Orthopaedic Injury Profiles in Methamphetamine Users: A Retrospective Observational Study

J Am Acad Orthop Surg. 2020 Jan 1;28(1):e28-e33. doi: 10.5435/JAAOS-D-18-00618.

Abstract

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.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Amphetamine-Related Disorders / epidemiology*
  • Female
  • Humans
  • Male
  • Methamphetamine / adverse effects*
  • Middle Aged
  • Musculoskeletal System / injuries*
  • Retrospective Studies
  • Trauma Centers / statistics & numerical data*
  • Wounds and Injuries / epidemiology*

Substances

  • Methamphetamine