Conservative Treatment Research Articles

The role of sex, age, and BMI in treatment decisions for knee osteoarthritis: conservative management versus total knee replacement

BackgroundKnee osteoarthritis (KOA) has a complex, multifactorial nature with well-established risk factors which may influence treatment decisions. Here we want to identify distinctive characteristics between patients receiving conservative treatment versus total knee replacement (TKR), analyzing both patient-specific and knee-specific features.MethodsThis case–control study compared patients assigned to TKR versus conservative management, examining subjects aged 60–75 years with radiographically confirmed KOA (Kellgren–Lawrence grades 2–3), with all participants evaluated by blinded clinicians using validated assessment tools including Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Hospital Anxiety and Depression Scale (HADs), Pain Catastrophizing Scale (PCS) and Daily physical activity (DPA) questionnaires. The study employed multivariate analysis of variance for continuous variables at both patient and knee levels, followed by univariate analysis of variance for significant factors, while logistic and linear regression analyses were used to calculate odds ratios, with Bonferroni corrections applied to adjust p-values for multiple comparisons.ResultsBetween 2016 and 2020, the study included 87 patients (51 women and 36 men) with a mean age of 67.7 years in both treatment groups, with a slightly higher body mass index (BMI) of 31.9 kg/m2 in the TKR group vs 30.5 kg/m2 in the conservative management group. TKR patients demonstrated significantly worse scores in WOMAC, HADS, and PCS compared to the conservative management group, though DPA levels remained similar between both groups. At the knee level, women demonstrated significantly higher pain sensitivity and central sensitization compared to men, with no differences between conservative and TKR groups.ConclusionsPatients undergoing TKR exhibited significantly worse baseline clinical outcomes, particularly in WOMAC scores, despite having similar radiographic severity to those receiving conservative treatment, suggesting that functional and symptomatic measures may be more valuable than radiographic findings in determining surgical intervention.

Spontaneous Uterine Rupture in a 17-Week Pregnancy on an Unscarred Uterus: A Case Report and Literature Review

Uterine rupture is a rare but severe obstetric complication, typically associated with scarred uteri due to previous surgeries or trauma. Spontaneous rupture in an unscarred uterus is exceptionally uncommon, particularly during early pregnancy, and poses significant risks to maternal and fetal health. We report the case of a 32-year-old G3P1 woman presenting with acute abdominal pain and mild vaginal bleeding at 17 weeks of amenorrhea. The patient had no prior uterine surgeries or evident risk factors for uterine rupture. Clinical examination revealed hemodynamic instability, abdominal tenderness, and ultrasound findings of an empty uterus, a non-viable fetus within the abdominal cavity, and moderate hemoperitoneum. Emergency exploratory laparotomy confirmed an 8 cm horizontal fundal rupture of the uterus with the fetus intact in its gestational sac floating in the peritoneal cavity. Conservative surgical management was performed.

Effects of the length of preoperative conservative management on postoperative outcomes after primary microvascular decompression for trigeminal neuralgia.

Although trigeminal neuralgia (TN) is initially managed conservatively, approximately half of all patients will eventually undergo surgery. Despite this outcome, there is limited understanding of the relationship between preoperative length of conservative management and pain outcomes after microvascular decompression (MVD). In this study, the authors aimed to describe the relationship between the duration of preoperative conservative management and postoperative outcomes in patients undergoing MVD for TN. The electronic medical records of 381 patients with TN who underwent primary MVD at the authors' institution between 2007 and 2023 were reviewed. Patients were dichotomized based on whether the duration of conservative management, defined as the duration of anticonvulsant use, was greater than, or less than or equal to, the median duration of conservative management for the entire cohort. For adjusted analysis, duration of conservative management was also assessed as a continuous variable. Demographic information, comorbidities, clinical TN characteristics, pain recurrence, and pre- and postoperative modified Barrow Neurological Institute (BNI) pain and numbness scale scores were recorded and compared between groups. Differences in pain outcomes were assessed via multivariate ordinal regression, Kaplan-Meier analysis, and Cox proportional hazards analysis. The median preoperative duration of conservative management was 1.74 years. Patients with a prolonged duration of conservative management were significantly more likely to be male (p = 0.028) and less likely to preoperatively use opioids (p = 0.037). At final follow-up, those with a prolonged duration of conservative management had significantly higher reported BNI pain scores (p = 0.021) and higher rates of pain recurrence (p = 0.021). On multivariable ordinal regression analysis, younger age (p < 0.001) and prolonged duration of conservative management, which was assessed as both a dichotomized (p = 0.002) and continuous variable (p = 0.011), were associated with higher BNI pain scores at final follow-up. Patients with a longer duration of conservative management also had a significantly shorter time to pain recurrence, as assessed by Kaplan-Meier survival analysis (p = 0.0037) as well as Cox proportional hazards analysis (p = 0.001, dichotomized; p = 0.008, continuous). In the setting of primary MVD for patients with TN, a longer duration of preoperative conservative management was associated with higher postoperative BNI pain scores and increased risk of pain recurrence. These findings suggest a potential beneficial role for early surgical intervention.

Comparison of Long-Term Outcomes in Patients with Supratentorial Spontaneous Intracerebral Hemorrhage Treated with and without Surgical Intervention.

Intracerebral hemorrhage (ICH) is associated with high mortality and morbidity. Uncertainty still exists regarding the benefit of surgery in the management of supratentorial spontaneous ICH (sICH), especially of the basal ganglia and thalamus. Studies have not shown the clinical benefit of early surgical management compared to best medical management plus delayed surgery, when necessary. Our aim was to compare the efficacy of different neurosurgical interventions with best medical management and best medical management alone. We conducted a single-center, retrospective study at a tertiary care center in India in sICH patients between January 2015 and December 2022. The primary outcome was functional disability evaluated by the modified Rankin Scale (mRS) at 3, 6, and 12 months. Time-to-event outcomes were compared using the Kaplan-Meier curve. Among 2600 stroke patients screened, 661 had sICH. Median age was 55 years, and 250 patients (37.8%) underwent neurosurgical intervention. The most common intervention was craniotomy and hematoma evacuation. The median mRS at discharge and follow-up at 3, 6, and 12 months was lower in the conservatively managed group (4, 3, 3, and 3, respectively) compared to the surgical intervention group (5, 5, 5, 4, respectively). However, the ICH score at admission was lower in the conservatively managed group and after adjustment for ICH score, there was no statistically significant difference between the two. Among the interventions, patients undergoing decompression craniectomy had the best functional outcome. Neurosurgical intervention was not associated with better functional outcome when compared to conservative management.

“CONCURRENT INTRACRANIAL TUBERCULOMAS AND SPINAL TUBERCULOSIS WITH MULTIFOCAL ABSCESSES: A RARE CASE REPORT”

Introduction: Neurotuberculosis is a severe form of tuberculosis affecting the central nervous system, manifesting as tuberculomas or abscesses. Simultaneous intracranial and spinal tuberculomas with abscesses are exceptionally rare, presenting unique diagnostic and therapeutic challenges. Case presentation: A 40-year-old female presented with headaches, seizures, and lower limb weakness. MRI revealed multiple intracranial and spinal tuberculomas with abscesses. She was treated with antitubercular therapy and corticosteroids, along with surgical drainage, leading to significant improvement. Discussion: Neurotuberculosis can present without evident pulmonary involvement, making early diagnosis crucial. MRI plays a key role in identifying tuberculomas, which must be differentiated from other lesions such as neurocysticercosis or gliomas. Conservative management with ATT and steroids is often effective, particularly in resource-limited settings. Surgical intervention is reserved for cases with severe neurological deficits or diagnostic uncertainty. Conclusion: This case highlights the need to consider neurotuberculosis in patients with neurological symptoms, especially in endemic areas. The rarity of concurrent intracranial and spinal tuberculomas with abscesses requires a multidisciplinary approach for early diagnosis and effective management.

“Biceps femoris calcific tendinitis as a rare cause of lateral knee pain; a case report”

Introduction: Calcific tendinitis is a common cause of periarticular pain, though it rarely affects the distal biceps femoris tendon, leading to lateral knee pain. This case report highlights a rare instance of biceps femoris calcific tendinitis and its successful conservative management. Case presentation: A 40-year-old female presented with a one-week history of sharp lateral knee pain, which worsened with movement but persisted at rest. There was no history of trauma or systemic illness. On examination, tenderness was localized to the lateral knee, specifically over the fibular head and biceps femoris tendon. Blood tests were unremarkable. Radiographs and ultrasound revealed multifocal calcifications at the fibular head. Although MRI was recommended, it was not feasible in this resource-limited setting. The patient was initially treated conservatively with NSAIDs and physiotherapy but did not respond. She subsequently underwent ultrasound-guided barbotage and corticosteroid injection, resulting in complete resolution of symptoms within one week. Discussion: Calcific tendinitis is caused by the deposition of calcium hydroxyapatite crystals in periarticular tendons, leading to inflammation and pain. Biceps femoris calcific tendinitis is rare, and diagnosis can be made using cost-effective imaging modalities such as radiography and ultrasound. Conservative management, including NSAIDs, physiotherapy, and ultrasound-guided barbotage, is the preferred first-line treatment. In this case, the combination of barbotage and physiotherapy led to complete symptom relief. Conclusion: Biceps femoris calcific tendinitis, though rare, should be considered in cases of lateral knee pain. Early diagnosis and conservative treatment can result in rapid symptom relief.

Outcomes of intramedullary nailing versus plate fixation for humeral shaft fractures: a retrospective cohort study

BackgroundHumeral shaft fractures account for 1–3% of all bone fractures. Conservative treatment often leads to complications such as non-union and shoulder stiffness. Surgical fixation with a dynamic compression plate (DCP) has been the gold standard treatment. Intramedullary nailing (IMN) has recently gained popularity due to its minimally invasive approach and reduced risk of radial nerve injury. This study aims to compare the outcomes of IMN and plate fixation for humeral shaft fractures.MethodsThis retrospective study included patients with humeral shaft fractures treated with either IMN or DCP fixation at Hamad General Hospital between April 2015 and October 2018. Patient demographics, fracture characteristics, surgical outcomes, and complications were collected. Descriptive statistics were used to summarize patient information, and univariate analysis was conducted to compare both groups. A Cox proportional hazards model, adjusted for age, gender, and polytrauma status was applied to compare time to union between IMN and DCP groups.ResultsSixty five patients (25 IMN, 40 plate fixation) were included. Non-union rates were higher in the DCP group than in the IMN group (13% vs. 4%). Reoperation rates were also higher in the DCP group (20% vs. 4%). Postoperative neuropathy rates were 4% for IMN and 10% for DCP, with neuropathy resolution significantly higher in the IMN group (92% vs. 68%). Shoulder range of motion (ROM) and pain favored the DCP group, with 98% unaffected ROM in the plate group compared to 76% in the IMN group (p = 0.007), and a lower incidence of shoulder pain (28% vs. 98%, p < 0.001). Time to union was comparable between both groups, with an adjusted hazard ratio of 1.08 (95% CI 0.62–1.90; p = 0.776).ConclusionIMN and plate fixation effectively achieved fracture union; however, plate fixation was associated with better shoulder function, reduced pain, and higher reoperation rates. IMN was linked to a lower risk of nerve injury but compromised shoulder ROM and resulted in more postoperative pain.

Movement traits important to conservation and fisheries management: an example with red snapper

Site fidelity, space use, and dispersal are commonly estimated with acoustic telemetry (AT) to help inform management and conservation. These behaviors can change with age, habitat and environmental conditions and our ability to accurately estimate them is affected by a study’s inference power (design components that affect how accurately detection data represents a species’ movements). Red snapper (Lutjanus campechanus) have been extensively studied with AT over a range of time periods and regions, although primarily at artificial reefs (AR). Here, we use large (> 12 km2) acoustic positioning arrays to monitor a study area with low-relief hard bottom, a reef ledge, and an AR. Annual fidelity to the study area was estimated to be 54%, but estimates were affected by fate uncertainty and model choice. Emigration increased with storms and in early summer. Abundance was greatest at small habitat patches but space use did not scale with patch size. Although uncommon, long-distance movements and connectivity between habitats occurred, with a maximum dispersal of 206 km. Previous red snapper AT studies varied greatly in array size, study duration, and number of fish tracked, impacting inference power. This made it difficult to compare results and highlights the need for greater standardization in AT methods.

Selective penile artery angioembolization for high flow priapism - a step-by-step overview for the non-radiologist.

Selective angioembolization for high flow priapism (Step-by-step guide). Describe the indications and techniques of angioembolization for high flow priapism. We outline patient selection, preparation, technique, outcomes, and potential complications of angioembolization for high flow priapism as supported by the literature. The effectiveness of embolization for treating high flow priapism. Transarterial embolization is minimally invasive, low risk, and effective method from managing high flow priapism. Success rates range from 70% to 87% depending on the type of agent used for embolization. Side effects include erectile dysfunction with a reported rate of 7%-19%. Complications may be mitigated by embolizing as selectively as possible and using temporary embolic agents. Embolization is a safe and effective treatment for nonischemic, high flow priapism in patients who have not responded to conservative management.

Efficacy and Safety of TANIT Platform Combining Dampened Bioactive Current and Functional Dermal Stimulation for the Treatment of Adipose Tissue in Patients with Stage I or II Lipedema.

Purpose: The study's main objective was to assess the efficacy and safety of TANIT, a platform combining functional dermal stimulation with damped bioactive current and mechanical stimulation to reduce adipose tissue (AT) in patients with stage I (SI) or II (SII) lipedema. Methods: A single-center, before-after clinical trial without a control group was conducted on adult women diagnosed with SI or SII lipedema. Patients underwent a treatment protocol for 5 weeks, with weekly sessions. Blood tests, AT thickness, pain threshold, and anthropometric measurements were assessed at baseline and the end of the study, and a satisfaction survey was conducted after treatment. Results: Twenty-three women were enrolled with a mean age of 44.91 (standard deviation 11.58) and a median of 46.00 (Q25 = 36.50, Q75 = 51.50). Seven (30.4%) patients had SI lipedema and 16 (69.6%) had SII. The pain threshold increased in 78.3% of patients at the knee level and 80.0% at the ankle level. Lower limb volume decreased in 78.3% of patients. AT thickness decreased in all treated areas, with a mean decrease of 26.1% at the ankles, 14.5% at the knees, and 17.4% at the trochanter level. Patients reported high satisfaction with the results obtained after the treatment sessions, and no unexpected adverse effects were found. Conclusions: The TANIT platform provided an effective and safe conservative treatment option for patients with S and SII lipedema, reducing leg volume, AT thickness, and pain. However, additional randomized clinical trials and standardized assessment tools would be necessary.

Screening, diagnosis, treatment and outcomes of developmental dysplasia of the hip in Brazilian population: a scoping review

ObjectiveThis study aims to map the literature on screening, diagnosis, treatment and outcomes of developmental dysplasia of the hip (DDH) in the Brazilian population aged 0–18 years, to describe regional...

Evolution of the placenta insitu after conservative management in placental pecretism.

SynopsisThis report details placental size, Doppler flow, and β‐hCG evolution during conservative management of placenta percreta, highlighting successful in situ absorption through meticulous monitoring.

Unilateral hypertrophy of the tensor fascia lata muscle: a need to revisit and review.

Unilateral hypertrophy of the tensor fascia lata muscle is a rare phenomenon with a variety of aetiological causes. It may mimic soft tissue sarcoma, which can lead to misdiagnosis and unnecessary invasive procedures. A retrospective review was conducted of all adult patients referred to a statewide sarcoma service lata between January 2010 to June 2023 with confirmed unilateral hypertrophy of the tensor fascia. Their medical records and imaging were reviewed to identify the likely cause. All patients' histories, clinical findings and radiological investigations were reviewed by subspecialised radiologists and orthopaedic surgeons. We identified nine patients with unilateral hypertrophy of the tensor fascia lata muscle. Conservative treatment was recommended to all patients, however one patient who experienced hip pain pursued surgical excision of the tensor fascia lata at another centre, with ongoing pain in the region post-operatively. With ample awareness of the diagnosis and the imaging findings, this condition can be diagnosed based on history, examination and magnetic resonance imaging. Tissue biopsy and surgical excision are not indicated.

Management and long-term follow-up of basilar trunk artery aneurysms: a single center experience.

Basilar trunk artery (BTA) aneurysm is a serious disease, management of which remains controversial and challenging. We conducted a single-center retrospective cohort study of 67 patients with 72 BTA aneurysms diagnosed and treated at our institution. Finally, 39 participants underwent conservative treatment and 27 received endovascular surgical treatment, including one patient who underwent external carotid artery-radial artery-second segment of the posterior cerebral artery bypass. Data on patient clinical and aneurysm characteristics were collected and risk factors for unfavorable outcome and death analyzed. 33 patients presented with subarachnoid hemorrhage and 15 had a poor Hunt-Hess grade. Mean aneurysm diameter was 14.8 ± 12.6mm and 28 aneurysms were > 15mm. The total proportions of favorable outcome and mortality at discharge were 64.2% and 17.9%, respectively, while the corresponding proportions in the surgery groups were 53.6% and 17.9%. Moreover, we conducted long-term follow-up from initial diagnosis to 3 years. 57 patients had ≥ 6 months of follow-up and 31 patients reached 3 years. Mean follow-up time was 23.23 ± 21.58 months. The proportions of patients with unfavorable outcome and death increased in the group undergoing conservative treatment during the 3-year follow-up period. Further, the natural rupture rate increased from 43.3% initial diagnosis to 81.8% at 3 years. Poor Hunt-Hess grade was an important risk factor for unfavorable outcome and death. Undergoing surgery was a protective factor against death at six months; however, the complications rate was higher in the surgery group than that in patients receiving conservative treatment. In conclusion, although BTA aneurysm management remains controversial and unsatisfactory, patients with BTA aneurysm in the surgical intervention group appeared to have better outcomes.

Partial tear of the medial gastrocnemius head : Acase report of meniscal symptoms in a32-year-old recreational athlete.

This case report presents the clinical findings and management of a32-year-old male recreational athlete who presented with ongoing knee pain for 4months, without ahistory of trauma. The patient experienced intermittent pain during walking, particularly after prolonged periods of sitting, and exhibited positive findings on meniscus tests. However, he was able to participate in sports activities without pain. Magnetic resonance imaging (MRI) revealed apartial tear of the medial gastrocnemius head, confirming the diagnosis. Conservative treatment, including rest, physical therapy, and agradual return to sports activities, led to significant symptom improvement. This case highlights the importance of considering rare injuries, such as isolated tears of the medial gastrocnemius head, in patients with persistent knee pain and meniscal symptoms, even in the absence of traumatic events. Previous reports on this specific injury are sparse, indicating its rarity and underscoring the need for further understanding and documentation.

Trophic niche differentiation and foraging plasticity of long-finned pilot whales (Globicephala melas edwardii) in Tasmanian waters: insights from isotopic analysis

Understanding the foraging preference of cetaceans is crucial for assessing their role as apex predators and indicators of marine ecosystem health. Using stable isotope analysis, we investigated trophic niche differentiation and foraging plasticity in 141 long-finned pilot whales (Globicephala melas edwardii) that stranded along the Tasmanian coast at three locations (Marion Bay, King Island, and Maria Island). Stranding location accounted for most of the variability in skin isotopic values (δ13C: - 17.9 ± 0.2 ‰ to –16.9 ± 0.2 ‰, Principal Coordinate 1 = 89%), likely reflecting differences in foraging habitats. In addition, isotopic niche overlap ranged from minimal (0-10% between Marion Bay and Maria Island) to moderate (between Marion Bay and King Island, and King Island and Maria Island). While sex related differences in isotopic niche space were minimal overall, there was some variability in the core niche space between males and females at Maria Island. Dietary proportions from our mixing model support a predominantly cephalopod diet for pilot whales in Tasmanian waters (91%, CI: 63-90%), with greater contributions from offshore dietary sources (68%, CI: 25-95%). The dietary variability across the three strandings highlights the foraging plasticity of pilot whales, which despite their preferences for a wide range of oceanic cephalopods, can adopt a more generalist feeding strategy when necessary. These findings provide valuable insights into the ecological role and adaptability of pilot whales in Tasmanian waters, highlighting the importance of monitoring apex predators to inform conservation and ecosystem management strategies in dynamic marine ecosystems.

Magnetic resonance imaging ultrasonography fusion-guided transforaminal epidural steroid injection: a retrospective cohort.

This study aimed to evaluate the applicability and technical feasibility of magnetic resonance imaging (MRI) and ultrasonography (US) fusion-guided transforaminal epidural steroid injection (TFESI) in patients with lumbar disc herniation (LDH) leading to radiculopathy, who are unresponsive to conservative treatment. This retrospective study included 21 patients aged 18-65 years who underwent MRI-US fusion-guided TFESI for LDH-induced radiculopathy. Patient data, including demographic characteristics, body mass index (BMI), fluoroscopy duration, radiation dose, and procedure success, were analyzed. Success was defined by the contrast-spread pattern during the procedure. Statistical analyses were performed to identify factors predicting procedural success. The MRI-US fusion-guided TFESI procedure was successful in 81% of patients. Successful outcomes were significantly associated with younger age (≤ 56 years, p < 0.001), lower BMI (≤ 28kg/m², p < 0.001), shorter fluoroscopy duration (> 4.9s, p < 0.001), and lower radiation dose (> 3.7 mGy, p < 0.001). A positive correlation was observed between age and radiation dose (p = 0.030), as well as between BMI and radiation dose (p = 0.049). MRI-US fusion-guided TFESI is a feasible and safe technique with a high success rate and low radiation exposure in patients with LDH-induced radiculopathy. Younger age, lower BMI, shorter fluoroscopy duration, and lower radiation dose are significant predictors of procedural success. This technique may enhance spatial orientation during the procedure, potentially improving outcomes particularly in younger patients with lower BMI.

Anatomical measurements of the Thoracic splanchnic nerve and clinical applications.

To describe in detail the characteristics of the travels and relationship of splanchnic nerves, and to provide an anatomical basis for splanchnic nerve block. 1. For 20 thoracic splanchnic nerve anatomies, the relationship between the intersection of the greater splanchnic nerve (GSN) and lesser splanchnic nerve (LSN) and the T12 vertebrae was examined. 2. 6 patients with cancer pain in the epigram, unresponsive to conservative treatment, underwent splanchnic nerve radiofrequency ablation. The procedure was performed with CT guidance, and the patients were evaluated for postoperative visual analogue scale (VAS), quality of sleep (QS), and any adverse effects. Anatomy: 90% of the GSN and LSN intersect. The point was (18.69±3.52) mm from the median sagittal plane, (7.99±4.43) mm from the anterior aspect of the vertebral body, (8.2±7.9) mm from the cranial aspect of the superior endplate of the T12 vertebral body, and (7.03±12.41) mm from the caudal aspect of the inferior endplate of the T12 vertebral body. Clinical validation: All patients exhibited a decrease in VAS and an increase in QS compared to preoperative levels (P < 0.0001) CONCLUSIONS: The intersection of the GSN and LSN exists in the downward course, and its position is relatively fixed, located on the anterior side of the T11-L1 vertebral body, and the point where the GSN crosses the diaphragm is searched for anteriorly and upwardly, and the block is performed according to the position of the intersection of the GSN and LSN in the clinic, which is safe and effective.

A Case Report of Pentalogy of Fallot with Headache: Brain Imaging Revealed Subarachnoid Hemorrhage

Pentalogy of Fallot (PoF) is a rare form of congenital cyanotic heart disease. In the presence of the components of Tetralogy of Fallot (ToF), there is an additional defect in PoF; either atrial septal defect (ASD) or patent foramen ovale (PFO). Common Neurological complications of PoF include brain abscess and thrombosis. We present here a case of 18-year-old female with history of headache for 20 days. After her admission into the Department of Cardiology under Chattogram Medical College Hospital, Bangladesh, she was diagnosed as a case of POF; the fifth component was ASD. Her had history of illness suggestive of cyanotic spells since childhood. In the absence of any neurological deficit and cranial nerve involvement, fundoscopy revealed papilledema and sub hyaloid hemorrhage. Chest x-ray and echocardiography revealed typical features of ToF, with additional ASD. CT scan of brain showed subarachnoid hemorrhage. Conservative management was given after consultation with the Department of Neurology of the same hospital. Unlike ToF, which has been extensively described, PoF is less represented in the literature. Therefore, we present this case as an academic interest. Mugda Med Coll J. 2024; 7(2): 135-138

Phosphorus transitions driven by cyclone biparjoy linked middle east North Africa (MENA) and Indian Thar Desert dust storm pathways in Asia’s largest grassland

Phosphorus (P) is an important nutrient for terrestrial ecosystems like grassland and plays a critical role in influencing primary productivity and hence ecosystem dynamics. The deposition of airborne dust, particularly from arid and semiarid regions, has been recognised as a significant source of phosphorus input in distant ecosystems. The study area, the Banni grassland, is a semiarid ecosystem with a unique geological history that has experienced degradation for various natural and anthropogenic reasons. It is located in the arid tract of western India. Soil samples were collected from 10 × 10 km grid locations in the grassland before, 48 h after, and 20 days after a cyclonic storm, Biparjoy, which hit the region in June 2023. Statistical analyses (Shapiro‒Wilk normality and Kruskal–Wallis H test) were performed on the data to assess the differences in phosphorus concentrations in terms of PAC (Phosphorus Activation Coefficient) among the phases. To examine the long-range transport of dust-borne phosphorus and its subsequent deposition in the target grassland, we employed an interdisciplinary approach that integrated satellite imagery and ground-based measurements. Spatial and temporal variations in dust emissions were assessed using satellite remote sensing data, while ground truthing was performed for phosphorus content analysis using standard protocols. The aerosol data from MERRA-2 for the past 40 years were used to examine the relationships between aerosol concentrations and wind direction and speed. Our findings revealed that the Middle East, North Africa, and Thar Desert significantly contributed to phosphorus deposition in the target grassland during specific seasons. The SW cyclone ‘Biparjoy’, which followed the same track of aerosol loading (MENA), made landfall in this zone (June 16, 2023) and affected the P depositional patterns. The pre-cyclone, post-cyclone and 20 DAC (days after cyclone) had AP values of 15.15, 22.54 and 24.06, respectively. However, the TP values were 45.81 ± SE = 1.73, 60.95 ± SE = 1.39 and 61.98 ± SE = 1.40, respectively. The highest TP values were in phase 3 (20 DAC phase) (61.89 ± SE = 1.40). Similarly, the transformation of locked forms of P to bioavailable forms was coincidental with higher PSM (Phosphate Solubilising Microorganisms) in soil samples. Dust storms and other atmospheric circulation patterns were found to play pivotal roles in facilitating the long-range transport of phosphorus-laden dust particles from these source regions to the target grassland. Ultimately, our research contributes to the broader understanding of global nutrient cycling and land‒air interactions, enabling informed decision-making for the conservation and sustainable management of terrestrial ecosystems.