Intersection syndrome

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Classification according to ICD-10
M65.9 Tendonitis (synovitis and tenosynovitis, unspecified)
ICD-10 online (WHO version 2019)

The intersection syndrome is a special form of tendinitis that is located at the intersection of the first and second tendon compartment.

On the thumb side of the back of the hand, the abductor pollicis longus and extensor pollicis brevis muscles run under the extensor retinaculum in the first tendon compartment and intersect with the extensor carpi radialis brevis and extensor carpi radialis longus muscles in the second tendon compartment .

Synonyms are: bursitis of the abductor pollicis longus; Subcutaneous perimyositis; Rower wrist; Latin peritendinitis crepitans ; English Bugaboo forearm, Crossover Syndrome, Squeaker's wrist

distribution

The frequency in the general population is given as 0.2% to 0.37%.

root cause

Repeated overloading of the tendon apparatus with repeated flexion and extension of the wrist against resistance is assumed to be the cause.

Clinical manifestations

Clinical criteria are:

  • Swelling and induration in the tendon sheaths about 4–6 cm proximal to the radiocarpal joint
  • Rubbing noises when moving in the wrist
  • Often used in rowers, weightlifters, tennis and other sports with rackets

diagnosis

In addition to the clinical findings, a more detailed clarification can be carried out using ultrasound or magnetic resonance imaging .

Differential diagnosis

The following are to be distinguished:

therapy

The treatment is the same as for other tendinitis.

literature

  • C. Wulle: intersection syndrome. In: Hand surgery, microsurgery, plastic surgery: Organ of the German-speaking working group for hand surgery: Organ of the German-speaking working group for microsurgery of the peripheral nerves and vessels: Organ of the Association of German Plastic Surgeons. Vol. 25, No. 1, January 1993, pp. 48-50, PMID 8325549 .
  • F. Draghi, C. Bortolotto: Intersection syndrome: ultrasound imaging. In: Skeletal radiology. Vol. 43, No. 3, March 2014, pp. 283-287, doi: 10.1007 / s00256-013-1786-1 , PMID 24337446 .
  • S. Pantukosit, W. Petchkrua, SA Stiens: Intersection syndrome in Buriram Hospital: a 4-yr prospective study. In: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. Vol. 80, No. 9, September 2001, pp. 656-661, PMID 11523968 .
  • GA Mellick, LB Mellick: Bilateral intersection syndrome. In: The Journal of the American Osteopathic Association. Vol. 112, No. 2, February 2012, p. 98, PMID 22331805 .

Individual evidence

  1. ↑ eorif
  2. ↑ a b Medscape
  3. ↑ G. Jean Yonnet: Intersection syndrome in a handcyclist: case report and literature review. In: Topics in spinal cord injury rehabilitation. Vol. 19, No. 3, 2013, pp. 236–243, doi: 10.1310 / sci1903-236 , PMID 23960708 , PMC 3743974 (free full text)
  4. ↑ A. Descatha, H. Leproust, P. Roure, C. Ronan, Y. Roquelaure: Is the intersection syndrome is disease of occupational? In: Joint, bone, spine: revue du rhumatisme. Vol. 75, No. 3, May 2008, pp. 329-331, doi: 10.1016 / j.jbspin.2007.05.013 , PMID 18029217 .
  5. ^ SL Werner, KD Plancher: Biomechanics of wrist injuries in sports. In: Clinics in Sports Medicine . Vol. 17, No. 3, 1998, pp. 407-420, PMID 9700411
  6. ↑ S. Shiraj, CS Winalski, P. Delzell, M. Sundaram: Radiologic case study. Intersection syndrome of the wrist. In: Orthopedics. Vol. 36, No. 3, March 2013, pp. 165, 225-165, 227, doi: 10.3928 / 01477447-20130222-01 , PMID 23464931 .
  7. ↑ S. Montechiarello, F. Miozzi, I. D'Ambrosio, F. Giovagnorio: The intersection syndrome: Ultrasound findings and their diagnostic value. In: Journal of ultrasound. Vol. 13, No. 2, June 2010, pp. 70-73, doi: 10.1016 / j.jus.2010.07.009 , PMID 23396515 , PMC 3552821 (free full text).