Renal Trauma, Sports Medicine

Angelina R. Edwards, MD and David S. Edwards, MD, CAQSM Reviewed 04/2019

BASICS

Genitourinary (GU) trauma comprises approximately 10% of all trauma but is relatively infrequent in sport-related injury. The most commonly injured organ is the kidney 1,2.

EPIDEMIOLOGY

Renal tr...

DIAGNOSIS

HISTORY

Typical mechanisms include direct impact to the abdomen or flank, blow to the back, fall from a height, and rapid deceleration 1.
Often, there is history of gross hematuria, which may ...

TREATMENT

The approach to renal injuries has changed over time, from aggressive surgical interventions to more conservative, nonoperative observational or endovascular management 1.
Typically conservat...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Follow-up CT scan if any clinical signs of complications 5[C]
Follow-up CT scan after 48 hr indicated if deep injury or grades 4 to 5 injury 5[C]
Complications occu...

REFERENCES

Anselmo da Costa I, Amend B, Stenzl A, et al. Contemporary management of acute kidney trauma. J Acute Dis. 2016;5:29–36.

Bernard J. Renal trauma: evaluation, management, and return t...

ADDITIONAL READING

Medical conditions affecting sports participation. American Academy of Pediatrics Committee on Sports Medicine and Fitness. Pediatrics. 1994;94(5):757–760.

CLINICAL PEARLS

AAST grades 1 to 3 injuries have a low risk of complications with no need for follow-up CT scan in the setting of ongoing clinical improvement.
The leading vascular injury due to blunt ...

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