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Published in: Skeletal Radiology 3/2014

01-03-2014 | Scientific Article

Intersection syndrome: ultrasound imaging

Authors: Ferdinando Draghi, Chandra Bortolotto

Published in: Skeletal Radiology | Issue 3/2014

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Abstract

Objective

To evaluate the use of ultrasound for the diagnosis of intersection syndrome.

Materials and methods

A total of 1,131 reports from hand and wrist ultrasound examinations performed between 1 January 2008 and 31 December 2012 were re-evaluated.
Two hundred and fifteen video clips present in the electronic database were reviewed by two musculoskeletal radiologists with 20 years of experience.

Results

Of the 215 video clips reviewed, 21 patients were diagnosed with intersection syndrome. The mean age was 45 years (ranging from 22 to 60); 15 were male (13 with proximal intersection syndrome, 2 with distal intersection syndrome) and 6 female (5 with proximal intersection syndrome, 1 with distal intersection syndrome).

Conclusion

Intersection syndrome was identified in 1.9 % of all patients evaluated in the setting of a specialized hospital. Ultrasound is a non-invasive, simple, and economical method for the identification of intersection syndrome, tendon sheath anatomy (individual or separate sheaths) and to exclude other pathological conditions.
Literature
1.
go back to reference Costa CR, Morrison WB, Carrino JA. MRI features of intersection syndrome of the forearm. AJR Am J Roentgenol. 2003;181(5):1245–9.PubMedCrossRef Costa CR, Morrison WB, Carrino JA. MRI features of intersection syndrome of the forearm. AJR Am J Roentgenol. 2003;181(5):1245–9.PubMedCrossRef
2.
go back to reference Draghi F. Ultrasonography of the upper extremity: hand and wrist. Berlin: Thieme & Frohberg. 2013. p. 47–52. Draghi F. Ultrasonography of the upper extremity: hand and wrist. Berlin: Thieme & Frohberg. 2013. p. 47–52.
3.
go back to reference Bianchi S, Martinoli C. Ultrasound of the musculoskeletal system. Berlin: Springer. 2007. p. 453. Bianchi S, Martinoli C. Ultrasound of the musculoskeletal system. Berlin: Springer. 2007. p. 453.
4.
go back to reference Friedman L. The wrist and hand. In O’Neill J. Musculoskeletal ultrasound. Berlin: Springer. 2008. p. 121–151.CrossRef Friedman L. The wrist and hand. In O’Neill J. Musculoskeletal ultrasound. Berlin: Springer. 2008. p. 121–151.CrossRef
5.
go back to reference Cvitanic OA, Henzie GM, Adham M. Communicating foramen between the tendon sheaths of the extensor carpi radialis brevis and extensor pollicis longus muscles: imaging of cadavers and patients. AJR Am J Roentgenol. 2007;189(5):1190–7.PubMedCrossRef Cvitanic OA, Henzie GM, Adham M. Communicating foramen between the tendon sheaths of the extensor carpi radialis brevis and extensor pollicis longus muscles: imaging of cadavers and patients. AJR Am J Roentgenol. 2007;189(5):1190–7.PubMedCrossRef
6.
go back to reference de Lima JE, Kim HJ, Albertotti F, Resnick D. Intersection syndrome: MR imaging with anatomic comparison of the distal forearm. Skeletal Radiol. 2004;33(11):627–31.PubMedCrossRef de Lima JE, Kim HJ, Albertotti F, Resnick D. Intersection syndrome: MR imaging with anatomic comparison of the distal forearm. Skeletal Radiol. 2004;33(11):627–31.PubMedCrossRef
7.
go back to reference Zbrodowski A, Gajisin S, Grodecki J. Vascularization of the tendons of the extensor pollicis longus, extensor carpi radialis longus and extensor carpi radialis brevis muscles. J Anat. 1982;135(Pt 2):235–44.PubMed Zbrodowski A, Gajisin S, Grodecki J. Vascularization of the tendons of the extensor pollicis longus, extensor carpi radialis longus and extensor carpi radialis brevis muscles. J Anat. 1982;135(Pt 2):235–44.PubMed
9.
go back to reference De Maeseneer M, Marcelis S, Jager T, Girard C, Gest T, Jamadar D. Spectrum of normal and pathologic findings in the region of the first extensor compartment of the wrist: sonographic findings and correlations with dissections. J Ultrasound Med. 2009;28(6):779–86.PubMed De Maeseneer M, Marcelis S, Jager T, Girard C, Gest T, Jamadar D. Spectrum of normal and pathologic findings in the region of the first extensor compartment of the wrist: sonographic findings and correlations with dissections. J Ultrasound Med. 2009;28(6):779–86.PubMed
10.
go back to reference Tagliafico AS, Ameri P, Michaud J, Derchi LE, Sormani MP, Martinoli C. Wrist injuries in nonprofessional tennis players: relationships with different grips. Am J Sports Med. 2009;37(4):760–7.PubMedCrossRef Tagliafico AS, Ameri P, Michaud J, Derchi LE, Sormani MP, Martinoli C. Wrist injuries in nonprofessional tennis players: relationships with different grips. Am J Sports Med. 2009;37(4):760–7.PubMedCrossRef
11.
go back to reference Parellada AJ, Gopez AG, Morrison WB, et al. Distal intersection tenosynovitis of the wrist: a lesser-known extensor tendinopathy with characteristic MR imaging features. Skeletal Radiol. 2007;36(3):203–8.PubMedCrossRef Parellada AJ, Gopez AG, Morrison WB, et al. Distal intersection tenosynovitis of the wrist: a lesser-known extensor tendinopathy with characteristic MR imaging features. Skeletal Radiol. 2007;36(3):203–8.PubMedCrossRef
12.
go back to reference Draghi F, Robotti G, Jacob D, Bianchi S. Interventional musculoskeletal ultrasonography: precautions and contraindications. J Ultrasound. 2010;13(3):126–33.PubMedCentralPubMedCrossRef Draghi F, Robotti G, Jacob D, Bianchi S. Interventional musculoskeletal ultrasonography: precautions and contraindications. J Ultrasound. 2010;13(3):126–33.PubMedCentralPubMedCrossRef
13.
go back to reference Nayak SR, Krishnamurthy A, Prabhu LV, Rai R, Ranade AV, Madhyastha S. Anatomical variation of radial wrist extensor muscles: a study in cadavers. Clin (Sao Paulo). 2008;63(1):85–90.CrossRef Nayak SR, Krishnamurthy A, Prabhu LV, Rai R, Ranade AV, Madhyastha S. Anatomical variation of radial wrist extensor muscles: a study in cadavers. Clin (Sao Paulo). 2008;63(1):85–90.CrossRef
14.
go back to reference Hong MK, Hong MK. An uncommon form of the rare extensor carpi radialis accessorius. Ann Anat. 2005;187(1):89–92.PubMedCrossRef Hong MK, Hong MK. An uncommon form of the rare extensor carpi radialis accessorius. Ann Anat. 2005;187(1):89–92.PubMedCrossRef
Metadata
Title
Intersection syndrome: ultrasound imaging
Authors
Ferdinando Draghi
Chandra Bortolotto
Publication date
01-03-2014
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 3/2014
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-013-1786-1

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