Hoy G, Hasenkam C, Fock A, McLean C
Melbourne Orthopaedic Group, Monash University, Melbourne, VIC, Australia.
University of Melbourne, Melbourne, VIC, Australia.
Case Rep Orthop. 2018 Dec 30;2018:5485767. doi: 10.1155/2018/5485767. eCollection 2018.
We present a case of severe supraspinatus muscle rhabdomyolysis following overexertion in a young male. Preexisting risk factors included illicit drug use. Even single muscle rhabdomyolysis can cause significant renal failure, and in our case the use of intravenous flushing was used in conjunction with hyperbaric oxygen after muscle compartment fasciotomy to maximize muscle recovery and renal protection in a manual worker (musician). Clinicians should be alert to severe muscle pain requiring narcotics after strenuous use.
我们报告一例年轻男性过度劳累后发生严重的冈上肌横纹肌溶解症的病例。既往危险因素包括使用非法药物。即使是单一肌肉的横纹肌溶解症也可导致严重肾衰竭，在我们的病例中，对于一名体力劳动者（音乐家），在肌肉筋膜切开减压术后，静脉冲洗与高压氧联合使用，以最大限度地促进肌肉恢复和保护肾脏。临床医生应警惕剧烈运动后需要使用麻醉剂的严重肌肉疼痛。
