Tom Marquand Benched After Shoulder Surgery

Jockey Tom Marquand, who sustained a concussion after parting ways with his mount in Australia on Saturday, underwent shoulder surgery as a result of the incident, as well on Wednesday.

Marquand was forceably removed from his mount in the A$2-million Inglis Millennium due to interference from another rider, and was originally diagnosed with just a concussion. Subsequent MRI scans revealed a dislocated sternoclavicular joint.

“It has basically dislocated backwards, so I have to go for an operation today [Wednesday] to get it wired back in,” Marquand said in a video posted to Instagram.

“I will probably spend a week here now in Australia just because I can't fly straight after having an operation.

“Then the plan will be to come back to England and go through my rehab there and hope that I can get back in action by the time the last couple of days of The Championships are on and all being well, head back down to Sydney.”

Marquand's wife, fellow jockey Hollie Doyle, is also on the sidelines after dislocating her elbow last month, and she is set to have surgery next week.

He added, “Hollie is having a bit of a shocker as well, off with her elbow and she is going under the knife I think early next week.

“We will be in rehab and recuperation together and be a right pair so at least we've got two arms between us. It's obviously not ideal what's going on, but I think we can both count ourselves pretty lucky in the circumstances.”

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Marquand Sustains Concussion In Randwick Fall

Jockey Tom Marquand, who is riding a stint in Australia, fell off his mount due to interference in the A$2-million Inglis Millennium and sustained a concussion at Royal Randwick on Saturday.

Marquand was riding trainer Annabel Neasham's Dorothy Gail (Aus) (Capitalist {Aus}), and was unseated by a mid-race maneuver from the Josh Parr-ridden Hellish (Aus) (Hellbent {Aus}). Parr was suspended 20 meetings for the careless riding  incident.

“That was pretty horrible,” Neasham, who won the race with Learning To Fly (Aus) (Justify), told SKY Thoroughbred Central. “He [Marquand] is ok, he is sitting up, he is talking, he is holding his shoulder but he's okay. He's conscious, so he looks okay.”

Racing NSW later tweeted, “Tom's CT scan of his head is clear, however he does have concussion and will be staying in hospital overnight. So far the scans on his shoulder have been clear.”

Marquand, who has ridden with success in Australia several times, was due to ride in Qatar next weekend. He had won the day's first race, the Coolmore Pierro Plate, over 1100 metres aboard Café Millenium (Aus) (Not A Single Doubt {Aus}).

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Researchers Move Closer To In-Life Diagnosis Of Disorder Caused By Traumatic Brain Injuries

A Boston University study has moved researchers closer to being able to diagnose one type of traumatic brain injury in living patients, reports the Boston Herald. Chronic Traumatic Encephalopathy, or CTE, is a disorder caused by repeated head trauma that first made headlines when several famous NFL players were diagnosed after their deaths. The disorder received additional headlines in 2015 with an Eclipse Award-winning Paulick Report feature about the dangers of multiple concussions for jockeys.

CTE can only be confirmed after a patient's death, but sufferers report dramatic mood shifts, cognition problems, and loss of coordination.

The new study utilized MRI scans of 55 deceased brain donors with CTE and 31 healthy brains, and showed that those with CTE had shrinkage of the brain in regions like the frontal lobe, temporal lobe and other structures such as the hippocampus, which has a major role in learning and memory.

Dr. Jesse Mez, study co-author, director of the Boston University Alzheimer's Disease Center, and a BU CTE Center investigator, explained that MRI might be able to be used to diagnose CTE in living patients. Diagnoses are vital for the development of treatments for the disorder.

“The only way we can develop a treatment is if we can diagnose it in life and have people with the diagnosis try the treatments,” said Dr. Mez.

A follow-up story in the Paulick Report in 2020 showed that the U.S. racing industry is still struggling with implementation of concussion protocols, and that some states have made more progress than others.

Read more about the Boston University CTE study at the Boston Herald.

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Concussion Report Published By UK Government

A concussion in sport report was published by the UK Government on Thursday morning and the news was welcomed by the Professional Jockeys Association (PJA).

In March of 2021, an inquiry into the links between sport and long-term brain injury, the implications for youth sport and funding for further scientific research was announced by the Department for Digital, Culture, Media and Sport (DCMS). Also under consideration during the four oral evidence sessions that made up the inquiry was the role of national governing bodies and major sporting organisations. The DCMS committee made a number of key recommendations, including the development of a UK-wide minimum standard definition of concussion to be used across all sport. The Health and Safety Executive have been told to work with sports governing bodies to set up a new reporting framework for sports injury by July 2022, with sports required to report any event that might lead to an acquired brain injury within a year of that.

“We very much welcome the DCMS inquiry and the recommendations that have been published in their 'Concussion in Sport' report today,” PJA Chief Executive Paul Struthers told the committee. “Their recommendations to establish a UK-wide minimum standard definition for concussion that all sports must use and adapt for their sport, a UK wide minimum standard protocol for concussion, a national framework for the reporting of sporting injuries and a single research fund that will coordinate and fund research are particularly important.

“We have been fortunate that racing has been ahead of the game in many ways, thanks to the work of the British Horseracing Authority and its predecessors, and especially racing's former Chief Medical Adviser Dr. Michael Turner and his successor Dr. Jerry Hill.

“However, it is vital that we continue to work closely with the BHA and Dr. Hill to ensure racing's protocols, support, education, advice and aftercare continue to be fit for purpose and serve to protect our members as much as possible.

“We also look forward to working with government, Professional Players Federation members and other stakeholders to ensure these recommendations are implemented.”

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