Single Kidney and Sports Participation: Perception Versus Reality

@article{Grinsell2006SingleKA,
  title={Single Kidney and Sports Participation: Perception Versus Reality},
  author={Matthew M. Grinsell and Sherry E. Showalter and Katherine A Gordon and Victoria F. Norwood},
  journal={Pediatrics},
  year={2006},
  volume={118},
  pages={1019 - 1027}
}
OBJECTIVES. Physician opinions and practice patterns regarding the participation of children and adolescents with single, normal kidneys in contact/collision sports are widely varied. We hypothesize that limitation of participation from play based only on the presence of a single kidney is not supported by available data. We sought to determine recommendations of pediatric nephrologists regarding the participation of patients with single, normal kidneys in contact/collision sports and review… 
View on AAP
ncbi.nlm.nih.gov
25 Citations
Highly Influential Citations
1
Background Citations
2

Figures and Tables from this paper

25 Citations

Sport-Related Kidney Injury Among High School Athletes
TLDR
Kidney injuries occur significantly less often than other injuries during sport and do not support limiting sport participation by athletes with single kidneys, according to data from the National Athletic Trainers’ Association High School Injury Surveillance Study.
Medical perspectives on pediatric sports medicine-Selective topics.
Cardiorespiratory fitness and sports activities in children and adolescents with solitary functioning kidney
TLDR
It is shown that regular moderate/high level of physical activity improve aerobic capacity (VO2max) and exercise tolerance in congenital SFK patients without increasing the risks for cardiovascular accidents and accordingly sports activities should be strongly encouraged inSFK patients to maximize health benefits.
School and sports participation post‐transplant
TLDR
Focusing on optimizing the “normal” childhood activities of going to school and participating in sports can improve the physical, social, cognitive, and mental health outcomes of this population after transplant and should be prioritized.
Sports and childhood brain tumors: Can I play?
TLDR
Sport-related complications are uncommon in children with brain tumors and patients might not be at a significantly higher risk and should not need to be excluded from most sports activities.
Sports participation for young athletes with medical conditions: Seizure disorder, infections and single organs.
Physical Activity and Kidney Injury in Pediatric and Young Adult Kidney Transplant Recipients.
Medical and orthopedic conditions and sports participation.
Rugby Contact and Collisions — Clinical Challenges of a Global Game
TLDR
Those aspects of rugby that are different from other sports and those injuries that have specific significance to the game as a result of it being a global collision sport with an increasing focus on serious injury prevention are discussed.
Management of the congenital solitary kidney: consensus recommendations of the Italian Society of Pediatric Nephrology
TLDR
The Italian Society of Pediatric Nephrology summarizes the current knowledge on CSK and presents recommendations for its management, including diagnostic approach, nutritional and lifestyle habits, and follow-up.
...
...

References

SHOWING 1-10 OF 56 REFERENCES
Solitary kidney and sports participation.
TLDR
The results indicate that the decision to allow participation in this situation remains controversial, but they also provide some support for those physicians who allow participation.
A need for reevaluation of sports participation recommendations for children with a solitary kidney.
TLDR
The majority of renal injuries in children associated with kidney loss occurred as a result of motor vehicle accidents, pedestrians being struck by a vehicle or other object, and falls, showing that the risk associated with these activities has been underestimated.
Preparticipation Screening of Athletic Officials: SEC Football Referees at Risk.
TLDR
Using the Framingham Study prediction model to estimate coronary heart disease (CHD) risk, analysis revealed that referees had a lower risk than the national 10-year CHD risk but a higher risk compared with that of the low-risk population.
Catastrophic Spine Injuries in American Football, 1977–2001
TLDR
Recommendations are given for reducing catastrophic cervical spine injury in football byaching the fundamental techniques of the game, equipment standards, and improved medical care both on and off the playing field have led to a 270% reduction in permanent spinal cord injury.
Kidney and testicle injuries in team and individual sports: data from the national pediatric trauma registry.
TLDR
Abdominal injuries are rare in children who play team and individual contact sports, although the risk to kidney and spleen is equal in basketball, and should help families and schools when assessing risk to genitourinary organs during these activities.
The incidence of recreational genitourinary and abdominal injuries in the Western New York pediatric population.
TLDR
Kidney injuries were more common than spleen injuries, and middle school-age children appear to be at greatest risk, and skiing, sledding and snowboarding accounted for more injuries than team sports.
Spinal Injuries in Canadian Ice Hockey: Documentation of Injuries Sustained from 1943-1999
TLDR
Impact of the head with the boards after being checked or pushed from behind was the most common mechanism of spinal cord injury and injury prevention programs are becoming effective in reducing the overall number of injuries, especially those due to checking from behind.
Investigation and management of blunt renal injuries in children: a review of 11 years' experience.
Brain Injury-related Fatalities in American Football, 1945–1999
TLDR
There was a dramatic reduction in these fatalities in the 2 decades from 1975 through 1994, and the preventive measures that have received most of the credit are the 1976 rule change that prohibits initial contact with the head and face when blocking and tackling and the National Operating Committee on Standards for Athletic Equipment helmet standard.
Clinical profile and spectrum of commotio cordis.
TLDR
The expanded spectrum of commotio cordis illustrates the potential dangers implicit in striking the chest, regardless of the intent or force of the blow and suggests that the safety of young athletes will be enhanced by developing more effective preventive strategies to achieve protection from ventricular fibrillation following precordial blows.
...
...