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Leg Stress Fracture, Tibia
Liver Injury
Neck Dislocation
Neck Fracture
Neck Sprain
Neck Strain
Nose Injury
Pelvis Strain, Hip-Trunk
Pelvis Strain, Ischium
Perineum Contusion
Rib Dislocation
Rib Fracture
Rib Sprain
Rib Strain
Shoulder-Blade (Scapula) Bursitis
Shoulder-Blade (Scapula) Contusion
Shoulder-Blade Fracture, Acromion
Shoulder-Blade (Scapula) Fracture, Coracoid Process
Shoulder-Blade (Scapula) Fracture, Glenoid Fossa
Shoulder-Blade (Scapula) Fracture, Neck
Shoulder-Blade (Scapula) Strain
Shoulder Bursitis, Gleno-Humeral
Shoulder Bursitis, Subacromial
Shoulder Contusion
Shoulder Dislocation
Shoulder Sprain, Acromio-Clavicular
Shoulder Sprain, Gleno-Humeral
Shoulder Strain
Shoulder Tendinitis & Tenosynovitis
Skin Abrasion
Skin Laceration
Skin Puncture Wound
Spine Fracture, Lower Thoracic & Lumber Region
Spine Fracture, Sacrum
Spine Fracture, Tailbone
Spine Stress-Fracture, Neck or Back
Spleen Rupture
Thigh-Bone Fracture
Thigh Contusion
Thigh Hematoma
Thigh Injury, Hamstring
Thigh Strain, Quadriceps
Thigh Strain
Thumb Fracture
Thumb Sprain
Toe Dislocation
Toe Exostosis
Toe Fracture
Tooth Injury & loss
Wrist Contusion
Wrist Dislocation, Lunate
Wrist Dislocation, Radius or Ulna
Wrist Ganglion
Wrist Sprain
Wrist Strain
Wrist Tenosynovitis

Spleen Rupture

Injury to the spleen, causing it to rupture. Bleeding of a ruptured spleen can be fatal. The spleen is vulnerable to injury, particularly if it is enlarged due to any underlying disorder (infectious mononucleosis is the most common). Spleen injuries are infrequent in athletes but, when they do occur, they can be disastrous.

Body Parts Involved

  • Spleen.
  • Muscles of the abdominal wall.
  • Peritoneum (membranous covering to the intestines).
  • Ribs (sometimes) if fractured at the same time the spleen is injured.


Direct injury to the left upper abdomen or left side of the chest.

Signs & Symptoms

  • Recent injury to the abdomen or flank.
  • Rib fracture on the left side.
  • Vomiting.
  • Abdominal pain and tenderness.
  • Pain in the left shoulder or left side of the neck.
  • Rapid heart rate.
  • Low blood pressure.
  • Other signs of shock: pale, moist and sweaty skin; anxiety with feelings of impending doom; shortness of breath and rapid breathing; disorientation and confusion.


Note:- Follow your doctor's instructions. These instructions are supplemental.

First Aid

Cover the victim with a blanket to hock, and take to the nearest emergency facility. Do not give water, food or pain relievers.

Continuing Care

No specific instructions except those under other headings. If surgery is required, your surgeon will supply postoperative instructions.


  • Do not give pain relievers at the time of injury. They may mask symptoms.
  • After surgery, your doctor may prescribe:

Pain relievers. Don't take prescription pain medication longer than 4 to 7 days. Use only as much as you need.

Antibiotics to fight infection. Pneumonia vaccinations.

Stool softeners to prevent constipation.

Non-prescription drugs such as acetaminophen for minor pain.

Home Diet

  • No food or water before surgery.
  • Drink a clear liquid diet until the gastrointestinal tract functions again. Then eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid intake to prevent constipation that may result from decreased activity.

Diagnostic Measures

Before surgery:

  • Blood and urine studies.
  • X-rays of the abdomen and chest.

After surgery:

  • Examination of all removed tissue.
  • Additional blood studies.
Prevention Tips

Avoid cause and risk factors when possible. Don't return to athletic activities until a spleen enlarged by disease has returned to normal.

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