Title: Intersection Syndrome<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
<span style="font-size:16px;"><strong>Intersection Syndrome</strong></span></p>
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De Quervain’s is a common tenosynovitis is involving the the 1<sup>st</sup> dorsal compartment of the wrist/forearm.</p>
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Intersection syndrome is a tenosynovitis that occurs at the intersection of the 1<sup>st</sup> and 2<sup>nd</sup> dorsal compartments.</p>
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Pathology located at crossing point of the 1<sup>st</sup> compartment structures (APL and EBP) with the radial wrist extensors (ECRB and ECRL)</p>
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Occurs most commonly from repetitive wrist extension and is common in rowers, weight lifters, and in those playing racquet sports.</p>
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Occurs about 4 to 6cm proximal to the radiocarpal joint VERSUS De Quervain’s which occurs near the level of the radial styloid.</p>
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Pain worse with resisted wrist and thumb extension</p>
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Radiographs not required</p>
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Splint and start NSAIDs</p>
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Recalcitrant cases can be referred for corticosteroid injection</p>
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<a href="https://stemcelldoc.files.wordpress.com/2012/09/intersection-syndrome-referral-pain-pattern1.jpg">https://stemcelldoc.files.wordpress.com/2012/09/intersection-syndrome-referral-pain-pattern1.jpg</a></p>
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