Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-29T17:21:17.990Z Has data issue: false hasContentIssue false

53 - Soft Tissue Injury

Crush Injury, Compartment Syndrome, and Open Fractures

from Section 11 - Trauma

Published online by Cambridge University Press:  02 November 2023

Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
Get access

Summary

  • Severe crush injury can result in sequelae such as significant bony fractures, rhabdomyolysis, extremity compartment syndrome or crush syndrome. Crush syndrome comprises the systemic manifestations that arise as a result of a crush injury followed by reperfusion. From the rupture of muscle cells, substances such as myoglobin, potassium, phosphorus and creatinine phosphokinase are released into the bloodstream. The patient can subsequently develop hyperkalemia, hypocalcemia, hypovolemia, shock, compartment syndrome, lactic acidosis or renal failure from traumatic rhabdomyolysis (seen in up to 40% of patients with crush injury).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Frykberg, ER, Dennis, JW, Bishop, K, et al. The reliability of physical examination in the evaluation of penetrating extremity trauma for vascular injury: results at one year. J Trauma 1991;31(4):502511.CrossRefGoogle ScholarPubMed
Garner, MR, Sethuraman, SA, Schade, MA, et al. Antibiotic prophylaxis in open fractures: evidence, evolving issues and recommendations. J Amer Acad Ortho Surg 2020;28(8):309315.CrossRefGoogle ScholarPubMed
Gonzalez, D. Crush syndrome. Crit Care Med 2005;33:S34–41.CrossRefGoogle ScholarPubMed
McQueen, MM, Duckworth, AD. The diagnosis of acute compartment syndrome: a review. Eur J Trauma Emerg Surg 2014;40(5):521528.CrossRefGoogle ScholarPubMed
Moshe Michaelson, MD. Crush injury and crush syndrome. World J Surgery 1992;16:899903.CrossRefGoogle Scholar
Sever, MS & Vanholder, R. Recommendations for the management of crush victims in mass disasters. Nephrol Dial Transplant 2012;27(1):i1i67.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×