Intersection syndrome describes a rare inflammatory condition located at the crossing point between the first dorsal compartment muscles and the radial wrist extensor muscles. It is a repetitive motion injury that affects patients who overuse their wrists. The present report reviews the incidence of the condition as well as the special populations it affects. The anatomy of the wrist is presented and clinical findings and physical examination techniques are reviewed to help the reader reach a quick but correct diagnosis. Finally, the most appropriate treatment approach is presented, incorporating rehabilitative methods designed to ensure a full and prompt functional recovery and resumption of physical activity.
Higgs PE, Mackinnon SE. Repetitive motion injuries. Ann Rev Med. 1995;46:1–16.
,
Repetitive motion injuries
, Ann Rev Med.
, vol. 46
(pg. 1
-16
) Diwaker HN, Stothard J. What do doctors mean by tenosynovitis and repetitive strain injury?. Occup Med (Lond). 1995;45:97–104.
,
What do doctors mean by tenosynovitis and repetitive strain injury?
, Occup Med (Lond).
, vol. 45
(pg. 97
-104
) Louis DS. Cumulative trauma disorders. J Hand Surg. 1987;12:823–825.
,
Cumulative trauma disorders
, J Hand Surg.
, vol. 12
(pg. 823
-825
) Thompson AR, Plewes LW, Shaw EG. Peritendinitis crepitans and simple tenosynovitis; a clinical study of 544 cases in industry. Br J Ind Med. 1951;8:150–158.
,
Peritendinitis crepitans and simple tenosynovitis; a clinical study of 544 cases in industry
, Br J Ind Med.
, vol. 8
(pg. 150
-158
) Descatha A, Leproust H, Roure P, Ronan C, Roquelaure Y. Is the intersection syndrome is an occupational disease?. Joint Bone Spine. 2008;75:329–331.
,
Is the intersection syndrome is an occupational disease?
, Joint Bone Spine.
, vol. 75
(pg. 329
-331
) Werner SL, Plancher KD. Biomechanics of wrist injuries in sports. Clin Sports Med. 1998;17:407–420.
,
Biomechanics of wrist injuries in sports
, Clin Sports Med.
, vol. 17
(pg. 407
-420
) Pantukosit S, Petchkrua W, Stiens SA. Intersection syndrome in Buriram Hospital: A 4-year prospective study. Am J Phys Med Rehabil. 2001;80:656–661.
,
Intersection syndrome in Buriram Hospital: A 4-year prospective study
, Am J Phys Med Rehabil.
, vol. 80
(pg. 656
-661
) Fulcher SM, Kiefhaber TR, Stern PJ. Upper-extremity tendinitis and overuse syndromes in the athlete. Clin Sports Med. 1998;17:433–448.
,
Upper-extremity tendinitis and overuse syndromes in the athlete
, Clin Sports Med.
, vol. 17
(pg. 433
-448
) Palmer DH, Lane-Larsen CL. Helicopter skiing wrist injuries. A case report of “bugaboo forearm.” Am J Sports Med. 1994;22:148–149.
,
Helicopter skiing wrist injuries. A case report of “bugaboo forearm.”
, Am J Sports Med.
, vol. 22
(pg. 148
-149
) Idler RS, Strickland JW, Creighton JJ Jr. Intersection syndrome. Indiana Med. 1990;83:658–659.
,
Intersection syndrome.
, Indiana Med.
, vol. 83
(pg. 658
-659
) Tagliafico AS, Ameri P, Michaud J, Derchi LE, Sormani MP, Martinoli C. Wrist injuries in nonprofessional tennis players: Relationships with different grips. Am J Sports Med. 2009;37:760–767.
,
Wrist injuries in nonprofessional tennis players: Relationships with different grips
, Am J Sports Med.
, vol. 37
(pg. 760
-767
) Hanlon DP, Luellen JR. Intersection syndrome: A case report and review of the literature. J Emerg Med. 1999;17:969–971.
,
Intersection syndrome: A case report and review of the literature
, J Emerg Med.
, vol. 17
(pg. 969
-971
) Rumball JS, Lebrun CM, Di Ciacca SR, Orlando K. Rowing injuries. Sports Med. 2005;35:537–555.
,
Rowing injuries
, Sports Med.
, vol. 35
(pg. 537
-555
) Zollinger FA. Few remarks on the queston of tubercular tendovaginis and bursitis after an accident. Arch Fur Orthopadische und Unfall-Chirurgic. 1927;24:456–467.
,
Few remarks on the queston of tubercular tendovaginis and bursitis after an accident
, Arch Fur Orthopadische und Unfall-Chirurgic.
, vol. 24
(pg. 456
-467
) Reed IV, Harcourt AK. Tenosynovitis: An industrial disability. Am J Surg. 1943;62:392–396.
,
Tenosynovitis: An industrial disability.
, Am J Surg.
, vol. 62
(pg. 392
-396
) Forman TA, Forman SK, Rose NE. A clinical approach to diagnosing wrist pain. Am Fam Physician. 2005;72:1753–1758.
,
A clinical approach to diagnosing wrist pain
, Am Fam Physician.
, vol. 72
(pg. 1753
-1758
) Wood MB, Dobyns JH. Sports-related extraarticular wrist syndromes. Clin Orthop Relat Res. 1986:93–102.
,
Sports-related extraarticular wrist syndromes
, Clin Orthop Relat Res.
(pg. 93
-102
) Howard NJ. Peritendinitis crepitans - a muscle effort syndrome. J Bone Joint Surg [Br]. 1937;19:447–459.
,
Peritendinitis crepitans - a muscle effort syndrome.
, J Bone Joint Surg [Br].
, vol. 19
(pg. 447
-459
) Howard NJ. A new concept of tenosynovitis and the pathology of physiologic effort. Am J Surg.1938;42:723–730.
,
A new concept of tenosynovitis and the pathology of physiologic effort
, Am J Surg.
, vol. 42
(pg. 723
-730
) Pozner HA. Report on series of cases of simple acute tenosynovitis. J R Army Med Corps. 1942;78:142–144.
,
Report on series of cases of simple acute tenosynovitis.
, J R Army Med Corps.
, vol. 78
(pg. 142
-144
) Brinks A, Koes BW, Volkers AC, Verhaar JA, Bierma-Zeinstra SM. Adverse effects of extra-articular corticosteroid injections: A systematic review. BMC Musculoskelet Disord. 2010;11:206.
,
Adverse effects of extra-articular corticosteroid injections: A systematic review
, BMC Musculoskelet Disord.
, vol. 11
Grundberg AB, Reagan DS. Pathologic anatomy of the forearm: Intersection syndrome. J Hand Surg [Am]. 1985;10(2):299–302.
,
Pathologic anatomy of the forearm: Intersection syndrome
, J Hand Surg [Am].
, vol. 10
(pg. 299
-302
) Williams JG. Surgical management of traumatic noninfective tenosynovitis of the wrist extensors. J Bone Joint Surg [Br]. 1977;59-B(4):408–410.
,
Surgical management of traumatic noninfective tenosynovitis of the wrist extensors.
, J Bone Joint Surg [Br].
, vol. 59-B
(pg. 408
-410
) Brunton LM, Wilgis EF. A survey to determine current practice patterns in the surgical treatment of advanced thumb carpometacarpal osteoarthrosis. Hand (NY). 2010;5(4):415–422.
,
A survey to determine current practice patterns in the surgical treatment of advanced thumb carpometacarpal osteoarthrosis.
, Hand (NY).
, vol. 5
(pg. 415
-422
) Thorson E, Szabo RM. Common tendinitis problems in the hand and forearm. Orthop Clin North Am. 1992;23(1):65–74.
,
Common tendinitis problems in the hand and forearm
, Orthop Clin North Am.
, vol. 23
(pg. 65
-74
) Browne J, Helms CA. Intersection syndrome of the forearm. Arthritis Rheum. 2006;54(6):2038.
,
Intersection syndrome of the forearm.
, Arthritis Rheum.
, vol. 54
Khan KM, Cook JL, Kannus P, Maffulli N, Bonar SF. Painful, overuse tendon conditions have a noninflammatory pathology. BMJ. 2002;324:626.
,
Painful, overuse tendon conditions have a noninflammatory pathology.
, BMJ.
, vol. 324
Villafañe JH, Silva GB, Fernandez-Carnero J. Shortterm effects of neurodynamic mobilization in15 patients with secondary thumb carpometacarpal osteoarthritis. J Manipulative Physiol Ther. 2011;34(7):449–456.
,
Shortterm effects of neurodynamic mobilization in15 patients with secondary thumb carpometacarpal osteoarthritis
, J Manipulative Physiol Ther.
, vol. 34
(pg. 449
-456
)
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