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[BN] Blitz newsletter: Former team doctor fears Josh Allen has UCL sprain

Former Chargers team doctor David J. Chao, who is better known as @ProFootballDoc on Twitter, said Monday night that he believes Bills' rookie quarterback Josh Allen has an ulnar collateral ligament sprain that could keep him out into November.

Allen injured his right, throwing elbow in Sunday's loss to the Texans. Coach Sean McDermott described Allen as "week-to-week" earlier Monday.

Chao wrote in the San Diego Union Tribune that seeing video of Allen react in pain when trainers performed an important elbow test on the sideline led him to believe Allen suffered a substantial injury to the UCL – the same ligament that commonly requires Tommy John surgery in pitchers. Chao put the over/under on Allen's recovery at six weeks.

"I'm not saying 'full tear.' I'm not saying 'season over.' I'm not saying 'surgery,'" Chao clarified in a Periscope video. "But he definitely has an ulnar collateral ligament issue – an ulnar collateral ligament sprain.

"The test that I'm talking about on the sideline is a valgus stress test, or a milking sign, where literally the doctor pulled on his thumb in an outward rotation and he winced in pain," Chao added. "That is specific for the ulnar collateral ligament, and that's part of where I base my thoughts on. With that injury, I think it's very unlikely that he will play this week or even the next week. That test was so strongly positive that a good scenario is no surgery and back some time in November."

Now what? What will the Bills do if Allen can't play this week? "That's something we're working through right now," McDermott said. The seemingly unplayable Nathan Peterman may be forced into action. The only other quarterback on the roster is Derek Anderson, whom the Bills signed off the street last week to act as a mentor for Allen; he might not be ready mentally or physically. Tight end Logan Thomas is a converted quarterback. Can they trade for AJ McCarron or Tyrod Taylor? Maybe let LeSean McCoy take direct snaps in the Wildcat all game? (I wish that was a joke.) None of the options here sound very good.

Transcripts: Bills coaches talk QBs, Benjamin incident and defense.

Remembering Ralph: Bills founder Ralph Wilson would have turned 100 this week. The trustees of his foundation remembered the Buffalo icon.

Bills-Texans film review: Josh Allen didn't show the quick trigger that separates the good quarterbacks from the average, continuing a theme for him this season. He may have been too focused on the pass rush coming at him.

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Observations: Leslie Frazier's defense has turned things around, Jay Skurski wrote. It's a shame their performances are being wasted.

Upon further review: The Bills are still killing themselves with penalties, ranking third in the league in accepted penalties against. The teams above them, Kansas City and Pittsburgh, have enough firepower to overcome some shortcomings here. The Bills need every advantage they can get.

Position Grades: The Bills' front four racked up the stats, earning a 4.5 out of 5 in Mark Gaughan's grading system.

Buffalo natives share moment after NFL game: Steven Means and Demone Harris, former UB standouts and WNY high school products, shared the field during Sunday's Buccaneers-Falcons game.

Thurm honored: Bills' Hall of Fame running back Thurman Thomas and family will be among those receiving 'Courage' awards.

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Got feedback on this newsletter or our Bills coverage? Email Josh Barnett at jbarnett@buffnews.com. Find us on Facebook by clicking here and follow @BNBlitzNow on Twitter.

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