Acute Abdominal Injuries in Sports: Review and Management Recommendations
DOI:
https://doi.org/10.12775/QS.2025.39.58441Keywords
Abdominal injuries, FAST protocol, sport-related injuries, imaging tests, internal bleedingAbstract
Acute abdominal injuries in sports pose diagnostic and therapeutic challenges, requiring rapid intervention. This article reviews their mechanisms, symptoms, and management based on literature analysis. The most common injuries include solid organ damage, hollow organ perforations, and hemorrhages.
Imaging, particularly FAST ultrasonography and computed tomography, plays a key role in assessing injury severity and guiding treatment, which ranges from conservative management to surgery. Early recognition of life-threatening conditions like internal hemorrhage or peritoneal signs is crucial, as they may be difficult to detect without specialized diagnostics.
The paper discusses the epidemiology, mechanisms, and clinical characteristics of these injuries, highlighting ultrasound in the FAST protocol as a key diagnostic tool. Treatment recommendations consider the role of medical support during training and competition. The authors stress the importance of medical education for coaches, athletes, physiotherapists, and medical staff to enhance risk awareness and improve preventive and interventional measures.
The article aims to increase awareness among sports medicine professionals, surgeons, emergency personnel, and sports staff, ultimately improving treatment outcomes through proper training and diagnostic access.
References
1. Adam J, De Luigi AJ. Blunt Abdominal Trauma in Sports. Curr Sports Med Rep. październik 2018;17(10):317. https://doi.org/10.1249/jsr.0000000000000519
2. Finnoff JT, Ray J, Corrado G, Kerkhof D, Hill J. Sports Ultrasound. Sports Health. September 2016;8(5):412–7. https://doi.org/10.1177/1941738116664041
3. Finch CF. The risk of abdominal injury to women during sport. J Sci Med Sport. March 2002;5(1):46–54. https://doi.org/10.1016/S1440-2440(02)80297-3
4. Barrett C, Smith D. RECOGNITION AND MANAGEMENT OF ABDOMINAL INJURIES AT ATHLETIC EVENTS. Int J Sports Phys Ther. August 2012;7(4):448–51.
5. Kucera KL, Currie DW, Wasserman EB, Kerr ZY, Thomas LC, Paul S, et al. Incidence of Sport-Related Internal Organ Injuries Due to Direct-Contact Mechanisms Among High School and Collegiate Athletes Across 3 National Surveillance Systems. J Athl Train. February 2019;54(2):152–64. https://doi.org/10.4085/1062-6050-271-17
6. Rainey CE. Determining the Prevalence and Assessing the Severity of Injuries in Mixed Martial Arts Athletes. North Am J Sports Phys Ther NAJSPT. November 2009;4(4):190–9.
7. Johnson BK, Comstock RD. Epidemiology of Chest, Rib, Thoracic Spine, and Abdomen Injuries Among United States High School Athletes, 2005/06 to 2013/14. Clin J Sport Med Off J Can Acad Sport Med. July 2017;27(4):388–93. https://doi.org/10.1097/jsm.0000000000000351
8. Prieto-González P, Martínez-Castillo JL, Fernández-Galván LM, Casado A, Soporki S, Sánchez-Infante J. Epidemiology of Sports-Related Injuries and Associated Risk Factors in Adolescent Athletes: An Injury Surveillance. Int J Environ Res Public Health. 2 May 2021;18(9):4857. https://doi.org/10.3390/ijerph18094857
9. O’Rourke MC, Landis R, Burns B. Blunt Abdominal Trauma. StatPearls Publishing; 2023
10. MSD Manual Consumer Version. Overview of Abdominal Injuries - Injuries and Poisoning. Available at: https://www.msdmanuals.com/home/injuries-and-poisoning/abdominal-injuries/overview-of-abdominal-injuries
11. Waseem M, Bjerke S. Splenic Injury. Treasure Island (FL): StatPearls Publishing; 2025. Available at: http://www.ncbi.nlm.nih.gov/books/NBK441993/
12. Ray R, Lemire JE. Liver laceration in an intercollegiate football player. J Athl Train. October 1995;30(4):324–6.
13. Erlich T, Kitrey ND. Renal trauma: the current best practice. Ther Adv Urol. 10 lipiec 2018;10(10):295–303. https://doi.org/10.1177/1756287218785828
14. Nabhan D, Taylor D, Hedges A, Bahr R. The Value of the Patient History in the Periodic Health Evaluation: Patient Interviews Capture 4 Times More Injuries Than Electronic Questionnaires. J Orthop Sports Phys Ther. January 2021;51(1):46–51. https://doi.org/10.2519/jospt.2021.9821
15. Jansen JO, Yule SR, Loudon MA. Investigation of blunt abdominal trauma. BMJ. 26 kwiecień 2008;336(7650):938–42. https://doi.org/10.1136/bmj.39534.686192.80
16. Bloom BA, Gibbons RC. Focused Assessment With Sonography for Trauma. Treasure Island (FL): StatPearls Publishing; 2025. Available at: http://www.ncbi.nlm.nih.gov/books/NBK470479/
17. Achatz G, Schwabe K, Brill S, Zischek C, Schmidt R, Friemert B, et al. Diagnostic options for blunt abdominal trauma. Eur J Trauma Emerg Surg Off Publ Eur Trauma Soc. October 2022;48(5):3575–89. https://doi.org/10.1007/s00068-020-01405-1
18. Yazıcı MM, Yavaşi Ö, Çelik A, Altuntaş G, Altuntaş M, Bilir Ö, et al. The role of repeated extended FAST in patients with stable blunt thoracoabdominal trauma. Turk J Trauma Emerg Surg. 2 may 2023;29(5):553–9. https://doi.org/10.14744/tjtes.2022.93529
19. Desai N, Harris T. Extended focused assessment with sonography in trauma. BJA Educ. February 2018;18(2):57–62. https://doi.org/10.1016/j.bjae.2017.10.003
20. Rifat SF, Gilvydis RP. Blunt abdominal trauma in sports. Curr Sports Med Rep. April 2003;2(2):93–7. https://doi.org/10.1249/00149619-200304000-00008
21. Odedra D, Scaglione M, Basilico R, Patlas MN. Magnetic resonance imaging in abdominal trauma—More relevant than ever. Can Assoc Radiol J. 1 November 2022;73(4):612–3. https://doi.org/10.1177/08465371221080058
22. Hafner J, Tuma F, Hoilat GJ, Marar O. Intestinal Perforation. Treasure Island (FL): StatPearls Publishing; 2025 [cytowane 11 styczeń 2025]. Available at: http://www.ncbi.nlm.nih.gov/books/NBK538191/
23. Sung CK, Kim KH. Missed injuries in abdominal trauma. J Trauma. August 1996;41(2):276–82. https://doi.org/10.1097/00005373-199608000-00013
24. Hirschhorn RM, Kerr ZY, Wasserman EB, Kay MC, Clifton DR, Dompier TP, et al. Epidemiology of Injuries Requiring Emergency Transport Among Collegiate and High School Student-Athletes. J Athl Train. September 2018;53(9):906–14. https://doi.org/10.4085/1062-6050-340-17
25. Carrard J, Morais Azevedo A, Gojanovic B, Edouard P, Pandya T, Robinson DG, et al. Sport and exercise medicine around the world: global challenges for a unique healthcare discipline. BMJ Open Sport — Exerc Med. 29 March 2023;9(1):e001603. https://doi.org/10.1136/bmjsem-2023-001603
26. Prasenaa A, K T, Jose R, G K. Abdomen (A Pandora’s Box): A Delayed Presentation of Blunt Abdominal Injury With a Mesenteric Tear Leading to Gangrenous Bowel. Cureus. 16(8):e67002. https://doi.org/10.7759/cureus.67002
27. Shebrain S, Zelada J, Lipsky AM, Putnam B. Mesenteric injuries after blunt abdominal trauma: delay in diagnosis and increased morbidity. Am Surg. October 2006;72(10):955–61. https://doi.org/10.1177/000313480607201026
28. Freiwald S. Late-Presenting Complications After Splenic Trauma. Perm J. 2010;14(2):41–4. https://doi.org/10.7812/TPP/09-101
29. Chen Q, Zhu T, Liu JK, Ding J, Chen L. Conservative management of multi-trauma induced peritonitis: Experience, outcomes, and indications. World J Clin Cases. 6 September 2023;11(25):5897–902. https://doi.org/10.12998/wjcc.v11.i25.5897
30. Cole E, Gillespie S, Vulliamy P, Brohi K. Multiple organ dysfunction after trauma. Br J Surg. March 2020;107(4):402–12. https://doi.org/10.1002/bjs.11361
31. Leddy M H, Lambert M J, Ogles B M. Psychological Consequences of Athletic Injury among High-Level Competitors. ResearchGate [Internet]. 22 October 2024 Available at: https://www.researchgate.net/publication/15313513_Psychological_Consequences_of_Athletic_Injury_among_High-Level_Competitors. https://doi.org/10.1080/02701367.1994.10607639
32. Gajardo-Burgos R, Valdebenito-Tejos C, Gálvez-García G, Bascour-Sandoval C. Pain and Psychological Readiness to Return to Sport in Elite Volleyball Players: A Cross-Sectional Study. Int J Environ Res Public Health. 30 January 2023;20(3):2492. https://doi.org/10.3390/ijerph20032492
33. Ashley JR, Burczak KW, Cotton BA, Clements TW. Management of blunt abdominal trauma. Br J Surg. 1 July 2024;111(7):znae168. https://doi.org/10.1093/bjs/znae168
34. Jang JY, Kang WS, Keum MA, Sul YH, Lee DS, Cho H, et al. Antibiotic use in patients with abdominal injuries: guideline by the Korean Society of Acute Care Surgery. Ann Surg Treat Res. January 2019;96(1):1–7. https://doi.org/10.4174/astr.2019.96.1.1
35. Juyia RF, Kerr HA. Return to Play After Liver and Spleen Trauma. Sports Health. May 2014;6(3):239–45. https://doi.org/10.1177/1941738114528468
36. Shoobridge JJ, Corcoran NM, Martin KA, Koukounaras J, Royce PL, Bultitude MF. Contemporary Management of Renal Trauma. Rev Urol. 2011;13(2):65–72.
37. Vriend I, Gouttebarge V, Finch CF, van Mechelen W, Verhagen EALM. Intervention Strategies Used in Sport Injury Prevention Studies: A Systematic Review Identifying Studies Applying the Haddon Matrix. Sports Med Auckl Nz. 2017;47(10):2027–43. https://doi.org/10.1007/s40279-017-0718-y
38. Tee JC, McLaren SJ, Jones B. Sports Injury Prevention is Complex: We Need to Invest in Better Processes, Not Singular Solutions. Sports Med. 1 April 2020;50(4):689–702. https://doi.org/10.1007/s40279-019-01232-4
39. Smith DD. INVITED CLINICAL SUGGESTION: “ON THE SIDELINES”- EMERGENCY CARE BASICS FOR THE SPORTS PHYSICAL THERAPIST. Int J Sports Phys Ther. March 2011;6(1):59–62.
40. Sharma H, Baviskar A, Sippy N, Kubal N. High-fidelity Simulation in Sports Field Emergencies: Applications, Benefits, Challenges, and Future Prospects. J Med Acad. 5 July 2024;7(1):13–7. https://doi.org/10.5005/jp-journals-11003-0140
41. Lenjani B, Rashiti P, Shabani G, Demiri A, Pelai B, Demi A, et al.. Emergency Medical Care and Management of Sports Injuries on the Football Court. OSP J Health Care Med. 2020;2(1):1–5. https://doi.org/10.32391/ajtes.v5i1.172
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Copyright (c) 2025 Ryszard Bartosiński, Jan Szustak, Anna Wijata, Zuzanna Przybyłek-Stępień, Justyna Dutkiewicz, Wiktoria Mączyńska, Maria Kąpa, Bartosz Szepietowski, Jakub Kaźmierczak, Michał Wijata, Ewelina Rycerz, Piotr Pasek

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