Clinical Orthopaedics and Related Research

, Volume 466, Issue 10, pp 2297–2305 | Cite as

ABJS/C.T. Brighton Workshop on Musculoskeletal Trauma in Developing Countries: Editorial Comment

  • David A. SpiegelEmail author
Symposium: ABJS/C.T. Brighton Workshop on Trauma in the Developing World

Injuries are a neglected epidemic in low- and middle-income countries (LMICs), accounting for 11% of the world’s disease burden in 2001, and ranking 11th in all causes for both mortality and morbidity [9]. Road traffic crashes are predicted to be the eighth leading cause of death, and the fourth leading cause of DALYs (disability adjusted life years) by 2030 [10]. Each year, many of the 20 to 50 million injury survivors are left with a permanent disability, most often related to the musculoskeletal system. The economic and social costs of injuries are profound, and undoubtedly contribute to the vicious cycle of poverty in many developing nations. Despite the weight of evidence of this huge burden, research concerning the prevention and treatment of injuries in LMICs has been underfunded, and limited resources have been allocated for strengthening the delivery of medical services for the injured, including surgical care. Providing universal access to safe, timely, and effective...



Along with course co-chairmen Mark Vrahas and John Dormans, I wish to thank all the individuals who dedicated their time and energy to the workshop. It was a pleasure for us to make new friends, and to share knowledge and experiences with colleagues from around the world. Special thanks go to our local host Manjul Joshipura, a champion in the quest to strengthen trauma care systems globally. We thank Meena Cherian and Charles Mock for broadening our perspective on the delivery of musculoskeletal trauma care, and Richard Brand for his leadership, editorial assistance, and support throughout the entire process. Colette Hohimer worked tirelessly on organizing the workshop and maintaining communication with the course chairs, members of the steering committee, and all of the workshop participants. We recognize the efforts of the ABJS/ CT Brighton Workshop Steering Committee (Manjul Joshipura, Marcos Musafir, Mahendra Patel, Wahid Al-Kharusi, John Dormans, Cyril Toma, Mark Vrahas, Bruce Browner, and Richard Brand). Special thanks go to the workshop participants (Appendix 1) for their excellent presentations, and their contributions to the breakout sessions. Finally, we would like to recognize our sponsors, the Association of Bone and Joint Surgeons, the Orthopaedic Research and Education Foundation, Synthes, and the Stryker Company.


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Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  1. 1.Division of Orthopaedic SurgeryChildren’s Hospital of Philadelphia, University of Pennsylvania School of MedicinePhiladelphiaUSA

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