The trauma pandemic disproportionately kills and maims citizens of low-income countries although the immediate cause of the
trauma is often an industrial export of a high-income country, such as a motor vehicle. Addressing the trauma pandemic in
low-income countries requires access to relevant research information regarding prevention and treatment of injuries. Such
information is also generally produced in high-income countries. We reviewed two years’ worth of articles from leading orthopaedic
and general medical journals to determine whether the scientific literature appropriately reflects the global burden of musculoskeletal
disease, particularly that due to trauma. General medical journals underrepresented musculoskeletal disease, but within musculoskeletal
disease an appropriate majority of papers were regarding trauma, in particular the epidemiology and prevention of injury.
Orthopaedic journals, while focusing on musculoskeletal conditions, substantially underrepresented the global burden of disease
due to trauma and hardly consider injury epidemiology and prevention. If orthopaedic surgeons want to maximize their global
impact, they should focus on writing about trauma questions relevant to their colleagues in low-income countries and ensuring
these same colleagues have access to the literature.
Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest,
patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Dr. Howard
runs the Ptolemy project described in the accompanying article.