Midway through the third quarter with the Browns trailing 13-3, quarterback Jason Campbell took a blindside hit from Steelers cornerback William Gay, lost the ball as he went to the ground, and remained their as the Steelers Will Allen returned it to the Browns' four-yard line.

Campbell laid on the ground for several minutes before making his way to the bench. A short time later, he was taken to the locker room in a cart.

A play after the fumble, Ben Roethlisberger found Emmanuel Sanders for a touchdown, and Pittsburgh led 20-3.