Comprehensive Analysis of Minimally Invasive Management for Persistent Anterolateral Ankle Pain: A Systematic Review.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2024-12-30 eCollection Date: 2024-12-01 DOI:10.7759/cureus.76629
Ahmed Elnewishy, Abdelfatah M Elsenosy, Naoum Symeon, Mohammad Abdalla, Ahmed Hamada
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Abstract

Persistent anterolateral ankle pain is a debilitating condition often associated with soft tissue impingement following inversion injuries. It can lead to significant limitations in daily activities and overall quality of life, particularly in individuals with chronic ankle instability. This systematic review examines the efficacy and safety of minimally invasive arthroscopic decompression techniques in managing anterolateral ankle impingement syndrome. A total of 246 cases from nine studies were reviewed, involving 135 males with a mean age of 29.6 years and an average follow-up period of 29.5 months (range: 15-83.7 months). Outcomes were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scores and Meislen criteria. The AOFAS scores improved significantly from a mean of 40.75 preoperatively to 84.2 postoperatively, reflecting substantial functional recovery. Based on the Meislen criteria, 124 cases (50%) were rated as excellent, 71 (29%) as good, 14 (6%) as fair, and three (1%) as poor. Postoperative mobility was restored to normal in 130 cases, with complications reported in 24 cases (9.8%), including hypoesthesia, infections, intra-articular haemarthrosis, scar tissue formation, nerve irritation, and persistent pain or numbness. Patient satisfaction was high, with most patients reporting significant improvements in pain relief and functional capacity. Arthroscopic decompression is a safe, minimally invasive, and effective intervention for managing persistent anterolateral ankle impingement, offering substantial improvements in pain, mobility, and overall function with low morbidity and a manageable complication rate. This approach is an invaluable option for patients unresponsive to conservative treatments.

微创治疗持续性踝关节前外侧疼痛的综合分析:系统综述。
持续的踝关节前外侧疼痛是一种虚弱的状况,通常与软组织撞击有关。它会导致日常活动和整体生活质量的严重限制,特别是对于慢性踝关节不稳定的个体。本系统综述探讨了微创关节镜减压技术治疗踝关节前外侧撞击综合征的有效性和安全性。9项研究共纳入246例,男性135例,平均年龄29.6岁,平均随访29.5个月(15 ~ 83.7个月)。结果采用美国骨科足踝学会(AOFAS)评分和Meislen标准进行评估。AOFAS评分从术前平均40.75分显著提高到术后平均84.2分,反映了功能的显著恢复。根据Meislen标准,124例(50%)为优秀,71例(29%)为良好,14例(6%)为一般,3例(1%)为差。130例术后活动能力恢复正常,24例(9.8%)出现并发症,包括感觉减退、感染、关节内血肿、瘢痕组织形成、神经刺激、持续疼痛或麻木。患者满意度高,大多数患者报告疼痛缓解和功能能力显著改善。关节镜减压是一种安全、微创、有效的治疗持续性踝关节前外侧撞击的干预措施,可显著改善疼痛、活动能力和整体功能,发病率低,并发症发生率可控。对于保守治疗无效的患者,这种方法是一个非常宝贵的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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