TY - JOUR
T1 - Exertional rhabdomyolysis
T2 - Identification and evaluation of the athlete at risk for recurrence
AU - Szczepanik, Michelle E.
AU - Heled, Yuval
AU - Capacchione, John
AU - Campbell, William
AU - Deuster, Patricia
AU - O'Connor, Francis G.
PY - 2014
Y1 - 2014
N2 - 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 further evaluation and a return to duty determination. We describe the definition, pathophysiology, epidemiology, etiology, and clinical course of ER. In addition, we introduce "high-risk" criteria for ER to assist in identifying individuals needing further testing and work-up. Finally we present a suggested algorithm that details the work-up of these individuals with high-risk ER to help identify underlying conditions that may lead to recurrence.
AB - 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 further evaluation and a return to duty determination. We describe the definition, pathophysiology, epidemiology, etiology, and clinical course of ER. In addition, we introduce "high-risk" criteria for ER to assist in identifying individuals needing further testing and work-up. Finally we present a suggested algorithm that details the work-up of these individuals with high-risk ER to help identify underlying conditions that may lead to recurrence.
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U2 - 10.1249/JSR.0000000000000040
DO - 10.1249/JSR.0000000000000040
M3 - Article
C2 - 24614425
AN - SCOPUS:84898631014
SN - 1537-890X
VL - 13
SP - 113
EP - 119
JO - Current sports medicine reports
JF - Current sports medicine reports
IS - 2
ER -