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Lions Monday medical report – post-week 11 injury updates

November 18, 2024 by Lions Wire

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Another week, another injury to a Lions front-7 player. This time it’s a forearm fracture to Alex Anzalone. Fortunately, this injury will allow him to return this year and probably stronger than ever as I explain in my feature article .

Pending concerns include Shane Zylstra’s neck and Allen Robinson’s possible concussion. Many other players went down during the Jaguars game but most of those injuries appear to be minor.

On Monday, Dan Campbell gave a pessimistic update on Ifeatu Melifonwu saying “something came up…. he won’t be ready for a while… this is a different injury”. This may be due to Melifonwu new finger injury last week.

Here is the list of what I saw in the Jaguars game along with suspected diagnoses:


Amik Robertson – 1q 10:00 left thigh contusion

At the end of the first drive, he appeared to be hit in the left thigh which may have caused a simple charley horse. I didn’t see anything with the ankles or knees. He limped off but returned the next nickel package which was during the 3rd drive. He played the rest of the game with no noticeable effects.

Amik Robertson L thigh contusion? video
-Video looks like simple charley horse. Knees/ankles look unaffected.
-Hurt on 1st drive. Heavy limp but returned to game and finished it out with no problems. No concerns. pic.twitter.com/8ClnWM4TVT

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Amik’s dad confirms that he is just fine.

Great FaceTimed him last night!! No issues just another day at the office💪🏿🤪😁

— Arthur Watts III (@LILWATTS5000) November 18, 2024

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Jahmyr Gibbs – 1q 1:50 mild abdominal contusion

Gibbs landed on the ball which could have caused an abdominal contusion, rib cartilage injury, or just wind. He left after the play but returned the same drive and finished out the game.

Jahmyr Gibbs
-Appears to land on ball. Could be ab contusion or rib cartilage or just wind.
-Left after play but returned same drive and finished out game well. Should be fine. pic.twitter.com/DHmyRjbrjr

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Frank Ragnow – 2q 9:19 left elbow/forearm contusion

Ragnow took a helmet directly to his left elbow/forearm area and came up grimacing. He didn’t miss a play. He finished the game without any kind of elbow wrap or pad which is reassuring. Likely, he just had a mild contusion.

Frank Ragnow L elbow/forearm injury video
-Poor guy takes a direct helmet shot into the elbow/proximal forearm area. In pain, but didn’t miss a play.
-Finished game without any wrap or pad which is reassuring that there is no significant injury pic.twitter.com/sMygokOGkl

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Alex Anzalone – 2q 2:36 left forearm fracture

See my full article for details. Anzalone should be back within 6-8 weeks with no long-term concerns.

Alex Anzalone L forearm fracture injury video
-Slomo zoom looks like midshaft
-Dan Campbell says 6-8wks. MNF vs 49ers 6wks away.
-Possibly could be back sooner but no reason to rush with playoffs 8-9wks away
-Fully healed for playoffs, no long-term concerns pic.twitter.com/mRS0iVZtgp

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Carlton Davis – left thumb fracture earlier in week

Davis didn’t play in the second half but this presumably was a precaution for the left thumb fracture he suffered in practice a few days ago. Dan Campbell stated on Monday that during the game “he didn’t feel quite right”, so this is something to monitor this week.

Here is the cast/splint he was playing with:


Za’Darius Smith – 2q 00:45 right torso/ribs contusion

Smith took an elbow to the right torso which could have caused a rib or abdomen injury. He was in visible pain on the ground for a while but only missed one play. Likely this is just a contusion with the worst case being a rib fracture.

Za’Darius Smith R torso/ribs video
-Takes blow to ribs/flank area. Down for a while but only missed 1 play. Finished game fine. pic.twitter.com/Im5KVUmIeH

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Penei Sewell – 3q 1:12 torso strain

Video was obscured but he did get his torso crushed by Ragnow. Two plays later, Sewell landed hard on his torso which may have aggravated the initial issue. He didn’t miss a play and finished the game in good shape.

Penei Sewell
-Unclear what happened here but may have gotten torso crushed by Ragnow initially then 2 plays later landed hard on torso aggravating it.
-Finished game without issue. No significant concerns. pic.twitter.com/YefHLMMQQ7

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Allen Robinson – 4q 5:18 possible concussion

Robinson takes a hard blow to the head here and also bangs his head on the ground. He is slow getting up which is concerning for a concussion. He tried to stay in for the next play but was sent off for a concussion evaluation. Presumably he has passed the evaluation since there has been no news. Delayed symptoms are possible and we should know that by Wednesday.

Allen Robinson possible concussion video
-Slow getting up after direct blow to head
-Stayed in for next play but sent off for concussion eval
-Presumably has passed eval but will need to watch for delayed symptoms pic.twitter.com/We1JnUccI1

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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Shane Zylstra – 4q 6:22 neck

Zylstra pulled himself out after this play and was officially listed as a neck injury. He did not return to the game. I reviewed all his plays in the 4th quarter and nothing jumped out. Neck injuries often don’t show much on video as we saw with Saivion Smith’s temporary paralysis in 2022. Hopefully, this is just a simple cervical muscle strain.

Shane Zylstra neck injury video
-Pulled himself out after this play but nothing obvious on video here or any of his previous plays in 4qtr. Did not return.
-Even severe neck issues may not show on video (see Saivion Smith temporary paralysis 2022)
-Hope just a muscle strain pic.twitter.com/te8XVe1Jvi

— Jimmy Liao MD | Detroit Lions Morning Rounds (@JimmyLiaoMD) November 18, 2024

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