Distal Intersection Syndrome
 

Author: David Robinson, MD
Affiliation: Mayo Clinic
Co Author(s): Jeffrey Payne, MD Ike Hasley, MD
Senior Editor: Raul Rosario-Concepcion, MD
Editor: Laura Mattson, DO

Clinical Vignette: 70 year-old right hand dominant female presented with dorsal radial wrist pain, distal to the radiocarpal joint. Symptoms started after a distal radius fracture and worsened with wrist extension and thumb movements such as texting.

Type of Probe Used: 2-14Hz Linear Array Transducer



Short-axis view of the 2nd dorsal extensor compartment with oblique view of the 3rd extensor compartment (EPL) crossing superficially.


Short-axis view of the 2nd dorsal extensor compartment with oblique view of the 3rd extensor compartment (EPL) crossing superficially.
View Video

Short-axis video of the 2nd dorsal extensor compartment, starting at Listerís tubercle and scanning distally to the intersection of the 2nd and 3rd extensor compartments (3rd crossed over the 2nd). ECRL is left and ECRB is right. EPL crosses from right to left. A fluid collection is seen predominantly around the ECRB with normal appearance of the ECRB/ECRL tendons themselves.
View Video

Asymptomatic contralateral wrist comparison scan (short-axis to 2nd dorsal extensor compartment). ECRB is left and ECRL is right. EPL crosses from left to right.
View Video

Short-axis video of the 3rd dorsal extensor compartment as it crosses over the 2nd extensor compartment. There was also a smaller, but present fluid collection within the 3rd dorsal extensor compartment surrounding the EPL tendon with a normal appearing tendon.
View Video

Long-axis video of the EPL crossing over the ECRB with both tendon sheaths having fluid collections present.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek