PCMS_Philadelphia_Medicine_Spring2017 - 11

p h i l a m e d s o c  .o rg

Concussive Sports - Big Money & Permanent Injury

The diagnosis of "senilis pugilistica" or "punch-drunk" has long been known and studied
in boxers.

VALUE RANKINGS

Philadelphia Medicine was able to get an exclusive interview with Gregory Sirb of the
Pennsylvania State Athletic Commission.

1 Dallas Cowboys

Gregory Sirb has been the Executive Director of the Pennsylvania State Athletic Commission since 1990. He received a
bachelor's degree in communications from Edinboro University
and a master's degree in public administration from Penn State.
Pennsylvania is one of the most active states for professional
boxing and mixed martial arts. It oversees licensure for participants over 18 years old (a requirement), including 350 licensed
boxers and over 400 licensed professional and amateur martial
artists. In 2015, The Pennsylvania State Athletic Commission
sanctioned 35 mixed martial arts and kickboxing events, 60
amateur boxing bouts, 29 professional boxing events, and 370 wrestling matches. Amateur
and youth events, such as Golden Gloves, are not under the
jurisdiction of the State Athletic Commission.

$4.2 B

2 New England Patriots $3.4 B
3 New York Giants

$3.1 B

4 San Francisco 49ers

$3 B

5 Washington Redskins $2.95 B
6 Los Angeles Rams

$2.9 B

7 New York Jets

$2.75 B

8 Chicago Bears

$2.7 B

9 Houston Texans

$2.6 B

10 Philadelphia Eagles $2.5 B

Commissioner Sirb, in an exclusive interview with
Philadelphia Medicine, reports that there is a federal database
of boxers tracking all pro boxers, including their win/loss
records and all medical and/or administrative suspensions.
Licensure in Pennsylvania is denied if there is a history of an
intracranial bleed. The state requires that an ambulance be
present and a physician be in attendance at all events. The
Commissioner believes that "susceptibility to knock-out
is more genetic-related" and that professional boxing will
not accept headgear, pointing out that it protects against
lacerations and not concussions.
The State Athletic Commission (SAC) requires professional
boxers as well as professional and amateur mixed martial
artists to "have blood test results completed within the past 6
months for HIV, Hepatitis B-Surface Antigen and Hepatitis
C," and the following general form completed by a physician.
(Additional medical exams may be required.)

Spring 2017 : Philadelphia Medicine 11


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