Intersection syndrome

 

Definition

 

Tenosynovitis at intersection of 1st and 2nd extensor compartment

 

Anatomy

 

1st extensor compartment - APL / EPB

2nd extensor compartment - ECRL / ECRB

 

1st compartment crosses over 2nd compartment 4cm proximal to Lister's tubercle

 

Epidemiology

 

Rare

Sports - tennis, rowing

 

Clinical

 

Tenderness over dorsal radius 4 cm proximal to Lister's tubercle

 

MRI

 

Edema at the intersection point

 

Intersection

 

Management

 

Splint

Cortisone injections

 

Surgery

 

Release the 2nd dorsal compartment