Distal intersection tenosynovitis of the wrist

Case contributed by Dr Bahman Rasuli

Presentation

Pain and swelling of the right wrist.

Patient Data

Age: 15
Gender: Female

Fluid intensity signal measuring about 14x16 mm distending the tendon sheath of the extensor carpi radialis brevis(ECRB) distal to the intersection of the extensor pollicis longus(EPL) is suggestive for distal intersection tenosynovitis of the wrist.

Case Discussion

The ECRB, ECRL and EPL tendons intersect distal to the Lister’s tubercle and radiocarpal joint. The tubercle acts as a pulley, changing the EPL tendon angle when it crosses superficially over the ECRL and ECRB tendons. This creates a mechanically disadvantageous arrangement, where motion of the thumb and hand may cause friction between these tendons.

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Case information

rID: 63510
Published: 9th Oct 2018
Last edited: 9th Oct 2018
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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