Key Topics in Sports Medicine

A.A. Narvani, P. Thomas, B. Lynn, A.A. Narvani, P. Thomas, B. Lynn

• Publisher: Routledge
• Year: 2006
• ISBN:
  9781134220601
• Edition: 1
• Topic: Medicine
• Subtopic: Physiotherapy, Physical Medicine & Rehabilitation

Students have often commented on the need for a concise textbook on sports medicine that presents the essential information otherwise scattered across several much larger medical textbooks on other topics. Addressing this need, Key Topics in Sports Medicine makes effective use of the successful Key Topics format to provide extensive relevant information in an accessible and easy-to-follow manner. Practical and clearly presented, this is an invaluable resource for those students and practioners ofsports medicine and rehabilitation, athletic training, physiotherapy and orthopedic surgery.

Urinary tract injuries

P Thomas

Renal injuries

Haematuria is the symptom present in ruptures or contusions but absent in avulsions where the vascular pedicle is still intact. The pain the athlete experiences is at the renal angle below the twelfth rib. IVP investigation or CT scan will assist diagnosis.

An avulsion that has occurred beyond 12 hours will require a nephrectomy but renal ruptures can be treated with partial or complete kidney salvage. In cases of perinephric tamponade ruptures, then surgery is necessary because of hypovolaemia.

Following renal injury, a persistent hypertension may exist and it will need attention. Counseling and advice should be provided to the individual athlete with a solitary kidney on the risks, although low, in taking part in contact sports.

Bladder injuries

Such injuries are usually associated with a full bladder during contact sport. A cystogram will assist diagnosis. Intra-peritoneal rupture will require laparotomy and repair. However, with an extra-peritoneal rupture then bladder drainage alone is sufficient in the majority of defects.

Urethral injuries

Usually they occur from a kick to the groin or a fall onto an object such as a bicycle handlebar. The athlete will present with an inability to void or the presence of blood in the urine. A urethrogram is diagnostic. A urine catheter must not be introduced until the diagnosis is made to avoid risk of creating a false urethral passage.

Scrotum injuries

They are common and obvious injuries. They can be classified as contusions, haematoma, torsion or rupture of the testicle. It is important to organise an ultrasound scan to distinguish between a traumatic haematoma and the presence of a tumor, which could be detected in young individuals.

Further reading

Zachazewski JE et al. (Eds) Athletic Injuries and Rehabilitation. Philadelphia: WB Saunders, 1996.

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Hb: 0-415-37563-0
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