Document Detail


Renal trauma: evaluation, management, and return to play.
MedLine Citation:
PMID:  19276911     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Renal injuries can occur in sports participation by both traumatic and atraumatic mechanisms. Atraumatic injury includes exercise-induced proteinuria, which is seen in intense exercise and usually resolves quickly without kidney damage. Exercise-induced hematuria typically resolves within 24-48 h without need for further investigation. Traumatic kidney injuries occur as a result of blunt abdominal trauma, flank trauma, or penetrating injury. Microscopic hematuria is the most common finding in these situations. In the absence of associated hypotension, or without macroscopic hematuria, further imaging rarely is needed. The American Association for the Surgery of Trauma (AAST) organ injury severity scale for the kidney is a useful and validated tool to determine who is likely to require further work-up and surgery. The athlete with the solitary kidney appears to have low risk for kidney loss with participation in both contact and noncontact sports.
Authors:
Joseph J Bernard
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current sports medicine reports     Volume:  8     ISSN:  1537-8918     ISO Abbreviation:  Curr Sports Med Rep     Publication Date:    2009 Mar-Apr
Date Detail:
Created Date:  2009-03-11     Completed Date:  2009-06-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101134380     Medline TA:  Curr Sports Med Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  98-103     Citation Subset:  IM    
Affiliation:
Family Medicine and Sports Medicine, Core Physicians, LLC, Exeter, NH 03042, USA. joseph_bernard@comcast.net
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MeSH Terms
Descriptor/Qualifier:
Athletic Injuries / diagnosis*,  etiology,  physiopathology,  therapy*
Hematuria / etiology,  physiopathology
Humans
Kidney / injuries*
Physical Exertion / physiology
Proteinuria / etiology,  physiopathology
Recovery of Function / physiology*
Sports Medicine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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