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Traumatic Rhabdomyolysis: Crush Syndrome, Compartment Syndrome, and the 'Found Down' Patient
John J Fernandez1, Shelby R Smith
1From the Rush University Medical Center, Chicago, IL.
The Journal of the American Academy of Orthopaedic Surgeons
|December 18, 2023
Summary
Traumatic rhabdomyolysis, including crush syndrome (CrshS) and compartment syndrome (CS), requires prompt diagnosis and management. Early identification and surgical intervention, like fasciotomy, are crucial for reducing high morbidity in affected patients.
Area of Science:
- Trauma Surgery
- Orthopedics
- Emergency Medicine
Background:
- Traumatic rhabdomyolysis is a systemic muscle injury with diverse causes.
- Crush syndrome (CrshS) is increasingly seen in 'found down' patients, often linked to opioid overdoses.
- Compartment syndrome (CS) can be a severe complication of CrshS, complicating diagnosis and treatment.
Conclusions:
- Accurate classification and diagnosis of traumatic rhabdomyolysis are essential.
- Surgical intervention (fasciotomy) is dictated by muscle damage and compartment pressures.
- Effective management strategies are needed to mitigate complications of CrshS and CS.
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