ABSTRACT
Giant cell tumors are benign bone tumors that can grow aggressively and destroy bones near a joint. They usually occur near the knee, wrist, ankle or hip. Although benign (noncancerous), giant cell tumors of bone can grow quickly. They represent the second soft tissue tumor after the synovial cyst. The localized form is the most common (nodular tenosynovitis). Typically occurring after a child has reached skeletal maturity, giant cell tumors are more commonly diagnosed in girls. They are rarely seen in young children. We report a clinical case of a 21-year-old girl with no previous health history, who consulted us for a tumor in the right wrist accompanied by swelling, pain and great functional impotence. The aim of this work is to perform a total excision of the tumor and recover good functionality of the hand given that it is the dominant limb.

ABSTRACT
Introduction: Low back pain (LBP) is a widespread musculoskeletal disorder affecting millions globally, contributing significantly to disability, reduced productivity, and impaired quality of life. It is a leading cause of disability, impacting both developed and developing nations worldwide. Objective: The aim of this study was to investigate the etiological status and treatment outcomes of LBP among patients treated under the orthopedic department of a tertiary level hospital in Bangladesh. Methods: This prospective observational cross-sectional study was conducted jointly at the Department of Orthopedics in Bangladesh Central Police Hospital (CPH), Dhaka, Bangladesh and at the department of Physical Medicine, Shahabuddin Medical College Hospital, Dhaka, Bangladesh, during July 2024 to December 2024. Consecutive sampling method was applied, and a total of 300 patients aged ≥15, presenting with low back pain (LBP) at the outpatient department (OPD) were enrolled in this study. The collected data were methodically organized and analyzed using Statistically Package for Social Sciences (SPSS), Version-23.0. Results: A total of 300 patients presenting with low back pain (LBP) were enrolled in this study. The mean age of the patients was 46.9 ± 2.57 years. The most common age group was 41-50 years, comprising 70 (37.6%) patients. The majority of the patients were females (109, 58.6%). Hypertension (HTN) was the most prevalent comorbidity, present in 84 (45.2%) patients. Among the patients with mechanical pain, spondylosis was the most frequent cause, observed in 130 (43.33%) patients, which included acute pain in 65 (50%), sub-acute in 20 (15.38%), and chronic in 45 (34.61%). Disc prolapse accounted for 122 (40.67%) patients, with 56 (45.90%) acute, 18 (14.75%) sub-acute, and 48 (39.34%) chronic presentations. Other notable mechanical causes included back strain109 (36.33%), spondylolisthesis 80(26.67%), sacroiliac joint sprain 29 (9.67%), and spinal stenosis 22(7.33%).

ABSTRACT
Background: Humeral shaft fractures (HSFs) represent 3% of the fractures of the locomotor apparatus, and the middle third of the shaft is the section most affected. In the majority of cases, it is treated using nonsurgical methods, but surgical indications in HSF cases are increasingly being adopted. They are most common in males between 21 and 30 years old and females between 60 and 80 years old. Objective: To compare the intramedullary nailing and plate fixation in adult humeral shaft fractures. Materials and Methods: This was a prospective comparative study carried out in the Department of Orthopedics, Jahurul Islam Medical College & Hospital, Bhagolpur, Bajitpur, Kishoregonj for 2 years based on the patient presentation at both emergency room and outpatient clinic department between June 2021 and March 2023 in which fifty adult patients with humeral shaft non-union were recruited. Coagulopathies, on drugs like steroids, anti-neoplastic that may interfere with healing and those with significant co-morbidities such as Diabetes Mellitus, Neoplasia were all excluded from the study. Results: The nailing group operated for 84.11±8.98 minutes, while the plating group took 115.66 ± 9.56 minutes. The result was statistically significant (P < 0.05). The nailing group lost 75.02 ± 9.57 mL of blood during surgery, significantly less than the plating group's 132.79 ± 8.64 mL (P < 0.05). Of the 25 patients in the plating group, nine (36%) had outstanding results and eight (32%) had good results. In the nailing group, 11 (44%) achieved great outcomes, and 9 (36%) had good results. The two groups did not differ statistically from one another. Conclusion: The nailing group required less operating time and had less blood loss than the plating group. There were no significant differences in functional outcomes between the intramedullary nailing and plating groups.

ABSTRACT
The fracture of the fifth metacarpal neck is common in hand, traumatology among the young and active population who is the most affected. In the case of an unmoved fracture or a minor displacement, simple immobilization followed by rehabilitation is sufficient, whereas fractures with swaying greater than 30° require surgical management. The L-shaped insertion of the ribs is a simple surgical technique with short hospitalization, obtaining a reduction and quality stability allowing immediate self-rehabilitation, with good anatomical and functional results.

ABSTRACT
This retrospective study concerns 40 cases of neglected rupture of the Achilles tendon listed in the Traumatology-Orthopedics department of the Avicenne Military Hospital in Marrakech over a period of 7 years, between 2017 and 2022. Our patients are 34 men and 6 women, the average age was 37 years (between 27 and 59 years). The average consultation time was 8 weeks. The causes of the delay in diagnosis are, on the one hand, the negligence of the patients (85%) and, on the other hand, the error of initial diagnosis and the traditional practice. The clinical examination was sufficient to make the diagnosis, although all patients received standard x-ray and ultrasound to eliminate other differential diagnosis. The treatment was surgical in all cases. Three surgical techniques were performed; V-Y plasty as described by Abraham, Bosworth plasty and the transfer with tendon of the flexor hallucis longus muscle. The long-term results were evaluated according to the score of AOFAS (American Orthopaedic Foot & Ankle Society) with a follow-up between a minimum of 2 years and a maximum of 7 years. The aim of our work is to describe the epidemiological, clinical and diagnostic profiles of patients and to evaluate the value of surgery in neglected ruptures of the Achilles tendon, by studying the indications of the different surgical techniques used.

ABSTRACT
Intramedullary nailing has increasingly become the standard surgical technique for treating diaphyseal fractures of long bones. Experimental and clinical studies have shown that reaming stimulates bone healing and promotes earlier fracture consolidation without significantly increasing the risk of local or systemic complications. However, its negative impact on endosteal blood flow is well-documented. Minimally reamed nailing offers a promising alternative, preserving the osteogenic benefits of reaming while minimizing its harmful effects on endosteal circulation. This study presents a series of 140 cases of patients with diaphyseal fractures of the lower limbs, all treated with minimally reamed intramedullary nailing.

ABSTRACT
Dorsal dislocations of the metacarpophalangeal joint of the thumb are rare. Complex dorsal dislocations are defined by the entrapment of the sesamoid bones and the soft tissue, such as the volar plate, behind the phalanx at the level of the metacarpal neck. These cases often necessitate open reduction. We present the case of a 22-year-old male patient who was admitted to our institution with a dorsal metacarpophalangeal dislocation of the thumb. Surgical reduction was required following the failure of closed reduction attempts.