A sprained ligament and a partially torn ligament overlap. Thats why medical professionals use a grading system of 1-to-4.
1 - minimal present structural damage, no tear - okay to call a sprain but you would probably say small sprain or minor sprain
2 - slight stress damage, slight tear - okay to call a sprain or a minor tear
3 - significant stress damage, partial tear. Significant tear but not complete - you would call this a "severe sprain" or a tear
4- complete rip - misleading to call a sprain, you would call it a "complete tear"
Think like a rubber band. A stretch resulting by a snap back with no structural damage is no injury thats what a rubber band is designed to do. . But if that band/ligament stretches too far, and its now compromised, maybe its looser, but no rip can be seen, thats a 1. A slight rip at the edge would be a 2. A more severe rip would be a 3. A complete rip would be a 4.
So Sam probably described Romans injury as a 1 or 2 when really its looking like its a 2.5. But thats not wrong, just a consequence from using laymen/non-exact colloquial terminology. Sam prob could have said "significant sprain" instead of "sprain" but thats not really something to call him a clown over.
And also, it was Craig who fired Cora. So in that exchange with them contradicting each other, it was Breslow who is the clown.
All of this is to say that Sam Kennedy can be a clown. But Breslow is full Bozo. Hes the real clown.