title: Revisiting Sports Precautions in Children With Solitary Kidneys and Congenital Anomalies of the Kidney and Urinary Tract.
abstract: This review article explores sports and recreational precautions in children with solitary kidneys. In 2001, the American Academy of Pediatrics published recommendations for activity in children with medical conditions. Those with solitary kidneys were graded a "qualified yes": no restriction in noncontact sports, and individual assessment for limited-contact, contact, and collision sports. Recent trauma data suggest that classification according to the degree of contact is inaccurate. We propose an updated, data-driven classification of sports or recreation according to the risk of high-grade renal trauma or loss of renal unit. Given the paucity of literature on the topic and lack of consensus, children with congenital renal anomalies should exercise caution in both sports and recreation.
authors.affiliation: Department of Urology, Rush University Medical Center, Chicago, IL. Electronic address: Dimitri_papagiannopoulos@rush.edu.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Papagiannopoulos
authors.affiliation: Division of Urology, Lurie Children's Hospital, Chicago, IL.
authors.forename: Edward
authors.initials: E
authors.lastname: Gong
mesh_terms: D001265:Athletic Injuries / Q000150:complications / Q000453:epidemiology* / Q000517:prevention & control; D002648:Child; D014943:Global Health; D017408:Guidelines as Topic; D006801:Humans; D015994:Incidence; D007668:Kidney / Q000002:abnormalities / Q000293:injuries*; D012042:Registries; D000075529:Solitary Kidney / Q000150:complications*; D013177:Sports; D014551:Urinary Tract / Q000293:injuries*