Evidence map›Paper›PMID 30863238›Full record

ReviewHSS journal : the musculoskeletal journal of Hospital for Special Surgery2019

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

Open access · bronzeAbstract readReview
In one paragraph

Review in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 99% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Harry G Greditzer1Department of Radiology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021 USA.
Dustin H Massel2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.
Carlos M Barrera2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.
Christopher P Emerson2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.ORCID 0000-0001-8817-4678
Michael G Rizzo2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.
Nisreen Ezuddin3Department of Radiology, Jackson Memorial Hospital, 1611 NW 12th St., Miami, FL 33136 USA.
Camila Brasil3Department of Radiology, Jackson Memorial Hospital, 1611 NW 12th St., Miami, FL 33136 USA.
Ane Ugarte Nuno4Department of Radiology, Hospital Donostia, San Sebastian, Spain.
Jean Jose2UHealth Sports Medicine Institute, University of Miami Miller School of Medicine, Coral Gables, FL USA.
University of Miami · USJackson Memorial Hospital · USBiogipuzkoa Health Research Institute · ESHospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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/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.

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.

Indexed as

abscesscellulitisimagingintravenous drug usenecrotizing fasciitisopioidsorthopedicosteomyelitisrhabdomyolysisseptic arthritisseptic thrombophlebitis

Identifiers

PMID30863238
PMCPMC6384203
OpenAlexW2908918963

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.