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Crush Syndrome due to Limb Compression
Michael J. Kikta, MD;
Joseph P. Meyer, MD;
Rashad A. Bishara, MD;
Spencer F. Goodson, MD;
James J. Schuler, MD;
D. Preston Flanigan, MD
Arch Surg. 1987;122(9):1078-1081.
Abstract
• Four patients with the crush syndrome due to prolonged limb compression were treated at Cook County Hospital, Chicago. Limb injury was caused when the obtunded patient fell asleep lying on the involved extremity. Prolonged limb compression may cause an acute compartment syndrome with ischemic muscle injury. Continued muscle ischemia may lead to myonecrosis resulting in shock or renal failure. A history of prolonged limb compression with a swollen limb should suggest the diagnosis of crush syndrome. Prompt therapy, including rapid correction of volume and metabolic derangements, extensive open fasciotomy, and dialysis for severe acute renal failure should provide good functional results in the majority of patients.
(Arch Surg 1987;122:1078-1081)
Author Affiliations
From the Department of Surgery, Division of Vascular Surgery, Cook County Hospital and University of Illinois College of Medicine at Chicago.
Footnotes
Accepted for publication Oct 23, 1986.
Reprint requests to Division of Vascular Surgery, University of Illinois at Chicago, Suite 2200, 1740 W Taylor St, Chicago, IL 60612 (Dr Flanigan).
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