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Orthopaedic Injury Profiles in Methamphetamine Users: A Retrospective Observational Study
Nicholas Trasolini1, Hyunwoo Kang, John Carney
1From the Keck School of Medicine of the University of Southern California, Los Angeles, CA.
The Journal of the American Academy of Orthopaedic Surgeons
|April 16, 2019
Summary
Methamphetamine (MA) abuse is prevalent in trauma patients, with users experiencing more hand lacerations, infections, and various assault-related injuries. Further research is needed to understand MA
Area of Science:
- Orthopaedic Surgery
- Trauma Care
- Addiction Medicine
Background:
- Methamphetamine (MA) abuse presents a significant challenge in trauma centers.
- Understanding the prevalence and injury patterns associated with MA use is crucial for effective patient management.
Purpose of the Study:
- To determine the prevalence of methamphetamine abuse among patients presenting to a level 1 trauma center.
- To characterize the specific patterns of orthopaedic injuries associated with methamphetamine abuse.
Main Methods:
- A retrospective review of orthopaedic consults from 2016 was conducted.
- Patients were identified as MA users based on urine toxicology and social history.
- Statistical analysis was used to compare injury patterns between MA users and non-users.
Main Results:
- The prevalence of MA use was found to be 10.0% among the studied population.
- MA users were significantly more likely to sustain hand lacerations and infections.
- MA users had a higher incidence of injuries resulting from various mechanisms, including vehicle-pedestrian/bicycle collisions, ballistic trauma, assaults, and animal bites.
Conclusions:
- Methamphetamine abuse is a common issue in level 1 trauma settings.
- The distinct injury patterns observed in MA users necessitate further investigation into the drug's impact on orthopaedic outcomes.
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