Stephania Bell: Jimmy Clausen

Week 12 Tuesday injury update

November, 23, 2010
11/23/10
6:17
PM ET


San Diego Chargers quarterback Philip Rivers continues to show that he can get the job done no matter who steps in to take his handoffs or catch his passes. In front of millions on "Monday Night Football," Rivers delivered a star performance with running back Ryan Mathews, wide receiver Legedu Naanee and tight end Antonio Gates all watching from the sidelines. Mike Tolbert handled the bulk of the running game (and likely will again in Week 12) and fresh-off-the-injury-report Malcom Floyd did his part to contribute to the passing game with a couple of catches and a score (although according to Kevin Acee of the San Diego Union-Tribune, Floyd tweaked his hamstring again, so stay tuned).



[+] EnlargePatrick Crayton
Stephen Dunn/Getty ImagesPatrick Crayton's left wrist was injured as he scored this touchdown.
But the Chargers couldn't get through the game without suffering yet another loss of a key player. Wide receiver Patrick Crayton landed awkwardly in the end zone while finishing off an impressive catch-and-run touchdown. He came up holding his forearm bent 90 degrees, and didn't let any of his teammates touch that left hand for congratulatory high-fives. Often when a person instinctively cradles his arm that way, it suggests a serious wrist or forearm injury. ESPN's Adam Schefter is reporting that Crayton suffered a dislocated wrist and is undergoing further testing Tuesday to determine the course of action. Since the wrist joint consists of two forearm bones (radius and ulna) interfacing with eight small wrist (carpal) bones, which in turn interface with the bones of the hand, there are many possible injury presentations. In other words, rather than speculate as to the specifics, we will wait to see what the Chargers reveal after Crayton's follow-up tests. Suffice it to say, this is not exactly good news. One might say that the timing of Vincent Jackson's return, scheduled for this week, couldn't be better. Something tells me Rivers will adjust just fine.



But how will Eli Manning adjust to the loss of another star wide receiver in the span of a week? The New York Giants, who recently saw Steve Smith go down with a partially torn pectoral muscle, have now lost Hakeem Nicks to a case of compartment syndrome in his right leg. Compartment syndrome is typically something that develops over time (chronic) but it can be brought on suddenly (acute), as was the case with Nicks, by trauma. Nicks reportedly was hit in the leg at some point during Sunday's game, according to ESPN New York, but was able to play into the fourth quarter. When Nicks arrived at the team facility on Monday, coach Tom Coughlin said the medical staff felt the need to "take immediate action." Nicks then went to the hospital and underwent a fasciotomy, a procedure whereby tissue is released surgically to alleviate pressure on blood vessels and nerves in the area.

[+] EnlargeNicks
AP Photo/Rob CarrHakeem Nicks has scored the sixth-most fantasy points among wide receivers in ESPN standard leagues.
The lower leg is divided into regional compartments, each of which contains muscles, blood vessels and nerves, and the compartments are separated by connective tissue called fascia. Each compartment functions like a container of sorts. In the presence of swelling, the contents within each compartment are subject to increased pressure, which can constrict the blood vessels and nerves and prevent normal function (picture a blood pressure cuff squeezing around the leg and cutting off circulation). The individual can feel pain and tingling as a result of the compromise to the nerves and blood vessels. More importantly, if the blood supply to muscle is compromised for any length of time, the muscle tissue will die, hence the emergency nature of the procedure. Relieving pressure on the compartment by cutting the fascia is the immediate treatment. The next steps are waiting for the wound to heal, then gradually restoring the motion and strength in the lower leg.

The Giants have indicated that Nicks will miss the next three weeks following his fasciotomy. Time to recover from such a procedure can vary from several weeks to a couple of months, depending on the extent of the procedure, how well the wound heals, and whether there are any complications along the way. It should be noted that most acute compartment syndromes are associated with significant trauma, such as fractures or crush injuries. Sometimes in sports, however, there can be a direct blow that results in a hematoma (collection of blood), which in turn creates significant localized swelling and pressure. This may be the origin of Nicks' injury. Assuming no prior history of compartment issues for Nicks, the three-week timetable would seem reasonable, assuming no setbacks. During the first week, Nicks will do very little, but as he is able to increase his activity, we should get a better idea of whether he will meet the projected timetable.

Plenty of other teams continue to adjust to injury situations and this week some have only a few days to do so. With the Thanksgiving holiday, there will be three NFL games Thursday. The Detroit Lions host the New England Patriots for the early game. Then the New Orleans Saints visit the Dallas Cowboys followed by the New York Jets welcoming the Cincinnati Bengals. Given the short week for those teams, their initial practice injury reports were issued Monday (usually they do not come out until Wednesday). For key fantasy players in Thanksgiving Day games, here's what we know about their early-week activity.

Detroit Lions: The Lions had only a walk-through Monday but still provided practice report "estimates." Among those who would not have practiced were running back Jahvid Best, quarterback Matthew Stafford, tight end Tony Scheffler and kicker Jason Hanson.



Jahvid Best
Kellen Michah/Icon SMIEven if Jahvid Best plays on Thanksgiving, remember that he hasn't had a double-digit fantasy game in ESPN standard leagues since Week 2.
Fantasy owners are probably most concerned about Best and rightfully so. Best has been limited to some degree by his toe injuries since early in the season. He reportedly suffered a setback Sunday and was seen getting one of his toes re-taped during the game. Ultimately, the toe situation was problematic enough to keep him from returning to the field. While he may continue to have some good days, the condition is going to persist and be a risk factor until he has lengthy time off.



The Lions' dire situation at running back has been compounded by the loss of Kevin Smith to injured reserve. Smith, who had just started to emerge following his ACL reconstruction of last year, is now recovering from thumb surgery. Nonetheless, it's hard to imagine Best being even close to ready for a full game Thursday when his pattern has been one of not practicing until late in the week. And as we saw last week, that schedule still was not enough to allow him to perform on Sunday. Dave Birkett of the Detroit Free Press reports that Best was in practice Tuesday, yet he still expects Maurice Morris to be the No.1 back this week.



As far as the other injured Lions, no one really expects to see Stafford anytime soon, if at all, this season, so his absence comes as no surprise. Scheffler injured his ribs in the second quarter of Sunday's game, according to the Detroit News, and is anything but certain to play. Hanson is recovering from an MCL sprain and his status for Thursday is still up in the air.

New England Patriots:The Patriots also conducted only a walk-through Monday but reported several players as limited, including quarterback Tom Brady and running back Fred Taylor. Brady, who is still listed on the report because of his foot along with his shoulder, will continue to play as anticipated. Based on his recent performances, it's hard to see the foot as a limitation. As far as Taylor, he returned to limited practice with his team a couple of weeks ago and is awaiting the green light to see playing time. Taylor seems to be as in the dark about when that will be as anyone else. The Patriots' running game appears to be in good hands so the team may elect to guard Taylor's use, even once he has been activated for game day.

[+] EnlargeReggie Bush
Derick E. Hingle/US PresswireReggie Bush nearly returned to action in Week 11 before becoming a late scratch, but he might finally be able to play for the first time since Week 2.
New Orleans Saints: Despite the encouraging sight of Reggie Bush in team practice last week, he was deemed not quite ready for prime time and was held out of Sunday's game. Maybe not such a bad idea given that the team's next game is coming just four days later. Bush was listed as a full participant in the Saints' Monday walk-through practice report and is expected to play Thursday, barring a setback. Of course, the team expressed optimism that he would play last Sunday and he didn't, but keep in mind that Bush was only a limited participant in practice throughout the week. According to the New Orleans Times-Picayune, that's exactly what it came down to for the coaching staff, which did not want Bush's first full test to come in a game. Coach Sean Payton told the Picayune, "[Bush's] pregame workout was good. And yet I just felt like what I didn't want to do was err on the side of bringing him, just because you're wanting to bring him up."

It will be interesting to see how the Saints utilize him in his return outing. But with Bush champing at the bit to return, and the Saints feeling as if they're getting him back in good shape, he could provide a spark to the offense. Meanwhile, Pierre Thomas is not looking as if he'll play Thursday. There are conflicting reports about the exact nature of his ankle injury but the Picayune reports that Payton maintains Thomas' injury is a sprain. Either way, it appears that his return will not come before December.

Tight end Jeremy Shockey sat out Week 11 because of a rib injury and has been a limited participant in practice so far this week. Whether he will play on Thursday or not is not yet determined.

Dallas Cowboys: It's interesting that there has been so much chatter about the recent X-rays taken of Tony Romo's left clavicle fracture, as if there were some hope of a full recovery. Most bones require six weeks for fracture healing, with actual remodeling of bone continuing well beyond that point. Add to that the fact that the clavicle is notoriously slow to heal, and four weeks -- which is how much time has passed since Romo's injury -- would not likely be enough to demonstrate full bone repair. It's certainly possible that the clavicle showed some progression in healing and that's often why X-rays are taken at an interim stage, to assess how the bone is shaping up. The bottom line is if anyone was expecting Romo to return to the lineup sooner than the original minimum six-week projection, it's not going to happen. Eight to 10 weeks has been the more reasonable healing timetable estimate all along, but it is not guaranteed, and the team may decide it is not worth risk of reinjury to have him appear again this season.

Of more immediate concern, running back Felix Jones is still dealing with a hip ailment and spent Tuesday working with the rehab staff, according to The Dallas Morning News. Jones, who injured his hip Sunday yet returned to the game, did not practice Monday but said he was "doing better," according to the Fort-Worth Star-Telegram. We'll see how the team designates him for Thursday's game, but resting early in a short week may give him the best chance to play on Thanksgiving.

Cincinnati Bengals: Running back Cedric Benson came into Week 11 with a foot injury but it did not appear to hamper him during the game. At one point, Benson was forced out with an eye injury but he was able to return. He should be available Thursday.

New York Jets: Wide receiver Jerricho Cotchery had a groin strain that kept him sidelined in Week 11. ESPN New York's Rich Cimini reports that Cotchery is doing light positional drills Tuesday but is still "iffy" for Thursday's game. As we've seen in the past, groin injuries are not only difficult to overcome, they are easy to aggravate. It would not be surprising if Cotchery is out again this week.

Here's who else we're talking about heading into the rest of the Week 12 contests:

Miami Dolphins quarterback Chad Henne, who injured his knee in Week 10, practiced Monday after serving as the emergency quarterback last Thursday. While the Dolphins have not yielded any information as to the specifics of the injury, the fact that Henne is participating in some level of practice is encouraging, but we'll have to see how the team designates him later in the week. Tyler Thigpen may still be at the helm.

• The Tennessee Titans had a bizarre weekend but we'll stick to the injuries. Vince Young has now been placed on injured reserve as he is expected to undergo thumb surgery to repair a torn flexor tendon. Kerry Collins is still recovering from a calf strain, which was initially projected to keep him out for several weeks, and is not expected to be ready for this Sunday. Thus, Rusty Smith is likely to start at quarterback in Week 12 after stepping in last week when Young was injured. The Titans have signed Chris Simms as insurance.

[+] EnlargePortis
Grant Halverson/Getty ImagesClinton Portis had a short-lived return to the Redskins' lineup after missing five games with a groin injury.
• Running back Ryan Torain of the Washington Redskins sat out Sunday with his hamstring injury, with Clinton Portis getting the start. Portis didn't last long though, aggravating his groin injury after just five plays. Considering that Portis had not been cleared to play Monday night, it's hard to imagine that he was suddenly 100 percent healthy. That said, as an athlete is recovering from a muscle strain, the only way to truly test his health once he's fully practicing is to put him in a game situation. No one ever wants or expects a setback to come so quickly, but that is the nature of this type of injury. Portis underwent a subsequent MRI and the results, according to Jason Reid of The Washington Post, "revealed nothing new. Just swelling." Unfortunately, just swelling is enough to indicate there is still some inflammatory response taking place around that healing tissue, making it less likely we will see Portis in Week 12. Meanwhile, the Redskins lost running back Chad Simpson to a foot injury and have added running back James Davis to their active roster. With Torain still recovering from his hamstring injury, it appears Keiland Williams will be the starting back for the Redskins.



Indianapolis Colts wide receiver Austin Collie left the Week 11 game early for what the Colts called "precautionary reasons." Collie, who was returning to play two weeks after suffering a concussion, took some big hits in last week's game. He is not expected to play in Week 12. Running back Joseph Addai is still considered day to day, as he has been essentially since the injury occurred. In other words, fantasy owners can't plan for a scheduled return.

Carolina Panthers quarterback Jimmy Clausen says he expects to be available in Week 12. Both he and running back Jonathan Stewart will need to receive medical clearance to return to practice, and their status will not be known until later this week.

We will continue to update these injuries and others as the week progresses. Due to the Thanksgiving holiday, there will be no chats on Friday. But check back for the latest injury updates affecting Week 12 in the Saturday morning blog! Happy and healthy Thanksgiving everyone!



Week 11 kicks off with another Thursday night game, and the effect of injury is obvious in the Miami Dolphins' starting lineup. This past Sunday, the Dolphins lost quarterback Chad Pennington, who started ahead of a benched Chad Henne, in the first offensive series to another season-ending shoulder injury. Henne then stepped into the game only to leave with a knee injury that had him on crutches afterward. While the Dolphins have left the door open for Henne to return, it doesn't appear that will be anytime soon ... and it certainly won't be tonight. Tyler Thigpen will be the starting quarterback as the Dolphins host the Chicago Bears.

Meanwhile, there also is some question as to who will be protecting Thigpen's blind side. Offensive tackle Jake Long injured his shoulder in Week 10, reportedly dislocating it and suffering significant tissue damage, including a torn labrum (the ring of cartilage that adds stability to the shoulder joint), in the process. Not only is this a painful injury, but it means Long's shoulder will be significantly less stable, and that instability will make it difficult to block effectively. An unstable shoulder will feel like it slips out of place, especially when weight is forced through the arm. Long is expected to try wearing a shoulder harness for support, which offers some stability but also, out of necessity, limits motion, making it tough for Long to use his arm as he normally would. He is listed as questionable, so it will come down to game time to see whether Long can function well enough to play.

This week marks the first non-bye week since Week 3, so theoretically there are more players available for last-minute fantasy pickups. Unfortunately, at this point in the season, there also are far more injuries of significance, so the pickings might be a little slimmer.



Here's who you might be concerned about heading toward the Week 11 showdowns:

Austin Collie
Geoff Burke/US PresswireAustin Collie's return to the lineup would help Peyton Manning's numbers.
Joseph Addai, RB; Mike Hart, RB; Austin Collie, WR; Jacob Tamme, TE, Indianapolis Colts: The exciting news here is that Collie is back in the conversation. Regardless of his status for this Sunday, hearing he was back at the Colts' practice facility this week is good news indeed, especially after seeing him unconscious on the field in Week 9, then removed on a spine board and stretcher. At this time last week, Collie already had been ruled out. This week, Collie was able to put in some limited work Wednesday and he issued a statement expressing his thanks for all the well wishes following his injury. Collie, who practiced fully again Thursday, said, "Every day I feel like I am improving. And it was great to get back on the field in some capacity Wednesday." He also thanked the entire medical staff for its efforts. It still is one day at a time for Collie, but it appears possible he could return this Sunday.

Addai was said to be feeling better last week but was not in Wednesday practice. However, he did return to limited practice Thursday. Addai suffered a neck injury several weeks ago, which he described as leaving his arm feeling "dead," suggesting nerve involvement. Nerve tissue generally is slow to heal, as clearly has been the case for Addai. Hart, who injured his ankle in Week 9, has been essentially invisible since then and was still not at practice Wednesday. It appears Donald Brown could be in line for another start at running back this week.

Tamme, who was dealing with a back injury last week and reportedly was in major discomfort after Week 10, was not only a full participant in practice Wednesday, but he was not on the team's injury report. If he holds up well through the remainder of the week, he should be on the field Sunday when the Colts face the New England Patriots.

Reggie Bush, RB; Pierre Thomas, RB, New Orleans Saints: Bush is expected to return at long last after missing all but the first two games of the season due to a broken fibula (the long skinny bone on the outer aspect of the lower leg). Fractures typically take about six weeks to heal, but regaining football shape, especially for an explosive, directional runner such as Bush, takes much longer, as he and his fantasy owners found out. The bye in Week 10 allowed Bush the extra time to build toward returning to practice in advance of this Sunday's game.



Thomas is not yet practicing with the team. The Saints continue to hold out hope he will recover enough from his ankle injury to contribute late in the season. Along those lines, coach Sean Payton issued the first positive words with regard to Thomas' recovery on Thursday, telling the New Orleans Times-Picayune, "I think we've turned a corner." Although Thomas is not doing team practice, he is working out on the field in pads, meaning he is putting his ankle through some of the necessary paces, just in the absence of traffic where it would be easier to aggravate it. While it doesn't appear that Thomas will bridge the gap to being ready for this week, it's starting to sound like he could be a late-season contributor for the Saints and for needy fantasy owners.



Ryan Mathews, RB; Malcom Floyd, WR; Legedu Naanee, WR; Antonio Gates, TE, San Diego Chargers: We start with the good news in San Diego that Floyd's return is imminent. Floyd, who suffered a hamstring injury a few weeks ago, has been back at practice and has been running full speed since last week. Assuming there are no setbacks, Floyd is expected to play Sunday.

And then there is the not so good news. Rookie running back Mathews suffered a setback to his right ankle in Week 10, and it appears he might be forced to take some time off. Not a bad idea, given that Mathews has struggled intermittently since the initial injury to get his ankle back to full strength. Meanwhile, Naanee had not improved enough from his hamstring injury to rejoin his teammates in practice, although he did do some individual drills, according to the San Diego Union-Tribune. Gates, who recently assessed his chances of playing Monday night at 50-50, did not practice with the team Wednesday, not altogether surprising given his injury, a torn plantar fascia in his right foot. He has made some progress, though, as he has begun light running, a big step considering how much load that places on his injured arch. Gates admits being frustrated by this injury, which has sidelined him for the first time in his professional career, but he might not have much choice other than to wait for more healing.

Matt Schaub
Brett Davis/US PresswireMatt Schaub has three 20-point fantasy games this season but also five games with fewer than 10 points.
Matt Schaub, QB; Andre Johnson, WR; Owen Daniels, TE, Houston Texans: Schaub spent some time in the hospital this week, which undoubtedly caused some alarm among fantasy owners. Not to panic yet; it might not be as dire as you think. Schaub was being treated in the hospital for a "bursa sac issue" in his knee, according to coach Gary Kubiak. An inflamed bursa sac is known as bursitis, but one usually lands in the hospital when there is an infection. The idea is to treat the individual with IV antibiotics in the hope that the infection will resolve and no surgery will be required. (You might recall when Peyton Manning underwent surgery to address a bursa sac infection a couple of years ago.) Presumably Schaub was dealing with an early infection. He now has been discharged from the hospital and participated in light practice Thursday. Depending on how he feels and how well his knee is responding, Schaub is expected to be on the field for the Texans this week.

Johnson is expected to continue his routine of resting his sore ankle early in the week and playing Sunday. Daniels, who sat out last week after aggravating his hamstring injury, did not practice Wednesday.

Brett Favre, QB; Percy Harvin, WR; Sidney Rice, WR, Minnesota Vikings: By now, everyone knows Favre's ailments are too numerous to all be included on the Vikings' weekly injury report. By now, everyone also expects Favre to play, regardless of what's ailing him. After the Week 10 contest, Favre told ESPN's Ed Werder that he had concerns about the health of his right (throwing) shoulder and acknowledged having increased pain that might have affected his performance. Within a couple of days and amid some confusion as to whether this was a serious issue, Favre's own level of concern seemed to subside. After all, his is not a pristine shoulder, despite surgery last year to address a partially torn biceps tendon. It's going to be painful and problematic from time to time. No doubt Favre has recently increased the strain on his shoulder, whether as a function of compensating for the elbow pain he's been experiencing, the limitations in his ankle or both, and the pain is a natural secondary effect. The temporary solution will continue to be limited work early in the week with the goal of playing Sundays.



Harvin continues to play through pain and discomfort, even when his practice reps are limited during the week. Harvin put in limited reps Wednesday and is again expected to play this week.

Sidney Rice
AP Photo/Andy KingSidney Rice has to be activated by next Wednesday or he'll miss the rest of the season.
When Rice did not play this past Sunday after his practice activity during the week suggested he might, questions about whether he would play at all this season began to emerge. Rice addressed those questions Wednesday, saying that the sole issue for him is confidence in his surgical hip. According to the Minneapolis Star-Tribune, Rice wrote on his blog that the reason he did not play last Sunday was because he was "feeling significant discomfort Friday and Saturday." Rice also referred to undergoing a "very serious" procedure in August, although no one has specified what exactly Rice had done, making his timeline thus far hard to assess.

This reluctance to return before feeling fully healthy is not surprising and is a common issue for athletes coming off major surgery. It's an interesting quandary for an athlete in Rice's situation, and he already has said he does not want to return in a limited capacity. Rice knows what type of statistics he put up last season. He doesn't want to come back and be a lesser player after surgery or risk reinjury. And there's no denying his future is at stake. If Rice comes back a step slow or a bit hesitant because of lack of confidence in his leg or, worse yet, suffers even a minor setback, he potentially hurts the team now and himself down the road.

Even with those considerations, it's hard to imagine Rice not playing at all unless he truly believes he is not fully healthy. But the deadline for him to be activated in order to be eligible to play this season is next Wednesday. Whether he will meet that target is unclear.

DeAngelo Williams, RB; Jonathan Stewart, RB; Jimmy Clausen QB, Carolina Panthers: The Panthers lost Williams to injured reserve this week because of a foot injury. According to coach John Fox, Williams would have needed another couple of weeks to get healthy and the team needed the roster spot. No doubt, since the Panthers have dealt with a multitude of injuries, especially at the running back and quarterback position.

Stewart, who suffered a concussion in Week 9 that kept him out of the Week 10 lineup, has not practiced this week and is unlikely to play. It appears Mike Goodson will make another start. At the quarterback position, Clausen, starting for the injured Matt Moore, suffered a concussion in Week 10 and has not practiced. In what some considered a bit of a surprise move, Fox indicated that Brian St. Pierre, who has just one week of practice with the Panthers, will be the starter this week as opposed to rookie Tony Pike.



Vince Young, QB; Kerry Collins, QB, Tennessee Titans: Collins suffered a calf strain in Week 10 when he started in place of the less-than-100 percent-healthy Young. Collins is expected to miss several weeks, so the question becomes: Will Young be healthy enough to effectively lead the team this Sunday? Apparently, the answer is yes. Young, who has been trying to get past an ankle injury, was not on Wednesday's injury report, so expect him to be the starter in Week 11.



Tom Brady, QB, Fred Taylor, RB, New England Patriots: Brady had a foot sprain that caused him to miss practice one day last week. You knew it had to be bothering him because Brady rarely sits out. But it sure didn't look like it bothered him Sunday when he was tearing apart the Pittsburgh Steelers' defense. Assume that Brady will be at the helm when his team faces the Indianapolis Colts this week.

As for Taylor, he seems to be making gains in his recovery from toe injuries, as he increased his practice activity last week. Keep an eye on him, as he just might be available to help out in the next couple of weeks.

And elsewhere ...

• The Detroit Lions got wide receiver Calvin Johnson back in practice Thursday after a day of rest. Running back Jahvid Best skipped both Wednesday and Thursday practices, a reminder that his turf toe injuries are not completely behind him. Best likely will continue to play but has not shown his early-season form since the toe problems came about.

Seattle Seahawks quarterback Matt Hasselbeck has been in practice this week despite cracking a bone in his left (non-throwing) wrist. There seems to be little doubt that he will be running the offense Sunday.

Beanie Wells
Jason O. Watson/US PresswireBeanie Wells has just 34 fantasy points this season.
Arizona Cardinals running back Beanie Wells returned to practice this week. Both Wells and coach Ken Whisenhunt said at the start of the week that they expected him to practice every day and play Sunday. But what can fantasy owners count on? Not much, based on the season so far. It isn't to say that Wells can't be productive; it's just that he hasn't been. His knee has been an issue since Week 1, and the resulting missed practice time has contributed to his limited productivity on game days. And there's no guarantee that the recurring swelling is behind him. Wells says he feels the best he has since surgery, which is great news, but will it last? Even if he's on the field, it's hard to have confidence in what Wells will bring until we actually see him deliver it.

Washington Redskins running back Ryan Torain has not practiced since his hamstring tightened up Monday night, preventing him from taking the field despite being active. It certainly does not look good for Sunday. Clinton Portis continues to be limited in practice with the groin injury. All signs are pointing to another Keiland Williams start.

New York Giants wide receiver Steve Smith suffered a pectoral (chest) strain a week ago and missed this past Sunday's contest as a result. Reports have varied on the amount of time he's expected to miss, but he is not practicing yet and should not be in fantasy lineups this week.

Philadelphia Eagles running back LeSean McCoy did not practice Wednesday due to a shoulder injury. He was back Thursday, however, a good sign for fantasy owners that he expects to play.



• On the concussion front, Pittsburgh Steelers wide receiver Hines Ward suffered one in Week 10, as did Kansas City Chiefs tight end Tony Moeaki. Ward was cleared to return to practice and participated fully Wednesday. Barring a setback, he should play this week. Moeaki did not practice Wednesday, and his status remains questionable.

Cleveland Browns coach Eric Mangini said early in the week that he was hopeful receiver Josh Cribbs could play Sunday despite dislocating four toes last week. Apparently Mangini has not had four toes dislocate simultaneously. And then tried to run. Fast. It sounded a bit optimistic at the time, and Cribbs has not been in practice this week. It's not looking great for his return as of now.

See you at Friday's injury chat (3-4 p.m. ET), and we'll have the latest injury updates affecting Week 10 in the Saturday morning blog.

Dolphins QBs among Week 10 injuries

November, 16, 2010
11/16/10
6:11
PM ET


This seems like as good a time as any to remind everyone that medicine is not black and white. Sometimes, even when a player is improving in his recovery from an injury, there can be last-minute setbacks. Exhibit A: Washington Redskins running back Ryan Torain, who was active (yes, active!) Monday night but did not play due to his hamstring tightening up during warm-ups. It was just late enough to burn every fantasy owner who expected him to play. (Remember, he was listed as questionable, and until a questionable player is actually playing, he remains just that.)



Other times, a player does not return within the projected timetable originally issued by medical personnel. Exhibit B: New Orleans Saints running back Reggie Bush, initially projected to miss four to six weeks with a broken fibula (and you might recall Bush suggesting early on that he could beat that timeline). Bush, who is expected to return this Sunday, will be nine weeks post-injury if he plays in Week 11. While his fracture has healed, the issue has been his readiness to return to competition given the high physical demands of his position.

How do these things happen? Fantasy owners would prefer absolutes, definitive answers and zero risk. Let's tell the truth. The injured players and their teams would prefer that as well. But medicine is an imprecise science. And as much as it would be nice to provide guarantees and certainties when it comes to healing, that simply is not possible, whether it refers to a professional athlete or a weekend warrior. For one thing, individuals heal at different rates. Beyond that, timetables are estimates based on the average healing time associated with a particular injury. Timetables presume no setbacks and no complications, which, as we all know, are more likely to occur than not. And then there are the vagaries of injury classification. A "partial tear" can be 25 percent, 40 percent or 75 percent tissue damage, or anything else not considered a complete tear. The amount of damage likely will correlate to healing time, albeit in an imprecise way (refer to exhibits A and B above).

And so, as we continue in the gray zone of injuries, here's what we're hearing heading into Week 11 ...

Chad Henne
Jonathan Brownfield/US PresswireChad Henne had a busy week, as he was benched, returned to the Dolphins' lineup, then injured his knee.
• To date, the Miami Dolphins' injury reports have been among the leanest in the league. Not so any longer. The Dolphins lost two quarterbacks within the span of minutes this past Sunday, one of whom is done for the season. Chad Pennington injured his oft-operated-on shoulder and was done in the span of two plays. Chad Henne, who had been benched in favor of Pennington, stepped in only to suffer what appeared to be a serious injury to his left knee. Henne was on crutches after the game but has not been ruled out for any particular period of time. While the Dolphins have not offered details as to the nature of Henne's injury, coach Tony Sparano has left the door open for Henne. Needless to say, it does not appear likely he will be in any shape to play in this Thursday night's game. Expect Tyler Thigpen to get the start.

• The Tennessee Titans also have two banged up quarterbacks. Vince Young did not get the start Sunday, as his left ankle was still causing him some problems. Kerry Collins, who started in place of Young, was forced out early with a calf injury, and it now appears that will keep him out for several weeks. Young was thus forced into the game but was not at his best.



Detroit Lions quarterback Matthew Stafford consulted with Dr. James Andrews and will not be having surgery, at least not yet. Stafford will resume the rehab process he initiated after his shoulder separation at the start of the season. There is still a possibility surgery will become an option, but the team will try more conservative treatment first, according to ESPN's Chris Mortensen. Undertaking surgery on a throwing athlete's shoulder is not a light consideration. Unless there is a clear-cut need for surgery, rehabilitation is often chosen as a first step. There's really no downside here. Any gains in range of motion and strength that Stafford makes will help him on the other side of surgery, if that becomes the plan. While it's not likely we will see him again this season, the Lions are not moving him to injured reserve, either.

San Diego Chargers running back Ryan Mathews injured his right ankle in Week 2 and, despite his efforts to return, has struggled. After he aggravated the ankle injury in Week 10, there appears to be greater doubt about his availability for Week 11. At this point, it seems he would benefit from additional downtime to really allow his ankle to heal and avoid risking further problems. Mike Tolbert was back at Monday's practice and could be starting in Week 11. On the receiver front, Malcom Floyd returned to practice also and was running well. The Chargers expect to have him this Sunday. Not as encouraging news for Legedu Naanee, who did not practice Monday and remains limited by his hamstring. Tight end Antonio Gates did not practice Monday, either, not unexpected given the seriousness of his injury (torn plantar fascia). While Gates has indicated that he will do all he can to return for the Chargers' big Monday night contest, it bears repeating that this injury was exceptionally painful. Even Gates, who has played through significant pain in the past, told us this was unlike anything he'd ever experienced, to the point where he just couldn't function. It's too soon to count him out, but it's not too soon to seek insurance if he's on your team.

Ryan Torain
Dennis Wierzbicki/US PresswireRyan Torain was on the active roster Monday night, but hamstring injuries kept him from playing.
• Running back Ryan Torain of the Washington Redskins was expected to start Monday but didn't. Tightness in his ailing hamstring during pregame warm-ups kept him off the field Monday night. Clearly the injury is not altogether behind him, and fantasy owners should consider that Keiland Williams might get the next Redskins start. Clinton Portis was never really under serious consideration for Monday night after midweek swelling in his injured groin, and he might not be ready for Week 11, either. He will need to get through a week of practice without setbacks and show he is at full speed before being eligible to return.

Seattle Seahawks quarterback Matt Hasselbeck came back from a concussion only to sustain a crack in a bone in his left wrist. The Seahawks have expressed optimism that Hasselbeck will be able to play through the injury to his non-throwing wrist, no doubt with some sort of protective wrap. It appears he will avoid missing more time.

• The Indianapolis Colts continue to deal with multiple injuries, many of which are to fantasy stars. Tight end Jacob Tamme had a back injury in Week 10 that caused him to miss Wednesday's practice. After full late-week practices, he was able to start. Despite a solid performance, Tamme struggled at times and, according to the Indianapolis Star, was having trouble walking after the game. Expect him to be limited in practice this week. Running back Joseph Addai sat out again in Week 10 but reportedly is making improvements. It is too early to know much about the status of Addai or teammate Mike Hart, who also missed Week 10 with an ankle injury.



Pittsburgh Steelers wide receiver Hines Ward was determined to have a concussion after Sunday night's game. Ward appears to be doing well and has indicated that he expects to play this week. He still needs to be fully cleared to return, but this is encouraging news.

Carolina Panthers quarterback Jimmy Clausen also suffered a concussion on a hit late in the game. As the week unfolds, we'll find out whether Clausen is able to go Sunday. We also should learn more about the running back situation. Both DeAngelo Williams (foot sprain) and Jonathan Stewart (concussion) were out in Week 10.

New York Jets wide receiver Jerricho Cotchery pulled a groin muscle Sunday yet still made an amazing catch while hobbling on one leg. He limped off the field just afterward and underwent an MRI on Monday, revealing a slight tear. This will be a tough injury to recover from in a week.

Cleveland Browns wide receiver Josh Cribbs dislocated four toes Sunday. How does that happen? There are some thing I just can't answer, but I do know this: It could not have felt good. Amazingly, the Browns do hope he will play in Week 11.

• The Milwaukee Journal Sentinel reports that wide receiver Donald Driver missed Monday practice for personal reasons. Coach Mike McCarthy will update Driver's status Wednesday. Tight end Andrew Quarless, meanwhile, says his shoulder feels better after the bye week. He could return this week if all continues well.

We will continue to update these injuries and others as the week progresses with much more to come Thursday.

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