Proximal wrist intersection syndrome

What is proximal wrist intersecting syndrome?

Proximal wrist intersecting syndrome is a condition that affects the upper part of the wrist. It occurs when the extensor tendons that run through the forearm crisscross, causing friction. This can lead to pain, swelling, and weakness in the wrist.

What are the causes of proximal wrist intersecting syndrome?

Proximal wrist intersecting syndrome can be caused by a variety of factors. Some common causes include:

• Repetition of movements: Performing the same movement repeatedly can overload and damage the tendons and soft tissues of the wrist.
• Sports injuries: Sports that require frequent flexion and extension of the wrist, such as tennis or golf, can increase the risk of developing this syndrome.
• Natural wear and tear: With age, the soft tissues of the wrist can weaken and deteriorate, which can contribute to the development of this syndrome.
• Rheumatic diseases: Rheumatoid arthritis and other rheumatic diseases can damage the soft tissues and bones of the wrist, which may contribute to the development of this syndrome.

How is proximal wrist intersecting syndrome diagnosed?

The diagnosis of proximal wrist intersecting syndrome is based on a clinical evaluation, which includes medical history, symptoms, and a physical examination. Additional testing, such as X-rays, ultrasound, or MRI, may also be necessary to rule out other conditions and confirm the presence of the syndrome. It is important to have the evaluation performed by an orthopedic surgeon for an accurate diagnosis.

How is proximal wrist intersecting syndrome treated?

Treatment for proximal wrist intersecting syndrome depends on the severity of symptoms and the underlying cause. Some options include:

• Activity modification: Avoiding activities that cause pain or pressure on the wrist.
• Temporary immobilization: Wearing a cast or splint to protect the wrist for a short period of time.
• Physical therapy: exercises to strengthen and stretch the wrist and forearm muscles.
• Drug therapy: analgesic medications or nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
• Peritendinous ultrasound-guided injections: injections of anesthetics and/or corticosteroids into the inflamed area to reduce pain and inflammation and improve wrist function.

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