Clarifying concussion in youth rugby: recognise and remove.

In the April 2015 issue of BJSM, Kirkwood et al drew attention to concussion in youth rugby, concluding with four recommendations, most of which are well founded. One would agree there is a lack of medical personnel at youth games, a need for increased awareness of concussion management and a requirement for generalised data collection. However, suggesting rugby alone should ‘never be compulsory’ is highlighting that it might perhaps be an unsafe sport to play.