Exertional Rhabdomyolysis ICD-10
Exertional Rhabdomyolysis Etiology / Epidemiology / Natural History
- Rhabdomyolysis = muscle fibers break down and release intracellular elements into the bloodstream. Myoglobin is release which can lead to renal failure.
- Has been reported in college football players, nonathletes, endurance runners, endurance athletes.
- Reported after eccentric large muscle contraction exercises such as squats
Exertional Rhabdomyolysis Anatomy
Exertional Rhabdomyolysis Clinical Evaluation
- Dark urine, muscle swelling, pain and weakness
Exertional Rhabdomyolysis Xray / Diagnositc Tests
- Serum creatine kinase and myoglobin, urine myoglobin. Also consider serum calcium, and potassium as well as urinalysis.
Exertional Rhabdomyolysis Classification / Treatment
- IV normal salen titrated to produce 200ml/hr to 300ml/hr urine output until creatine kinase levels normalize and myoglobinuria resolves
- Follow closely for compartment syndrome
- Prevention: adequate hydration, appropriate conditioning
Exertional Rhabdomyolysis Associated Injuries / Differential Diagnosis
Exertional Rhabdomyolysis Complications
- Renal failure
- Compartment syndrome
Exertional Rhabdomyolysis Follow-up Care
- Prevention: adequate hydration, proper nutrition, appropriate conditioning
- Protein shakes the day of workout or the day prior to workout may provide some protection from muscle injury. (Amendola, N)
Exertional Rhabdomyolysis Review References