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“Currently, we don’t have a clear idea of what exactly a concussion is,” he says.

“We are really limited to self-reporting, and women are more honest about their symptoms than boys.” Girls get TBIs most often playing soccer and basketball, but other sports—cheerleading, in particular—have very high risk for injuries.

“No matter how you slice this, a subset of these folks are going to go on and have long-term disability,” says Manley.

A former math teacher and engineering major, he was hired in 1998, and previously covered environmental issues and New Jersey state government. Orthopedic surgeons should dissociate themselves from football at all levels of the sport rather than enabling an activity that carries a risk of brain injury, according to an editorial by senior editors of a Philadelphia-based orthopedics journal.

In the brains of 110 of 111 men who had played in the NFL, researchers identified a condition called chronic traumatic encephalopathy — CTE — that is associated with memory loss and dementia.

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