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Sports Health. 2014 Jul;6(4):333-5. doi: 10.1177/1941738114522957.

Spinning-induced Rhabdomyolysis and the Risk of Compartment Syndrome and Acute Kidney Injury: Two Cases and a Review of the Literature.

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Department of Surgery, New York Presbyterian-Weill Cornell Medical Center, New York, New York.
Hospital for Special Surgery, New York, New York.


Exercise-induced rhabdomyolysis related to military training, marathon running, and other forms of strenuous exercise has been reported. The incidence of acute kidney injury appears to be lower in exercise-induced cases. We present 2 cases of exercise-induced rhabdomyolysis following spinning classes, one of which was further complicated by acute compartment syndrome requiring bilateral fasciotomies of the anterior thigh and acute kidney injury. With vigorous hydration and urine pH monitoring, both patients exhibited good mobility, sensation, and renal function on discharge.


acute kidney injury; compartment syndrome; rhabdomyolysis; spinning

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