Abstract

Sports-related concussion in young athletes is a major issue in sports medicine. Although it attracts a lot of media attention, at the same time it suffers from insufficient spread of the knowledge regarding its identification and the adequate protocols to be implemented in the return to sport sequence. Underreporting and trivialization of potential concussions is too frequent, although it can have serious consequences, ranging from an increase in repeat concussion or second impact syndrome, to academic difficulties and persistence of cognitive or physical symptoms. This paper presents the issues in concussion evaluation, the tools available and the principles of management in order to prevent complications and optimize return to school and sport. The typical concussion will generally resolve in 7 to 10 days when adequate protocols are implemented. In order for this to be achievable, the collaboration of actors from the sporting, familial, academic and medical fields is necessary. Only the timely identification of the problem and implementation of coordinated interventions will allow the typical favourable outcome to become a reality.

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