ABSTRACT
Background: The incidence of nonunion of humerus has been as high as 15% of all humeral fractures. Majority of humeral shaft fractures were treated by conservative treatment using splints, hanging arm cast, braces compromising anatomical reduction in view of wide range of movement of shoulder and elbow joint. Methods: The prospective study was conducted at Dept. of Ortho-Surgery, Sheikh Sayera Khatun Medical College & Hospital, Gopalgonj, Bangladesh from January 2021 to June 2022. Total 20 patients with fracture shaft humerus, who were treated with locking compression plate from the period were study. All patients are admitted and subjected to clinical & radiological examination, necessary lab investigations are carried out for proposed surgery. Regular follow up will be carried out by clinical examination and with X-rays at interval of 6 weeks, 3 months than 6 months and study will be conducted on a minimum of 20 patients. Results: Total 20 patients with fracture shaft humerus, who were treated with locking compression plate from the period of study. The age group of the patients in our study ranged from 15 years to 65 years. Most of the patients belong to 21- 40 years. 65% with male predominance (70%), with type A3 as the commonest fracture (50%) involving the mid shaft (70%) of humerus, underwent open reduction and internal fixation using locking compression plate. Conclusion: The age of the patient ranged from 15 years to 65. Majority of the patients were males. (M: F = 14: 6). In our series, left humerus was involved in 50% cases, while right was involved in the other 50% of cases.

ABSTRACT
Background: Clinical weight bearing provocation tests, like to determine the sensitivity and specificity of the childress’ test (duck walk test) and joint line tenderness in diagnosing meniscal tears and to determine whether the location of tear and severity of injury is important. However, evidence of the diagnostic accuracy of the childress’ test (duck walk test) and joint line tenderness test are lacking and the cause of tear (traumatic versus degenerative), and ACL insufficiency were associated with differences in the sensitivity and specificity of the test. Objectives: The aim of this study was to assess the clinical improvement regarding joint line tenderness and childress’ test (duck walk test) in a tertiary care hospital. Methods: This is a prospective interventional study. The study used to be carried out in the admitted patient’s Department of Orthopedic, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) Sher-E-Bangla Nagar, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2013 to December 2014. Results: This study conducted on 20 patients aged 16 to 40 years, Childress test (Duck walk test) was positive in case of 80% patients and post operatively the test became negative in all patients Out of 20 patients 90% regained normal to near-normal knee function and stability after surgery. Pain and swelling were also significantly reduced. Conclusions: Meniscus injury frequently takes place in young adult population who are very active, which reduces their endeavor level and ultimately become an economic burden. So, early intervention and partial meniscectomy, which offers very accurate momentary result, is imperative to make them healthy and return to their normal activity.

ABSTRACT
Musculoskeletal disorders (MSD) are a category of work-related diseases affecting the dentists. The aim of this work is to investigate among dentists from Constanta the prevalence and characteristics of MSD, their posture during working and the adoption of ergonomic standards. Methods: A sample of 280 dentists working in private practice in Constanta were invited to participate to this study. The response rate was 65% (n=182). The participants filled a 35-items questionnaire including personal data, working position, MSD characteristics and treatment. The level of significance was set at p<0.05. Results: 67% of the dentists reported the presence of MSD and 71% consider that symptoms are related to the dental activity. MSD were located mostly in cervical area and neck (41%), followed by lower back (24%). No statistical correlation was found between presence of MSD and body weight (p=0,7). A sitting position was always used by 27% of subjects, 46% are using both sitting and standing working postures. No statistical significant correlation was found among the presence of MSD pathology and the activity of the dentists during Covid-19 pandemic (p=0,8). Conclusion: A high percentage of dentists reported MSDs. The main location is the spine, the cervical and lower back area. It is concluded postural problems leading to neck and back reported from the dentists in Constanta are comparable to those from other countries. Adoption of correct posture, sport and stretching exercises could prevent or minimize the effect of static dental activity.

ABSTRACT
ackground: Unstable distal clavicular fractures are challenging injuries associated with significant complications and functional limitations. Various surgical techniques have been employed to achieve stable fixation and promote early rehabilitation. However, the and Methods: A prospective study was conducted on 38 patients who underwent surgery for unstable distal clavicular fractures at a Department of Orthopaedic Surgery, Adunik Shador Hospital, Natore, Rajshahi, Bangladesh from November 2019 to July 2022. To evaluate the outcomes of surgical interventions for optimal approach for managing these fractures remains a topic of debate. Objective: The objective of this study was to evaluate the surgical outcomes of a novel approach for unstable distal clavicular fractures. Materials Neer type II clavicular fractures in a cohort of 38 patients. The average age of the patients was 42.9 years. Two different treatment approaches were utilized: a hook-plate was used in 22 patients, while a superior locked plate with suture augmentation was employed in 16 patients. Based on the timing of surgical intervention, patients were divided into two groups: acute treatment group (27 patients) receiving surgery within 4 weeks of injury, and delayed treatment group (11 patients) receiving surgery after 4 weeks. Clinical and radiographic follow-up was performed for one year or until fracture union was achieved.