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

Harry G. Greditzer, Dustin H. Massel, Carlos M. Barrera, Nisreen S. Ezuddin, Christopher P. Emerson, Jean Jose

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalHSS Journal
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Opioid Analgesics
Diagnostic Imaging
Cardiovascular System
Nervous System
Orthopedic Surgeons
Inpatients
Pathology
Lung
Injections

Keywords

  • arterial/mycotic pseudoaneurysm
  • complications of opioid use
  • diagnostic imaging
  • infective endocarditis
  • noncardiogenic pulmonary edema
  • opioids

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Systemic Complications and Radiographic Findings of Opioid Use and Misuse : An Overview for Orthopedic Surgeons. / Greditzer, Harry G.; Massel, Dustin H.; Barrera, Carlos M.; Ezuddin, Nisreen S.; Emerson, Christopher P.; Jose, Jean.

In: HSS Journal, 01.01.2018.

Research output: Contribution to journalArticle

Greditzer, Harry G. ; Massel, Dustin H. ; Barrera, Carlos M. ; Ezuddin, Nisreen S. ; Emerson, Christopher P. ; Jose, Jean. / Systemic Complications and Radiographic Findings of Opioid Use and Misuse : An Overview for Orthopedic Surgeons. In: HSS Journal. 2018.
@article{73f28bfc503d408fae646070c2c3a9b3,
title = "Systemic Complications and Radiographic Findings of Opioid Use and Misuse: An Overview for Orthopedic Surgeons",
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.",
keywords = "arterial/mycotic pseudoaneurysm, complications of opioid use, diagnostic imaging, infective endocarditis, noncardiogenic pulmonary edema, opioids",
author = "Greditzer, {Harry G.} and Massel, {Dustin H.} and Barrera, {Carlos M.} and Ezuddin, {Nisreen S.} and Emerson, {Christopher P.} and Jean Jose",
year = "2018",
month = "1",
day = "1",
doi = "10.1007/s11420-018-9649-x",
language = "English (US)",
journal = "HSS Journal",
issn = "1556-3316",
publisher = "Springer New York",

}

TY - JOUR

T1 - Systemic Complications and Radiographic Findings of Opioid Use and Misuse

T2 - An Overview for Orthopedic Surgeons

AU - Greditzer, Harry G.

AU - Massel, Dustin H.

AU - Barrera, Carlos M.

AU - Ezuddin, Nisreen S.

AU - Emerson, Christopher P.

AU - Jose, Jean

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - arterial/mycotic pseudoaneurysm

KW - complications of opioid use

KW - diagnostic imaging

KW - infective endocarditis

KW - noncardiogenic pulmonary edema

KW - opioids

UR - http://www.scopus.com/inward/record.url?scp=85058136800&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058136800&partnerID=8YFLogxK

U2 - 10.1007/s11420-018-9649-x

DO - 10.1007/s11420-018-9649-x

M3 - Article

AN - SCOPUS:85058136800

JO - HSS Journal

JF - HSS Journal

SN - 1556-3316

ER -