A systematic review of genitourinary injuries arising from rugby and football

Kim, Jin K.; Koyle, Martin A.; Lee, Min Joon; Nason, Gregory J.; Ren, Lily; O’Kelly, Fardod

doi:10.1016/j.jpurol.2019.12.019

Cited by 10 publications

(3 citation statements)

References 29 publications

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“…Protective shoulder padding may serve to decrease the incidence of tackle-related injuries. Similar to Kim et al, we found no significant injury burden to the trunk or pubic area [5].…”

Section: Rrev and Injury Sitesupporting

confidence: 90%

“…Despite the wide range of player demographics, few studies have been done on a comprehensive review of rugby-related emergency department visits (RREVs) in the United States. Studies have either focused on specific injury sites such as the head, neck, or shoulder; compared injury rates of rugby to that of other contact sports such as American Football; or investigated the incidence of injuries at specific levels of gameplay (high school, college, or professional) [5][6][7][8][9]. These studies presented the following significant findings: (1) there is a dearth of research on the frequency of genitourinary injuries in rugby [5]; (2) the majority of rugby-related facial injuries are to the eyes or nose [6]; (3) shoulder injuries in rugby more commonly affect schoolboy athletes and are responsible for over one-third of all days absent [7]; (4) concussions, which account for a quarter of all days absent, may have been underreported in past years [8]; and (5) American football and rugby both pose similar risks of hospital admission [9].…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of Rugby-Related Injuries Presenting to the Emergency Department: A 10-Year Review

Arif,

Morales

et al. 2023

Cureus

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BackgroundRugby is a popular contact sport played with little to no protective clothing. There exist few comprehensive studies investigating emergency department (ED) visit patterns for rugby-related injuries. We hypothesize that male athletes remain the most common patient demographic to present to the ED with rugby-related injuries and that the number of patients diagnosed with soft tissue injuries such as sprains and strains decreased during the COVID-19 pandemic. MethodologyThe National Electronic Injury Surveillance System database was examined for rugby injuries from January 2012 through December 2021. Cases were stratified by sex, age, and injury type to monitor epidemiological patterns. This is a descriptive epidemiology study. Level of evidence III. ResultsA total of 2,896 individuals with rugby-related ED visits were identified. ED patients were most common among males (73.9%), Caucasians (45.3%), and in the 15-19-year-old age range (44.9%). Injuries most commonly affected the upper body, specifically the head (23.1%), face (13.8%), and shoulder (12.4%) with fractures and sprains comprising 22.3% and 18.5% of ED diagnoses, respectively. Concussions were the most frequent injury to any one body part (11.2%). During the COVID-19 pandemic, ED patients with rugbyrelated injuries were significantly more likely to be males presenting with lacerations or hemorrhages. ED visits for sprains and strains significantly decreased in the peri-COVID-19 period. ConclusionsAnnual ED visits due to rugby injuries are declining. The head and neck are the most common sites of injuries. Decreased presentation to the ED during the COVID-19 pandemic may raise concern for the potential for untreated injuries. Physicians should anticipate the presence of chronic sports-related injuries when evaluating future patients.

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“…Protective shoulder padding may serve to decrease the incidence of tackle-related injuries. Similar to Kim et al, we found no significant injury burden to the trunk or pubic area [5].…”

Section: Rrev and Injury Sitesupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Epidemiology of Rugby-Related Injuries Presenting to the Emergency Department: A 10-Year Review

Arif,

Morales

et al. 2023

Cureus

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“…Children are at higher risk for renal injury than adults, 3 and the majority of kidney injuries from rugby/football have been noted in patients in the 16-18-year age group. 4 Most patients with kidney injury have relatively minor injuries. A significant indicator of renal trauma is a direct blow to the abdomen, flank, or mid/lower back, as seen during a tackle in rugby.…”

Section: Discussionmentioning

confidence: 99%

Renal trauma during a rugby tackle

Pothiawala,

Schroll

2023

Emerg Care J

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Rugby-related renal trauma is rare and identification of a young patient with renal trauma secondary to sports who requires observation versus further radiological evaluation in the emergency department (ED) poses a diagnostic challenge. We report a case of a 16-year-old girl who presented to the ED with abdominal pain after being tackled during a game of rugby. Examination revealed tenderness over the right lateral lower ribs and right flank. Blood tests were normal and bedside ultrasound did not show any free intraperitoneal fluid. Urinalysis showed gross hematuria. She was pain-free after analgesia but had a syncopal episode in the ED. A computed tomography (CT) scan of the abdomen and pelvis showed a complex right lower pole renal laceration and she was admitted to the Intensive Care Unit. She remained stable and was discharged. Assessment with urinalysis, hematocrit, and creatinine is required during the evaluation of a patient with suspected renal trauma. CT scan is the imaging modality for the diagnosis and grading of renal injury. Conservative treatment is the mainstay of therapy, but some patients require angioembolization of surgical intervention. Patients must discuss with their physician regarding the optimal timing of return to rugby. Rugby-related renal trauma is rare and poses a challenge for emergency physicians regarding their evaluation and management in the ED. AAST-OIS grading of renal trauma on CT imaging helps guide appropriate management decisions.

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Genitourinary Disorders

Miyaoka

2023

Sideline Management in Sports

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A systematic review of genitourinary injuries arising from rugby and football

Cited by 10 publications

References 29 publications

Epidemiology of Rugby-Related Injuries Presenting to the Emergency Department: A 10-Year Review

Epidemiology of Rugby-Related Injuries Presenting to the Emergency Department: A 10-Year Review

Renal trauma during a rugby tackle

Genitourinary Disorders

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