[Neuromuscular disorders of the extremities after heroin-induced rhabdomyolysis].
We describe four patients with neuromuscular deficiencies after heroin-induced rhabdomyolysis. Such deficiencies have a good prognosis, but all our patients continued to have sequelae. In an emergency situation one should always consider fasciotomy for acute compartment syndromes. Two of our patients developed a Volkmann's ischemic contracture after acute compartment syndromes. The other two had deficiencies from compression neuropathies. We observed functional restitution over a period of one to two years. Physiotherapy and orthopaedic aids are important in the rehabilitation of these patients. However, the main problem is still their drug addiction.
Rasmussen
F O
FO
Sunnaas sykehus, Ullevål sykehus, Oslo.
Rand-Henriksen
S
S
Stanghelle
J K
JK
D000208:Acute Disease; D000328:Adult; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006556:Heroin Dependence / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007866:Leg / Q000503:physiopathology*; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011379:Prognosis; D012206:Rhabdomyolysis / Q000139:chemically induced* / Q000150:complications / Q000503:physiopathology
Neuromuskulaere utfall i ekstremitetene etter heroinindusert rhabdomyolyse.