Publications by authors named "Phillip Stokey"
Introduction: The aim of this study is to illustrate a case in which the use of a dorsal spanning plate followed by volar plating may be indicated in the setting of a complex intra-articular distal radius fracture. Combined dorsal spanning plate and volar plating is a rare procedure reserved typically for comminuted fractures of the distal radius. This case highlights the first reported incidence in which a dorsal spanning plate of a distal radius fracture resulted in the volar displacement of the fragments, requiring subsequent volar plating.
View Article and Find Full Text PDFBackground/objective: The deltoid muscle is impacted by common injuries and clinical procedures. This study aims to summarize the anatomy, injuries, and clinical considerations involving the deltoid muscle.
Method: A literature search was performed using PubMed and Google Scholar using keywords that focused on the deltoid muscle in the shoulder.
Article Synopsis
- Prosthetic joint infections (PJIs), often caused by gram-positive bacteria, rarely involve Clostridium perfringens, leading to a lack of comprehensive management guidelines in the literature.* -
- An 80-year-old man with a PJI caused by C. perfringens underwent a two-stage revision and exchange, complicated by cholecystitis after the first stage, which has been previously reported with this infection.* -
- Successful treatment included 6 weeks of IV antibiotics targeting gram-positive and anaerobic bacteria, followed by 3 months of oral antibiotics, with the patient showing no residual infection at the 1-year follow-up.*
Introduction: The aim of this study was to report a patient with refractory prosthetic joint infection (PJI) and severe peripheral arterial disease that necessitated hip disarticulation (HD), a rare and aggressive procedure. While this is not the first HD performed due to PJI, this is the first reported incidence that deals with profound infection burden along with immense vascular disease that has failed all other treatment options.
Case Report: We report a case of an elderly patient with a prior history of the left total hip arthroplasty, PJI, and severe peripheral arterial disease who underwent a rare HD procedure and was discharged with minimal complications.
Article Synopsis
- Sacroiliitis is inflammation of the sacroiliac joints, usually causing lower back pain that may radiate to the legs, and is responsible for up to 25% of lower back pain cases, significantly impacting patients' daily functions.
- Diagnosing SI joint pain typically involves a review of symptoms followed by testing, like fluoroscopy joint block, where pain relief from anesthetics confirms the diagnosis.
- Treatment often starts with conservative methods such as physical therapy and pain relief medications, but if ineffective, interventions like steroid injections or surgery may be necessary.
Background: Interprosthetic femur fractures (IFFs) are rare, but the treatment is challenging. Currently, there are many treatment methods used in practice, but an updated systematic review of comparison of common different surgical outcomes has not been thoroughly inspected.
Methods: A systematic review of retrospective studies was conducted.
Case: Combined medial and lateral patellar instability is exceptionally rare with only 3 reported cases to date. Here, we present the case of a 37-year-old White woman with multiple recurrent medial and lateral patellar instability. After failure of conservative care with bracing and therapy, she underwent surgical stabilization with medial and lateral allograft reconstruction.
View Article and Find Full Text PDFCase: We report on 2 patients with atypical femur fractures that initially presented as painful total knee arthroplasties. There was a history of long-term bisphosphonate use in each case. Knee radiographs and laboratory studies were normal, and the patients were managed conservatively.
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