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Key Seahawks options hurting

This has been an unusual week because of the Thursday games and the Thanksgiving holiday. I posted plenty of updates in my late Friday blog, so today I'll keep the conversation brief, looking only at those players who did not appear in Friday's report.

OUT

The following players have been added to the list as officially out for Week 12.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=5048')">Shaun Alexander, RB, Seahawks: We already knew he wouldn't play; now it's official.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=3569')">Zach Thomas, LB, Dolphins: The lingering migraines continue.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=7774')">Santonio Holmes, WR, Steelers: It wasn't looking good anyway. Now you know that <a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=7492')">Nate Washington is starting in his place. In fact, you might want to go and get him.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6352')">Troy Polamalu, S, Steelers: The Steelers' defense takes a hit because of Polamalu's knee injury.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=4065')">James Thrash, WR, Redskins: He'll miss because of an ankle injury. Moss and Randle El will handle the load.

Whether the following players suit up for Week 12 is still unknown.

Running Backs

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=4259')">Fred Taylor, Jaguars: Taylor is listed as probable, meaning he is virtually certain to play. He is on the injury report because of a thigh injury that kept him limited in practice early in the week, but he was able to practice fully on Friday.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6994')">Derrick Ward, Giants: I discussed his injuries Friday, but that was when he appeared to be a game-time decision. Since then, Ward has been downgraded to doubtful, meaning he has less than a 25 percent chance of playing. Go Reuben, go.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=5920')">DeShaun Foster, Panthers: Not a big source of worry here. Foster has been bothered by a toe injury for several weeks. He did not practice Wednesday to give the toe a rest but was back in practice Thursday and Friday to finish the week strong. He is listed as probable and is expected to start.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=7241')">Frank Gore, 49ers: The biggest worry when it comes to Gore right now is the offense he plays in, not any injury. Sure, Gore's ankle has not been 100 percent since he sprained it several weeks ago, but that is not the main reason for his lack of production. Nonetheless, the ankle is the reason he appears in this report. He was limited in practice early in the week to avoid aggravating the ankle, but he did practice fully Friday and is listed as probable. He will start again for the 49ers on Sunday.

Quarterbacks

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=7247')">Alex Smith, 49ers: He is listed as questionable, but we shouldn't expect him to do much. Smith is still resting his shoulder and forearm and will be re-evaluated in the coming week.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=4416')">Matt Hasselbeck, Seahawks: Hasselbeck has bruised ribs, reportedly from the Week 11 game. He was held out of practice Wednesday and Thursday but was able to participate fully on Friday, taking most of the first-team snaps. According to the Tacoma News Tribune, Hasselbeck said he feels "as close to 100 percent as [he has] felt in a long time." Although he is listed as questionable, he is expected to start against the Rams, and it does not appear that he will be limited.

Wide Receivers/Tight Ends

D.J. Hackett, Seahawks: Hackett, who missed several weeks because of a high ankle sprain but managed to return looking fantastic, now has a new injury issue: He is listed as questionable because of swelling in his knee. After resting the knee Wednesday and Thursday, Hackett was able to participate fully on Friday and reportedly looked sharp while running, although he was wearing a wrap, according to the Tacoma News Tribune. All signs point to his playing against the Rams, but be sure to check the inactive reports Sunday.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6837')">Bernard Berrian, Bears: Berrian has a toe that is bothering him, but it does not appear that it will keep him from playing Sunday. Berrian is listed as probable after being able to practice fully on Friday, and he should start Sunday.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=5037')">Plaxico Burress, Giants: Burress' ankle has bothered him more of late, and it is possible that it is affecting his overall productivity. The Giants continue to do their best to manage his condition by keeping him out of practice all week to save him for Sunday. His designation is questionable, so it is always important to check his status before game time. But he is expected to start. Although the past few weeks have been unremarkable for Burress, he remains one of Eli Manning's top receiving targets and always has the potential to have a big day. He also has the potential to aggravate the ankle and leave early. Risk, meet reward.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=5463')">Santana Moss and <a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=5948')">Antwaan Randle El, Redskins: Moss (probable) still has a bruised heel, but the modified shoe with a heel cup insert seemed to help Moss in Week 11. He was allowed to rest the foot early in the week but was a full participant in practice Friday and will be ready to go Sunday. Randle El (also probable) is on this week's report because of a chest injury (no specifics given), but he practiced fully on Thursday and Friday and is expected to play.

Defensive players

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6773')">Tommie Harris, DT, and <a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6869')">Nathan Vasher, CB, Bears: Harris did not practice Wednesday or Friday (he did only limited work Thursday) because he continues to battle a sore knee, but according to the Bears' official Web site, coach Lovie Smith said Harris "should be able to go." The news is not so good for Vasher, who has been hampered by a groin injury for weeks now. Vasher, officially listed as doubtful, is likely to miss his eighth straight game. We saw with <a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6783')">Steven Jackson how nagging these groin injuries can be, and when your position requires significant speed and directional running, a groin injury can be particularly challenging. Vasher admits that the injury is frustrating and hopes he can return relatively soon.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=4658')">Chris McAlister, and <a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=4305')">Samari Rolle, CBs, Ravens: Rolle has been on the Ravens' injury report for weeks now with a previously undisclosed illness, but Rolle announced this week that he has epilepsy. Rolle decided to speak publicly about it now that he has the condition under control, according to a report in the Baltimore Sun. Rolle has had three significant seizures since the start of the season, and the medications he was prescribed took their toll in side effects. Now Rolle seems to have struck a balance with the proper medication and has been gradually resuming his practice activity. His teammates, meanwhile, are reportedly thrilled to have him healthy and back on the field with them. Rolle is listed as probable and could see action Sunday. His teammate, McAlister, is not faring as well for Week 12, though. After returning to action in Week 11, McAlister's knee has been sore, and he has not practiced all week. He is listed as questionable and could play, but it will come down to a game-time decision.

<a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=5897')">Dwight Freeney, Colts: I put Freeney last on the list so that those of you who are not interested in reading about a player who has already been placed on injured reserve can stop reading now. However, for those of you who are curious about these "Lisfranc" injuries, read on.

Freeney underwent surgery on his foot after suffering a Lisfranc injury during Week 10. The term has become familiar enough that many now call it the "dreaded" Lisfranc injury, as it can be quite serious, even career-ending, if not managed well.

So what is this thing they call a Lisfranc injury? There is a region in the middle of the foot where the long bones of the forefoot (metatarsals) articulate with the small tarsal bones in the middle of the foot. This joint, for obvious reasons, is thus called the tarsometatarsal joint. It is also referred to as the Lisfranc joint. Why? Frenchman Jacques Lisfranc, a field surgeon in Napoleon's army, described an amputation technique through this region to address forefoot gangrene following frostbite. There is also the story that soldiers wounded in battle would fall from their horses, but a foot would often remain caught in the stirrup, right at that tarsometatarsal joint. Such an injury often resulted in amputation of part of the foot, from the injured joint forward. In fact, amputation to that region still bears the same name (although NFL players don't need part of their foot amputated when they suffer Lisfranc injuries).

Since NFL players aren't riding horses, how does this injury happen to them? There are several mechanisms for this type of injury, but in sports, especially football, the primary scenario is that the player is running forward, with his weight on the ball of his foot, and he gets hit or stepped on from behind against his heel. The resultant force through the portion of the foot in between the ball and the heel (midfoot) causes it to buckle, and the midfoot is injured.

Are all Lisfranc injuries the same? No. In fact, the name Lisfranc refers to the region of the foot, not necessarily the severity of the injury. By virtue of its important location (the midfoot essentially forms the arch), any injury to this region needs to be taken seriously. That said, not all Lisfranc injuries are created equal. When the midfoot buckles, the ligaments that connect the various bones can become damaged. Ligament injury without any bony impact would be the mildest version of a Lisfranc injury. The problem is that damage to the ligaments can affect the relative position of the bones in the area, and they can shift or dislocate, which is often accompanied by a fracture. Now it's getting more serious. In the worst-case scenario, an artery passing over that area can also be damaged, affecting blood supply to the foot. A shift of the bony alignment typically requires surgery to realign the joint and provide stability. Failure to do so can result in chronic instability and pain, eventually leading to major arthritis in the area. Even with surgery, it appears that people who have suffered a significant Lisfranc injury are more at risk for arthritis down the road, simply because of the trauma to the joint. The bottom line is that players who suffer these injuries must have their treatment managed carefully, not only with surgery, but in the postsurgical rehabilitation process as well. We have seen evidence of this with Lions running back <a href="javascript:newWin('http://insider.espn.go.com/nfl/players/fantasy?statsId=6789')">Kevin Jones, whose activity has been carefully monitored across the season, based on how his foot is feeling.

Good luck to everyone this week! Be sure to check our inactive reports leading up to game time here at ESPN.com.