Facilitating Sport Participation With a Customized Spleen Guard: A Case of a Basketball Player With Splenomegaly

Shah, Nirtal; Richards, Doug

doi:10.1097/jsm.0b013e31815889bc

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…There have been some novel attempts made to protect the spleen from contact for collision sports with a flak jacket 22 or a customized protective brace for a college basketball season. 37…”

Section: Return-to-play Considerationsmentioning

confidence: 99%

Return to Play After Infectious Mononucleosis

Becker

Smith

2014

Sports Health: A Multidisciplinary Approach

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Context:Infectious mononucleosis is a disease primarily of adolescence and early adulthood. The risk of splenic injury and chronic fatigue make return-to-play decisions a challenge for the clinician caring for athletes with infectious mononucleosis.Evidence Acquisition:Data were obtained from the PubMed and MEDLINE databases through December 2012 by searching for epidemiology, diagnosis, clinical manifestations, management, and the role of the spleen in infectious mononucleosis.Study Design:Clinical review.Level of Evidence:Level 4.Results:Infectious mononucleosis is commonly encountered in young athletes. Its disease pattern is variable and can affect multiple organ systems. Supportive care is the cornerstone, with little role for medications such as corticosteroids. Physical examination is unreliable for the spleen, and ultrasound imaging has limitations in its ability to guide return-to-play decisions. Exercise does not appear to place the young athlete at risk for chronic fatigue, but determining who is at risk for persistent symptoms is a challenge.Conclusion:Return-to-play decisions for the athlete with infectious mononucleosis need to be individualized because of the variable disease course and lack of evidence-based guidelines.

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“…There have been some novel attempts made to protect the spleen from contact for collision sports with a flak jacket 22 or a customized protective brace for a college basketball season. 37…”

Section: Return-to-play Considerationsmentioning

confidence: 99%

Return to Play After Infectious Mononucleosis

Becker

Smith

2014

Sports Health: A Multidisciplinary Approach

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“…Sixty‐one percent recommended use of a spleen guard in activities they considered as high risk. The literature on usage and efficacy of spleen guards is limited to a single case report of an 18‐year‐old male basketball player with splenomegaly and PHTN secondary to autoimmune hepatitis, who played competitive basketball with a customized spleen guard (3). It is reported that the outer shell of his spleen guard was damaged during play without injury to the inner layer touching the patient's skin providing some proof of principle for the use of the guard.…”

Section: Discussionmentioning

confidence: 99%

Splenic Rupture in Children With Portal Hypertension

Waisbourd‐Zinman

Shah

Lin

et al. 2018

J. pediatr. gastroenterol. nutr.

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Splenic rupture in patients with PHTN and splenomegaly seems to be rare. The reported splenic rupture cases were mostly related to falling (and not to participation in sports). There was general agreement among hepatologists about restricting high impact sports. There was variation in recommendations regarding the use of a spleen guard. The authors recommend use of spleen guards in children with splenomegaly from PHTN for physical activities with risk of fall or blunt abdominal trauma.

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Exercise and the Athlete With Infectious Mononucleosis

Shephard

2017

Clinical Journal of Sport Medicine

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Facilitating Sport Participation With a Customized Spleen Guard: A Case of a Basketball Player With Splenomegaly

Cited by 3 publications

References 6 publications

Return to Play After Infectious Mononucleosis

Return to Play After Infectious Mononucleosis

Splenic Rupture in Children With Portal Hypertension

Exercise and the Athlete With Infectious Mononucleosis

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