Cargando…

Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist

Distal intersection syndrome (DIS) is a rare form of tenosynovitis affecting the second and third dorsal extensor compartments of the wrist, which is rarer and more distal than the classically described intersection syndrome between the first and second compartments. In this report, we present three...

Descripción completa

Detalles Bibliográficos
Autores principales: Alter, Todd H, Romeo, Paul V, Bielicka, Deidre L, Monica, James T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148692/
https://www.ncbi.nlm.nih.gov/pubmed/37128523
http://dx.doi.org/10.7759/cureus.36919
_version_ 1785035027305725952
author Alter, Todd H
Romeo, Paul V
Bielicka, Deidre L
Monica, James T
author_facet Alter, Todd H
Romeo, Paul V
Bielicka, Deidre L
Monica, James T
author_sort Alter, Todd H
collection PubMed
description Distal intersection syndrome (DIS) is a rare form of tenosynovitis affecting the second and third dorsal extensor compartments of the wrist, which is rarer and more distal than the classically described intersection syndrome between the first and second compartments. In this report, we present three cases of DIS, their inciting activities, and ensuing treatment courses. Diagnosis of DIS was confirmed via MRI in all cases. Treatment modalities consisted of non-steroidal anti-inflammatory medications and varying durations of immobilization in all three patients, initially. One patient ultimately underwent surgical debridement and partial tenosynovectomy. At the end of follow-up, all patients saw a reduction in symptomatology with a return to baseline activity levels. This case report provides an overview of the possible clinical courses of DIS, as well as treatment strategies that can be implemented. Providers must maintain a high index of suspicion for this condition and treat patients with a great deal of caution, as extensor tendon rupture is possible.
format Online
Article
Text
id pubmed-10148692
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-101486922023-04-30 Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist Alter, Todd H Romeo, Paul V Bielicka, Deidre L Monica, James T Cureus Orthopedics Distal intersection syndrome (DIS) is a rare form of tenosynovitis affecting the second and third dorsal extensor compartments of the wrist, which is rarer and more distal than the classically described intersection syndrome between the first and second compartments. In this report, we present three cases of DIS, their inciting activities, and ensuing treatment courses. Diagnosis of DIS was confirmed via MRI in all cases. Treatment modalities consisted of non-steroidal anti-inflammatory medications and varying durations of immobilization in all three patients, initially. One patient ultimately underwent surgical debridement and partial tenosynovectomy. At the end of follow-up, all patients saw a reduction in symptomatology with a return to baseline activity levels. This case report provides an overview of the possible clinical courses of DIS, as well as treatment strategies that can be implemented. Providers must maintain a high index of suspicion for this condition and treat patients with a great deal of caution, as extensor tendon rupture is possible. Cureus 2023-03-30 /pmc/articles/PMC10148692/ /pubmed/37128523 http://dx.doi.org/10.7759/cureus.36919 Text en Copyright © 2023, Alter et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Alter, Todd H
Romeo, Paul V
Bielicka, Deidre L
Monica, James T
Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist
title Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist
title_full Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist
title_fullStr Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist
title_full_unstemmed Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist
title_short Distal Intersection Syndrome Between Second and Third Dorsal Compartments of the Wrist
title_sort distal intersection syndrome between second and third dorsal compartments of the wrist
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148692/
https://www.ncbi.nlm.nih.gov/pubmed/37128523
http://dx.doi.org/10.7759/cureus.36919
work_keys_str_mv AT altertoddh distalintersectionsyndromebetweensecondandthirddorsalcompartmentsofthewrist
AT romeopaulv distalintersectionsyndromebetweensecondandthirddorsalcompartmentsofthewrist
AT bielickadeidrel distalintersectionsyndromebetweensecondandthirddorsalcompartmentsofthewrist
AT monicajamest distalintersectionsyndromebetweensecondandthirddorsalcompartmentsofthewrist