Intersection Syndrome Test

Patients report pain over dorsal forearm and wrist Examination reveals ttp dorsal radial forearm about 4-6 cm proximal to joint worse with resisted wrist extension thumb. Intersection syndrome is an inflammatory condition that occurs at the crossing point of the 1st dorsal compartment APL and EPB and the 2nd dorsal compartment ECRL ECRB.

Intersection Syndrome A Review Sports Medicine Review

Most of the time no special tests are required.

Intersection syndrome test

. What tests will my doctor run. The initial steps for diagnosis include a focused physical exam of the elbow wrist and hand 12. DeQuervains or Intersection Syndrome.

Finkelsteins is commonly negative in intersection syndrome though Eichoffs test may produce false positives. De Quervains tenosynovitis is a condition that is very similar to intersection syndrome. Ultrasound is a safe cheap and non-invasive method of evaluating the dorsal forearm and wrist in cases of suspected intersection syndrome and useful to exclude other pathology as well.

Intersection syndrome is a clinical diagnosis although a musculoskeletal ultrasound can easily confirm it. Intersection syndrome based on physi-cal assessments including Finkelsteins test isometric muscle testing of the APL EPB ECRL and ECRB Tinels sign up-per limb neurodynamic tests and the overall clinical presentation tenderness over the dorsal forearm 4 to. The proper application of this pathognomonic test is essential for the appropriate localization of pathology in this very complex region.

Management of intersection syndrome is similar to the management of most overuse syndromes relying on rest nonsteroidal antiinflammatory drugs and a splint thumb spica or wrist in slight extension. Intersection syndrome is a frictionoveruse tenosynovitis affecting the crossover point of the 1st and 2nd extensor compartments on the dorsum of the distal radial aspect of the forearm. Intersection syndrome involves the first two compartments.

Intersection syndrome is a painful condition that affects the lateral side of the forearm when inflammation occurs at the intersection of the muscle bellies of the abductor pollicis longus and extensor pollicis brevis cross over the extensor carpi radialis longus and the extensor carpi radialis brevis. How Do You Test for Intersection Syndrome. Anteroposterior AP lateral and oblique radiographs of the.

Ebraheims educational animated video describes the condition of intersection syndrome. Radiographs are not indicated in the diagnosis of intersection syndrome but may be useful to evaluate for other etiologies of pain. In this video we present the examination of a patient with bilateral intersection syndrome or.

Finkelsteins ulnar deviation of the hand performed by the examiner while the thumb is flexed and Eichoffs ulnar deviation performed by the patient tests are tests for de Quervains tenosynovitis. Doctors usually make the diagnosis of intersection syndrome during a physical examination. Diagnosis is made clinically with pain over the dorsoradial forearm 5 cm from wrist joint made worse with resisted wrist extension and thumb extension.

Intersection Syndrome Introduction Intersection Syndrome is a painful condition that affects the thumb side of the forearm where two muscles cross over or intersect two underlying wrist tendons. Intersection syndrome is inflammatorytenosynovitis at the intersection of the 1st dorsal compartment APL EPB and 2nd. The main challenge is distinguishing intersection syndrome from de Quervains tenosynovitis.

The diagnosis of intersection syndrome is usually a diagnosis based upon history and clinical exam. The tendons of the first compartment the abductor pollicis longus APL and extensor pollicis brevis EPB pass obliquely over dorsal to the extensor carpi radialis longus ECRL and extensor carpi radialis brevis ECRB in the second compartment approximately at their musculotendinous junction. It is an often confused diagnosis because the palpable lump and pain is more proximal to the expected site in De Quervains tenosynovitis.

Anatomy The upper muscle group tendons connect with the thumb to pull it away from the hand and the lower set of tendons bends back or extends the wrist.

De Quervain Syndrome Test Everything You Need To Know Dr Nabil Ebraheim Youtube