Let's say you want to find some examples of records in a database table that match a certain set of criteria (Pages that have a title matching a specific regular expression for example). Even if you have a really expensive WHERE clause, it's still safe to run it on a giant database table provided you only want to see the first X results - the database query will perform a full table scan but it will stop the moment it's returned the correct number of rows. Provided you're confident that you'll hit that number pretty quickly, it's not a problem to run the expensive query against the entire table.
The FORCE INDEX(PRIMARY) clause ensures MySQL doesn't make any dumb decisions about which index to use. We know we want to start at the end of the table and work backwards (or if you drop the "desc" start at the beginning of the table and work forwards).