A Shout From Across the Pond: the “Lloris Affair”

CJSM is an international sports medicine journal.  We are the official journal of two American sports medicine societies (American Medical Society of Sports Medicine and the American Osteopathic Association of Sports Medicine); as well as the Canadian Academy of Sports and Exercise Medicine and the Australasian College of Sports Physicians.  I regularly liaise with our Executive Editor, Chris Hughes, who lives in London, our publisher in Philadelphia USA, and our managing editor in Calgary, Alberta.

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A small sampling of the twitter conversation
Our Executive Editor was engaged in
This weekend regarding the Lloris injury

Lots of science and lots of sports to keep track of, all over the globe.   And so it was that this weekend, residing in Columbus, Ohio, I remained blissfully unaware of the events surrounding the injury to Hugo Lloris until I noticed that the @cjsmonline twitter feed exploded with shouts of disbelief, as our executive Editor and others were busy deconstructing what they had just seen.

In short order, Chris let some other ‘tweeters’  know they could reach out to @cjsmonline, and one enterprising individual forwarded me a thoughtful piece on the situation:  voila!  The genesis of today’s guest blog.

@Daniel_Broman (Dr. Broman) is a Core Medical Trainee in London, and is currently based at Barts Health NHS Trust. He is keen to follow a career in Sport & Exercise Medicine and will be applying for specialist training in the coming months.

He shared these thoughts about the incident:

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Concussion in Football – The Lack of Consistency in Management and The Need for Guidelines

 By Daniel Broman

The topic of concussion in sport has been placed in the media spotlight again recently, especially in the UK, with articles about the proposed new rules for Pitch-side Concussion Assessment (PSCA) in Rugby Union matches (“Rugby and Concussion:  Are Big Hits Bringing Big Headaches?” and “Rugby Union, Concussion and the Ultimate Need for Responsibility of Care”) and with several incidents in Premier League football, including the cases of:

  • Romelu Lukaku vs. West Ham United (21st September 2013), where the player completed the final 3 minutes of the match and post-match admitted that “I did not even know I had scored, I was out of it and the first thing I asked the doctor was “who scored?” and he said “you did”.”
  • Mathieu Flamini vs. Norwich City (19th October 2013) with the player taken off at the time. Arsene Wenger stated a few days later that “There is a five-day (concussion) rule that we will respect, not to take any chance. It was a concussion and the doctor advised us not to play him.”
  • Robert Snodgrass vs. Manchester United (29th October 2013) where the player was also taken off the field of play and taken to hospital. Chris Hughton stated “I think that (going to hospital) is very much a precaution”.

Clearly all incidents and cases are different and of varying severity, however the lack of consistency in their management is still concerning. Over the weekend, another particular incident, prompted several discussions both on social media and in the media, with ‘Match of The Day 2’ stating there needs to be “uniformity on a rule”. Read more of this post

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