Best Practice Case Studies-Splenic Injuries in Athletes

Pdf Summary

The article "Splenic Injuries in Athletes: A Review" by Elizabeth H. Gannon and Thomas Howard, published in Current Sports Medicine Reports, outlines the complexities of diagnosing and managing splenic injuries in athletes. Although rare, these injuries can be life-threatening due to the spleen's high vascularity. The authors note a lack of consensus on post-injury activity guidelines and follow-up imaging for such cases.<br /><br />Splenic injuries often arise from blunt abdominal trauma, involving various sports activities such as football and mountain biking. The document emphasizes the necessity for a high index of suspicion when assessing abdominal injuries, cautions that typical symptoms like abdominal pain may not always present, and advocates for a thorough history and careful physical examination.<br /><br />The spleen, located behind the ribs on the left side, consists of connective tissue and is supplied by the splenic artery and drained by the splenic vein. It plays crucial roles in immunity and blood filtration. Anatomical differences between children and adults may influence treatment approaches; children's spleens tend to be more resilient to injury due to their structural properties.<br /><br />Diagnostic imaging, particularly CT scans, is essential for evaluating splenic injuries. The article discusses the American Association for the Surgery of Trauma Splenic Injury Scale (ASSI) for classifying these injuries and guiding treatment. Management of suspected splenic injury requires rapid hospital transport for imaging and monitoring, with many cases managed nonoperatively to avoid complications associated with splenectomy, such as overwhelming post-splenectomy infection (OPSI).<br /><br />Return-to-play decisions are challenging due to varied recommendations and concerns over delayed splenic rupture. Typically, gradual return to light activity after three months is suggested, though imaging isn't routinely recommended unless specific symptoms persist. Overall, the review stresses careful monitoring of athletes with splenic injuries for a safe recovery and return to activities.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 56

Topic Uro-Genital

Keywords

3rd Edition, CASE 56

3rd Edition

Uro-Genital

splenic injuries

athletes

diagnosis

management

blunt abdominal trauma

imaging

treatment

nonoperative management

return-to-play

post-splenectomy infection