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Introduction: Congenital radioulnar synostosis (CRUS) is a rare condition characterized by the fusion of the radius and ulna bones in the forearm, resulting in limited forearm rotational movement. Case Report: We present a unique case of a 26-year-old male who suffered a forearm injury following a road traffic accident. Initial evaluation revealed a malformed proximal radius and distal radioulnar joint, and the presence of radioulnar synostosis, along with a fracture at the junction of the radius and ulna. Open reduction internal fixation was performed, followed by structured rehabilitation. At 6-month follow-up, significant improvement in forearm motion was observed, enabling the patient to perform daily activities independently. Conclusion: This case underscores the importance of comprehensive evaluation in traumatic injuries and understanding the anatomy and function of the forearm complex. It also highlights the efficacy of surgical intervention and rehabilitation in restoring function and quality of life for patients with this rare condition. This report contributes to the limited literature on managing fractures in the context of CRUS and emphasizes the need for further research in this area.

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Background This study investigates the functional outcomes of single-bundle arthroscopic anterior cruciate ligament (ACL) reconstruction, comparing the use of two distinct graft sources: peroneus longus (PL) graft and hamstring graft. The choice of graft material in ACL reconstruction is crucial for optimal postoperative results, and this study aims to contribute valuable insights into the comparative efficacy of these two graft types. Method This open-label randomized comparative study involved a carefully selected cohort of patients undergoing single-bundle arthroscopic ACL reconstruction. Participants were randomly assigned to either the PL graft group or the hamstring graft group. Surgical procedures were conducted using standardized techniques, and postoperative rehabilitation protocols were closely monitored. Functional outcomes, including range of motion, stability, and patient-reported measures, were assessed at predefined intervals to ensure comprehensive data collection. Results The study underscores significant demographic and clinical factors in ACL reconstruction outcomes. Participants were predominantly aged 17-30 years (58.33%) with a mean age of 29.27 years and exhibited a male predominance (80.56%). Common complaints included knee pain and instability, primarily due to falls from bikes (55.56%) or sports-related trauma (44.44%). Notably, PL grafts demonstrated advantages over hamstring grafts, with longer mean length (10.11 mm vs. 8.77 mm, p=0.0001) and shorter operation times. Visual analog scale (VAS), International Knee Documentation Committee (IKDC), and Tegner Lysholm scores show no significant differences between grafts over the period of time. There is no notable foot eversion weakness or significant donor site morbidity after the PL graft harvest. Hamstring graft cases exhibit a higher incidence of altered sensation and muscle atrophy, suggesting the potential benefits of PL grafts for improved surgical outcomes. Conclusions Graft comparisons favored PL grafts due to longer length, and functional outcome assessments between the two graft types. However, foot and ankle strength assessments revealed fluctuations in strength recovery with PL grafts, highlighting the need for tailored rehabilitation. Thigh circumference variations suggested potential muscle atrophy in the hamstring graft group, along with reported paresthesia in the ipsilateral proximal leg. In conclusion, PL grafts offer potential advantages for ACL surgery, but ongoing monitoring and specialized rehabilitation are crucial.

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Introduction: Osteoblastoma is an uncommon benign bone tumor characterized by the formation of osteoid tissue, occurring more frequently in men than in women. It is often associated with osteoid osteoma and can be found at various locations in the skeleton, although it is rare in the sacrum. Typically, these lesions involve the posterior elements of the spine, including the pedicle and the lamina. We would like to present a case of sacral osteoblastoma, clinically presenting as lumbar radiculopathy, which was treated at our institute. Case Report: A 23-year-old male presented to us with left gluteal pain radiating to the left lower limb pain for 2 years. He had multiple consultations elsewhere and was being treated as a probable case of a lumbar disc lesion with left lower limb radiculopathy. X-rays appeared normal. Magnetic resonance imaging of the lumbar spine and pelvis revealed a T2 hyperintense lesion affecting the posterior elements of S3, compressing the nerve roots. Computed tomography (CT) was a better investigation modality for osteoblastoma. En bloc excision and curettage were performed, and the histopathological analysis confirmed the diagnosis of osteoblastoma. The patient had immediate relief of symptoms postoperatively with no complications. At 2-year follow-up, the patient had no evidence of recurrence on a follow-up CT scan. Conclusion: Osteoblastomas predominantly occur in the spine, with rare instances in the sacrum. Treatment typically involves en bloc excision. Confusing clinical presentation may delay diagnosis, resulting in persistent morbidity.

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Introduction: Anxiety is one of the common mental disorders frequently occurring in the community. It has been a major contributor to public ill health. Very few studies have been conducted on anxiety among academic professionals working in educational institutions. The aim of this study was to find out the prevalence of anxiety among faculty members of academic institutions of a metropolitan city. Methods: A descriptive cross-sectional study was conducted among university faculties working in academic institutions of a metropolitan city from 22 July 2021 to 30 June 2022 after taking ethical approval from the Ethical Review Board (Reference number: 94). A self-administered structured questionnaire was applied to collect the information. Beck Anxiety Inventory was used to measure anxiety; the anxiety was categorised as normal, mild, moderate, and severe and dichotomized into "present" and "absent". Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Out of 416 respondents, the prevalence of anxiety was found to be 111 (26.68%) (22.44-30.92, 95% Confidence Interval). Among them, 85 (76.58%) were mild, 13 (11.71%) of moderate and 13 (11.71%) of severe type. Among those who had anxiety, 87 (78.37%) were males, and 59 (53.15%) were in the age group of 40 year and above; 37 (33.33%) had chronic health problems. Conclusions: The prevalence of anxiety among faculty members of academic institutions was lower as compared to other studies conducted in similar settings. Keywords: anxiety; faculties; prevalence.

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BACKGROUND: Depression is one of the common mental disorders occurring frequently in the community. The study aimed to find out the prevalence and correlates of depression among faculties of academic institutions in Pokhara Metropolitan, Kaski, Nepal. METHODS: A cross-sectional study was conducted among 416 faculties selected from six academic institutions of Pokhara Metropolitan. A self-administered structured questionnaire method was applied to assess depression and explanatory variables among respondents. Beck Depression Inventory (BDI) was used to measure depression. The BDI score was classified into normal, mild, moderate and severe depression using the standard classification; and the depression levels were dichotomized into "absent" and "present". Descriptive statistics, bivariate analysis and multivariate logistic regression analysis were computed. Level of significance was set at 5%. RESULTS: Of the total, 21.6% of respondents had depression including 6.7% moderate and 2.9% severe type depression. The likelihood of reporting depression was significantly higher among those who had physical health problems (AOR, 2.88; 95% CI, 1.16-7.13), consumed vegetables less than 2 times a day (AOR, 2.34; 95% CI, 1.07-5.08), had limited access to teaching aids in workplace (AOR, 2.00; 95% CI 1.19-3.33), had higher job stress and higher COVID-19 fear. Depression did not differ by the socio-demographic characteristics of the respondents and type of institution. CONCLUSIONS: Improving physical health conditions, promoting vegetable consumption, ensuring access to basic facilities, and creating an enabling environment at workplace may help to address depression among faculties. Regular screening programs may help for timely identification and management of the cases.

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