Rams RB Cam Akers is out Sunday against the Buffalo Bills, according to Lindsey Thiry of ESPN.

It is best for Akers to be fully healthy before coming back, especially if he wants to compete for touches with Malcolm Brown and Darrell Henderson. It is a disappointing start to Akers' rookie season to say the least.

Rams’ RB Malcolm Brown fractured his left pinky and underwent surgery Monday to repair it.

Related players: Cam Akers, Darrell Henderson

The Rams expect Brown to play Sunday at Buffalo, but are uncertain about Akers, who is now day to day with a rib issue as we reported in another post. Henderson stood out in Week 2, but if all three backs play in Week 3, it turns into a messy committee situation for fantasy owners.

Sean McVay says Cam Akers has separated cartilage in his ribs. No break. Day-to-day. Akers may still play Week 3.

Related players: Malcolm Brown, Darrell Henderson

Brown is said to be dealing with a finger injury, but is expected to play this week, according to reports. After Henderson stood out in Week 2, it seems possible all three backs could be available in Week 3, which really clouds the picture as far as how everyone will be used.

Cam Akers, the rookie second-round pick from Florida State, suffered a rib injury on the opening drive and did not return. Malcolm Brown and Darrell Henderson took over, but midway through the fourth quarter, Brown exited because of a finger injury and did not return, leaving Henderson as the only available back.

It was only last week that a similar story emerged saying Brown was the closer. But, things quickly change in the NFL, especially after a different kind of offseason. HC Sean McVay did not provide an update on the severity of Akers' or Brown's injuries after the game, leaving uncertainty whether the Rams will be able to return to their committee approach in Week 3 against the Bills. This week, the value of Henderson looks to be climbing.

Cam Akers left Sunday's game at Philadelphia due to a rib injury, Lindsey Thiry of ESPN.com reports.

Related players: Malcolm Brown, Darrell Henderson

The running back duties now fall on Brown and Henderson. Just when it seemed like Akers and Brown were going to take over after Week 1, Henderson now looks to be back in the fold.

The Rams’ certainly utilized a running-back-by-committee approach on Sunday night, but the hero was veteran Malcolm Brown, who scored the first-ever touchdown in SoFi Stadium, and followed that up with the Rams’ only other trip to the end zone in the third quarter.

Related players: Cam Akers, Darrell Henderson

Brown finished with 110 scrimmage yards on 21 touches. The Rams used Brown as a “layup” option in the passing game with Jared Goff, targeting him four times (he caught three), the story said. They heavily featured Robert Woods in the passing game, and then punctuated the drive with Brown. He’s got multiple seasons on the Rams’ other three active backs, rookies Akers (who got the start on Sunday) and Xavier Jones, and second-year back Henderson. At least for now, the trend looks like Brown could be the finisher.

Rams RB Darrell Henderson is a full participant for the second consecutive day, according to Lindsey Thiry of ESPN. "Expect him to play a roll in the rotation Sunday," tweeted Thiry.

Related players: Malcolm Brown, Cam Akers

Three running backs is always more complicated than two. Henderson's addition to the RB rotation takes away some of the value of Brown and Akers, and we won't know how much value until Sunday night.

HC Sean McVay said the plan is for “a three-back rotation that you feel really good about” as long as Darrell Henderson‘s hamstring is feeling well enough for him to play. He left the door open for Henderson, Cam Akers or Malcolm Brown to change that arrangement in the future, but thinks that the variety of styles can work to the team’s advantage.

Henderson has a question mark about his status heading into Week 1 due to a hamstring issue, which happens to be a Sunday night game. We reported yesterday the Rams were going to ask a lot of Akers this season as a rookie, but according to this story, all three backs could be a factor. It's clearly a situation that needs to sort itself out for fantasy owners.