Concussion among soccer players in the 2017 Brazilian championship – the gap between protocol and medical practice
Cármine Porcelli Salvarani,
Lucas Ribeiro de Medeiros,
Fernando Henrique Sapatero,
Diego Ciotta de Castro,
Vinícius Simon Tomazini,
Leonardo Henrique Micheletti Sotocorno,
Paulo Sérgio Teixeira da Costa,
Bruno Bueno Pimenta,
Diego Almeida de Oliveira,
Eduardo Almeida Dias,
Eduardo Vinícius Colman da Silva
Affiliations
Cármine Porcelli Salvarani
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Lucas Ribeiro de Medeiros
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Fernando Henrique Sapatero
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Diego Ciotta de Castro
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Vinícius Simon Tomazini
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Leonardo Henrique Micheletti Sotocorno
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Paulo Sérgio Teixeira da Costa
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Bruno Bueno Pimenta
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Diego Almeida de Oliveira
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Eduardo Almeida Dias
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Eduardo Vinícius Colman da Silva
1State University of Maringá, Medicine Department – Division of Neurosurgery, Avenida Mandacaru 1590, Bloco S 05, Sala 10, Hospital Universitário, Maringá, PARANÁ, CEP 87083-240, Brazil
Background: The present study aims to report traumatic brain injury (TBI) among soccer players in the 2017 Brazilian Soccer Championship and discuss the protocols for concussion evaluation. Materials & methods: This is an observational study utilizing video analysis of 380 matches. TBI was considered as any event in which one or more soccer player(s) had a head trauma. For potential concussion diagnosis, we analyzed players with one of the following signs: slowness to get up, disorientation, motor incoordination, loss of consciousness, head clutching and impact seizure. Results: There were 374 TBIs in total. The average time for medical assessment was 1′35”. 13 players had concussion with an average time of 3′19″ for medical evaluation. Four players were replaced after having a concussion. Conclusion: There is a gap between concussion protocols and medical practices in Brazilian elite soccer. Further discussion about soccer replacement rules are imperative.
