Neglected Musculoskeletal Injuries

by Anil K Jain, Sudhir Kumar

There is rapidly growing burden of trauma worldwide, in a wide spectrum of socioeconomic societies and a complex heterogeneous health delivery infrastructures. There is a mixture of great contrast with most advanced corporate hospital of international repute and the poorest of the health unit with no medical facility. The injuries may remain neglected as a large section of population may not have an access to modern health care either due to lack of education or because of high cost of treatment and the non-availability of transportation to reach the required place in right time. The suboptimal conditions in the management of musculoskeletal injuries either due to lack of proper training or infrastructure add to the rate of avoidable morbidity and disability. The textbooks of fractures and dislocation mainly focus on the management of fresh trauma. The neglected musculoskeletal injuries require complex management protocols. The tertiary care hospitals are over-burdened in treating complicated and complex injuries which require higher expertise and are a great challenge. Those test the ingenuity of treating surgeon. It requires developing new and innovative strategies to treat neglected injuries. The treatment recommendations in this book are grounded with peer reviewed evidence and clinical experience and concise clinically relevant bibliographies. The present book has its origin in a symposium on management of neglected trauma in clinical orthopaedics and related research 431; Feb 2005. The overwhelming response to the symposium has stimulated us for this book. Our purpose in writing this book has been to provide practical and useful guidelines in the treatment of trauma that has remained untreated/ neglected due to one or the other reason. Most of the chapters cover the biological basis of management protocols. This compilation may act as a nucleus for further research work and developing treatment algorithm on such clinical problems to reduce morbidity and disability.

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