NFL Injury Analysis: Optimism for Trubisky's Shoulder

NFL Injury Analysis: Optimism for Trubisky's Shoulder

This article is part of our Injury Analysis series.

Mitchell Trubisky

Trubisky is out after suffering a left shoulder injury Sunday. The Chicago quarterback dislocated his left shoulder when he fell on his outstretched arm following a sack by Vikings defensive end Danielle Hunter. He left the game and did not return. Further testing revealed the forced dislocation resulted in damage to the fibrocartilage rim of the shoulder known as the glenoid labrum.

The labrum surrounds the head of the upper arm bone, the humerus. The humeral head acts as the ball in the ball-and-socket joint of the shoulder, with the glenoid cavity of the shoulder blade serving as the socket. The labrum deepens the socket while allowing for a high degree of mobility. Unfortunately, the cost of mobility is often stability ,as the glenohumeral joint can easily become misaligned or dislocated. The force needed to cause a dislocation often tears the labrum. 

Labral injuries can come in a variety of types and directions with surgical intervention needed for the more serious tears. Fortunately, it appears as though Trubisky will avoid a trip to the operating room and should return this season.

Part of the reason for a sense of optimism surrounding the injury is linked to the fact that the involved joint is on Trubisky's non-throwing shoulder. He will spend the next few weeks rehabbing with a focus on regaining range of motion and strengthening the surrounding musculature.  A well-timed bye in Week 6 will help minimize his time lost and return in Week 7 against the Saints

Mitchell Trubisky

Trubisky is out after suffering a left shoulder injury Sunday. The Chicago quarterback dislocated his left shoulder when he fell on his outstretched arm following a sack by Vikings defensive end Danielle Hunter. He left the game and did not return. Further testing revealed the forced dislocation resulted in damage to the fibrocartilage rim of the shoulder known as the glenoid labrum.

The labrum surrounds the head of the upper arm bone, the humerus. The humeral head acts as the ball in the ball-and-socket joint of the shoulder, with the glenoid cavity of the shoulder blade serving as the socket. The labrum deepens the socket while allowing for a high degree of mobility. Unfortunately, the cost of mobility is often stability ,as the glenohumeral joint can easily become misaligned or dislocated. The force needed to cause a dislocation often tears the labrum. 

Labral injuries can come in a variety of types and directions with surgical intervention needed for the more serious tears. Fortunately, it appears as though Trubisky will avoid a trip to the operating room and should return this season.

Part of the reason for a sense of optimism surrounding the injury is linked to the fact that the involved joint is on Trubisky's non-throwing shoulder. He will spend the next few weeks rehabbing with a focus on regaining range of motion and strengthening the surrounding musculature.  A well-timed bye in Week 6 will help minimize his time lost and return in Week 7 against the Saints could be possible. In the meantime, Chase Daniel will takeover at quarterback though his fantasy value isn't drastically different than Trubisky's.

Davante Adams

The Green Bay wideout was in the middle of a big game Thursday before exiting the field with a right foot injury. Adams hauled in 10 receptions for 180 yards before suffering what was later diagnosed as turf toe. Turf toe is a term used to describe a hyperextension injury of the big toe of the foot.  The injury originally got its name because it often occurred on the old hard and unforgiving AstroTurf. However, the name can be a bit misleading as turf toe can still pop up on natural grass and other playing surfaces like FieldTurf. 

The forced extension often causes the ligaments surrounding the joint to become sprained. Pain and discomfort with weight bearing is a common symptom of the injury. As a result, turf toe can be severely limiting for wide receivers and cornerbacks who have to make sudden starts and stops while moving at a high speed. Furthermore, turf toe tends to linger and can easily be aggravated, even with modified footwear.

Adams is not expected to suit up Sunday against the Cowboys, though an MRI taken of the injured toe revealed it to be not as serious as initially feared.  Even if he is cleared to play, look for Green Bay to limit his practice reps to reduce the risk of aggravation or re-injury. Scale back your expectations for Adams for the immediate future. Marquez Valdes-Scantling and Geronimo Allison will be the primary wide receiver options for quarterback Aaron Rodgers.

Turf Burns

Josh Allen: The Buffalo quarterback is in the league's concussion protocol after suffering a head injury on a vicious hit from New England cornerback Jonathan Jones. A Week 5 return is possible but is no guarantee. But Buffalo's bye is Week 6, so the Bills could hold him out this week, knowing he would get an additional week to rest and rehab before a Week 7 return.

T.Y. Hilton: The normally resilient Indianapolis wideout was unable to play in Week 4 due to a lingering quadriceps injury. Hilton will need to make an appearance in practice this week before fantasy owners should feel confident in using him in all formats. Even if he does return to the active roster, his inherent injury risk will remain elevated.

Jarvis Landry: The Cleveland receiver is  recovering from a concussion sustained Sunday. Landry was in the middle of a breakout performance against the Ravens, catching eight passes for 167 yards, before suffering the injury. Like Allen, Landry's availability is dependent on his ability to complete the league's return-to-play guidelines, though recovery from a concussion varies greatly from person to person. Keep an eye on how he progresses throughout the week before inserting him into your lineups. A potential Landry absence would be eased by the return of Antonio Callaway, who has completed his four-game suspension. 

Marlon Mack: If playing without Hilton wasn't bad enough, the Colts' ground game is also limping as Mack nurses an ankle injury. The injury occurred in the second half of the team's loss to the Raiders on Sunday and kept Mack out for a majority of the fourth quarter. The decision appears to have been precautionary as the team said he was not medically ruled out of the game.  Mack should  suit up Sunday against the Chiefs, though expect him to see limited practice time this week.

Devin Singletary: The Bills continue to rely heavily on veteran Frank Gore as their rookie running back works his way back from a hamstring strain. The team reported he was close to playing against the Patriots in Week 4 but opted to take a conservative approach with his recovery. The tactic could come into play again in Week 5 with the Bills scheduled for an off week in Week 6. However, the team likely will give him a chance to take practice reps and determine if letting him play against the Titans in Tennessee is worth the gamble. Even if he does return, look for Gore to continue to see a healthy share of the workload out of the backfield so that Singletary can be eased back into the swing of things. 

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ABOUT THE AUTHOR
Jeff Stotts
Jeff Stotts works as a Certified Athletic Trainer (MAT, ATC, PES, CES). He won the 2011 Best Fantasy Football Article in Print from the Fantasy Sports Trade Association.
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