Rhabdomyolysis in adolescent athletes: review of cases. Issue 2 (2nd April 2016)

• Record Type: Journal Article
• Authors: Hummel, Kevin; Gregory, Andrew; Desai, Neerav; Diamond, Alex
• Is Part Of: Physician and sportsmedicine. Volume 44:Issue 2(2016)
• Page Start: 195
• Page End: 199
• Publication Date: 2016-04-02
• Subjects: Rhabdomyolysis -- adolescent -- exercise -- sports medicine -- athletes -- risk factors; Sports medicine -- Periodicals; Sports Medicine -- Periodicals; Médecine du sport -- Périodiques; Sports medicine; Sportgeneeskunde; Periodicals; 617.1027
• DOI: 10.1080/00913847.2016.1170582
• Languages: English
• ISSNs: 0091-3847

Abstract

ABSTRACT: Rhabdomyolysis is a syndrome characterized by muscle pain, weakness and myoglobinuria and ranges in severity from asymptomatic to life threatening with acute kidney failure. While a common condition in adult populations, it is understudied in pediatrics and the majority of adolescent cases are likely exercise-induced, caused by strenuous exercise in athletes. Recently, in our pediatric sports medicine practice, we have seen numerous cases of late adolescent high school athletes who present with severe muscle pain and were found to have elevated creatine kinase levels. The cases review potential contributing factors including characteristics of the workout, use of supplements, caffeine, medication, and metabolic or genetic predisposition. Treatment for exercised-induced rhabdomyolysis rarely requires more than rehydration. Return to play should be progressive, individualized, and include acclimatization and monitoring of hydration status, though guidelines require further review.