Neglected Musculoskeletal Trauma

Authors

  • Khalil Ahmad Gil Professor/Head of Orthopaedic Department Nishtar Medical University Multan
  • Faaiz Ali Shah Assistant Professor Orthopaedics Lady Reading Hospital Peshawar

Keywords:

Neglected Musculoskeletal Trauma

Abstract

Musculoskeletal injuries constitute a large proportion of global burden of trauma. Lack of proper treatment of musculoskeletal trauma results in disability and morbidity.1 In developing countries patients with musculoskeletal trauma usually do not present to hospital on time due to lack of transportation, poverty and ignorance. Furthermore many government hospitals do not have adequate infrastructure and trained staff resulting in delayed diagnosis or suboptimal treatment of these injuries. 2 Due to high influx of patients and constrained resources in state-owned hospitals of our country patients had to wait for their turn for surgery which cause frustration and anger amongst these patients and  most of them  leave hospital without definitive treatment and unfortunately do not get effective alternative treatment outside. Poverty and superstitious believes are a contributing factor for consulting bonesetters and improper treatment.3 Neglected musculoskeletal injuries are thus untreated injuries due to one or other reasons. In developed countries neglected musculoskeletal injuries are less frequent except missed injuries of the hip and spine reported in some polytrauma patients. Whereas in India  29% patients with fractures and dislocation in a teaching hospital had 50% neglected musculoskeletal injuries.4

References

Jain AK. Editorial Comment. Clinic Orthop Relat Res 2005;2-3.

Beveridge M, Howard A. The burden of orthopaedic disease in developing countries. J Bone Joint Surg 2004; 86A:1819–1822.

Diallo M, Soulama M, Hema AE, Sidibe A, Bandre E, Dakoure PW. Management of neglected distal femur epiphyseal fracture-separation. Int Orthop 2020;44(3):545-550.

Tuli SM. The art and science of orthopaedics in developing countries. J Bone Joint Surg 1985; 67B:840–842.

Hassan MG. Treatment of old dislocations of the lower cervical spine. Int Orthop 2002; 26:263-267.

Sengupta DK. Neglected spinal injuries. Clin Orthop Relat Res 2005;431:93-103.

Agarwal A, Qureshi NA, Gupta N, Verma I, Pandey DK. Management of neglected lateral condyle fractures of humerus in children: A retrospective study. Indian J Orthop 2012;46:698-704.

Liu TJ, Wang EB, Dai Q, Zhang LJ, Li QW, Zhao Q. Open reduction and internal fixation for the treatment of fractures of the lateral humeral condyle with an early delayed presentation in children: A radiological and clinical prospective study. Bone Jt J 2016;98:244-248.

Tan HS, Dartnell J, Lim KS, Hui JH. Paediatric lateral condyle fractures: A systematic review. Arch. Orthop. Trauma Surg 2018;138:809-817.

Veerappa LA, Tripathy SK, Sen RK. Management of neglected acetabular fractures.

Eur J Trauma Emerg Surg 2015;41(4):343-8.

Gyr BM, Stevens PM, Smith JT. Chronic Monteggia fractures in children: outcome after treatment with the Bell-Tawse procedure. J Pediatr Orthop B 2004; 13:402–406.

Rowe CR, Zarins B. Chronic unreduced dislocations of the shoulder. J Bone Joint Surg Am. 1982;64(4):494-505.

Souchon E. Operative treatment of irreducible dislocation of the shoulder joint, recent or old, simple or complicated. Trans Am Surg Assoc. 1891;15:311–442.

Banskota AK, Spiegel DA, Shrestha S, Shrestha OP, Rajbhandary T. Open reduction for neglected traumatic hip dislocation in children and adolescents. J Pediatr Orthop. 2007; 27(2):187-91.

Pai VS, Kumar B Management of unreduced traumatic posterior dislocation of the hip: heavy traction and abduction method. Injury 1990; 21(4):225-7.

Rajasekaran S, Kamath V, Basu S, Gupta S.Neglected spinal trauma. In: Jain AK, Kumar S, (eds). Neglected Musculoskeletal Injuries, 1st edn. Jaypee Brother Medical Publisher: Delhi. 2011 pp. 142-159.

DiScala C, Sege R, Li G, Reec RM. Child Abuse and Unintentional Injuries. A 10-Year Retrospective. Arch Pediatr Adolesc Med. 2000;154(1):16-22.

Hakeem A, Siraj M, Ali A, Azim Q, Ali I, Essa A, et al. Functional Outcome of Neglected Club Foot Using Ilizarov External Fixator. Ophthalmol Update 2018;16(4):890-3.

Downloads

Published

2021-06-03

How to Cite

Khalil Ahmad Gil, & Faaiz Ali Shah. (2021). Neglected Musculoskeletal Trauma. Journal of Pakistan Orthopaedic Association, 33(02), 45–46. Retrieved from http://game.myvmk.com/index.php/upload/article/view/530