Intersection Syndrome M65.849 727.05

synonyms: squeakers, intersection syndrome

Intersection Syndrome ICD-10

•  M65.841 - Other synovitis and tenosynovitis, right hand
• M65.842 - Other synovitis and tenosynovitis, left hand
• M65.849 - Other synovitis and tenosynovitis, unspecified hand

Intersection Syndrome ICD-9

• 727.05 Other tenosynovitis of hand and wrist
  

Intersection Syndrome Etiology / Epidemiology / Natural History

• Inflammation at the crossing of the first dorsal compartment muscles (APL, EPB) and the radial wrist extensor muscles (ECRB, ECRL) which causes dorsoradial wrist pain.

Intersection Syndrome Anatomy

• The APL and EPB cross the ECRB and ECRL 4-6cm proximal to Lister's tubercle (Grundgerg AB, J Hand Surg 1985;10Am:A299)

Intersection Syndrome Clinical Evaluation

• Tenderness and swelling at the intersection point 4-6cm proximal to radiocarpal joint.
• Commonly associated with crepitus with wrist motion.
• Associated with rowing sports, racquet sports, weight lifters.

Intersection Syndrome Diagnositc Tests

Intersection Syndrome Classification / Treatment

• Acute: cock-up wrist splint, nsaids, acitivity modification.
• Subacute (patients who have failed acute management): Corticosteriod injection at the intersection point.
• Chronic (patients who have 2 or more injections): Surgical release at the intersection point with debridement of the bursa

Intersection Syndrome Associated InjuriesIntersection Syndrome / Differential Diagnosis

• see Radial sided wrist pain differential
• Wartenberg's Syndrome

Intersection Syndrome Complications

Intersection Syndrome Follow-up Care

Intersection Syndrome Review References