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Exertional Rhabdomyolysis

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Sports Injuries

Abstract

Rhabdomyolysis syndrome has many acquired pathophysiological causes, resulting in a common pathway of muscle tissue degradation and the dispersing of its components onto circulation, causing systemic effects such as electrolyte abnormalities, arrhythmia, kidney injury, compartment syndrome, and DIC. Exertional rhabdomyolysis (ER) is the most common cause among young persons. It is related to several risk factors such as temperature extremes, humidity, dehydration, fatigue, asthma, HMG-CoA reductase inhibitors (statins) consumption, and congenital defects such as sickle-cell trait and myopathy. Although usually ER has a rather benign course, complications should be anticipated and referred, and a high index of suspicion is recommended. Guidelines for diagnosis and management are provided.

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Authors and Affiliations

  1. Orthopedic Surgery Department, Rambam Health Care Campus, Ha’Aliya Hashniya 8, Haifa, Israel

    Eran Keltz

  2. Department of Medicine, Hamad General Hospital, Doha, Qatar

    Fahmi Yousef Khan

  3. Service of Sports Injuries, Department of Orthopaedic Surgery, Meir Medical Centre, Tel Aviv University, Tel Aviv, Israel

    Gideon Mann

Authors
  1. Eran Keltz
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  2. Fahmi Yousef Khan
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  3. Gideon Mann
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Correspondence to Eran Keltz .

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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Keltz, E., Khan, F.Y., Mann, G. (2015). Exertional Rhabdomyolysis. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_176

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_176

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