Radiographic Musculoskeletal Findings Indicating Opioid Misuse: An Overview for Orthopedic Surgeons.
abscess
cellulitis
imaging
intravenous drug use
necrotizing fasciitis
opioids
orthopedic
osteomyelitis
rhabdomyolysis
septic arthritis
septic thrombophlebitis
Journal
HSS journal : the musculoskeletal journal of Hospital for Special Surgery
ISSN: 1556-3316
Titre abrégé: HSS J
Pays: United States
ID NLM: 101273938
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
23
05
2018
accepted:
15
11
2018
entrez:
14
3
2019
pubmed:
14
3
2019
medline:
14
3
2019
Statut:
ppublish
Résumé
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. 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. 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. 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. Knowledge of the radiologic findings of opioid misuse will assist orthopedic surgeons in making timely diagnoses that may alter therapeutic regimens for their patients.
Sections du résumé
BACKGROUND
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
OBJECTIVE
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
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
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
CONCLUSIONS
Knowledge of the radiologic findings of opioid misuse will assist orthopedic surgeons in making timely diagnoses that may alter therapeutic regimens for their patients.
Identifiants
pubmed: 30863238
doi: 10.1007/s11420-018-09654-y
pii: 9654
pmc: PMC6384203
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
84-92Déclaration de conflit d'intérêts
Harry G. Greditzer IV, MD, Dustin H. Massel, MD, Carlos M. Barrera, BS, Christopher P. Emerson, MS, Michael G. Rizzo, MD, Nisreen Ezuddin, MD, Camila Brasil, MD, Ane Ugarte Nuno MD, and Jean Jose, DO, MS, declare that they have no conflicts of interest.All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013.Informed consent was waived from all patients included in this study.Disclosure forms provided by the authors are available with the online version of this article.
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