The white coat, once a symbol of trust and healing, has been increasingly under attack by a disturbing surge of violence against doctors and healthcare professionals in Nepal. This alarming trend not only jeopardizes the medical professionals’ well-being, but also the nation’s healthcare system. This editorial explores the escalating trends ...

BACKGROUND
Tibial shaft fractures are common pediatric injuries, often requiring surgical intervention when conservative management fails. The Titanium Elastic Nailing System (TENS) has gained popularity due to its minimally invasive nature, stable fixation, and ability to preserve growth plates. This study evaluates the functional and radiological outcomes of pediatric ...

BACKGROUND
Treatment of tibial plateau fractures remains challenging especially those caused by high energy trauma. Despite operative treatment, these fractures often result in complications like malalignment and secondary osteoarthritis (OA). A clearer understanding of the fracture pattern may help decrease these complications. As fracture configuration are better evaluated by ...

BACKGROUND
Paragliding is a popular aerial sport requiring pilots to maintain specific postures and engage in repetitive movements, potentially leading to musculoskeletal issues such as low back pain (LBP) and neck Pain (NP). This study aims to identify the incidence of low back pain and neck pain among paragliding ...

BACKGROUND
Proximal humerus fracture is a common injury, with recent studies demonstrating annual incidences ranging from 60.1 to 90.8 per 100,000 person-years. Early initiatives regarding its management with rehabilitation are essential to provide satisfactory functional outcomes. This study aims to determine the prevalence of proximal humerus fractures among adult ...

BACKGROUND
This study aims to determine the prevalence of ankle fractures among patients presenting in the emergency department, as well as the injury patterns, demographic profiles, associated injuries, and modes of injury.
METHODS
This descriptive cross-sectional study was done at a tertiary care center involving patients presented ...

BACKGROUND
Magnetic Resonance Imaging (MRI) has emerged as the primary diagnostic tool for assessing ligamentous and meniscal injuries of the knee. This study aimed to evaluate the accuracy of MRI findings compared to arthroscopy, considered the gold standard, in diagnosing knee injuries.
METHODS
A total of 83 ...

BACKGROUND
Acute Haematogenous Osteomyelitis is common in children, but the multifocal form, Acute Multifocal Osteomyelitis, is rare and has the potential to involve multiple bones. The usual organism causing acute osteomyelitis in children is Staphylococcus aureus; however, the presence of methicillin-resistant Staphylococcus aureus (MRSA) strains in the community has ...

BACKGROUND
We describe a bone marrow edema (BME) involving the talus, which kept shifting to other tarsal bones. A 55-year-old female presented with pain in the right ankle without any history of trauma. The symptoms did not improve, and the initial MRI showed bone marrow edema involving the talar ...

BACKGROUND
Tuberculosis (TB) remains a significant global health issue, with both pulmonary and extrapulmonary forms. This report highlights a rare case of tuberculous tenosynovitis affecting the extensor tendons of the ankle in a 13-year-old boy who presented with progressively painful swelling following contact with a neighbour suffering from pulmonary ...