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Related Concept Videos

Bone Structure01:55

Bone Structure

Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.

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Demystifying Traditional Bonesetting: Lessons from Mbarara Regional Hospital.

Sumaiya Sayeed1, Kristin Yu1, Cosmas Sibindi1

  • 1Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.

The Journal of Bone and Joint Surgery. American Volume
|November 3, 2025
PubMed
Summary
This summary is machine-generated.

Patients seek traditional bonesetters (TBSs) for diverse orthopaedic issues, with trauma patients motivated by efficacy and nontrauma patients by superstitious beliefs. Treatment discontinuation often resulted from management failure.

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Area of Science:

  • Orthopaedic Surgery
  • Medical Anthropology
  • Global Health

Background:

  • Traditional bonesetters (TBSs) offer orthopaedic care globally, employing methods distinct from Western medicine.
  • Patients consult TBSs for a range of conditions, including injuries and oncological pathologies.

Purpose of the Study:

  • To investigate patient motivations for seeking care from TBSs.
  • To identify treatments administered by TBSs and patient attitudes toward traditional bonesetting.
  • To differentiate motivations between patients with traumatic and nontraumatic orthopaedic conditions.

Main Methods:

  • A survey was conducted with 168 patients at Mbarara Regional Referral Hospital in Uganda.
  • Patients previously treated by a TBS for orthopaedic concerns were interviewed.
  • Data collected included reasons for seeking TBS care and impressions of the care received.

Main Results:

  • 109 patients had traumatic injuries, while 59 had nontraumatic orthopaedic concerns.
  • Trauma patients reported higher income and education levels.
  • Motivations varied: trauma patients believed in efficacy, while nontrauma patients cited superstitious beliefs for conditions attributed to witchcraft or curses. Management failure led to treatment discontinuation for both groups.

Conclusions:

  • Orthopaedic pathology significantly influences the decision to seek traditional bonesetting and the underlying motivations.
  • For nontraumatic conditions, efficacy beliefs and superstitious notions drive TBS utilization.
  • Further research is needed to fully understand the outcomes associated with seeking care from traditional bonesetters.