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Orthopaedic Injury Profiles in Methamphetamine Users

A Retrospective Observational Study

Trasolini, Nicholas MD; Kang, Hyunwoo MD; Carney, John BS; Rounds, Alexis BS; Murrietta, Adam BS; Marecek, Geoffrey S. MD

Journal of the American Academy of Orthopaedic Surgeons: April 11, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.5435/JAAOS-D-18-00618
Research Article: PDF Only

Introduction: We sought to characterize the prevalence of methamphetamine (MA) abuse and associated orthopaedic injury patterns at our level 1 trauma center.

Methods: We conducted a retrospective review of all orthopaedic consults for the year 2016. Patients were classified as MA users based on urine toxicology results and social history.

Results: The prevalence of MA use was 10.0%. MA users were more likely to present with hand lacerations and other infections (P < 0.05 for all). Regarding the mechanism of injury, MA users were more likely to be involved in automobile versus pedestrian, automobile versus bicycle, ballistic, knife, closed fist, other assault/altercation, and animal bite injuries (P < 0.05 for all).

Discussion: MA use is prevalent at our level 1 trauma center. The prevalence and injury patterns of MA abuse warrant deeper study into the effects of this drug on orthopaedic outcomes.

Level of Evidence: Level III

From the Keck School of Medicine of the University of Southern California, Los Angeles, CA.

Correspondence to Dr. Marecek:

None ofthe following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Trasolini, Dr. Kang, Mr. Carney, Ms. Rounds, Mr. Murrietta, and Dr. Marecek.

© 2019 by American Academy of Orthopaedic Surgeons
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