The Los Angeles Rams need help in the secondary, and Caleb Downs is widely considered the top defensive back in the NFL Draft 2026. On paper, it looks like a perfect fit. However, a new medical concern could change how teams view the Ohio State star.
NFL Draft 2026 Injury Concerns
Reports from the NFL combine revealed Downs was flagged for a knee issue. According to Cory Kinnan of Daft on Draft, medical checks showed a partially torn meniscus and a potentially degenerative ACL.
An NFC scout noted that while the meniscus issue is minor, the ACL concern could affect his long‑term durability. Downs is expected to seek a second opinion, and many players with similar conditions have still enjoyed successful careers.
Could Downs Fall to the Rams?
The Rams hold the No. 13 overall pick. Before the combine, Downs was considered a lock for the top 10. Now, with questions about his knee, there’s speculation that he could slide further than expected.
- Top 10 teams may hesitate if durability becomes a concern.
- Rams at No. 13 could benefit if Downs drops.
- Medical rechecks will play a major role in his draft stock.
Historical Comparisons
Injury concerns have impacted draft positions before. Jay Ajayi, a Boise State running back, fell to the fifth round in 2015 due to a degenerative knee condition. Despite early promise, his NFL career lasted only five seasons.
Downs’ situation is not identical, but the comparison shows how medical red flags can influence draft decisions. Teams must weigh his elite talent against potential long‑term risks.
What It Means for NFL Teams
Caleb Downs remains the unanimous top defensive back in the class. Yet, the knee issue introduces uncertainty. If top teams pass, the Rams could find themselves with a rare opportunity to draft a player who was once considered untouchable outside the top 10.


