Rhabdomyolysis and Hypothyroidism in a Collegiate Hammer Thrower: A Disablement Model Case Study

Abstract

The purpose of this disablement model case report was to detail the case of a patient suffering from rhabdomyolysis and hypothyroidism. Despite swelling, cramping, and loss of range of motion at the wrists, hands, and fingers, the patient did not seek physician evaluation until their athletic trainer encouraged them. While hypothyroidism is a relatively common condition, there has been little literature published that associate hypothyroidism with rhabdomyolysis. In this case, the patient reported to the athletic training staff reporting swelling, cramping, and loss of range of motion at the wrists, hands, and fingers. After evaluation by the team physician and subsequent testing, the patient was diagnosed with hypothyroidism and rhabdomyolysis. The patient was hospitalized and treated with intravenous hydration and oral levothyroxine. After a 10-day hospitalization, the patient had improved enough to be discharged. As the patient remained adherent with his levothyroxine prescription, the patient continued to improve to the point of being able to resume sport-specific activities. When evaluating a patient with swelling, cramping, and loss of range of motion after intense physical activity or muscular trauma, the clinician should consider rhabdomyolysis as a potential factor. Patients presenting with these symptoms should be referred for emergency care.