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- W4321429514 abstract "No AccessJournal of UrologyTrauma1 Oct 2002Renal And Testis Injuries in Team Sports Irene M. McAleer, George W. Kaplan, and Barry E. LoSasso Irene M. McAleerIrene M. McAleer More articles by this author , George W. KaplanGeorge W. Kaplan More articles by this author , and Barry E. LoSassoBarry E. LoSasso More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64418-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Children with a solitary testis or kidney are generally advised against contact team sport participation to protect the solitary organ. We performed a review of renal and testis injury cases to ascertain if there was an increased likelihood of significant renal or testis injury in team sports. Materials and Methods: We retrospectively reviewed charts on patients evaluated and/or admitted to the trauma service with renal or testis injuries. Severity, outcome and external cause of injury were evaluated as well as patient demographics. Patients were excluded from study if there was no radiographic or physical (postmortem or surgical) evidence of injury. Trauma admission/registry data from all patients enrolled were used for comparison. Results: Of 14,763 patients enrolled in the trauma registry from July 1984 until December 2000, 450 (3%) were given a renal or testis injury diagnosis by the registry but only 209 patients (1.4%) met the review criteria for documentation of injury. There were 193 renal injuries (92.3%) and 16 testis injuries (7.7%). A total of 113 injuries were sustained during a recreational or team sport activity (54.1%) and only 10 renal (6) or testis (4) injuries recorded were sustained in team sports (4.8%). Overall team sports injuries recorded in the trauma registry for the study period was 3.4%. No team sports injured patient had a solitary testis or kidney and 1 patient had congenital ureteropelvic junction obstruction. There were only 3 associated injuries (spleen 2, skeletal 1) in the 10 patients. Surgical exploration was performed in all 4 testis injury cases, acute repair of renal injury was done in 1 and delayed pyeloplasty was performed for congenital ureteropelvic junction obstruction. No organs were lost and all patients recovered uneventfully. Conclusions: Renal and testis injuries occur with team sports, although at a much lower rate than from other external causes of injury. Most patients ultimately do well without loss of the injured organ. Recommendations against team sport participation may not be necessary in patients with a solitary kidney or testis. References 1 : Prevention of sports injuries. Special article. Pediatrics1998; 101: 1057. Google Scholar 2 Committee on Sports Medicine: Recommendations for participation in competitive sports. Pediatrics 81 1988 73 Google Scholar 3 American Academy of Pediatrics, Committee on Sports Medicine and Fitness: Medical conditions affecting sports participation. Pediatrics 84 1994 757 Google Scholar 4 American Academy of Pediatrics, Committee on Sports Medicine and Fitness: Medical conditions affecting sports participation. Pediatrics 107 2001 1205 Google Scholar 5 : Organ injury scaling: spleen, liver and kidney. J Trauma1989; 29: 1664. Google Scholar 6 American Academy of Pediatrics, Committee on Sports Medicine and Fitness and Committee on School Health: Organized sports for children and preadolescents. Pediatrics 107 2001 1459 Google Scholar 7 : The prevention of sports injuries in children. Clin Sports Med2000; 19: 821. Google Scholar 8 : Should athletes with one eye, kidney, or testicle play contact sports?. Phys Sportsmed1986; 14: 130. Google Scholar 9 : Solitary kidney and sports participation. Arch Fam Med1994; 4: 886. Google Scholar From the Urology Department and Trauma Department, Children’s Hospital and Health Center, San Diego, California© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWu H and Gaines B (2007) Dirt Bikes and All Terrain Vehicles: The Real Threat to Pediatric KidneysJournal of Urology, VOL. 178, NO. 4S, (1672-1674), Online publication date: 1-Oct-2007.JOHNSON B, CHRISTENSEN C, DiRUSSO S, CHOUDHURY M and FRANCO I (2018) A NEED FOR REEVALUATION OF SPORTS PARTICIPATION RECOMMENDATIONS FOR CHILDREN WITH A SOLITARY KIDNEYJournal of Urology, VOL. 174, NO. 2, (686-689), Online publication date: 1-Aug-2005.WAN J, CORVINO T, GREENFIELD S and DiSCALA C (2018) Kidney and Testicle Injuries in Team and Individual Sports: Data From the National Pediatric Trauma RegistryJournal of Urology, VOL. 170, NO. 4 Part 2, (1528-1532), Online publication date: 1-Oct-2003.WAN J, CORVINO T, GREENFIELD S and DiSCALA C (2018) The Incidence of Recreational Genitourinary and Abdominal Injuries in the Western New York Pediatric PopulationJournal of Urology, VOL. 170, NO. 4 Part 2, (1525-1527), Online publication date: 1-Oct-2003.GERSTENBLUTH R, SPIRNAK J and ELDER J (2018) Sports Participation and High Grade Renal Injuries in ChildrenJournal of Urology, VOL. 168, NO. 6, (2575-2578), Online publication date: 1-Dec-2002. Volume 168Issue 4 Part 2October 2002Page: 1805-1807 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsathletic injurieswounds and injurieskidney, testis, pediatricsMetricsAuthor Information Irene M. McAleer More articles by this author George W. Kaplan More articles by this author Barry E. LoSasso More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W4321429514 title "Renal And Testis Injuries in Team Sports" @default.
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