Distal intersection syndrome: An unusual cause of forearm pain

2020 ◽  
Vol 16 (2) ◽  
pp. 128-129
Author(s):  
Cristina Pijoán Moratalla ◽  
Boris Anthony Blanco Caceres ◽  
Javier Bachiller Corral
Keyword(s):  
Forearm Pain ◽  
Intersection Syndrome

scholarly journals Endoscopic Fascia Release for Forearm Chronic Exertional Compartment Syndrome: Case Report and Surgical Technique

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. NP58-NP61 ◽  
Author(s):  
Elizabeth A. Miller ◽  
Anna L. Cobb ◽  
Tyson K. Cobb
Keyword(s):  
Case Report ◽  
Compartment Syndrome ◽  
Single Incision ◽  
Invasive Technique ◽  
Compartment Pressure ◽  
Chronic Exertional Compartment Syndrome ◽  
Exertional Compartment Syndrome ◽  
Before And After ◽  
History Of ◽  
Forearm Pain

Background: Chronic exertional compartment syndrome (CECS) of the forearm is traditionally treated with open compartment release requiring large incisions that can result in less than optimal esthetic results. The purpose of this study is to describe a case report of 2 professional motocross patients with forearm CECS treated endoscopically using a minimally invasive technique. Methods: Two professional motocross racers presented with a history of chronic proximal volar forearm pain when motocross riding. Other symptoms included paresthesia and weakness, which, at times, led to an inability to continue riding. Both failed conservative management. Compartment pressure measurements were performed before and after provocative exercises to confirm diagnosis of CECS. Release of both the volar and dorsal compartments was performed endoscopically through a single incision. Results: Symptoms resolved after surgery. The first patient resumed riding at 1 week, competing at 3 weeks, and continues to ride competitively without symptoms at 3 years postoperative. The second patient began riding at 1 week and won second place in the National Supercross finals 5 weeks after simultaneous bilateral release. Conclusions: This technique is simple and effective. The cannula used protects the superficial nerves while allowing release through a small, cosmetically pleasing incision.

scholarly journals Synthesis of evidence for the treatment of intersection syndrome

2017 ◽  
Vol 8 (8) ◽  
pp. 619 ◽  
Author(s):  
Konstantine Balakatounis ◽  
Antonios G Angoules ◽  
Nikolaos A Angoules ◽  
Kalomoira Panagiotopoulou
Keyword(s):  
Intersection Syndrome

Forearm, hand, and wrist

2013 ◽  
pp. 1314-1322
Author(s):  
Karen Walker-Bone ◽  
Benjamin Ellis
Keyword(s):  
Rheumatoid Arthritis ◽  
Carpal Tunnel Syndrome ◽  
Soft Tissue ◽  
Musculoskeletal System ◽  
Carpal Tunnel ◽  
Diagnostic Tests ◽  
De Quervain’S Disease ◽  
Vital Part ◽  
Tunnel Syndrome ◽  
Forearm Pain

The forearm, hand, and wrist is a functionally vital part of the musculoskeletal system and in consequence, is highly sophisticated and complex in its anatomical development. Frequently, the hand and wrist may be the site of onset of symptoms of a polyarthropathy such as rheumatoid arthritis or of osteoarthritis, so that the physician should always seek to screen for such conditions before making a local diagnosis. Tenosynovitis, de Quervain’s disease, trigger digit, Dupuytren’s, and carpal tunnel syndrome are local soft tissue pathologies which can usually be discriminated on clinical grounds with or without the use of simple diagnostic tests and are satisfying to treat for the most part. Non-specific forearm pain is more complex, with much controversy surrounding not only its aetiopathogenesis but also its existence. It can be difficult to diagnose and difficult to treat.

scholarly journals Intersection syndrome: an acute surgical disease in elite rowers

2019 ◽  
Vol 5 (1) ◽  
pp. e000535 ◽  
Author(s):  
Gregory Hoy ◽  
Larissa Trease ◽  
Wendy Braybon (Deceased)
Keyword(s):  
Surgical Intervention ◽  
Case Series ◽  
Operative Management ◽  
Retrospective Case ◽  
Training Time ◽  
Best Management ◽  
Elite Rowers ◽  
The 1960S ◽  
Early Surgical Intervention ◽  
Intersection Syndrome

ObjectiveIntersection syndrome is a relatively common condition in elite rowers and continuing conjecture over its pathology and best management often includes prolonged withdrawal from training and changes to the technique that may affect rowing outcomes.MethodsWe reviewed a case series in a national rowing squad and the effect on time loss produced by the condition. We reviewed the pathophysiology. We revisited the aggressive operative management put forward in the 1960s and applied it to modern rowing workload by reviewing a retrospective case series of six international rowers who had early surgical intervention.ResultsApproximately 5% of the squad suffered intersection syndrome during a 3-year period. The effect on training time was between 20% and 40% of their training time in the period. Using our understanding of the pathology as a true tendinitis of the second wrist compartment caused by fascial compression from hypertrophied first compartment muscles, we advocated earlier surgery and almost immediate return to training, which occurred at a median of 7 days postsurgery. We had successful return in five of six rowers in an accelerated programme to minimise muscle wasting and technique modification caused by the condition, achieving career goals in a matter of weeks after surgical intervention.ConclusionsWe encourage early surgical management of intersection syndrome of the wrist to allow almost immediate return to training, and therefore interfere less with technique modification and time out of the water. This minimises career disruption in the elite rowing community.

scholarly journals Distal intersection syndrome progressing to extensor pollicis longus tendon rupture: a case report with sonographic findings

2016 ◽  
Vol 20 (3) ◽  
pp. 237-241 ◽  
Author(s):  
Ross Mattox ◽  
Patrick J. Battaglia ◽  
Frank Scali ◽  
Kathy Ottolini ◽  
Norman W. Kettner
Keyword(s):  
Case Report ◽  
Tendon Rupture ◽  
Extensor Pollicis Longus ◽  
Longus Tendon ◽  
Intersection Syndrome ◽  
Extensor Pollicis Longus Tendon
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