Sano initially experienced pain in the elbow last October while playing in the Dominican Winter League and an evaluation revealed a partial tear. After consultation with the team’s medical staff coupled with a second opinion from Dr. James Andrews, Sano underwent a period of rest and rehabilitation. However, when the symptoms resurfaced during spring training, the decision was made to proceed with surgery. According to the Minneapolis Star Tribune, Sano is expected to undergo surgery within the next two weeks. Dr. David Altchek, team physician for the New York Mets, will perform the procedure at the Hospital for Special Surgery in New York.
Tommy John surgery is nothing new in baseball, but it is far more common in pitchers than position players. In fact, according to a recent survey of major league players who had undergone the procedure, only 17 percent were non-pitchers. Of all the infielders responding to the survey, less than 5 percent had a reconstructed UCL. In other words, the injury is not common in this demographic. Considering Sano is so young in his professional career, it begs the question as to why his ligament failed. While there is no way of knowing what all the contributing variables might be (including Sano’s specific medical history), most young position players who sustain such an injury have spent a fair amount of time pitching somewhere along the way.
The good news is that the success rate for the procedure remains high and, for position players, the recovery time is considerably shorter. Pitchers spend months re-introducing their body to the throwing motion and helping the arm adapt to various pitches, particularly breaking balls; position players do not have the same demands on their arm. As for the effects on a hitter, there is no data to suggest that reconstruction of the UCL has any impact on power, which is good news for Sano, the player ESPN.com’s Keith Law labeled “the best pure offensive prospect in the minors.” The biggest challenge in returning to full game play for a non-pitcher usually comes with making hard defensive throws, such as across the body from third to first.
As for Sano’s timetable, the typical recovery period for a position player ranges from eight to 12 months, compared to the 12 to 16 months usually required for a pitcher. If all goes well, Sano could begin hitting approximately 16 weeks post-surgery and he should have no trouble being ready for next spring. In fact, he could be ready sooner if there are no setbacks. With that in mind, the Twins are leaving open the possibility that Sano could serve as a DH in the latter part of the minor league season, allowing him to continue to develop his hitting.
The bottom line is while this injury represents a temporary setback for Sano and for those who were looking forward to seeing him play, it should be viewed as just that, temporary. As they say, good things come to those who wait.
It’s also a very different week for NFL teams depending on their status heading into Sunday. For those that are trying to win their division or secure playoff hopes, it is imperative they have their best players on the field. Those already guaranteed a part of the postseason action may consider resting some of their stars or at least removing them from this week’s game early. In other words, fantasy nightmares are all around us.
From the injury standpoint, here’s what we know as of Saturday afternoon:
Aaron Rodgers, Green Bay Packers, collarbone (P): And so it has come to pass. Rodgers has been cleared to return to the football field and has been named the starter for Sunday’s decisive NFC North matchup against the Chicago Bears. Enough has been written about Rodgers’ injury, but what are we to expect upon his return? It’s tough to imagine a quarterback missing seven weeks and not looking a little rusty, but if anyone could adjust quickly to being back in a game, it’s likely to be a signal-caller as consistent as Rodgers. What about the risk of re-injury? Coach Mike McCarthy perhaps said it best at the news conference when he announced Rodgers’ return. The organization (whose opinion, one would imagine, is framed by insight from the medical staff) believes he is at no greater risk than any other player stepping on the field Sunday.
“Every football player that plays in this game Sunday will have risk. I think we all understand that," McCarthy said. "So we've done our due diligence, we've gone through all the evaluations, and we feel it is time. Aaron is ready to play."
There must be sufficient evidence of bone healing to justify his return, knowing he is likely to absorb at least some contact, including potentially a direct blow to the left shoulder or clavicle (collarbone). There are never any guarantees that a player who sets foot on the field on any given Sunday will emerge unscathed; the same applies to Rodgers. It appears the difference this week is the team believes his risk is the same as any other player's.
Carson Palmer, Arizona Cardinals, right elbow (P): Palmer played through ankle and elbow injuries to lead his team to victory in Seattle. OK, so it wasn’t perfect and he did throw four interceptions, perhaps due at least in part to his physical ailments. He was out there nonetheless, and it appears he will be again this week to face the 49ers.
EJ Manuel, Buffalo Bills, knee (D): Remember how heading into Week 16 coach Doug Marrone said that despite Manuel missing that contest due to his knee injury he was “110 percent” certain Manuel would return for Week 17? Maybe he was a bit overconfident. Manuel did return to do some limited work in practice but clearly is struggling enough with his latest knee issue -- an LCL sprain in his left knee, the same one he had meniscus surgery on in the preseason -- that the team neither thinks he can be effective nor deems his presence worth the risk. He is not going to play this week, but the topic of Manuel’s knees will certainly resurface heading into 2014.
Tom Brady, New England Patriots, right shoulder (P): It’s almost not worth mentioning, but he’s on the injury report, so we mention it. Brady will play as he always does.
Cam Newton, Carolina Panthers, ankle (P): Newton’s ankle has been an annoyance for him the past couple weeks, but it hasn’t kept him from taking the field. It hasn’t even cost him any time in practice. He is expected to make his usual start.
Peyton Manning, Denver Broncos, ankle (P): See note in above entry for Tom Brady. Manning, like Brady, remains on the injury report because of what is a chronic ailment he has to deal with during the season. And like Brady, he will play in a way that makes us forget he was on the injury report.
Drew Brees, New Orleans Saints, knee (P): The addition of Brees to the injury report after a limited Wednesday practice rounds out the top fantasy quarterbacks making the list this week. Like the other top quarterbacks, there is no danger of Brees sitting this one out, as the probable tag indicates.
Eddie Lacy, Green Bay Packers, ankle (P): Lacy has already shown that he can play through the ankle sprain, but it may be getting tougher as the weeks wear on. He did not practice until Friday, and even then it was only a limited workout. Obviously it is in the team’s best interest at this point to rest (and treat) Lacy’s ankle as much as possible during the week in order to optimize what he can do on Sunday. There is no doubt on Lacy’s part that he will play Sunday and push through the discomfort. The question may be whether he will hold up to a full workload, something that will get answered only as the game evolves.
Ray Rice, Baltimore Ravens, thigh (Q): Rice is back on the injury report with a thigh injury that limited him in practice throughout the week. This has the feel of being linked to his hip injury early in the season, despite Rice’s denials. Perhaps that is because his comments to reporters earlier in the week seemed to reflect on how the injury (or injuries, whether directly or indirectly related) affected his performance. “It’s life,” Rice said, according to the Baltimore Sun. “From a personal standpoint, understanding that I played through a lot this year.” He went on to state that he plans to focus this offseason on whatever it takes to come back better than ever next year. Unfortunately for fantasy owners playing in matchups this weekend, a totally healthy Ray Rice is not going to be an option.
Maurice Jones-Drew, Jacksonville Jaguars, hamstring (P): Jones-Drew may not be fully recovered from his hamstring injury, but he is doing more than he was at this time last week. After resting Wednesday, Jones-Drew got in limited work Thursday and Friday. At probable, he is expected to play in the team’s final game.
Andre Brown, New York Giants, concussion (P): Brown returned to full practices Thursday and Friday. Successful back-to-back practices along with the probable tag bode well for Brown playing Sunday.
Shane Vereen, New England Patriots, groin (Q): Vereen was a limited participant in practice throughout the week after sustaining a groin injury Sunday. He left the Week 16 game after only two carries and one reception because of the injury, and there was some concern as to the severity. When Vereen showed up at practices early in the week, it was a positive indicator, but there is still some question as to whether he is healthy enough to participate in game action. ESPN.com’s Mike Reiss suggests the Patriots could hold Vereen out for an additional week of recovery, given the nonplayoff nature of the game. Clearly fantasy owners will want to check pregame inactives and, at the very least, have a backup plan in place.
Fred Jackson, Buffalo Bills, ribs (P): Jackson played through the sore ribs last week and will do so again this week after limited practice Thursday and full practice Friday.
Frank Gore, San Francisco 49ers, knee (P): Is there really any doubt? Despite limited practices Wednesday and Thursday because of his sore knee, Gore turned in a full practice Friday. He is a lock to play in Sunday’s divisional matchup against the Cardinals.
Ryan Mathews, San Diego Chargers, foot (P): Last week, coach Mike McCoy said he expected Mathews to play despite Mathews sporting a boot on his injured foot. It appears he will indeed take the field, listed as probable after returning to limited practice Friday.
Joique Bell, Detroit Lions, knee (P): Despite sitting out Wednesday’s practice with a sore knee, Bell returned to limited practices Thursday and Friday and is listed as probable for Sunday’s game. In other words, expect Bell to play in the Lions’ final game of the season.
Daniel Thomas, Miami Dolphins, ankle (Q): Thomas’ ankle continues to present a challenge for him, which shouldn’t come as a surprise given the severity of his original injury. Since aggravating the ankle, Thomas has remained on the injury report and was held to limited practices on Thursday and Friday. He has played in the last two games despite the setback, but his numbers (five carries for 16 yards in Week 15 and nine carries for six yards in Week 16) should tell fantasy owners all they need to know heading into Sunday’s contest.
Rashard Mendenhall, Arizona Cardinals, finger (P): Mendenhall has already played with the finger injury and is expected to do so again this week.
Chris Ivory, New York Jets, quadriceps/ankle (P): Despite his presence on the injury report because of two separate injury issues, Ivory has been a full participant in practice throughout the week. He is expected to play Sunday.
Willis McGahee, Cleveland Browns, knee (P): McGahee is no longer listed on the injury report because of a concussion. Instead it is the chronic knee issue he has been dealing with throughout the season that has him here. McGahee was a full participant in practice throughout the week and is expected to play Sunday.
Calvin Johnson, Detroit Lions, knee (Q): Just when fantasy owners need him the most, Johnson might not be able to deliver. There is no doubt he is at less than 100 percent health; his knee, in fact, has been problematic much of the season. Johnson, competitor that he is, would like to play Sunday, and the Lions may wait until game time to make that decision. Last week, his status was a game-time call and Johnson struggled mightily in his limited appearance. This week, he did not participate in any practices and, as ESPN.com’s Mike Rothstein noted, remained characteristically quiet on the subject of his injury. It’s the ultimate fantasy owner’s dilemma, not so much if Johnson is declared inactive (which at this point wouldn’t take anyone by surprise), but rather if he is declared active when it is abundantly clear that he is operating at a deficit. He will always play hard, but whether he can play effectively and how well he can hold up will be big questions.
Andre Johnson, Houston Texans, wrist (P): Johnson played through the wrist injury last week and will do so again this week after practicing fully each day.
Demaryius Thomas, neck, and Eric Decker, thigh, Denver Broncos (P): Thomas has been on the injury report for a few weeks because of his shoulder, but now he is listed with a neck injury. It’s unclear whether this is related to his prior shoulder issue or was newly acquired during his strong Week 16 performance. Either way, Thomas has practiced fully each day and is line to play Sunday. Decker, who had an even bigger Week 16 performance than Thomas, was added to the injury report with a thigh ailment, but it doesn’t appear to pose any threat to his status for Sunday. Decker was limited Wednesday but returned to full practices Thursday and Friday. At probable, he is expected to play.
Cordarrelle Patterson, Minnesota Vikings, chest (P): After a limited practice Wednesday, Patterson was a full participant Thursday and Friday. Given the probable tag, the Vikings are counting on him suiting up for the season finale.
Santonio Holmes, foot/hamstring, and Jeremy Kerley, elbow, New York Jets (P): This has been the standard status for these two receivers the past few weeks. Both continue to practice daily (although Holmes works on a limited basis), and both are expected to play Sunday.
Danny Amendola, groin (P), Kenbrell Thompkins, hip (Q), and Aaron Dobson, foot (Q), New England Patriots: This is the third week in a row with these receivers having these respective designations. Amendola remains the only one of the three practicing fully each day while the other two work on a limited basis. As such, Amendola is the only sure bet to play. Dobson was active in Week 16 (one reception), making him likely to see the field again. Thompkins has another week of recovery from his hip injury under his belt, but it’s unclear just how much of a target he would be anyway with a plethora of pass-catchers available to Tom Brady. As usual, note the Patriots inactives before locking any fantasy lineup.
Brian Hartline, Miami Dolphins, knee (P): Despite appearing on the injury report because of a knee injury, Hartline is listed as probable and is fully expected to play. After being limited early in the week, he was a full participant in Friday’s practice and will be on the field to face the Jets.
Michael Crabtree, San Francisco 49ers, ankle/wrist (P): Crabtree has already played through both the ankle and wrist ailments. After practicing fully each day, expect him to play again Sunday.
Tavon Austin, St. Louis Rams, ankle (Q): Austin finally made an appearance in practice after being absent for the past two weeks, but it was only a limited one on Friday. He is expected to be a game-time decision, though fantasy owners would be rolling the dice to count on Austin after so little activity in recent weeks.
Emmanuel Sanders, Pittsburgh Steelers, knee (Q): Sanders did not practice Wednesday or Thursday because of the knee he injured in Week 16. He returned to a full practice Friday, an encouraging sign. Naturally, the team will want to see how his knee responded to the work, but Sanders said the pain is bearable and, according to ESPN.com’s Scott Brown, rated himself as 50-50 to play. He is going to be a game-time decision.
Eddie Royal, San Diego Chargers, toe (Q): Royal is again listed as questionable because of his toe, a familiar sight throughout the fantasy season. He also, for the most part, has played on Sundays despite the questionable tag, even after not practicing, which is the case for him this week. Still, fantasy owners should be mindful of the fact this is a late game and he is not a lock to start until the official word comes before kickoff.
Tony Gonzalez, Atlanta Falcons, toe (P): It can’t be the year he envisioned when Gonzalez agreed to come back to the Falcons for one more season. He’s such a class act, though, that he’ll finish it out strong despite their lack of postseason hopes and an injury to his toe. Fantasy owners have to believe the team would like to see him go out with a score. It’s the least the Falcons could do.
Tyler Eifert, neck (D), and Jermaine Gresham, hamstring (Q), Cincinnati Bengals: Eifert suffered a stinger in last week’s game and was unable to return to practice. It appears all but certain he will sit this one out. Gresham has been listed in recent weeks with a hip, abdominal and now a hamstring strain, the combination of which suggest a core injury that will likely not be 100 percent resolved before season’s end. Still, he could play Sunday, and his status is slightly more optimistic than Eifert’s.
It’s worth noting that Gresham did find the end zone for a score in Week 16. Then again, this could be a situation where the Bengals are interested in protecting Gresham for the playoffs and allowing him some additional recovery time. Of concern is that he practiced on a limited basis Wednesday but was listed as a nonparticipant Thursday and Friday. The bottom line for fantasy owners is that Gresham’s status needs to be verified before kickoff.
Jordan Cameron, Cleveland Browns, concussion (Q): Cameron did not play last week because of the head injury, and his status for this week is still up in the air. Cameron’s only practice was a limited one on Friday, and he still needs to be cleared by an independent neurologist to be eligible to play Sunday. His status may not be known until game day.
Adrian Peterson, RB, Minnesota Vikings, groin/foot: As ESPN.com’s Ben Goessling notes, Peterson’s lingering groin injury is causing more trouble for him than his recently sprained foot. It’s enough of a problem that the team decided to keep him out of its final contest of 2013 -- and final game at the Metrodome. Coach Leslie Frazier had hinted at sitting Peterson unless something were to change dramatically before Sunday. Apparently it did not.
Resting Peterson should not come as a huge surprise after his effort in Week 16, which proved that while he had the mental toughness to push himself through pain, physically his body could not keep up. In fact, Peterson acknowledged after Sunday’s game that his body was not responding the way he wanted it to, which hinted at a potential absence this week. With Toby Gerhart sidelined again due to a hamstring injury, Matt Asiata will get the start.
Tony Romo, QB, Dallas Cowboys, back: Well, it is tough to play two days after back surgery, which Romo underwent Friday morning. The signs and symptoms of his herniated disk were significant enough that an epidural injection barely made a dent. Romo should have plenty of time to recover in time for camp. The discussion of his health can now be put on hold until organized team activities roll around.
Dwayne Bowe, WR, Kansas City Chiefs, concussion: Bowe showed up on the injury report Thursday with a concussion, leaving little doubt he would miss Week 17. The Chiefs confirmed this in their Friday injury report, ruling Bowe out ahead of Sunday’s game.
Toby Gerhart, RB, Minnesota Vikings, hamstring: It’s a tough time to be a running back in Minnesota. Adrian Peterson is doubtful with groin and foot injuries, and Gerhart’s hamstring injury continues to bother him enough that the team has already ruled him out. Matt Asiata will start this week.
Wes Welker, WR, Denver Broncos, concussion: As noted last week, ESPN’s Chris Mortensen and Jeff Legwold reported Welker was likely to sit out Week 17. Although he has made enough improvement to participate in practice on a limited basis, Welker has officially been ruled out of Sunday’s game.
Jacquizz Rodgers, RB, Atlanta Falcons, concussion: After not practicing all week due to concussion symptoms, it comes as no surprise that Rodgers is out.
Steve Johnson, WR, Buffalo Bills, not injury related: Johnson remains in California with his family following the passing of his mother and will not play this week.
Jonathan Stewart, RB, Carolina Panthers, knee: Stewart injured his MCL in Week 14 and remains out this week.
Steve Smith, WR, Carolina Panthers, knee: Smith joins his teammate Stewart on the “out” list for Week 17 after spraining his PCL in last Sunday’s game. The Panthers hope he will be able to make a return in the playoffs.
Victor Cruz, WR, New York Giants, knee/concussion: No one expected Cruz to play after he underwent knee surgery last week, and he is officially out.
Percy Harvin, WR, Seattle Seahawks, hip: Harvin has been quiet ever since his single appearance this season. He remains a nonparticipant in practice and is out again this week.
Garrett Graham, TE, Houston Texans, hamstring: In what appears to be a typo, Graham is listed on the NFL official injury report as probable. There are multiple reports out of Houston, however, that Graham is not expected to play, including one from ESPN.com’s Tania Ganguli. Supporting that notion, Graham never appeared in practice this week after missing the last two games with a hamstring injury. Fantasy owners should have already made other plans.
Tony Romo, QB, (back): On Tuesday, I outlined the concerns for Romo given the news of his herniated disc and any potential nerve compromise. After undergoing an epidural injection early in the week, the key would be whether he could make enough real improvement to allow him to take the field by Sunday. It appears the team is still awaiting a final verdict in that regard, but as of Thursday, the outlook is somewhat gloomy.
According to ESPN's Ed Werder, Romo has only "slightly improved" following the injection and other treatment. He has not attended practices or game-planning meetings. The team is still leaving the door open for Romo to demonstrate improvement, but Kyle Orton continues to take the first-team reps. As recommended Tuesday, fantasy owners should make alternate plans.
Dez Bryant, WR, (back): Romo isn't the only member of the Cowboys dealing with a back problem. Of course, the issue Bryant is dealing with is long-standing, and he has managed to play despite the condition several times this season. Bryant's problem has centered around back spasms and muscular tightness; he has not reportedly experienced pain radiating into his leg, which suggests that there isn't a nerve compromise as in Romo's case.
Still, Bryant aggravated his back recently, and was removed from practice early Thursday to instead focus on rehab. For his part, Bryant told ESPNDallas.com's Calvin Watkins there is "no doubt" he will play, and his effectiveness throughout the season -- even after being limited in practice sessions because of his back -- should encourage fantasy owners. After all, if Orton is under center Sunday as appears to be likely, he will need some help from the big playmaker.
Aaron Rodgers, QB (collarbone): It's official! Aaron Rodgers is back as the starting quarterback for the Packers. Coach Mike McCarthy made the announcement at an eagerly anticipated news conference Thursday morning. Here's how the week unfolded:
There was no real news on the Rodgers front Wednesday; the team did not conduct a practice, but per the requisite injury report, Rodgers was listed as a limited participant, the same status he has held for the past two weeks.
On Thursday, the weekly will-he-or-won't-he tease began, with Rodgers taking first-team reps in the individual drills portion of practice open to the media. While media members were not able to observe 11-on-11 drills, there was a sense that Rodgers would garner the start, since starters usually take those first-team reps in practice. After practice, where Rodgers was cited as a full participant, McCarthy announced to reporters that Rodgers would be the starter on Sunday.
This dilemma has always been about whether it was safe for Rodgers to play from a medical standpoint. It hasn't been about safety at making throws in the pocket, in running around and handing off or throwing the football, but rather about how much confidence there was in the ability of Rodgers' left clavicle to absorb major contact and stay intact. Rodgers seemed to understand the imprecision around the decision when he said that a "risk-reward" conversation would probably have to happen at some point. That concept has no doubt been a consideration for the organization all along, even if not openly stated. And if the evidence of callus formation (bone healing) has been insufficient until this point, then a conversation about any potential reward remained unnecessary, given the obvious risk.
Now it appears that such a dialogue has occurred. No one can say with certainty that Rodgers is 100 percent risk-free. However, the Packers can now say that there is adequate confidence in his healing to date, along with his demonstrated ability to perform at the position, that the reward outweighs the risk. In fact, McCarthy referenced this when he said Rodgers "has accepted the level of risk." McCarthy went on to comment about how good Rodgers has looked in practice lately.
It's hard to imagine this news doesn't boost the Packers' entire squad a notch in terms of projected performance, based on emotion alone.
Eddie Lacy, RB (ankle): On Tuesday, we noted that Lacy aggravated his sprained right ankle in Week 16
Randall Cobb, WR (leg): Cobb took another step toward returning to game action Thursday when he participated in practice in full pads. Cobb has been increasing his involvement in practice over the past two weeks but remains on the IR/designated-for-return list since fracturing his right tibia. Whether the final regular season game is the site of Cobb's postinjury debut remains uncertain, as the team may opt to see whether playoffs are on the horizon before exposing him to contact. On Thursday, McCarthy noted that Cobb looked good in practice and that a decision likely would be made Friday.
Here's a look at injuries surrounding two key Detroit Lions players ahead of their Week 17 game at Minnesota.
Calvin Johnson, WR, knee/ankle: It was clear last week that Johnson was hampered by his knee and ankle. The injuries were enough of a concern that his status for the Week 16 game was uncertain until just prior to kickoff. His struggles during the game were proof that his legs were not cooperating. Now heading into Week 17, with no postseason hopes in the balance, one wonders if Johnson will be sidelined. So far this week he has not been a participant in practice, and coach Jim Schwartz has already indicated that Johnson's status, once again, may not be known until Sunday. Fantasy owners should plan ahead in the possibility that Johnson sits this one out.
Joique Bell, RB, knee: Bell was not present in practice Wednesday due to a sore knee but returned Thursday. It would appear that Bell is in line to play Sunday. Reggie Bush is no longer on the injury report, but given his ball-control challenges, it wouldn't be surprising to see Bell get more consistent work in the team's final outing of the season.
The question then becomes whether he could hypothetically function well enough to play in a game that will determine the NFC East title. Here are a few considerations to keep in mind:
1) ESPN’s Chris Mortensen has reported that Romo has a herniated disc that will require surgery. It is worth noting that not all disc injuries require surgery; in fact, the majority resolve on their own with time. One of the key factors in determining the need for surgery is neurologic compromise. In essence, if a nerve is being compromised to the degree where the athlete is experiencing sensory loss or motor (muscle) weakness, particularly if it is progressively worsening, then surgery may be the treatment of choice to prevent lingering nerve damage. The goal is to determine whether a herniated disc is actually compressing the nerve root or whether it is inflammation associated with the disc injury that is causing problems for the nerve. If inflammation is the issue and the inflammation can be adequately treated, the nerve may respond positively and surgery may not be necessary. If the disc material is directly compressing the nerve, then surgery may be required to remove it.
2) If in Romo’s case inflammation is the primary culprit, then the primary treatments he is undergoing now are specifically aimed at addressing that inflammation. On Tuesday, ESPN Dallas reported that Romo received an epidural injection, a steroid injection directed in the area surrounding the inflamed nerve root in the hopes of reducing inflammation and pain. Epidurals vary widely in their rate of success and the speed with which they take effect. Sometimes a series of injections is required but that generally happens over a broader time frame than is available until the Cowboys’ next game (versus the Eagles on Sunday). Romo would have to demonstrate significant improvement, not only as far as pain, but more importantly, as far as neurologic function (sensation and muscular performance) in order to safely return to the field.
Ultimately, time may not be on Romo’s side. Being the competitor that he is (let’s not forget he has played with broken ribs), it’s understandable that he wants to have every opportunity to see if he can recover to the point of being able to play this weekend. And he certainly does not need to be rushed to surgery unnecessarily. In fact, depending on his exact signs and symptoms and how he responds to this early treatment, even if he does not play this weekend it isn’t necessarily a foregone conclusion that he will have surgery. That said, if there are hallmark indicators for surgery, there will be little time wasted in moving him toward that next step.
We will wait until this season ends and the treatment course for Romo is more formally outlined before projecting into next year. In the meantime, fantasy owners with games this weekend should plan on plugging in an alternate quarterback since Romo, should he even get the opportunity to take the field, may not be able to hold up for an entire four quarters.