Adolescent medicineSport-related concussion in the young athleteBuzzini, Sergio R Russoa; Guskiewicz, Kevin MbAuthor Information aDepartment of Pediatrics and Orthopaedic Surgery, Division of Adolescent Medicine, Medical University of South Carolina, Charleston, South Carolina, USA bDepartment of Exercise and Sport Science, University of North Carolina, Chapel Hill, North Carolina, USA Correspondence to Sergio R. Russo Buzzini, MD, MPH, 135 Rutledge Avenue, PO BOX 250561, Charleston, SC 29425, USA Tel: +843 876 0506; fax: +843 876 1493; e-mail: [email protected] Current Opinion in Pediatrics: August 2006 - Volume 18 - Issue 4 - p 376-382 doi: 10.1097/01.mop.0000236385.26284.ec Buy Metrics Abstract Purpose of review The purpose of this review is to present an overview of sport-related concussion in the young athlete and review recent publications of clinical and scientific importance. Recent findings Recent findings show that young athletes are more susceptible to concussions than older athletes and more likely to develop second impact syndrome, as well as long-term negative cumulative consequences. Further, ongoing research suggests a more prolonged disturbance of brain function following a concussion than previously believed. Summary Given the increased vulnerability of the young athlete, current research suggests conservative management of concussion and return-to-play decisions. A decision tree diagram to assist the practitioner in making return-to-play recommendations for the young athlete is included in this review. © 2006 Lippincott Williams & Wilkins, Inc.