Saturday night palsy or Sunday morning hangover? A case report of alcohol-induced Crush Syndrome

Devitt, Brian M.; Baker, Joseph F.; Ahmed, Mushtaq; Menzies, David; Synnott, Keith

doi:10.1007/s00402-010-1098-z

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…Sixty-one articles were included, dating from 1972 to 2019. 1,6–66 There were 7 retrospective cohort studies and 54 case reports or case series. Forty-eight studies were assessed to have a good quality and 13 were of fair quality, assessed with “NIH Quality Assessment Tool for Case Series Studies” (see Table , Supplemental Digital Content 2 , http://links.lww.com/JOT/B280) We found 166 cases of substance-related FDECS with 87% (n = 145) being men and an average age of 35 ± 12 years.…”

Section: Resultsmentioning

confidence: 99%

Substance-Related Found-Down Compartment Syndrome: A Systematic Review

Mortensen

Smith

Keudell

et al. 2021

Journal of Orthopaedic Trauma

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Objective: To characterize the patient population with substancerelated found-down extremity compartment syndrome (FDECS) and report on their treatment and outcome.Data Source: This systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Articles in English language were identified by searching 3 online databases, EMBASE, PubMed Publisher, and Cochrane Central, in September 2019.Study Selection: Studies involving substance-related FDECS were included. Exclusion criteria were as follows: patient age ,18 years, not original studies, no full text available, technical reports, traumatic acute extremity compartment syndrome, chronic exertional compartment syndrome, and vascular acute extremity compartment syndrome.Data Extraction: There were 61 studies included with 166 cases of FDECS. Two investigators screened and extracted data independently according to a standardized template. Disagreements were addressed by an attempt to reach a consensus, and involvement of a third reviewer. Studies were quality assessed with "Quality Assessment tool for Case Series Studies."Data Synthesis: Descriptive statistics were reported using Excel. Conclusion:Substance-related FDECS is often occurring in young adults. Data from this review found that most of the patients were already diagnosed with substance use disorders and/or psychiatric disorders. There should be a high index of suspicion of FDECS in patients presenting after prolonged immobilization.

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Section: Resultsmentioning

confidence: 99%

Substance-Related Found-Down Compartment Syndrome: A Systematic Review

Mortensen

Smith

Keudell

et al. 2021

Journal of Orthopaedic Trauma

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“…Rarely, features of crush syndrome may be seen in patients sustaining low-energy traumatic injuries. Devitt et al [ 8 ] and Daher et al [ 9 ]. have both reported crush syndrome occurring in patients following a severe bout of alcohol consumption.…”

Section: Discussionmentioning

confidence: 99%

Acute Kidney Injury Secondary to Rhabdomyolysis: A Rare Complication of Low-Energy Trauma

Banerjee¹,

Gupta²,

Jeshwanth³

2021

JOCR

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Introduction: Crush syndrome refers to the systemic manifestation of muscle cell injury following release of myocyte contents into the blood circulation. It is seen most commonly in patients sustaining high-energy trauma. Acute kidney injury is one of the most serious complications of crush syndrome and is an important cause of mortality in these patients. In contrast, the occurrence of rhabdomyolysis in patients sustaining low-energy trauma is sparsely reported in the literature. The authors report one such rare case. Case Report: The patient was a 77-year-old hypertensive male who presented to the emergency following an episode of slip and fall at home. After prompt resuscitation, he was sent for radiological evaluation which revealed fractures of the left inter-trochanteric femur and left proximal humerus. Meanwhile, laboratory investigations showed grossly deranged renal parameters, along with elevated serum creatinine phosphokinase levels (more than 5 times the baseline). A diagnosis of acute kidney injury secondary to traumatic rhabdomyolysis was made. Medical management included adequate intravenous fluid administration combined with strict input-output monitoring. Subsequently, the patient underwent closed reduction and internal fixation of the inter-trochanteric femur fracture with a proximal femoral nail. However, fracture of the proximal humerus was managed non-operatively with sling immobilization as patient refused to give consent for a second surgery. Conclusion: Although rare, acute kidney injury secondary to rhabdomyolysis can occur in patients with low-energy trauma. It is important not to confuse it with chronic renal insufficiency, especially in geriatrics many of whom are long-standing hypertensives. Keywords: Acute kidney injury, crush syndrome, low-energy trauma, rhabdomyolysis.

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“…[9] Moreover, the use of axillary crutches and shoulder braces, malpositioning during hospitalization, prone positioning during prolonged surgical procedures, tumors and inflammation were reported as causes of brachial plexus injuries due to differential pressures over nerves. [9][10][11][12] Devitt et al [13] reported flaccid paralysis of upper limb with absence of deep tendon reflexes in an 18-year-old boy, while Silber et al [14] described a complete brachial plexus injury in a 69-year-old gentleman due to stretching following alcohol intoxication.…”

Section: Discussionmentioning

confidence: 99%

Brachial plexus injury: An unusual devastating complication during hospitalization in intensive care unit

Erdem¹

2019

Eklem Hastalik Cerrahisi

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Brakiyal pleksus hasarı: Yoğun bakım ünitesinde yatış sırasında olağandışı yıkıcı bir komplikasyon Brachial plexus injuries lead to functional and physical disability with symptoms ranging from a completely paralyzed upper limb to a lack of muscle control and loss of sensation in the arm, wrist or hand. [1] It has a predominant prevalence in adult male gender and ages between 15 and 25 years. [2] The most common cause of brachial plexus injury in adults is traffic accident, particularly motorcycle accidents. [3,4] Furthermore, traumatic or non-traumatic conditions such as crutch palsy, sports injuries, gunshot wounds, operative malpositioning, tumors, irradiation, alcoholinduced axillary trauma, traction and congenital abnormalities resulting in inflammation are reported as other common reasons causing brachial plexus injury in the literature. [5] Prognosis is variable and associated with the site and extent of the nerve ÖZ Yoğun bakım ünitesi (YBÜ) takibi sırasında kolların hiperabdüksiyon pozisyonunda uzun süre immobilizasyonuna bağlı brakial pleksus hasarı nadirdir. Bu yazıda, YBÜ takibinde aksillası üzerinden sıkıca bağlanmasından dolayı sol üst ekstremitesinde ihmal edilmiş brakiyal pleksus hasarı gelişen, uyuşturucu bağımlısı 20 yaşında bir erkek hastanın olağandışı bir olgusu sunuldu. Sol üst ekstremitesinde progresif hissizliği ve totale yakın immobilitesi vardı. Sol üst ekstremitede atrofi, kas kuvveti kaybı ve derin tendon reflekslerinin olmadığı gözlendi. Elektrodiagnostik çalışmalar, alt gövdede parsiyel aksonal tutulumunun olduğunu gösterdi. Agresif fizik tedavi sonrasında, hastanın kas fonksiyonu iyileşerek medyan, ulnar, muskulokütanöz, aksiller and radyal sinirlerin inerve ettiği tüm kaslarda tam güç gösterdi. Klinisyenler ve diğer personel, YBÜ'de bilinçsiz hastaların takibinde sinir hasarı gibi komplikasyonları göz önünde bulundurarak bu hastaların kısıtlanması konusunda daha dikkatli olmalıdır.

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Saturday night palsy or Sunday morning hangover? A case report of alcohol-induced Crush Syndrome

Cited by 6 publications

References 20 publications

Substance-Related Found-Down Compartment Syndrome: A Systematic Review

Substance-Related Found-Down Compartment Syndrome: A Systematic Review

Acute Kidney Injury Secondary to Rhabdomyolysis: A Rare Complication of Low-Energy Trauma

Brachial plexus injury: An unusual devastating complication during hospitalization in intensive care unit

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