Affordable Access

Access to the full text

Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons

Authors
  • Greditzer, Harry G. IV1
  • Massel, Dustin H.2
  • Barrera, Carlos M.2
  • Emerson, Christopher P.2
  • Rizzo, Michael G.2
  • Ezuddin, Nisreen3
  • Brasil, Camila3
  • Nuno, Ane Ugarte4
  • Jose, Jean2, 3
  • 1 Hospital for Special Surgery, Department of Radiology, 535 East 70th St., New York, NY, 10021, USA , New York (United States)
  • 2 University of Miami Miller School of Medicine, UHealth Sports Medicine Institute, Coral Gables, FL, USA , Coral Gables (United States)
  • 3 Jackson Memorial Hospital, Department of Radiology, 1611 NW 12th St., Miami, FL, 33136, USA , Miami (United States)
  • 4 Hospital Donostia, Department of Radiology, San Sebastian, Spain , San Sebastian (Spain)
Type
Published Article
Journal
HSS Journal ®
Publisher
Springer US
Publication Date
Jan 08, 2019
Volume
15
Issue
1
Pages
84–92
Identifiers
DOI: 10.1007/s11420-018-09654-y
Source
Springer Nature
Keywords
License
Yellow

Abstract

BackgroundGiven the high prevalence of musculoskeletal conditions in the USA, it is important for orthopedic surgeons to promptly identify patients who may be at risk for opioid misuse.Questions/PurposesThe aim of this literature review was to elucidate various musculoskeletal pathologies and complications, as seen on imaging, that may indicate opioid misuse or opioid use disorder.MethodsA literature search was conducted using the PubMed, Scopus, and Cochrane Library databases for articles related to imaging findings associated with chronic opioid use or misuse in orthopedic patients. Two independent reviewers conducted the search utilizing pertinent Boolean operations.ResultsWe reviewed 36 full-text articles and categorized the radiographic evidence of opioid misuse as follows: soft-tissue radiologic findings, cellulitis, necrotizing fasciitis, abscess formation, retained needles, discitis, myopathy and rhabdomyolysis, osteomyelitis, septic arthritis, and septic thrombophlebitis.ConclusionKnowledge of the radiologic findings of opioid misuse will assist orthopedic surgeons in making timely diagnoses that may alter therapeutic regimens for their patients.

Report this publication

Statistics

Seen <100 times