Mindblown: a blog about philosophy.

Spinal Cord Compression in a Young Man Dr. Nitin Bhatia History A 38-year-old right hand dominant European man was referred for evaluation of left arm pain, numbness, tingling, and slight subjective weakness. Upon evaluation, he noted a five month history of pain extending from his shoulder down the lateral aspect of his left arm to […]

Intraprosthetic Dislocation of a Dual Mobility Bearing After Hip Dislocation Alexander Sah, MD   History: This pleasant 79-year-old female had a series of problems after a metal-on-metal right hip replacement was done elsewhere in 2004. Due to elevated serum metal ion levels, the hip was revised in 2014 to a 28x48mm dual mobility bearing. Per […]

Failure of a metal-on-metal hip replacement: An unusual and severe case of corrosion Alexander Sah, MD History The patient is a 79-year-old female with a 5 year history of R>L hip pain. She had anterior hip replacements done elsewhere about 10 years ago. Her gradual right hip pain has worsened over the past year. She […]

A Case for Multi-modal Pain Management in the Elderly Patient Michael P. Bolognesi, MD An 89-year-old female presented with progressive pain, decreased function, and radiographic evidence of advanced degenerative joint disease affecting both of her knees. The patient failed to improve with conservative treatment options and elected to pursue total joint replacement. The conservative treatment […]

Minimally Invasive Solutions for Neck Related Arm Pain in an Athletic Physician Dr. Nitin Bhatia History This is a very pleasant 44-year-old right hand dominant male physician whose problems started approximately one to two years ago. They began with acute onset of right shoulder pain, followed by increased pain in the right side of the […]

Tibial Component Loosening and Bone Loss in a Patient with Chronic Pain Alexander Sah, MD History The patient is a 75-year-old female who underwent right total knee replacement in 1998 by her local surgeon. She did well until 4 years ago when she began to have knee pain. Radiographs indicated loosening of the tibial component […]

Management of a Complex, Comminuted Humeral Head and Neck Fracture Kevin D. Plancher, MD History A 55-year-old male athlete who enjoys skiing, swimming, running, and weight lifting presented to the clinic with constant left shoulder pain from the mid-arm into the biceps. The patient injured his shoulder 6 days prior in a skiing accident in […]

Management of Complex Osteochondral Defects: Osteochondral Allografts and Juvenile Particulated Cartilage Kevin D. Plancher, MD Allison M. Green, PhD Stephanie C. Petterson, MPT, PhD   History A 29-year-old female horseback rider and Pilates instructor with a history of three previous right knee surgeries presents to the clinic with right medial knee pain. The index procedure […]

An Unusual Failure of TKA: Surgical Considerations and Pain Management in the Revision Setting Alexander Sah, MD History A pleasant 61-year-old female presents with a 2 year history of left knee pain. She had previously undergone uncomplicated left total knee replacement at an outside institution. She reports that she was doing well until she fell and broke […]

Treatment of Severe Genu Valgus Deformity with Total Knee Arthroplasty and Peri-articular injection in a patient with previous history of narcotic induced delirium Ryan M. Nunley, MD   HISTORY A very pleasant 65-year-old female presents to clinic with longstanding bilateral knee pain. Her right knee pain is worse than the left and she notes that […]