What injury does Saffold really have? Based on media reports, the offensive tackle suffered a dislocated shoulder in the preseason opener at Cleveland. He missed the next preseason game, but participated in the final two as well as the entire 2013 regular season.
Medically, when a player dislocates his shoulder, the labrum is typically torn. The boney anatomy of the shoulder is like a golf ball on a tee. The ball (head of the humerus) doesn’t tend to stay on the tee (in the socket/glenoid) when the edge of the tee (labrum) is chipped.
Assuming a player at the NFL Scouting Combine was presented with such a labral tear, I would fail him on his physical, but note that he has a correctable problem. I would advise my team that he could still be drafted, but would want them aware of potential surgery. Sometimes the team stays away in these instances, while other times the team chooses to draft and fix the player immediately. A third option would be to draft the prospect and have him play through the upcoming season with a brace before considering future surgery. Each case is unique.
I don’t believe Oakland or their doctors botched this process. The Raiders just weren’t willing to ignore the pre-existing condition. I also don’t believe the Rams or Saffold were hiding anything. Clearly, the Rams believe in Saffold’s shoulder enough to re-sign him. This is just how business is conducted in the NFL.