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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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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 |
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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 |
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