Concussions Workshop

Conference 2012

Speaker :  William M Heinz, MD, OA Center for Orthopedics

What is a Concussion

“ Any alteration of mental function following a blow to the head that may or may not involve a loss of consciousness”

  • Mild Traumatic Brain Injury (mTBI)
  • Neurological impairment which has rapid onset, and is self-resolving and short-lived (usually)
  • Functional rather than structural disturbance (normal head imaging studies)
  • Caused by a direct hit or indirect “jarring” of the head

 How often do concussions occur?

  • The CDC estimates 1.6 to 3.8 million sports-related concussions per year in USA
  • 5-9% of all sports-related injuries in US
  • 26% of all HS injuries in games & 18% of injuries in practice
  • 22% of all injuries in 2011 HS football season

Signs of concussions:

  • Loss of consciousness -Occurs in less than 10% of concussions!
  • Confused or dazed
  • Balance and coordination problems
  • Combative or overly aggressive or very silly manner
  • “Glassy” eyed
  • Repetitive questions
  • Restless or irritable






Confusion Anxious Headache Hard   to fall asleep
Disoriented Sad Dizzy Fatigued
Amnesia Angry Nausea Drowsiness
Distractible Irritable Photophobia Sleeping   more
“Foggy” Mood   swings Phonophobia Sleeping   less
Slow   response Different   personality Poor   coordination
Vision   changes


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