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Systemic Complications and Radiographic Findings of Opioid Use and Misuse: An Overview for Orthopedic Surgeons

Authors
  • Greditzer, Harry G. IV1
  • Massel, Dustin H.2
  • Barrera, Carlos M.2
  • Ezuddin, Nisreen S.3
  • Emerson, Christopher P.2
  • 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, Miami, FL, USA , Miami (United States)
  • 3 Jackson Memorial Hospital, Department of Radiology, 1611 NW 12th St, Miami, FL, 33136, USA , Miami (United States)
Type
Published Article
Journal
HSS Journal ®
Publisher
Springer US
Publication Date
Dec 07, 2018
Volume
15
Issue
1
Pages
76–83
Identifiers
DOI: 10.1007/s11420-018-9649-x
Source
Springer Nature
Keywords
License
Yellow

Abstract

Amid growing concern about the misuse of prescribed opioids, the rising rates of opioid use disorder, and the use of illicit opioids, clinicians in ambulatory, inpatient, and operative environments are encountering opioid-related complications in their patients. These complications can affect multiple organ systems including cardiovascular, pulmonary, gastrointestinal, and neurologic and are related to excess opioid levels in the body or contamination from non-sterile injection. It is important for the orthopedic surgeon to have a general understanding of the pathologies associated with opioid use disorder and their appearance on diagnostic imaging. This article reviews image findings of several complications, organized in a systems-based approach, for the orthopedic surgeon.

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