In the April 2015 issue of BJSM, Kirkwood et al1 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.