I think he is just making the point that calling it football is wrong, because they also use hands, unlike proper football in which it is illegal to use one's hands
But wouldn't "Proper" football be "Real" football , that game where the whole town is the pitch , they use their hands in that .
Any way American football isn't American , it is really an ancient Irish traditional game (or adaption thereof) , and I can prove it

believe that is called a compound fracture here in the states
Open fracture over here .