Cureus最新文献

{"title":"Beyond the Usual Suspects: Appendiceal Bleeding as the Surprising Cause of Lower Gastrointestinal (GI) Bleeding.","authors":"Asher Siddiqui, Nowera Zafar, Mahdi Hakiminezhad, Zohaib Jamal, Imran Alam, Zeeshan Khawaja","doi":"10.7759/cureus.76663","DOIUrl":"10.7759/cureus.76663","url":null,"abstract":"<p><p>Lower gastrointestinal bleeding (LGIB) is a common clinical condition typically associated with diseases like diverticular disease, inflammatory bowel disease, and cancer. However, rarer etiologies such as appendiceal hemorrhage can present similarly, complicating diagnosis and management. This case report discusses a 42-year-old male who presented with severe rectal bleeding. Despite a comprehensive diagnostic workup, including colonoscopy and CT angiography, the underlying cause was identified as an obscure appendiceal hemorrhage. This atypical presentation underscores the importance of considering a broad differential diagnosis, even in cases with seemingly straightforward clinical features. While laparoscopic appendectomy is the standard surgical approach for managing appendiceal hemorrhage, a conservative management strategy was successfully employed in this particular case, highlighting the importance of individualized patient care and judicious clinical decision-making. This case report emphasizes the necessity of a multidisciplinary approach, involving careful clinical assessment, advanced imaging, and endoscopic evaluation, to accurately diagnose and manage complex cases of gastrointestinal bleeding. By recognizing and addressing uncommon etiologies, clinicians can improve patient outcomes and minimize unnecessary interventions.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76663"},"PeriodicalIF":1.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Partially Obstructed Urethral Strictures Due to Balanitis Xerotica Obliterans Improved by the Use of Topical Tacrolimus: Experience at a Tertiary Care Centre.","authors":"Ahsan Ahmad, Md Zaid Imbisat, Qurana Khatoon","doi":"10.7759/cureus.76678","DOIUrl":"https://doi.org/10.7759/cureus.76678","url":null,"abstract":"<p><p>Introduction Balanitis xerotica obliterans (BXO) can cause phimosis, meatal stenosis, and urethral strictures. However, management of these conditions in BXO patients is difficult. Surgical interventions, with their own risks and complications, demonstrate higher rates of disease recurrence. Recently, topical applications of steroids and immunomodulators have been evaluated for their role in the management of urethral strictures associated with BXO. In this study, we evaluated the role of topical application of tacrolimus in urethral strictures associated with BXO. Materials and methods This was a prospective study on male patients having urethral strictures associated with BXO. Patients were thoroughly evaluated and advised topical application of 0.1% tacrolimus. They were then reevaluated at six weeks. If the effects of tacrolimus were found to be satisfactory, then patients were advised to continue this treatment for three months. After three months, the patients were again evaluated. At the time of each reevaluation, changes in uroflowmetry and International Prostate Symptom Score (IPSS) were noted. Results A total of 53 patients were included in this study. The mean values of pre- and post-tacrolimus maximum urinary flow rate on uroflowmetry(Q_max) were 12.00±1.43 m/s and 15.26±3.14 m/s, respectively (p<0.001). The mean values of pre- and post-tacrolimus IPSS scores were 18.55±2.28 and 13.04±4.72, respectively (p<0.001). Based on the results, the application of tacrolimus was found to be ineffective in those with strictures >2 cm in length. Of the 53 patients included in the study, 21 required surgical intervention, as their response to tacrolimus was unsatisfactory. Conclusion Topical application of tacrolimus is a safe and feasible treatment option for short-segment (≤2cm) urethral strictures associated with BXO.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76678"},"PeriodicalIF":1.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Internet/Application-Based E-consults by General Practitioners in Japan to Resolve Patients' Problems: A Descriptive Observational Study.","authors":"Taku Harada, Toru Morikawa, Hiroki Furuya, Tomoki Sato, Minami Kakehi, Hiroki Yamada, Taro Shimizu","doi":"10.7759/cureus.76690","DOIUrl":"10.7759/cureus.76690","url":null,"abstract":"<p><p>Introduction Electronic consultations (e-consults) refer to digital health technologies that enhance clinical information sharing and improve patients' access to expert healthcare providers. This study aims to describe the current utilization of the Internet/application-based e-consult system and to assess how effectively it resolves clinical questions. Methods Participants were general practitioners (GPs) who had installed the e-consult platform on their personal computers or cell phones. Hospital specialists who responded to the e-consults were previously registered on our e-consult platform and also participated in the study. We have developed and implemented an Internet/application-based e-consult system that GPs can use on their personal computers in Japan. In this descriptive study, GPs used the e-consult platform via an Internet/application to consult hospital specialists. The study period was from May 1, 2020, to October 31, 2021. The outcome measure was the resolution rate, calculated by dividing the number of cases resolved solely through e-consults by the total number of e-consult cases. Another outcome measure was the number of cases in which a plan was determined using e-consults. Other outcome measures were GP satisfaction, assessed using a 5-point Likert scale for e-consults, the number of chats required for a hospital specialist to respond, and the time from the GP's initial question to the hospital specialist's first response. Results Of the 329 e-consult cases identified, 91 conducted by GPs were included in the final analysis. The number of cases resolved using only e-consults was 47, resulting in a resolution rate of 52% in the study. The minor specialists exhibited the highest resolution rate using e-consults alone. The number of cases where a plan was determined using e-consults was 83, accounting for 91% of the total 91 cases. The level of GP satisfaction with the e-consult process was high, with a median satisfaction score of 5 on a 5-point Likert scale. Most e-consults received their initial response within two hours. The number of chats required for hospital specialists to respond was very low, with a median of only one chat being necessary. Conclusion The Internet/application-based e-consult system enabled GPs to address a wide range of medical problems. Further studies with large samples are necessary, even though these results serve as an important benchmark for future research on e-consults in Japan.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76690"},"PeriodicalIF":1.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11688166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ocular Symptoms Among COVID-19 Positive Patients in Saudi Arabia: A Cross-Sectional Survey.","authors":"Nayef F Alswaina, Abdulrahman Alsowinea, Yazeed K Alhabeeb, Abdulrahman Aljurbua, Asim Alghelfes, Bedr Aljabaan, Hussam S Alshetwi","doi":"10.7759/cureus.76671","DOIUrl":"https://doi.org/10.7759/cureus.76671","url":null,"abstract":"<p><p>Background Coronavirus disease (COVID-19), a widespread viral illness, has been linked to a range of respiratory and other systemic symptoms. Along with the respiratory symptoms caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2), many extrapulmonary manifestations have also been reported. This study was conducted to report the ocular manifestations of COVID-19 in confirmed cases from the Qassim region, of Saudi Arabia. Methods In this retrospective survey-based study, an electronic survey was distributed via social media to individuals who reported a positive COVID-19 test. Demographic data, medical and ocular history, and data about their COVID-19 infection and ocular symptoms were collected. Results A total of 200 survey responses were included (35% male and 65% female, age 30.3 years). At least one ocular symptom was reported by 41 (20.5%) participants. Light sensitivity (8.5%), blurred vision (7.5%), redness (7.0%), and eye pain (7.0%) were the most common ocular symptoms. Conclusion Among the study participants, ocular symptoms were reported by more than one-fifth of the COVID-19 patients. These ocular symptoms were mostly mild. Further research is required to fully understand the association between COVID-19 and ocular manifestations.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76671"},"PeriodicalIF":1.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11728207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Gastric Necrosis Secondary to Mesenteric Ischemia: A Case Report and Literature Review.","authors":"Julio González García, Belen Domingo Cruz Hernandez, Luis Fernando Pérez Solis, Natalia A Pucheta Hernández, Jesus Eduardo Trujillo Rodríguez, Victor M Martinez Bravo","doi":"10.7759/cureus.76680","DOIUrl":"10.7759/cureus.76680","url":null,"abstract":"<p><p>Acute gastric dilation and necrosis, although rare, are most commonly associated with eating disorders. We present a case of a patient with a history of prior fundoplication and complete intestinal obstruction, which led to severe gastric dilation and subsequent gastric necrosis. The condition was successfully managed through partial gastrectomy. Initial management involved gastric decompression with a nasogastric tube and fluid resuscitation. Surgical intervention remains the definitive treatment in most reported cases. Early diagnosis and timely intervention are critical to improving outcomes and minimizing morbidity and mortality.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76680"},"PeriodicalIF":1.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11688253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Management in Fibromyalgia: Evaluating the Roles of Pregabalin, Duloxetine, and Milnacipran.","authors":"Khawaja Faizan Ejaz, Rehan Wani, Amna Akbar, Qudsia Umaira Khan, Hifza Ishtiaq, Muhammad Amir, Amir Iqbal Ali, Shahid Khan","doi":"10.7759/cureus.76631","DOIUrl":"10.7759/cureus.76631","url":null,"abstract":"<p><p>Introduction Fibromyalgia is a chronic pain disorder characterized by widespread pain, fatigue, and sleep disturbances. The purpose of this study was to compare how well duloxetine, pregabalin, and milnacipran worked for fibromyalgia patients in terms of pain management, quality of life, and sleep quality. Methodology A prospective cohort research study with 193 fibromyalgia patients was carried out at the Abbas Institute of Medical Sciences, Muzaffarabad, Pakistan. For a total study duration of nine months, participants were prescribed milnacipran, pregabalin, or duloxetine for six months, and followed up monthly for an additional three months after completing therapy. At baseline and at the conclusion of the study, measures of pain intensity, quality of life (Fibromyalgia Impact Questionnaire, FIQ), and sleep quality (Pittsburgh Sleep Quality Index, PSQI) were taken. Analysis of variance (ANOVA) and paired t-tests were among the statistical studies carried out. Results Significant improvements in pain, quality of life, and sleep quality were shown by all three drugs. The most significant benefits were from duloxetine, which dramatically reduced pain and improved sleep and quality of life (p < 0.05). Pregabalin was less successful at improving quality of life than it was at reducing pain and promoting better sleep. Milnacipran had less of an effect on quality of life but showed modest effectiveness in managing fatigue and reducing discomfort. Due to moderate side effects, such as nausea and dizziness, duloxetine had greater rates of discontinuation. Conclusion Duloxetine was the most effective treatment, improving pain, quality of life, and sleep quality. Pregabalin is beneficial for pain and sleep management, while milnacipran remains a viable option for those with predominant fatigue. These results support the use of these medications in fibromyalgia treatment.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76631"},"PeriodicalIF":1.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Small Bowel Intussusception Secondary to Angiomyxoma With Concurrent Ovarian Cystadenofibroma.","authors":"Sandeepa Dadigamuwage, Mafaiz Jaufer","doi":"10.7759/cureus.76634","DOIUrl":"10.7759/cureus.76634","url":null,"abstract":"<p><p>Adult intussusception is an uncommon condition that constitutes a small percentage of cases of bowel obstruction in adults. Unlike its paediatric counterpart, it is often linked to an underlying pathology, necessitating surgical interventions for diagnosis and treatment. This report discusses a case involving a 54-year-old woman who presented with symptoms of small bowel obstruction, including abdominal pain, nausea, and constipation, along with a one-month history of weight loss. Imaging revealed small bowel intussusception and an abnormal pelvic mass. Surgical intervention confirmed an ileo-ileal intussusception with an intraluminal mass as the lead point and a concurrent ovarian mass. The histopathological analysis identified the lead point as a benign small bowel angiomyxoma alongside a benign ovarian cystadenofibroma. The patient recovered well following laparoscopic reduction of the intussusception, bowel resection, and bilateral salpingo-oophorectomy. This case highlights the diagnostic challenges posed by adult intussusception due to its nonspecific presentation and underscores the importance of imaging, surgical management, and multidisciplinary collaboration. The rare finding of a small bowel angiomyxoma as a lead point emphasises the diverse aetiology of this condition.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76634"},"PeriodicalIF":1.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coverage of Recommended Vaccination Among Adult Patients With Asthma in Riyadh, Saudi Arabia.","authors":"Hamdan A Almishrafi, Abdulaziz A Alhaqbani, Waleed I Alshammari, Bader F Alqulaysh, Abdulrahman Y Alnasyan, Saleh A Alwadie, Mohammed A Almozini, Muaath A Alghamdi, Abdullah S Alhqyal, Nawaf Y Alhabi","doi":"10.7759/cureus.76620","DOIUrl":"10.7759/cureus.76620","url":null,"abstract":"<p><p>Introduction Asthma prevalence among Saudi adults aged 20-44 years in Riyadh is high, with 11.3% reporting physician-diagnosed asthma, exceeding rates in most countries using similar methods. In Aseer province, one out of five adults is estimated to have asthma. Patients with asthma are at higher risk of morbidity and mortality from influenza, pneumococcal, and COVID-19 infections. In Saudi Arabia, the recommended vaccinations for patients with asthma include annual influenza, pneumococcal, and COVID-19 vaccination. Our aim in this study is to estimate the coverage rate of influenza, pneumococcal, and COVID-19 vaccines in patients with asthma who follow up in Riyadh's second health cluster's primary care centers. Methods This cross-sectional descriptive study design assessed the coverage rate of recommended vaccinations among patients with asthma. We adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines when reporting the results. Data on patients with asthma was collected from the electronic health records of patients with asthma in Raqeem, a national governmental primary care center electronic health record. Vaccination data were collected from national vaccination records in Seha. Prescribed medications were collected from Wasfaty, a platform for primary care prescriptions. Results Overall, 2,689 records of patients with asthma were collected, with 1,441 (53.59%) being males. The median age was 37 years (IQR = 20). Of the patients, 2,273 (84.53%) were Saudi, and 502 (18.67%) received the 2023-2024 influenza vaccine. Only seven (0.26%) patients received the pneumococcal vaccine, while 2,502 (93.05%) patients received any of the COVID-19 vaccines. Patients vaccinated for influenza were significantly older than unvaccinated patients (p < 0.05). Patients prescribed high-dose corticosteroids in the six months prior to the start of the season were significantly more likely to be vaccinated than patients without prescription (p < 0.05). Conclusion This study underscores systemic barriers to achieving optimal immunization rates and highlights significant gaps in understanding among patients and healthcare providers. These findings emphasize the need for targeted public health measures, including improved documentation, enhanced education, and stronger recommendations from healthcare professionals during routine asthma management visits. Coordinated efforts by healthcare institutions, such as integrating reminders into electronic health systems, public health initiatives, and further research on vaccination challenges, are vital to increasing vaccination rates in this vulnerable population.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76620"},"PeriodicalIF":1.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ministernotomy Versus Standard Sternotomy for Aortic Valve Replacement.","authors":"Selman Dumani, Ermal Likaj, Laureta Dibra, Saimir Kuci, Edlira Rruci, Alfred Ibrahimi, Elizana Zaimi Petrela, Alessia Mehmeti, Vera Beca, Devis Pellumbi, Aferdita Veseli, Ali Refatllari, Altin Veshti","doi":"10.7759/cureus.76652","DOIUrl":"10.7759/cureus.76652","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive aortic valve surgery is becoming more popular everyday. The most used approach is mini-sternotomy. There are several promoted benefits related with minimal invasive approaches in comparison with standard sternotomy. This study aimed to compare the early postoperative results of mini-sternotomy and standard sternotomy.</p><p><strong>Materials and methods: </strong>This is a retrospective study that compares minimal invasive with conventional sternotomy aortic valve surgery in terms of early results. The patients underwent surgery at the University Hospital Center \"Mother Theresa\", Tirana, Albania between July 17, 2017, and July 30, 2024. The data were collected from hospital registration. All data are presented as mean ± standard deviation. Key outcomes included early mortality, perioperative complications, and intraoperative and postoperative recovery times.</p><p><strong>Results: </strong>The study included 168 patients (95 males, 73 females) with a mean age of 62 ± 12.5 years. Standard sternotomy was used in 115 patients with a mean age of 63.93± 9.52 and mini-sternotomy was used in 53 patients with a mean age of 62.97 ± 10.47 without differences between them (P=0.633). The overall mortality was 1.2 % (four patients). There were no significant differences in mortality and incidence of perioperative complications between the two groups. The minimally invasive group had shorter intensive care unit (ICU) stay (39.92 ± 8.62 hours vs. 55.96 ± 32.56 hours, p < 0.001) and mechanical ventilation assistance duration (5.82 ± 2.44 hours vs. 10.41 ± 14.68 hours, p = 0.030).</p><p><strong>Conclusions: </strong>The minimally invasive aortic valve replacement through mini-sternotomy is as safe as standard sternotomy. Mini-sternotomy clearly is related to significant shorter ICU stay time and mechanical respiratory assistance that can be traduced in lower hospital cost.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76652"},"PeriodicalIF":1.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive Analysis of Minimally Invasive Management for Persistent Anterolateral Ankle Pain: A Systematic Review.","authors":"Ahmed Elnewishy, Abdelfatah M Elsenosy, Naoum Symeon, Mohammad Abdalla, Ahmed Hamada","doi":"10.7759/cureus.76629","DOIUrl":"https://doi.org/10.7759/cureus.76629","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"16 12","pages":"e76629"},"PeriodicalIF":1.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}