From 'playstation thumb' to 'cellphone thumb': the new epidemic in teenagers.

In a country with inadequate policing and an overloaded judicial system, communities find it more expedient to take criminal matters into their own hands. Until such rural populations feel suitably supported, they will continue to implement this flawed and dubious form of retribution. Medical practitioners must recognise CA as being lifethreatening and treat patients aggressively. Given the complex patterns of the injuries observed, patients should be managed in a setting with the appropriate facilities. For this reason, we suggest that rural hospitals should have a low threshold for transferring patients to regional centres.