Crush Injury and Crush Syndrome

Overview

Journal World J Surg

Publisher Wiley

Specialty General Surgery

Date 1992 Sep 1

PMID 1462627

Citations 16

Authors

M Michaelson

Affiliations

Soon will be listed here.

Abstract

Crush injury is caused by continuous prolonged pressure on the limbs. It is found in patients extricated after being trapped for at least 4 hours. The main injury is to the muscles of the limbs. Treatment should be conservative and fasciotomy should be avoided. If fasciotomy is performed, it should be followed by radical debridement of the injured muscle in an attempt to avoid infection of the injured limb. Infection endangers the patient's life and is the main cause of morbidity and mortality today. The outcome of conservative local treatment of crush injury is much superior to that of operative treatment. The pathophysiology of crush injury is not fully understood and no good animal model is known. Crush syndrome, which is the general manifestation of crush injury, is better understood. If not prevented, it will lead to acute renal failure. A method for preventing acute renal failure is discussed and a protocol is described. There is no doubt that prevention of acute renal failure is the goal in the treatment of crush syndrome and can be achieved.

Citing Articles

Kidney Replacement Therapies and Outcomes in Children With Crush Syndrome-Associated Kidney Injury.

Demirkol D, Besci T, Havan M, Karacanoglu D, Kihtir H, Yildizdas D JAMA Netw Open. 2025; 8(1):e2456793.

PMID: 39869334 PMC: 11774091. DOI: 10.1001/jamanetworkopen.2024.56793.

Crush injuries to the lower limbs at a major UK trauma centre: a retrospective observational study.

Rama E, Jayawant S, Zhang J, Krkovic M Eur J Orthop Surg Traumatol. 2024; 35(1):44.

PMID: 39708229 PMC: 11663160. DOI: 10.1007/s00590-024-04164-6.

Epidemiological analysis of the victıms wıth crush syndrome in earthquakes of southeastern Turkey.

Ozturk I, Gungor O, Ozturk S, Olmaz R, Gunes Keskin A, Kocyigit I J Nephrol. 2024; 37(9):2589-2599.

PMID: 39320667 DOI: 10.1007/s40620-024-02051-1.

Predictive factors for acute kidney injury and amputation in crush injuries from the Kahramanmaraş earthquakes.

Koroglu M, Karakaplan M, Barakat M, Ergen E, Aslanturk O, Ozdes H Ulus Travma Acil Cerrahi Derg. 2024; 30(7):500-509.

PMID: 38967526 PMC: 11331346. DOI: 10.14744/tjtes.2024.06228.

Evaluation of musculoskeletal system injuries after the 2023 Kahramanmaraş Turkey earthquakes: Our single-center experience.

Turgut N, Ozgozen A, Beyaz S Qatar Med J. 2024; 2024(1):10.

PMID: 38468606 PMC: 10925832. DOI: 10.5339/qmj.2024.10.

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