https://www.iwf.org/female-athlete-stories/payton-mcnabb/

On September 1, 2022, during a volleyball game against a rival North Carolina high school, 17-year-old Payton McNabb received a devastating head and neck injury as the result of a spike by a male athlete who identified as transgender.

“Neither I nor anyone else on the team agreed with it [the transgender athlete being allowed to play] and were against it from the beginning. We were all just so confused by how it could be allowed, and I guess we just had no idea what to do,” McNabb said.

The male athlete’s superior height and strength.... knocked McNabb unconscious for over 30 seconds toward the end of a game her junior year. While McNabb was lying on the floor, she was later told by onlookers that her body had twisted into a “fencing position,” which is indicative of extreme trauma to the brain.