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I really enjoyed the Miami Heat- No More Excuses era while it lasted - Page 2
Initially this is what I thought. But Lebron has world class body control and ran that elbow right into Hibbert's chin. He was initiating contact and led with his elbows...but more than that he swung them. Previously, he led with his elbows but went over Hibbert. He was attempting to deliver a blow either from the beginning or when he found he wasn't going to get over Roy that time. It was a cheap shot, not a basketball play.
This. It looks pretty clear from the replay that he was using his elbows to clear space. He might not have been headhunting, but he definitely was trying to hit Roy.