Rams Injury Updates: Puka Nacua, Steve Avila & Joe Noteboom

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Sep 8, 2024; Detroit, Michigan, USA; Los Angeles Rams wide receiver Puka Nacua (17) is carted off the field after being injured against the Detroit Lions in the first half at Ford Field. Mandatory Credit: Lon Horwedel-Imagn Images

The Los Angeles Rams took the Detroit Lions to the wire on Sunday night but dropped their regular season opener in overtime by a final score of 26-20 at Ford Field.

The Rams were missing several starters in Week 1 and unfortunately saw additional players go down to injury during the matchup.

Pro Bowl wide receiver Puka Nacua suffered a knee injury in the second quarter and initially returned for one play before exiting again and missing the rest of the game.

It appears Nacua re-aggravated the injury that forced him to miss training camp, and now Sean McVay says he will go on injured reserve and miss at least four games, per Jourdan Rodrigue of The Athletic:

The Rams also lost starting guard Steve Avila to a knee injury and it is possible that he also winds up on IR:

A potential MCL strain isn’t ideal as Avila will almost certainly miss a few weeks of action depending on the grade. The good news is that MCL strains typically aren’t season-ending injuries and Avila should be able to return at some point. The Rams have a bye in Week 6, so both him and Nacua can get five weeks of rest before potentially returning in Week 7.

When Avila was lost at the start of the third quarter, the Rams inserted rookie Beaux Limmer at center and moved Jonah Jackson to left guard. If Avila misses time as expected, the Rams will likely stick with this combination in the short term.

Joe Noteboom, who started at left tackle in place of the suspended Alaric Jackson, was also carted off the field with an ankle injury, and right guard Kevin Dotson hurt his ankle as well although the concern there isn’t as high.

With Jackson set to miss the Rams’ Week 2 matchup against the Arizona Cardinals, A.J. Arcuri could step in at left tackle if Noteboom remains sidelined.

Rams injuries

Before the latest injuries, the Rams were already thin at offensive line due to Jackson’s suspension and Rob Havenstein missing the regular season opener due to an ankle injury.

However, head coach Sean McVay expressed hope after the team’s loss to the Lions that Havenstein could return sooner rather than later.

Matt Borelli covers the Los Angeles Rams as a staff writer for Rams Newswire and additionally writes about the Los Angeles Lakers and Los Angeles Dodgers for Lakers Nation and Dodger Blue, respectively. He also contributes to RaidersNewswire.com. Follow him on Twitter: @mcborelli.
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