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

Harry G. Greditzer, Dustin H. Massel, Carlos M. Barrera, Christopher P. Emerson, Michael G. Rizzo, Nisreen Ezuddin, Camila Brasil, Ane Ugarte Nuno, Jean Jose

Research output: Contribution to journalArticle

Abstract

Background: Given 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/Purposes: The 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. Methods: A 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. Results: We 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. Conclusion: Knowledge of the radiologic findings of opioid misuse will assist orthopedic surgeons in making timely diagnoses that may alter therapeutic regimens for their patients.

Original languageEnglish (US)
JournalHSS Journal
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Opioid Analgesics
Discitis
Necrotizing Fasciitis
Thrombophlebitis
Infectious Arthritis
Rhabdomyolysis
Cellulitis
Muscular Diseases
Osteomyelitis
PubMed
Abscess
Libraries
Needles
Orthopedics
Orthopedic Surgeons
Databases
Pathology

Keywords

  • abscess
  • cellulitis
  • imaging
  • intravenous drug use
  • necrotizing fasciitis
  • opioids
  • orthopedic
  • osteomyelitis
  • rhabdomyolysis
  • septic arthritis
  • septic thrombophlebitis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Greditzer, H. G., Massel, D. H., Barrera, C. M., Emerson, C. P., Rizzo, M. G., Ezuddin, N., ... Jose, J. (Accepted/In press). Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons. HSS Journal. https://doi.org/10.1007/s11420-018-09654-y

Radiographic Musculoskeletal Findings Indicating Opioid Misuse : An Overview for Orthopedic Surgeons. / Greditzer, Harry G.; Massel, Dustin H.; Barrera, Carlos M.; Emerson, Christopher P.; Rizzo, Michael G.; Ezuddin, Nisreen; Brasil, Camila; Nuno, Ane Ugarte; Jose, Jean.

In: HSS Journal, 01.01.2019.

Research output: Contribution to journalArticle

Greditzer, HG, Massel, DH, Barrera, CM, Emerson, CP, Rizzo, MG, Ezuddin, N, Brasil, C, Nuno, AU & Jose, J 2019, 'Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons', HSS Journal. https://doi.org/10.1007/s11420-018-09654-y
Greditzer, Harry G. ; Massel, Dustin H. ; Barrera, Carlos M. ; Emerson, Christopher P. ; Rizzo, Michael G. ; Ezuddin, Nisreen ; Brasil, Camila ; Nuno, Ane Ugarte ; Jose, Jean. / Radiographic Musculoskeletal Findings Indicating Opioid Misuse : An Overview for Orthopedic Surgeons. In: HSS Journal. 2019.
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