to-Week Week 3+ Return Questionable Week 3
Kemoko Turay Ind Neck injury Week 1 Week-to-Week Week 3+ Return Questionable Week 3
Defensive Linemen
Team
Injury
Date
Player/Team Says
FBG Expects
Notes
Photos provided by Imagn Images
Tags:
Injuries Johnathan Abram Mackensie Alexander Robert Alford Jonathan Allen Alex Anzalone Tavon Austin Michael Badgley Brandon Bolden A.J. Bouye Oren Burks Corey Clement Tevin Coleman James Conner Sam Darnold Jarrad Davis Sean Davis Darqueze Dennard Pierre Desir Aaron Donald Justin Evans Nick Foles Dee Ford Poona Ford Blaine Gabbert Michael Gallup Dallas Goedert A.J. Green Kamu Grugier-Hill Hunter Henry Tyler Higbee Tyreek Hill Kareem Hunt Bruce Irvin DeSean Jackson Malik Jackson Derwin James Jr. David Johnson Taron Johnson Micah Kiser Tyler Kroft Shaquille Leonard Drew Lock Colt McCoy Jerick McKinnon DK Metcalf Jalen Mills David Moore Fabian Moreau C.J. Mosley Yannick Ngakoue David Njoku Robert Nkemdiche Josh Oliver Adrian Phillips Jason Pierre-Paul Robert Quinn Sheldon Rankins Ben Roethlisberger Jabaal Sheard Sterling Shepard Trevor Siemian Jeffery Simmons Devin Singletary Darius Slayton Jimmy Smith Equanimeous St. Brown Jace Sternberger Ryan Succop Nate Sudfeld Trent Taylor Jordan Thomas Tedric Thompson Kemoko Turay Jason Verrett Jimmie Ward Kahale Warring Avery Williamson Damien Williams Quinnen Williams Trayveon Williams Albert Wilson Antwaun Woods Tavon Young
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