Introduction: Isolated acute distal radioulnar joint (DRUJ) dislocation is a rare injury that should be early recognized and treated promptly to avoid the limitation and disability associated with delayed diagnosis and management. Case presentation: We present a patient with a traumatic dorsal isolated DRUJ dislocation who was successfully treated with a closed reduction and k-wire pinning along with cast immobilization. Discussion: Previous reports of distal radioulnar joint dislocation have described the mechanics of this injury as well as a guidance to diagnosis and treatment. Closed reduction, stabilization of wrist joint, and early mobilization of elbow joint can help in preserving the joint function and a faster recovery. Conclusion: Closed reduction under general anesthesia, DRUJ stabilization by k-wire pinning, and above elbow casting can be successful in most cases. We recommend an early transition to below elbow cast to encourage early elbow range of motion and prevent joint stiffness. Highlights:

Introduction: Painful tip penile ischemic lesion that varies from ulceration to dry gangrene which is calcified in a patient with ESRD on chronic dialysis is a seriously complicated disease due to microvascular disease of subcutaneous and adipose tissue. Case presentation: 72 gentleman who is on chronic dialysis for the last 8 years because of ESRD, In which he developed many vascular disease and amputation done for him presented with spreading black painful areas at the tip of the glans for which conservative treatment took place for about month. Discussion: The diagnosis and management of this rare disease still unclear. Diagnosis mostly clinical, treatment conservative versus surgical. Conclusion: Controversies of for penile Calciphylaxis diagnosis and treatment for its rarity, high mortality rate, and as its part of systematic disease treatment till know individualized according to patient status and extent of the necrotic area. Highlights:

Introduction: Septic knee arthritis after elective arthroscopic procedures is a rare surgical emergency, with Pseudomonas aeruginosa even more rarely causing the infection. The treatment by arthroscopic debridement and lavage with diluted Povidone-Iodine has potential benefits that may be useful in improving the prognosis for patients. This case report discusses the potential benefits of using antiseptics like Povidone-Iodine in the washout of the affected joint. Presentation of case: We present a patient with post arthroscopic septic knee arthritis caused by P . aeruginosa treated successfully by arthroscopic synovectomy and washout with normal saline and diluted povidone-iodine, and prolonged antimicrobial therapy. Discussion: Preceding reports of P . aeruginosa suggest intraoperative factors, postoperative factors, and host factors that may lead to this uncommon infection. There is controversy over the optimal management regarding arthroscopic versus open debridement, and the choice of the irrigating fluid. Conclusion: The use of antiseptics like Povidone-Iodine in the washout procedure may lead to improved outcomes if used for a short controlled period of time and followed by copious irrigation with saline. Further studies must be done to determine the efficacy and risk-to-benefit ratio of this method. Highlights:

Background: Dentists are at an increased risk of developing musculoskeletal disorders, particularly carpal tunnel syndrome (CTS), due to repetitive hand movements, awkward postures, and sustained grip forces. This study aimed to investigate the prevalence and risk factors of self-reported wrist and hand symptoms and clinically relevant CTS indicators among dentists in Jordan. Methods: A cross-sectional study was conducted among 201 licensed dentists in Jordan. Participants completed demographic questionnaires and the Valid Arabic version Boston Carpal Tunnel Questionnaire (BCTQ) to assess their symptom severity and hand function. Data was analyzed using STATA version 17, applying descriptive statistics, chi-squared tests, t-tests, ANOVA, and multivariable linear regression to evaluate association between sociodemographic factors and BCTQ scores. Results: Of the 201 participants, 64.2% were female and 35.8% were male. Female dentists were significantly younger (median age 31 vs. 39 years, p < 0.001), reported higher symptom severity (median score 18.0 vs. 16.0, p = 0.019), and experienced greater functional limitations (median score 15 vs. 9, p < 0.001) than male dentists. The overall mean symptom severity score was 19.12 (SD = 7.82), and the functional impairment score was 14.20 (SD = 6.37), indicating mild pain and functional limitation. Multivariable regression revealed that male sex was associated with significantly lower symptom scores (β = 0.7, p = 0.001) and better function (β = 0.722, p = 0.002). Geographic location, higher education level (PhD), and full-time employment were associated with higher symptom scores in the study. Conclusions: Wrist and hand symptoms are prevalent among dentists in Jordan, with significant sex differences in symptom severity and functional impairment. Geographic location, academic degree, and working hours were significant predictors of CTS-related symptoms. These findings underscore the need for ergonomic interventions and targeted preventive strategies, especially for high-risk groups, such as female and full-time practitioners.