Reflections on 40 years as a sideline physician

Neurosurg Focus. 2006 Oct 15;21(4):E2. doi: 10.3171/foc.2006.21.4.3.

Abstract

Object: In this study the author presents his personal observations concerning football injuries in a historical perspective with additional literature citations.

Methods: Aspects of brachial plexus and cervical spine injuries, neurapraxia, face mask infractions, concussion, acute subdural hematoma (SDH), and the so-called second-impact syndrome are addressed.

Conclusions: The list of conclusions presented in this paper is as follows: there is more than one kind of brachial plexus injury; wedging of cervical vertebrae may be normal; neurapraxia presents a problem for return to play; face mask injuries are rarely serious; definitions of concussion vary; acute SDH requires immediate transfer to a hospital; and the second-impact syndrome may be a myth to some.

Publication types

  • Historical Article

MeSH terms

  • Athletic Injuries / pathology*
  • Brachial Plexus / injuries
  • Brain Concussion / etiology
  • Brain Concussion / pathology
  • Facial Injuries / etiology
  • Facial Injuries / pathology
  • Football / history*
  • Football / injuries*
  • History, 20th Century
  • Humans
  • Protective Clothing
  • Spinal Injuries / pathology
  • Syndrome