Distal intersection syndrome

Case contributed by Dr Salem Bauones

Presentation

Chronic dorsal radial-sided wrist pain and lumb.

Patient Data

Age: 30
Gender: Female
Modality: MRI

There is signal abnormality of the tendon sheath of the extensor carpi radials longus (ECRL), extensor carpi radialis brevis (ECRB), and extensor pollicis longus (EPL), reflecting the synovial sheath thickening and effusion with a significant post contrast injection enhancement. Intrasubstance high signal of the EPL is also appreciated. These lesions are confined distally along the course of the EPL where it crosses over the ECRL & ECRB at the level and distal to Lister's tubercle. Note the prominence of Lister's tubercle and the supernumerary tubercle between the ECRB and ECRL.

Case Discussion

Findings are consistent with distal intersection syndrome ( EPL, ECRL & ECRB tenosynovitis ) in the setting of overuse and anatomic variant of Lister's tubercle of the dorm of wrist.

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Case Information

rID: 41747
Case created: 17th Dec 2015
Last edited: 17th Dec 2015
Inclusion in quiz mode: Included

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