Monday Injury Rounds: Todd Gurley, Sony Michel, and Degenerative Knees

The latest on Todd Gurley and Sony Michel -- and their arthritic knees. Updated table reviewing all offensive skill position injuries around the league.

Todd Gurley, Sony Michel, and degenerative knees

***Last week, Mike Reiss wrote Sony Michel was "likely" being held out of minicamp workouts for "health / medical reasons." A trusted and knowledgeable beat writer like Reiss cannot always bluntly write what he knows. But Reiss wasn't idly speculating about a medical concern. It was no surprise to learn Michel had an arthroscopic knee procedure in the past month.

Michel has now had procedures to address a balky knee in consecutive offseasons. This year's procedure was performed much earlier in the offseason calendar than last year's joint aspiration, which necessitated over a month of rehab and kept Michel from playing in Week 1. I'm not sure an earlier procedure is a clear positive here, however. Michel should be able to recover from what's likely an offseason maintenance procedure before Week 1. However, Michel hasn't stressed his knee joint in football-specific ways since the end of last season and is already requiring maintenance procedures.

We're now on PUP-watch with Michel. It's possible -- and may even be likely -- he'll not pass his entrance physical. If he starts camp on the PUP list, an always murky New England running back projection will grow even more difficult to parse.

***There's been resistance to using the term "arthritis" in discussions about Todd Gurley's knee for months. Semantics are important to teams when discussing injuries. Providing details is considered giving away a competitive edge. But the team's resistance to using the term doesn't change the degenerative condition of Gurley's knee joint.

Gurley's trainer didn't pull any punches this week. Travelle Gaines confirmed the obvious in an interview this week -- Gurley has an arthritic joint. This really isn't news. Players with joint injuries often sustain cartilage damage. Cartilage (and meniscus tissue) doesn't heal well. Scarring and poorly cushioned joint surfaces -- arthritic changes -- are the inevitable result.

Gaines -- and Gurley -- have repeatedly said the running back feels healthy right now. But there are good reasons Gurley has taken some weight off and worked on strength and agility this offseason and the Rams are smartly looking for ways to limit Gurley's workload.

***Many players have wear-and-tear conditions that require management during the season. Adding Gurley to the list doesn't mean his career is over or that he cannot have extended periods of elite play. Maurice Jones-Drew, Frank Gore, and Adrian Peterson had multiple knee injuries and likely degenerative conditions who went on to have many years of success.

While these injuries can be managed and overcome, we still need to see how much maintenance will be necessary and whether Gurley -- and Michel -- can continue to play effectively on limited practice time and limited game touches.


EARLY OFFSEASON NOTES on Todd Gurley, Carson Wentz, Travis kelce and more...

All offensive skill positions are now combined into a single feature and table below. If you missed articles from earlier in the offseason, you missed a close examination of Todd Gurley's knee condition, which is more straightforward than the Rams would have us believe, deep dives on Cam Newton and Carson Wentz, and details on the post-season surgeries and recoveries on Travis Kelce and Jack Doyle.

You can find all those discussions -- updated through early June -- and more here:

Quarterback Update
Running Back Update
Wide Receiver Update
Tight End Update


Quarterbacks
Player Team Injury Date Player/Team Says FBGs Expects Notes
Andrew Luck Ind Calf strain Offseason 2019 Not participating in OTAs Probable for training camp
Cam Newton Car Arthroscopic shoulder procedure Late January 2019 Limited participation in OTAs Probable for training camp Now cleared to throw
Carson Wentz Phi Lumbar stress fracture Mid-December 2018 Participating in OTAs Ready for training camp
Jimmy Garoppolo SF Left ACL reconstruction Early October 2018 Limited in OTAs Probable for training camp Expected in 7v7 during OTAs
Marcus Mariota Ten Ulnar nerve contusion | Recurrent stinger Multiple episodes 2018 Ready for OTAs Ready for training camp
Andy Dalton Cin Right thumb ligament repair Late November 2018 Ready for OTAs Ready for OTAs
Alex Smith Was Right tibia/fibula fixation | Post-surgical infection Late November 2018 | Early December 2018 Unlikely to play 2019 Unlikely to return to NFL
Colt McCoy Was Right fibula fracture fixation | Follow up procedures Early December 2018 | March & April 2019 Ready for training camp Probable for training camp

Running Backs
Player Team Injury Date Player/Team Says FBGs Expects Notes
Todd Gurley LAR Left knee inflammation Recurrent 2018 Not participating in OTAs Probable for training camp
Christian McCaffrey Car Shoulder surgery Early offseason 2019 Ready for training camp Ready for training camp
Devonta Freeman Atl Core abdominal muscle repair Mid-October 2018 Participating in OTAs Ready for training camp
Ito Smith Atl Left knee meniscus repair Mid-December 2018 Ready for training camp Ready for training camp
Sony Michel NE Chronic knee condition June 2019 Not participating in OTAs Probable for training camp
Derrius Guice Was Left ACL reconstruction Mid-August 2018 Ready for training camp Probable for training camp Individual work in OTAs?
Bryce Love Was Right ACL reconstruction Mid-December 2018 Questionable for training camp PUP to start camp
Phillip Lindsay Den Right wrist fracture / ligament sprain Late December 2018 Limited in OTAs Probable for training camp
Aaron Jones GB Right MCL sprain Mid-December 2018 Expected in OTAs Ready for OTAs
Kerryon Johnson Det Left knee sprain Mid-November 2018 Ready for OTAs Ready for OTAs
Jerick McKinnon SF Right ACL reconstruction Mid-September 2018 Did not participate in OTAs Probable for training camp
Matt Breida SF Pectoral muscle tear Mid-May 2019 Did not participate in OTAs Probable for training camp
Raheem Mostert SF Right forearm fracture Early November 2018 Did not participate in OTAs Probable for training camp
Bilal Powell NYJ Cervical microdiscectomy Late October 2018 Cleared to return Ready for training camp Re-signed by NYJ
Frank Gore Buf Left foot sprain Mid-December 2018 Ready for OTAs Ready for OTAs
Chris Carson Sea Knee procedure Offseason Did not participate in OTAs Probable for training camp
C.J. Prosise Sea Core abdominal muscle repair Early December 2018 Ready for OTAs Ready for OTAs
Miles Sanders Phi Hamstring strain June 2019 Limited in OTAs Probable for training camp
Josh Adams Phi Shoulder labrum repair January 2019 Questionable for training camp Questionable for training camp
Corey Clement Phi Right knee sprain Early December 2018 Questionable for training camp Ready for training camp
Ryquell Armstead Jac Hamstring strain Early June 2019 Not participating in OTAs Probable for training camp
Isaiah Crowell Oak Achilles tendon repair Mid-May 2019 Injured reserve Injured reserve Out for 2019 season
Kenneth Dixon Bal Undisclosed June 2019 Returned to practice Probable for training camp
Jeremy Hill NE Right ACL reconstruction Early November 2018 Questionable for training camp Questionable for training camp
Jay Ajayi FA Left ACL reconstruction Early October 2018 Questionable for training camp Questionable for training camp Free agent
Rodney Anderson Cin Right ACL reconstruction Late September 2018 Ready for training camp Probable for training camp

Wide Receivers
Player Team Injury Date Player/Team Says FBGs Expects Notes
DeAndre Hopkins Hou Right AC sprain Early January 2019 Ready for training camp Ready for training camp
Will Fuller V Hou Right ACL reconstruction Late October 2018 Did not participate in OTAs Questionable for training camp
Julio Jones Atl Foot injury June 2019 Limited in OTAs Probable for training camp
Mike Evans TB Hamstring strain Early June 2019 Limited in OTAs Probable for training camp
A.J. Green Cin Right plantar plate repair Early December 2018 Did not participate in OTAs Probable for training camp
John Ross Cin Tightness (unspecified) Mid-May 2019 Did not participate in OTAs Probable for training camp
Cooper Kupp LAR Left ACL reconstruction Mid-November 2018 Did not participate in OTAs Probable for training camp
Doug Baldwin FA Core abdominal muscle repair / Arthroscopic knee surgery April 2019 / February 2019 Released by Seattle Expected to retire
T.Y. Hilton Ind High ankle sprain Recurrent 2018 Participated in OTAs Ready for training camp
Deon Cain Ind ACL reconstruction Early August 2018 Did not participate in OTAs Questionable for training camp
Jarvis Landry Cle Undisclosed May 2019 Did not participate in OTAs Probable for training camp
Marvin Jones Jr Det Right knee bone contusion Mid-November 2018 Did not participate in OTAs Probable for training camp
Kenny Golladay Det Chest injury Late December 2018 Did not participate in OTAs Probable for training camp
Anthony Miller Chi Left shoulder labrum repair Mid-January 2019 Limited in OTAs Probable for training camp
Emmanuel Sanders Den Left Achilles tendon repair Early December 2018 Did not participate in OTAs Questionable for training camp
Christian Kirk Ari Left fifth metatarsal fixation Early December 2018 Partial participation in OTAs Probable for training camp
Marquise Brown Bal Left Lisfranc joint reconstruction Early January 2019 Did not participate in OTAs Questionable for training camp Ravens expect in camp
Miles Boykin Bal Hamstring strain May 2019 Limited in OTAs Probable for training camp
Paul Richardson Jr Was Right AC joint reconstruction Early November 2018 Individual drills in OTAs Probable for training camp
Demaryius Thomas NE Left Achilles repair Late December 2018 Cleared to run Likely PUP to start camp
Marqise Lee Jac Left ACL reconstruction / PCL repair Late August 2018 Did not participate in OTAs Likely PUP to start camp May return late in camp
Albert Wilson Mia Right hip injury Late October 2018 Did not participate in OTAs Probable for training camp
Jakeem Grant Mia Achilles surgery Late November 2018 Probable for training camp Probable for training camp
Deebo Samuel SF Hip injury June 2019 Did not participate in OTAs Probable for training camp
Cole Beasley Buf Core abdominal muscle repair April 2019 Did not participate in OTAs Probable for training camp
Breshad Perriman TB Shoulder injury May 2019 Did not participate in OTAs Probable for training camp
Allen Hurns Dal Left ankle dislocation / fibula fracture Early January 2019 Did not participate in OTAs Likely PUP to start camp
Mack Hollins Phi Core abdominal muscle repair Early September 2018 Did not participate in OTAs Questionable for training camp
Nelson Agholor Phi Lower body injury June 2019 Did not participate in OTAs Probable for training camp
Cameron Meredith NO Arthroscopic knee surgery Early November 2018 Did not participate in OTAs Questionable for training camp

Tight Ends
Player Team Injury Date Player/Team Says FBGs Expects Notes
Travis Kelce KC Ankle surgery Late February 2019 Not participating in OTAs Probable for training camp
Jack Doyle Ind Hip surgery Late February 2019 Not participating in OTAs Questionable for training camp Labral repair?
Eric Ebron Ind Core abdominal muscle repair April 2019 Not participating in OTAs Probable for training camp
Evan Engram NYG Undisclosed Early June 2019 Not participating in OTAs Probable for training camp
Greg Olsen Car Right fifth metatarsal fracture fixation revision Late December 2018 Limited in OTAs Probable for training camp Cleared to return
Ian Thomas Car Leg injury June 2019 Not participating in OTAs Probable for training camp
Hunter Henry LAC Right ACL reconstruction Late May 2018 Participating in OTAs Ready for training camp
Austin Hooper Atl Ankle injury June 2019 Not participating in OTAs Probable for training camp
Delanie Walker Ten Right ankle dislocation/fibula fracture Early September 2018 Limited in OTAs Probable for training camp
Jonnu Smith Ten Left MCL sprain Early December 2018 Not participating in OTAs Probable for training camp
Trey Burton Chi Core abdominal muscle repair Early January 2019 Not participating in OTAs Probable for training camp
Hayden Hurst Bal Foot stress fracture / Hamstring strain August 2018 / Early June 2019 Limited in OTAs Ready for training camp
Tyler Kroft Buf Right foot fracture fixation revision Late May 2019 Not participating in OTAs Likely PUP to start camp
Cameron Brate TB Hip labrum repair Mid-January 2019 Not participating in OTAs Questionable for training camp
Tyler Eifert Cin Right ankle dislocation/fibula fracture Late September 2018 Limited in OTAs Probable for training camp
Jordan Reed Was Right toe sprain Mid-December 2018 Skipped voluntary workouts Probable for training camp
Garrett Celek SF Concussion Late December 2018 Not participating in OTAs Questionable for training camp Yet to be cleared
Will Dissly Sea Right patellar tendon repair Early October 2018 Not participating in OTAs Likely PUP to start camp
Geoff Swaim Jac Left wrist fracture fixation Mid-November 2018 Participating in OTAs Ready for training camp
Jake Butt Den Left ACL reconstruction Late September 2018 Not participating in OTAs Questionable for training camp
Austin Seferian-Jenkins FA Core abdominal muscle repair Early October 2018 Limited in OTAs Probable for training camp

Check back for more injury analysis throughout training camp and follow on Twitter @JeneBramel for breaking injury news, commentary, and analysis of injury news around the NFL

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