Acute Exertional Bilateral Thigh Compartment Syndrome in a Patient with Rhabdomyolysis After Spin Class: A Case Report.

Autor: Aryee JNA; Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey., Silver JM; Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey., Grossman J; Department of Orthopedic Surgery, Monmouth Medical Center, Long Branch, New Jersey., Polonet D; Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey., Buckley PS; Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2023 Jun 15; Vol. 13 (2). Date of Electronic Publication: 2023 Jun 15 (Print Publication: 2023).
DOI: e23.00030
Abstrakt: Case: A healthy 24-year-old woman developed rhabdomyolysis and acute bilateral thigh compartment syndrome after 10 minutes of spin class. She was successfully managed with early recognition, aggressive fluid resuscitation, and prompt bilateral surgical decompressive fasciotomy.
Conclusion: Rhabdomyolysis with acute compartment syndrome is a rare but devastating combination of conditions. A high suspicion for rhabdomyolysis and progression to acute compartment syndrome is warranted for any patient presenting with increasing pain even with a limited history of trauma or exertion. Early recognition and medical and surgical treatment are paramount to preventing permanent damage.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C113).
(Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE