Saints’ Cesar Ruiz suffers high ankle sprain

Ruiz sustained a high ankle sprain against the Bills in Week 4, according to NFL.com’s Ian Rapoport, who indicates a four- to six-week timetable may be the return range here. This would stand to make Ruiz an IR candidate. Scans will determine Ruiz’s timetable, per Nick Underhill of NewOrleans.football, who initially reported the former first-round pick would be expected to miss game action.

The Saints have used Ruiz as a starter throughout his career; he is currently part of a line that features four first-round picks and McCoy (a 2019 second-rounder) as starters. Ruiz, McCoy and Alvin Kamara are the only starters remaining from the Saints’ most recent playoff team — the 2020 edition — and the right guard is signed to a four-year, $44MM extension. That deal runs through the 2027 season.

Despite being in Year 6, Ruiz is still just 26. He has made 73 career starts, though he did miss eight games from 2022-24. Knee and ankle trouble limited Ruiz to 13 games last season, and he missed three contests in 2022. That said, Ruiz has never played fewer than 13 games in a season, managing to avoid serious injuries.

With the Saints not a playoff contender, it should be expected they will be cautious with a player who likely factors into their post-2025 plans. Ruiz has started slowly this season, with Pro Football Focus ranking him 73rd among guards. Because of a recent restructure on Ruiz’s contract, cutting him in 2026 would bring a $16.85MM dead money bill.

The Saints used both their allotted summer IR-return slots, dropping their activation count from eight to six. Ruiz would stand to reduce that number to five if he goes on IR, as this is not a season-ending injury. The Saints also have backup Dillon Radunz battling a turf toe malady. A former Titans guard signed this offseason, Radunz started at left guard in place of Trevor Penning in the season’s first two games. Penning is now back in the lineup. Rookie UDFA Torricelli Simpkins replace Ruiz after he was carted off the field during the Saints’ loss to the Bills.