Exertional Rhabdomyolysis: Identification and Evaluation of the Athlete at Risk for Recurrence
@article{Szczepanik2014ExertionalRI, title={Exertional Rhabdomyolysis: Identification and Evaluation of the Athlete at Risk for Recurrence}, author={Michelle E Szczepanik and Yuval Heled and John F. Capacchione and William W. Campbell and Patricia A. Deuster and Francis G. O’Connor}, journal={Current Sports Medicine Reports}, year={2014}, volume={13}, pages={113–119} }
Exertional rhabdomyolysis (ER) is a common medical condition encountered by primary care and sports medicine providers. Although the majority of individuals with ER follow an expected and unremarkable clinical course without any adverse long-term sequelae or increased risk for recurrence, in others, the condition can serve as an "unmasker" of an underlying condition that portends future risk. We present two cases of warfighters with a history of recurrent ER who presented to our facility for…
28 Citations
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A clinical practice guideline for diagnosis and management of ER in warfighters was updated by a team of military and civilian physicians and researchers using current scientific literature and decades of experience within the military population to focus on challenging and controversial clinical questions.
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The present review aims to provide a practical guideline for the acute management and postepisode counselling of patients with exertional rhabdomyolysis, with a particular emphasis on when to suspect an underlying genetic disorder.
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There does not appear to be a definitive protocol for an accurate diagnosis of rhabdomyolysis, and Guidelines for return to activity should be evaluated on a case by case basis, and a conservative increase in intensity of exercise is warranted to prevent a case of recurrent rhabDomyolyism.
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The incidence of exercise-induced rhabdomyolysis at SUS increased from autumn 2014, and this coincided with increased media attention and a new exercise trend, and the treatment depended more on the attending physician and department than on the patient's clinical condition and CK-level.
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Risk factors for sER included exceptional motivation, extreme soreness, increased resting BP, acidic urine (females), and regular ingestion of protein shakes after workouts.
Ramifications of rhabdomyolysis.
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Another ramification of rhabdomyolysis is the UI study of creatine kinase (CK) levels during a preseason football camp, which suggests the Hawkeye team ER in January 2011 was not for conditioning but for punishment or intimidation.
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