Kidney Injuries in Professional American Football

Brophy, Robert H.; Gamradt, Seth C.; Barnes, R. F.; Powell, John W.; DelPizzo, Joseph J.; Rodeo, Scott A.; Warren, Russell F.

doi:10.1177/0363546507308940

Cited by 28 publications

(4 citation statements)

References 21 publications

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“…However, kidney injury during sports participation is extremely rare, with only nine cases per million athletic activities for American Football and even fewer in other sports [70] . Furthermore, none of these injuries resulted in kidney loss [70] , [71] . Based on these data, it seems clear that the benefits of physical activity outweigh the low risk of severe kidney injury and participation by children with a cSFK should be encouraged.…”

Section: Evidence Synthesismentioning

confidence: 99%

Clinical Management of Children with a Congenital Solitary Functioning Kidney: Overview and Recommendations

Woud

Westland

Feitz

et al. 2021

European Urology Open Science

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Context A congenital solitary functioning kidney (cSFK) is a common developmental defect that predisposes to hypertension and chronic kidney disease (CKD) as a consequence of hyperfiltration. Every urologist takes care of patients with a cSFK, since some will need lifelong urological care or will come with clinical problems or questions to an adult urologist later in life. Objective We aim to provide clear recommendations for the initial clinical management and follow-up of children with a cSFK. Evidence acquisition PubMed and EMBASE were searched to identify relevant publications, which were combined with guidelines on related topics and expert opinion. Evidence synthesis Initially, cSFK diagnosis should be confirmed and risk factors for kidney injury should be identified using ultrasound. Although more research into early predictors of kidney injury is needed, additional congenital anomalies of the kidney or urinary tract and absence of compensatory kidney hypertrophy have repeatedly been associated with a worse prognosis. The role of voiding cystourethrography and antibiotic prophylaxis remains controversial, and is complicated by the exclusion of children with a cSFK from studies. A yearly follow-up for signs of kidney injury is recommended for children with a cSFK. As masked hypertension is prevalent, annual ambulatory blood pressure measurement should be considered. During puberty, an increasing incidence of kidney injury is seen, indicating that long-term follow-up is necessary. If signs of kidney injury are present, angiotensin converting enzyme inhibitors are the first-line drugs of choice. Conclusions This overview points to the urological and medical clinical aspects and long-term care guidance for children with a cSFK, who are at risk of hypertension and CKD. Monitoring for signs of kidney injury is therefore recommended throughout life. Large, prospective studies with long-term follow-up of clearly defined cohorts are still needed to facilitate more risk-based and individualized clinical management. Patient summary Many children are born with only one functioning kidney, which could lead to kidney injury later in life. Therefore, a kidney ultrasound is made soon after birth, and other investigations may be needed as well. Urologists taking care of patients with a solitary functioning kidney should realize the long-term clinical aspects, which might need medical management.

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Section: Evidence Synthesismentioning

confidence: 99%

Clinical Management of Children with a Congenital Solitary Functioning Kidney: Overview and Recommendations

Woud

Westland

Feitz

et al. 2021

European Urology Open Science

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“…In the presence of gross hematuria, initial rest is recommended followed by progression of activity with return to play after the microscopic hematuria has resolved [ 11 , 44 , 65 ]. A study of National Football League players revealed an average of 15 days missed for renal contusion and a mean of nearly 2 months for lacerations [ 9 ]. Severe injuries may take 6 to 12 months for full return [ 7 ].…”

Section: Abdomenmentioning

confidence: 99%

Medical Sports Injuries in American Football Players

Matusak

Yau

Fibel

2023

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Most injuries in American football are orthopedic, but the medical team must also be prepared to recognize and manage injuries beyond the musculoskeletal system that may result from trauma to the face, chest, abdomen, and pelvic regions. Failure to promptly identify such injuries in athletes can be life-threatening or permanently disabling. The literature on many of the nonorthopedic sports injuries is limited but can aid in understanding injury presentation, imaging modalities of choice, and initial management. Safe return-to-play decision-making requires a thoughtful approach through the use of available data and an understanding of pathophysiology and tissue healing.

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“…However, the literature describes renal injuries resulting from football as low-grade with no reports of kidney loss and that all players with renal injuries recovered fully and returned to the sport (Brophy et al, 2008; Wan et al, 2003b; Swischukh, 2006; Waicus & Smith, 1999). Similarly, a case study revealed that a patient with a kidney injury from jujitsu only required monitoring for full recovery and another case study showed that a patient with a renal injury from wrestling needed minimal intervention (Itagaki & Knight, 2004).…”

Section: Literature Reviewmentioning

confidence: 99%

Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer

Okada

Hockenberry

Koh

et al. 2015

J Pediatr Oncol Nurs

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Although traditional recommendations for mononephric childhood cancer survivors are to avoid contact sports in order to protect the remaining kidney, review of available evidence suggests that the majority of renal loss is caused by accidents not involving sports. An interdisciplinary team performed a review of the English literature published from 1999 to 2012 within the PubMed, Cochrane, Google Scholar, and National Guidelines Clearinghouse databases. The level of evidence and proposed recommendations were graded according to an established rubric and GRADE criteria. Our review found that kidney loss is most commonly caused by nonsports activities such as motor vehicle accidents and falls, implying that restrictions on sports-related activity in mononephric pediatric survivors are not well supported. This favors encouraging ordinary sports and related activities without restriction in mononephric childhood cancer survivors because the known benefits of exercise outweigh the exceedingly low risk of renal loss. Accordingly, activity recommendations for mononephric patients have been revised in the most current version of the Children’s Oncology Group Long-term Follow-Up Guidelines for Survivors of Childhood, Adolescent and Young Adult Cancers. This has important implications for this and similar populations who may now undertake individual and organized sports without undue regard for their mononephric status.

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Kidney Injuries in Professional American Football

Abstract: Renal trauma is a rare but potentially debilitating injury in the NFL, with players at greater risk during games. Most players recover to play, but it may take some time, especially with a kidney laceration. It may be safe for players with only 1 functioning kidney to play in the NFL.

Cited by 28 publications

References 21 publications

Clinical Management of Children with a Congenital Solitary Functioning Kidney: Overview and Recommendations

Clinical Management of Children with a Congenital Solitary Functioning Kidney: Overview and Recommendations

Medical Sports Injuries in American Football Players

Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer

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