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blunt kidney trauma wikipedia jump to content main menu main menu move to sidebar hide navigation main page contents current events random article about wikipedia contact us contribute help learn to edit community portal recent changes upload file special pages search search appearance donate create account log in personal tools donate create account log in contents move to sidebar hide top 1 sports related injury 2 diagnosis toggle diagnosis subsection 2 1 investigation 3 treatment 4 see also 5 references toggle the table of contents blunt kidney trauma 1 language العربية edit links article talk english read edit view history tools tools move to sidebar hide actions read edit view history general what links here related changes upload file permanent link page information cite this page get shortened url switch to legacy parser print export download as pdf printable version in other projects wikidata item appearance move to sidebar hide from wikipedia the free encyclopedia kidney injury without skin penetration abdominal ct showing left renal artery injury the kidney is injured in approximately 10 percent of all significant blunt abdominal trauma of those 13 percent are sports related when the kidney followed by testicle is most frequently involved however the most frequent cause by far is traffic collisions followed by falls the consequences are usually less severe than injuries involving other internal organs sports related injury edit blunt injuries to the kidney from helmets shoulder pads and knees are described in football 1 and in soccer martial arts 2 and all terrain vehicle crashes a literature review of peer reviewed articles in may 2009 demonstrated that urogenital injuries are uncommon in team and individual sports and that most of them are low grade injuries cycling being the most commonly associated followed by winter sports horse riding and contact collision sports 3 a special situation has existed in the athletic participant with a single kidney formerly the american academy of pediatrics committee on sports medicine and fitness advised against such children and adolescents from participating in contact sports children s kidney s are prone to injury from blunt force trauma due to their size and location in a child s body 4 however a study of 45 000 children with kidney injuries demonstrated no kidney loss in any contact sport sledding skiing and rollerblading did however result in such loss 5 further data from the national athletic trainers association high school injury surveillance study an observational cohort study during the 1995 1997 academic years have been used to compare incidence rates for sport specific injuries to specific organs there were over 4 4 million athlete exposures defined as 1 athlete participating in 1 game or practice student athletes incurred kidney injuries most often playing football 12 injuries or girls soccer 2 injuries 6 the american academy of pediatrics currently recommends a qualified yes 7 for participation by athletes with single kidneys in contact collision sports although some physicians remain reluctant to acquiesce diagnosis edit in blunt injury imaging is indicated if there is gross hematuria or if the patient exhibits shock together with either gross or microscopic hematuria investigation edit the imaging modality of choice is contrast enhanced computed tomography ct which is readily available in most emergency departments of moderate or above size scan times have become shorter with each generation of scanners and current scans are quick and accurately demonstrate renal injuries together with associated injuries to other abdominal or retroperitoneal organs online calculators have been developed that facilitate grading of renal traumatic injuries based on imaging findings according to aast american association for the surgery of trauma guidelines 8 treatment edit unlike ultrasound examination fast ct provides anatomic and functional information that allows for accurate grading of the injury which is partly responsible for a growing trend toward conservative management intravenous fluids close monitoring watchful waiting of renal trauma 9 conservative management does not apply in situations where extensive urinary extravasation or devitalized areas of renal parenchyma are found and especially if associated with injuries to other abdominal organs these cases are complication prone and much more likely to require surgery that being said a retrospective study suggests that primary conservative treatment of blunt kidney rupture seems to lead to less surgery especially less open surgery and less blood and renal parenchyma loss compared to a strategy of initial surgery 10 see also edit abdominal trauma references edit brophy rh gamradt sc barnes rp powell jw delpizzo jj rodeo sa warren rf jan 2008 kidney injuries in professional american football implications for management of an athlete with 1 functioning kidney am j sports med 36 7 85 90 doi 10 1177 0363546508317965 pmid 18593846 itagaki michael w april 2004 kidney trauma in martial arts a case report of kidney contusion in jujitsu american journal of sports medicine 32 2 522 524 doi 10 1177 0363546503258879 pmid 14977684 s2cid 44429471 via researchgate sacco e marangi f pinto f d addessi a racioppi m gulino g volpe a gardi m bassi pf apr may 2010 sports and genitourinary traumas urologia 77 2 112 25 doi 10 1177 039156031007700208 pmid 20890870 s2cid 208149873 fraser jason d aguayo pablo ostlie daniel j st peter shawn d february 2009 review of the evidence on the management of blunt renal trauma in pediatric patients pediatric surgery international 25 2 125 132 doi 10 1007 s00383 008 2316 4 issn 1437 9813 pmid 19130062 s2cid 20704490 johnson b christensen c dirusso s choudhury m franco i august 2005 a need for reevaluation of sports participation recommendations for children with a solitary kidney j urol 174 2 686 9 doi 10 1097 01 ju 0000164719 91332 42 pmid 16006949 grinsell mm butz k gurka mj gurka kk norwood v jul 2012 sport related kidney injury among high school athletes pediatrics 130 1 e40 5 doi 10 1542 peds 2011 2082 pmid 22711726 s2cid 38181011 grinsell matthew m showalter sharon gordon katherine a norwood victoria f 2006 09 01 single kidney and sports participation perception versus reality pediatrics 118 3 1019 1027 doi 10 1542 peds 2006 0663 issn 0031 4005 pmid 16950993 s2cid 7041192 kidney trauma injury score calculator rad at hand retrieved 2024 07 11 alonso rc nacenta sb martinez pd guerrero as fuentes cg nov 2009 kidney in danger ct findings of blunt and penetrating renal trauma radiographics 29 7 2033 53 doi 10 1148 rg 297095071 pmid 19926761 danuser h wille s zöscher g studer u jan 2001 how to treat blunt kidney ruptures primary open surgery or conservative treatment with deferred surgery when necessary eur urol 39 1 9 14 doi 10 1159 000052405 pmid 11173932 s2cid 207605032 v t e trauma principles polytrauma major trauma traumatology triage resuscitation trauma triad of death assessment clinical prediction rules abbreviated injury scale injury severity score naca score revised trauma score investigations diagnostic peritoneal lavage focused assessment with sonography for trauma management principles advanced trauma life support damage control surgery early appropriate care trauma center trauma surgery trauma team procedures resuscitative thoracotomy pathophysiology injury msk bone fracture degloving joint dislocation soft tissue injury respiratory diaphragmatic rupture flail chest hemothorax pneumothorax pulmonary contusion cardio cardiac tamponade internal bleeding thoracic aorta injury gi blunt kidney trauma splenic injury neuro intracranial hemorrhage penetrating head injury traumatic brain injury mechanism blast injury blunt trauma burn crush injury electrocution gunshot wound penetrating trauma stab wound region abdominal trauma chest injury facial trauma head injury spinal cord injury demographic geriatric trauma pediatric trauma complications acute respiratory distress syndrome chronic traumatic encephalopathy compartment syndrome contracture volkmann s contracture crush syndrome rhabdomyolysis embolism air fat post traumatic stress disorder subcutaneous emphysema wound healing retrieved from https en wikipedia org w index php title blunt_kidney_trauma oldid 1350983768 categories injuries of abdomen lower back lumbar spine and pelvis medical emergencies types of trauma hidden categories articles with short description short description matches wikidata this page was last edited on 25 april 2026 at 06 15 utc page was rendered with parsoid text is available under the creative commons attribution sharealike 4 0 license additional terms may apply by using this site you agree to the terms of use and privacy policy wikipedia is a registered trademark of the wikimedia foundation inc a non profit organization privacy policy about wikipedia disclaimers contact wikipedia legal safety contacts code of 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