Intersection syndrome

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Intersection syndrome
Specialty Orthopedic

Intersection syndrome is a painful condition that affects the lateral side of the forearm [1] 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. These 1st and 2nd dorsal muscle compartments intersect at this location, hence the name. The mechanism of injury is usually repetitive resisted extension, as with rowing, weight lifting, or pulling.[ citation needed ]

Intersection syndrome is often confused with another condition called DeQuervain's syndrome, which is an irritation of the thumb-sided set of tendons at the wrist, called the first dorsal compartment.

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In human anatomy, extensor carpi radialis brevis is a muscle in the forearm that acts to extend and abduct the wrist. It is shorter and thicker than its namesake extensor carpi radialis longus which can be found above the proximal end of the extensor carpi radialis brevis.

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The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is longer than the radius, but the radius is thicker. The radius is a long bone, prism-shaped and slightly curved longitudinally.

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The mucous sheaths of the tendons on the back of the wrist are protective coverings for tendons in the wrist. Between the dorsal carpal ligament and the bones six compartments are formed for the passage of tendons, each compartment having a separate mucous sheath. One is found in each of the following positions:

  1. on the lateral side of the radial styloid process, for the tendons of the Abductor pollicis longus and Extensor pollicis brevis;
  2. behind the styloid process, for the tendons of the Extensores carpi radialis longus and brevis;
  3. about the middle of the dorsal surface of the radius, for the tendon of the Extensor pollicis longus;
  4. to the medial side of the latter, for the tendons of the Extensor digitorum communis and Extensor indicis proprius;
  5. opposite the interval between the radius and ulna, for the Extensor digiti quinti proprius;
  6. between the head and styloid process of the ulna, for the tendon of the Extensor carpi ulnaris.
<span class="mw-page-title-main">Extrinsic extensor muscles of the hand</span>

The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).

References

  1. "Intersection Syndrome: Practice Essentials, Problem, Epidemiology". Medscape. 11 January 2019. Retrieved 15 March 2019.