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Effects of Marijuana Use in Patients with Orthopaedic Trauma
Sean G Sheppard1, Pelle V Wall2, Benjamin Wheatley1
1Naval Medicine Readiness and Training Command San Diego, San Diego, California.
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The use of cannabis and cannabis-related products has increased dramatically in the last 2 decades. As states continue to legalize cannabis products, it is important for surgeons to understand the effects they may have on patients who have sustained orthopaedic trauma.
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Cannabinoids have been shown to decrease the severity of certain symptoms related to traumatic brain injury as well as posttraumatic stress disorder.
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Cannabinoids can modulate the body's endocannabinoid system, which can play an important role in bone homeostasis. Activation of cannabinoid receptors has been shown to be bone-protective in adults.
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Venous thromboembolism is a major concern for trauma patients. Cannabis use has been linked to overall increased rates of venous thromboembolism events.
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Literature regarding human-based cannabis studies is sparse; however, the growing field is opening new opportunities for research of this topic.

