2012 Footy Concussion Report #1

There may not be any posts about Australian Rules Football concussions to this point but we have been watching.  As you have seen in previous days the press in Australia is starting to report more and more the issues with concussions, something that was absent the past few years.  As it stands now the AFL has 21 listed concussions, up from 11 this time last year.

Heading into this expansion season I was looking forward to the better reporting of concussions in the AFL.  Last year the league and press drew harsh criticism from me for what I believed to be intentionally hiding the injury.  Heck the ‘Super Footy’ section of the press stopped reporting ALL injuries for a four-week period as I was posting the injuries, and when it returned it was EXTREMELY rare to find anyone listed as a concussion so we turned to another website called Sportal.  As the season progressed we found more concussions and by the end of the season last year we had our first picture of footy concussions over a season.  Looking back one of the primary problems discovered and remedied by seasons end was the high number of facial fractures that seemed to be overriding a concussion, hence the need for Fink’s Rule.

It is now 2012, with the heightened awareness there is hope that a “truer” picture of AFL concussions can be taken…  Continue reading

Fink’s Rule

Fink’s Rule”: when there is a diagnosed fracture of the face and jaw (excluding the nasal bone) the forces absorbed during the injury will be beyond a threshold to elicit a concussive episode.  This would indicate to the clinician that the person should ALSO be evaluated for a concussion.

Alternate definition: when the terms “jaw injury”, “head contusion” , or “concussion-like symptoms” are present in an injury report one should be aware that forces were elicited to the head, and an assessment for a concussion should be indicated.

TCB Question: Facial Fractures

After a great weekend in Lexington I came away with tons of questions, thought-provoking ones.  One question that I cannot seem to answer is in regards to facial fractures and how they relate to concussions.  Now before you go and vote below think about this.  Can you sustain a facial fracture, i.e. orbit, zygomatic, maxilla, mandible (anything other than nasal), and NOT get a concussion? Vote below then click on “read more” for my thought process…

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