Reflections on 40 Years as a Sideline Physician
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.

In 1967, after taking care of a football player who would now be considered to have had the condition called neu rapraxia, I was asked by the West Virginia football coach if I would be willing to sit on the bench at home games. Over time, this involvement expanded to the point that I was traveling with the team when it was convenient for me. A lasting interest in football and its injuries be came part of this experience. Along the way certain observations emerged, which I offer in this article, along with li terature support, to those who have not enjoyed as extensive an experience in the field.