Injury

Bouldering is a rapidly growing discipline within climbing, characterised by short ascents performed without ropes, typically at heights of up to several metres above protective crash mats. While overall injury burden among climbers has been described in the literature, detailed analyses of severe orthopaedic trauma presenting to major trauma centres remain limited. As participation continues to increase, particularly within indoor climbing facilities, a clearer understanding of injury patterns associated with bouldering is needed.

Insurance-based disparities associated with outcomes in traumatic brain injury (TBI), including acute care discharge dispositions, remain understudied. This study aims to evaluate the associations between Medicaid versus private insurance (PI) on hospital length of stay (LOS) and discharge disposition in patients with TBI across severities.

Undiagnosed hemorrhage is the leading cause of preventable trauma death in Cameroon, yet few injured patients receive imaging to diagnose hemorrhage. A smartphone-based ultrasonography (SBU) curriculum was developed to rapidly train frontline healthcare providers in Cameroon to perform and interpret eFAST. SBU has demonstrated promising educational efficacy, but its clinical feasibility in this technology-constrained setting is unknown. We evaluate the feasibility and acceptability of a SBU pilot at three trauma centers in Cameroon.

Lateral condyle fractures are the second most common elbow fracture in pediatric patients with high rates of articular involvement and displacement leading to surgical management. This study aims to assess whether dominant side fracture predicts conservative treatment change, undergoing surgical management or clinical outcomes in pediatric lateral condyle fractures and to identify independent predictors of surgery, loss of reduction, and complications.

Trauma is a leading cause of death and disability, both in Sweden and globally. Timely surgical intervention and level of care have been identified as important determinants of outcome, yet it is not known whether time to surgery differs between trauma centers and non-trauma centers in Sweden, or whether previously observed survival differences also apply to patients undergoing early operative management.

Fragility fractures represent a major public health concern in the aging population, contributing substantially to morbidity, functional decline, and mortality. Although hip fractures are widely recognized for their high early mortality risk, less is known about the comparative one-year mortality associated with first-time long bone fractures at other anatomical sites. This study evaluates one-year all-cause mortality across multiple fracture types in older adults using a large, multicenter research network.

The sinus tarsi approach (STA) has gained popularity as a minimally invasive alternative to the extensile lateral approach for displaced intra-articular calcaneal fractures (DIACFs), yet wound complications remain a concern. This study aimed to determine the incidence and predictors of wound complications following STA fixation.

Multiple rib fractures cause substantial morbidity through severe pain, impaired ventilation, and pulmonary complications. While open rib fixation is well established, thoracoscopic fixation may reduce soft-tissue trauma and enhance recovery, but comparative evidence remains unclear. This systematic review and meta-analysis aimed to compare thoracoscopic versus open fixation for multiple rib fractures in terms of effectiveness and safety outcomes.

Dear Editor,

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