September 14, 2010 by staff
The NFL has put a spotlight on the management of shock with new guidelines regarding return to play after these injuries. But the outbreaks became much brighter after several key players went down with injuries concussion in the first week of the football season. People are paying close attention to how you manage these players after the injury and will be no surprise to see a more conservative approach adopted in the league. For fantasy owners that means not wasting time in obtaining a replacement, just in case.
Beyond concussions, there were several other injuries on the day that may justify a realignment of its list of fantasy, namely, a big one at Green Bay. This is what we know as the preparations for Week 2 start.
Ryan Grant, RB, Green Bay Packers: Packers running back line has not missed a game due to injury in three seasons. Unfortunately, it will not extend that streak to four. Grant is expected to be placed on injured reserve after suffering a serious ankle injury that will require surgery and prolonged rehabilitation time.
Grant suffered the injury in Week 1 when the outside of the leg has moved on. His leg was forced inward while the sole of his right foot pointed outward, and he was clearly in pain after the injury. Reports relating to undergo surgery to track grant by the magnitude of the damage. NFL.com ‘s Steve Wyche reports that Grant will have a screw inserted ESPN and Adam Schefter reports that Grant will be on crutches for 10-12 weeks. The details emerging suggest that Grant suffered a grade III syndesmosis injury, more commonly known as a sprained ankle. Already more complicated than the common lateral ankle sprain, a Grade III sprain of the ankle which represent the most severe form of this injury.
In the case of a grade III sprain, the ligaments that hold the two leg bones (tibia and fibula), where they form the “roof” of the ankle (hence the term “high” ankle) is torn. The two bones can separate the creation of a major instability in the ankle. Surgery is the standard form of treatment in this case where the screws are typically inserted to provide stability. The details of the surgery and subsequent rehabilitation will depend on the total extent of damage in the ankle and, in some cases, higher up the leg. The Milwaukee Journal Sentinel is reporting that Grant has a small fracture in the tibia above (the outermost of the two lower leg bones), which, although not as severe as the primary lesion, in addition to damages. The magnitude of the injury to Grant will not be known until after surgery.
total healing is needed to help prevent further complications in the ankle so it would not be surprising that this would mean the end of the season, Grant. That said, the players have returned from this injury before, so do not necessarily represent a threat to his career.
Brandon Jackson, who replaced Grant in the second quarter of Sunday’s game after the injury, is expected to be the starter this week.
Kevin Kolb, QB, Philadelphia Eagles: Kolb suffered a concussion in Sunday’s loss to Green Bay Packers and not looking like he will be available this week. While Kolb evaluation will occur continuously throughout the week, it was clear on Monday that it had not improved sufficiently to proceed with preparations for Week 2.
According to Comcast SportsNet, Kolb did not pass tests administered by team doctors on Monday and was sent home from the ease of the practice later. In addition to assessing symptoms player who remains a concussion (for the presence of headache, nausea, dizziness, among other things), medical personnel perform neurocognitive tests, which measures how the brain is processing information. Before a player returns, must be free of all signs and symptoms of concussion at rest and during and after activity. Furthermore neurocognitive test results to return to baseline (according to the comparison of the results post-concussion baseline tests performed prior to the start of the season). Each player gets a concussion should also be cleared to practice and play not only by the team doctor, but also by an independent consultant neurological according to NFL guidelines revised in January 2010.
It is important to note that while a player is recovering at rest the brain from the stress of physical activity should also refrain from mental effort also could tax the brain of healing. As a result, can not see the movie, the study playbooks, attend meetings or participate in other forms of game day preparation. Your only job right now is rest.
At this point, it seems unlikely that Kolb is ready to start in week 2 (click on Michael Vick), but the situation is fluid. Head coach Andy Reid said it is his unquestioned starter if healthy Kolb how it progresses day to decide on their status.
Matthew Stafford, QB, Detroit Lions: After getting both the knee and his right shoulder does not heal in the offseason, Stafford did not have much time to enjoy one week experience. Late in the first half, Stafford was forced to quit the game after a sack where your shoulder the burden of absorbing contact with the turf. Since this is the main mechanism by which quarterbacks to shoulder injuries (just ask Stafford to tell you how he injured his left shoulder last season), it was no surprise to learn that in fact suffered a sprain of the acromioclavicular joint (AC), also known as a separated shoulder. The problem this time is that it is his throwing arm. Last year, while uncomfortable, Stafford might intestine through most of the season due to his pitching arm was unaffected. Not this time.
According to the Detroit Free Press, Stafford could barely lift his arm after the game, a hallmark of the signs of an AC sprain. Stafford was wearing a sling to support the damaged joint and will spend the first few days primarily resting on the shoulder. Over the coming weeks, the aim will be to restore range of motion and strength, followed by a return to launch the program.
Stafford has gone to the reports, Birmingham, Alabama, to get a second opinion from Dr. James Andrews. This is no surprise since he underwent minor surgery on the knee Stafford in December. The expectation is that it requires surgery, which is a grade II sprain or moderate. Even in the case of a full degree sprain or AC III, a surgical solution is not automatic. St. Louis Rams quarterback Sam Bradford suffered a grade III injury in his right shoulder last year, while in Oklahoma. Originally, it was the operation was a new shoulder injury itself, several weeks after which ultimately led him to opt for surgery.
Stafford is the key to allowing sufficient time for damaged ligaments heal. As there can be a bit of variability within the category of Grade II sprains, it is difficult to give a definitive timetable. That said, the Lions are probably looking at a range of between three and eight weeks to recover Stafford not only to the point of being able to throw effectively, but for re-absorbing contact with minimal fear of reinjury.
Other quick hits:
• St. Louis Rams running back Steven Jackson had a bit of swelling in his right knee after Sunday’s game, which led to an MRI on Monday. The reports St. Louis Post-Dispatch that head coach Steve Spagnuolo expects Jackson to be fine, but it is important to keep an eye on what he does in practice this week. It is worth noting that Jackson saw limited action in the preseason as he came from a back surgery so this may be a function of more work.
• Carolina Panthers quarterback Matt Moore suffered a concussion on Sunday, as New York Giants tight end Kevin Boss. Moore has already reported improvement, but that does not mean the Panthers will have it all less seriously. His status will be day to day. In the case of Boss’, which represents its shock others, including three years. Caution is definitely warranted here. It would be surprising to see Boss in the lineup this week.
• Arizona Cardinals running back Beanie Wells was the day one as expected with a bruised knee, but coach Ken Whisenhunt has well let users know that their fantasy of the second year is expected to return to practice Wednesday. If well tolerated the practice well, then fantasy owners should also expect him to be back on the field Sunday.
• Houston Texans tight end Owen Daniels was in for more plays on Sunday as planned. That said, it was rarely a target. Sunday was his first game action since undergoing reconstruction of anterior cruciate ligament, so fantasy owners should expect to take a few weeks to catch up.
• In the department of discouraging news, the Philadelphia Eagles fullback Leonard Weaver, suffered one of the most gruesome injury of the weekend and takes place during the year. Weaver’s foot was planted while the knee was visibly hyperextension and rotation. The Eagles have officially placed him on injured reserve with a torn anterior cruciate ligament, but the extent of the injury can not be appreciated until he undergoes surgery. Meanwhile, the New York Jets nose against Kris Jenkins broke the anterior cruciate ligament left on Monday night, the same ACL reconstructed last year alone. For both players, there must be some doubt as to whether to return to football.
We will continue to update these injuries and others as the week progresses.
See you at the injury chat (Tuesday and Friday 3-4:00 pm EST) and we will have the latest injury updates affecting Week 2 in the Saturday morning blog!
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