Publications by authors named "William P Stults"

Article Synopsis
  • Lateral epicondylitis, or tennis elbow, is a common elbow pain condition caused by repetitive stress on the tendons, influenced by various risk factors.
  • Initial treatment usually involves conservative methods, showing high success rates, while surgery is considered only if conservative treatments fail, with surgery also having a good success rate.
  • Determining why surgical treatments fail can be complex, involving misdiagnoses or complications, and this review introduces a classification system to better evaluate and manage these cases, alongside a salvage surgery technique for addressing common issues.
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Background: We present a case series of high-level baseball players having sustained a rare, isolated injury to the fourth carpometacarpal joint of the nondominant or bottom hand during a jammed swing.

Methods: Ten patients were evaluated for ulnar-sided wrist pain and were subsequently diagnosed with fourth carpometacarpal joint synovitis based on physical examination and magnetic resonance imaging revealing increased signal intensity within the joint.

Results: Conservative treatment modalities including rest, nonsteroidal anti-inflammatory medications, splinting, and corticosteroid injections resulted in return to play within 4 weeks for all patients.

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Article Synopsis
  • Simple postaxial polydactyly (type B) is a common congenital hand condition that is typically treated with suture or clip ligation.
  • A case series was conducted on 48 children, averaging 10.2 weeks old, where surgical excision was performed under local anesthesia in an office setting, involving 78 digits in total.
  • Follow-up revealed no complications, with all patients pain-free and functioning normally, leading parents to express high satisfaction with both the cosmetic results and overall experience of the procedure.
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Lateral epicondylitis afflicts a large percentage of the population with most recovering through conservative treatment. The 5% to 10% of patients who undergo operative intervention are met with mixed results. Those that fail to improve often demonstrate a complex presentation of inadequate debridement of the "angiofibroblastic tissue," missed concomitant radial tunnel syndrome, and iatrogenic residual devascularized tissue resulting from the index procedure.

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To examine ambient air pollutants, specifically polycyclic aromatic hydrocarbons (PAHs), as a factor in the geographic variation of breast cancer incidence seen in the US, we conducted an ecological study involving counties throughout the US to examine breast cancer incidence in relation to PAH emissions in ambient air. Age-adjusted incidence rates of female breast cancer from the surveillance, epidemiology, and end results (SEER) program of the US National Cancer Institute were collected and analyzed using SEER*Stat 8.3.

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