What is an intersection syndrome?
Intersection syndrome is a condition that affects the first and second compartments of the dorsal wrist extensors. The condition is thought to occur as a result of repetitive friction at the junction in which the tendons of the first dorsal compartment cross over the second, creating a tenosynovitis.
How do you treat intersection syndrome?
The intersection syndrome is usually managed conservatively. The first step of this management includes modification of work and sport activities, which will help to reduce stress on the wrist and splinting. Secondly, oral nonsteroidal inflammatory medication or local ice-pack placement can also reduce pain.
Does intersection syndrome require surgery?
Surgery is rarely necessary to treat intersection syndrome. In extremely difficult cases, a surgeon may remove some of the thickened tenosynovium around the tendons. The operation is called a tendon release.
What causes intersection syndrome?
What causes intersection syndrome? The condition is caused by repetitive movements that stress the wrist extensor tendons. It is most common in athletes, particularly competitive rowers and weightlifters, and can also affect office workers or anyone who carries out repetitive wrist and arm movements.
Can intersection syndrome be cured?
In most cases intersection syndrome is treated nonsurgically first. In extreme cases surgery might be necessary and will involve part debridement (removal) of the inflamed tissue and part decompression, which will relieve pressure and alleviate pain.
How is intersection syndrome diagnosed?
Learning points. Intersection syndrome is a rare but important cause of wrist pain due to repetitive motion or overuse. It is diagnosed clinically but MRI and ultrasonography may be used to confirm the diagnosis.
How can intersection syndrome be prevented?
Intersection syndrome can be prevented by avoiding overuse of the wrist, especially if an athlete starts having mild pain with activity. Rowers can also focus on their rowing technique to avoid straining the wrist.
Is intersection syndrome curable?
Treatment of intersection syndrome is almost always easily accomplished with some simple steps. Foremost, the tendons require rest, and this means avoiding activity with the affected wrist for at least 3-5 days while the inflammation subsides. Not resting the condition will exacerbate symptoms and prolong symptoms.