I think it's easier to understand the immediate ramifications of a hit to the knees than it is with a hit to the head.
The ruling had other immediate ramifications for the league.
The two bombings had immediate political ramifications.
Clemens decided he could continue, and the immediate ramifications of his decision pleased the Yankees.
The destruction of so much of the Army had immediate strategic ramifications.
The standards are high, and when they ever slip, immediate ramifications are felt throughout the diamond industry.
It's an injury that is sure to have immediate ramifications on the National Basketball Association season.
The religious controversy had immediate political ramifications.
The disruption is so profound that a population cannot quickly recover from the immediate ramifications and the situation spirals out of control.
Regardless of the effect of the crimes, the guilty plea had immediate political ramifications in California.