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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS

Rivista di Medicina, Traumatologia e Psicologia dello Sport


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Case report  SPORT INJURIES AND REHABILITATION


The Journal of Sports Medicine and Physical Fitness 2010 Marzo;50(1):68-71

lingua: Inglese

High grade splenic rupture in an elite Rugby Union player

Quinlan J. F. 1, Mccarthy C. J. 1, Mcglone B. 2, Magee D. J. 2

1 Irish Rugby Football Union, Dublin, Republic of Ireland;
2 St. Columcille’s Hospital, Loughlinstown, Co. Dublin, Republic of Ireland


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The authors present the case of an amateur under-18 international squad Rugby Union player who sustained a Grade III splenic rupture while scoring a try. He was admitted to hospital and treated with strict bedrest following initial computed tomography (CT) evaluation. He maintained hemodynamic stability throughout and registered no drop in hemoglobin. A repeat CT scan five days later showed no radiological progression and he was discharged with instructions to avoid exercise for three months. A follow-up CT scan performed at 10 weeks after the injury showed radiological resolution but the decision was made to avoid physical contact for a further three months. The player made a full recovery and is now back playing representative rugby. This report reviews the management and raises the question as to when players should be allowed back to play contact sports following a splenic rupture.

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johnfquinlan@yahoo.com