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Alvin Kamara sprains MCL in Cowboys-Saints joint practice, likely to miss Week 1 opener

The five-time Pro Bowl running back suffered a sprained MCL during a physical joint session in Frisco on August 18, and ESPN's Adam Schefter reports he'll miss at least a month - putting his availability for New Orleans' September 13 opener against Detroit in serious doubt.

Kamara sprains MCL in joint practice, and New Orleans' offense is already in trouble

It was supposed to be a hard-hitting but productive afternoon at The Star in Frisco. Instead, the New Orleans Saints left Dallas on Tuesday with their most experienced offensive weapon heading to the medical tent.

ESPN's Adam Schefter reported Wednesday morning that Saints running back Alvin Kamara is expected to be sidelined for at least the next month due to a sprained MCL. The incident took place on Tuesday, August 18, 2026, during a physical, scrimmage-style joint practice session with the Dallas Cowboys at The Star in Frisco, Texas.

During a scrimmage period, Kamara absorbed a hard hit to his knee area. The sudden nature of the contact forced him to exit the field alongside the Saints' medical staff. Although there was immediate panic that he had suffered a season-ending ACL tear, the latest update says otherwise. Tests confirmed a sprained MCL. He avoided any torn ligaments according to early reports.

Good news, relatively speaking. The rest of it is not.

New Orleans' season opener against the Lions is 25 days away, meaning Kamara is set to miss Week 1 for just the second time in his career. The Saints' Week 2 game at the Ravens is 32 days away, putting it near the early end of the reported timeline. The Saints open the season with two difficult road games, beginning September 13 at the Detroit Lions before traveling to Baltimore to face the Ravens on September 20. They then return home September 27 to host the Las Vegas Raiders. Do the math: Kamara could potentially miss all three September games if his recovery requires the full four-plus weeks reported by Schefter.

A career's worth of context

Kamara is 31. He will be entering his 10th NFL season. The veteran running back has spent his entire career with the Saints, who selected him in the third round of the 2017 draft. That pick aged extremely well. General manager Mickey Loomis has seen Kamara turn into the Saints' all-time leader in rushing attempts (1,674), yards (7,250) and touchdowns (61). The dual threat is also second in franchise history in catches (606) and fifth in receiving yards (6,569).

But the body has not cooperated lately. Kamara appeared in a career-low 11 games last year as he dealt with a knee injury. He finished with career lows in most major statistical categories, including 657 yards from scrimmage - his first time under 1,000 - and just one touchdown. He was only able to play in 11 games last season, 14 in 2024, and 13 in 2023.

This offseason, Kamara restructured to stay in New Orleans. He will play for the Saints in 2026 on a reworked contract that will pay him a base salary of $6 million this season with a chance to make up to $8.5 million with incentives. Kamara had been set to make up to $11.5 million in base salary this season, although the Saints renegotiated his contract for salary cap purposes in early March. He took less money to remain the only team he has ever played for. Now he is watching from the sideline before the regular season even starts.

Etienne steps into a different situation than advertised

The Saints brought in Travis Etienne Jr. this spring specifically to share the load. Kamara had accepted a reduced role to serve as the backup after the NFC South franchise brought in Travis Etienne to lead the backfield. In March, the Saints signed former Jacksonville Jaguars running back Travis Etienne Jr. to a four-year deal worth more than $12 million per year in the first three years of the deal.

That plan was a two-back rotation. Now it is just Etienne, at least to start. Etienne will face no real competition for early touches. The Saints planned a tandem approach between the two backs. That plan shifts with Kamara's multi-week recovery. With Kamara out into the regular season, the Saints will turn to Kendre Miller and Devin Neal, among others, and could explore outside options.

Head coach Kellen Moore confirmed the knee injury after practice. Moore and company are looking to build off a 2025 season in which New Orleans won four of its final five games with Tyler Shough as the starter, but injuries are proving to be an early obstacle.

The Saints' offense has more problems than just Kamara

This is not the only fresh wound. The injury is the second significant blow to the team's offense in the past week. Last Thursday, rookie wide receiver Jordyn Tyson - the eighth overall pick in the NFL draft - strained a hamstring in a joint practice against Jacksonville. That injury is expected to sideline Tyson for nearly two months.

Audric Estime also remains sidelined. Kendre Miller and Devin Neal recently returned to practice after missing time. Additionally, cornerback Quincy Riley left the Tuesday practice early with a separate issue. The team holds another joint session, this time with the Rams, on Thursday.

Moore has been around the NFL long enough to know that preseason joint practices can turn ugly. This one did. The Saints have roughly three weeks before they have to be ready for Detroit, and right now their backfield depth chart behind Etienne consists of players who have spent much of August in the training room themselves.

Etienne's and Kamara's contracts made the running back position expensive in both cash value and cap space for the Saints, with $21 million in cap space devoted to the team's seven running backs - the most in the NFL. That investment looked sensible when both backs were healthy. With Kamara on the shelf, New Orleans is paying a premium for one functioning starter.

Kamara's surgically repaired knee and the MCL sprain next to it will determine whether he suits up for the Lions opener. His track record of healing faster than expected - Saints beat reporter Nick Underhill noted on X that "he avoided a major injury" and that it could "take a little time, but nothing super serious or threatening long-term. Hard to know how long. Alvin and his team often beat timelines." - offers some hope. But the 2026 Saints needed Kamara on the field, not rehabbing in a training facility while Etienne figures out a new offense under a first-year head coach.

Sources