What would a torn ACL mean for
DeMarcus Cousins and the
Los Angeles Lakers?
ESPN's Adrian Wojnarowski reported Thursday that the Lakers fear Cousins suffered a torn ACL when he was injured Monday in an offseason workout in Las Vegas. That diagnosis could be confirmed later Thursday, when Cousins meets with team physicians.
Given that Cousins was penciled in as the starting center for a Lakers team with championship aspirations after adding
Anthony Davis to team with
LeBron James, the injury would have important ramifications for the Lakers and the rest of the league. It also would be another blow for Cousins, who was still working back toward full health after an Achilles rupture in January 2018. Let's answer some key questions about the possible injury.
Would Cousins' season be over?
Almost certainly yes. While nine months was once considered a typical timetable for an ACL tear, no player has returned so quickly from one since J.J. Hickson in 2014. (Hickson missed just 7.5 months.) In the past five years, no player has come back from an ACL tear in shorter than 11 months. The past two players to suffer ACL injuries in August (
Dante Exum in 2015 and
Brandon Knight in 2017) didn't return until training camp the following year.
Every ACL injury is different, particularly in terms of associated ligament and cartilage damage, but the trend toward longer rehab suggests it's unlikely Cousins would be back any sooner than deep into the playoffs, and by that point the Lakers might not be interested in trying to integrate him on the fly while he rehabs.
The Lakers also would have to weigh the value of using a roster spot on Cousins. They've currently got 14 players under guaranteed contract and both two-way spots filled with four training camp invitees possibly vying for the last spot on the roster. Whether one of those players makes the team or not, the Lakers were probably planning to avoid guaranteeing a 15th player to wait on possible buyout candidates after the trade deadline.
If the Lakers want to stick to that plan, they'd need to waive Cousins to replace him with another center to complement
JaVale McGeeand Anthony Davis sliding over from power forward.
Who could the Lakers add?
Having exhausted their cap space to sign Cousins and other free agents and used their room midlevel exception to sign
Avery Bradley, the Lakers would be limited financially in trying to replace Cousins. They could apply for a disabled player exception, but because Cousins' $3.5 million salary is so modest, the $1.75 million it would allow them to spend on free agents would actually be less than the minimum salary for players with at least five years of experience
The most obvious free-agent candidate at center is Nene, who turned down a $3.8 million player option to test free agency and has yet to sign anywhere. But Nene, who will turn 37 next month, declined dramatically last season after giving the
Houston Rocketsquality play off the bench the previous two years.
Kenneth Faried, who played ahead of Nene in Houston, would probably be a better option at this point.
If the Lakers do go the veteran route, my choice would be either
Salah Mejri -- a quality pick-and-roll option with the
Dallas Mavericksthe past four seasons who also provides more rim protection than most of the veteran options -- or
Joakim Noah, who was effective with the
Memphis Grizzlies after wearing out his welcome in New York. (Whether the nightlife in L.A. would be
as troublesome for Noah as it was in New York is a question the Lakers would have to answer.)
That noted, there's a reason these experienced players remain unsigned in August, and the Lakers might be better off exploring younger alternatives. I'd make a call to the
Detroit Pistons to see how likely
Christian Wood is to make the roster after the Pistons reportedly agreed to sign former Laker Michael Beasley earlier this week to compete with Wood for their final spot. Wood has been productive in limited NBA opportunities, including averaging 16.9 points and 7.9 rebounds in eight games with the
New Orleans Pelicans late last season. If the Lakers could get Wood for cash or a swap of future second-round picks, that would be my first option.
What's next for Cousins?
While this injury would be a disappointment for the Lakers, who were expecting Cousins to be a big part of their center rotation, it would be devastating for him coming barely more than a year and a half after an Achilles rupture already had thrown his career off track.
Because of the injury and the deep market at center in free agency, Cousins had to settle for back-to-back one-year deals far below what his previous All-Star level of play would have implied. He played just 30 games in the 2018-19 regular season because of the Achilles rehab, then saw his playoffs interrupted by a torn quadriceps muscle that sidelined him up until the NBA Finals. After taking a one-year, $3.5 million deal with the Lakers, Cousins was surely hoping to reprove his value ahead of a summer with limited competition for top dollar in free agency.
Now, that opportunity could be gone and Cousins would again face an uncertain future after his rehab. There's no precedent I've found for a player returning after suffering both Achilles and ACL ruptures in the NBA. The two players in my databases who have dealt with both injuries,
Emanual Davis and
Jerome James, never returned to the league after the Achilles rupture. (Both were 34 at the time and already on the fringes of the league, not really comparable to Cousins.)
Given he almost certainly wouldn't have seen any action before free agency, Cousins would likely be looking at yet another summer of taking a one-year, prove-it deal. At some point, he may run out of time to get back to his old form. Having turned 29 earlier this week, Cousins would probably be 30 by the time he takes the court for his next NBA game.
Even before this injury, Cousins was overdue for good fortune in terms of health. Instead, it appears his situation may go from bad to worse.