[ 15, 16] Ancillary studies do not help with the diagnosis of intersection syndrome but do allow the physician to exclude other causes of forearm pain. 10 Description: Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonvia [ Read More ] carpal tunnel release and forearm decompression fasciotomy. We present a case of intersection syndrome, describing its characteristic clinical and anatomic features, and highlighting differences in the areas of diagnosis and Feb 5, 2024 · Diagnosis Banding. In proximal intersection syndrome there is an effusion within the second extensor compartment tendon sheath and occasionally also within the first osseofibrous tunnel sheath. Jul 27, 2023 · Radial-sided pain may be secondary to de Quervain tenosynovitis and must be differentiated from the more proximal intersection syndrome. 1990 Sep;83(9):658-9. Jun 9, 2024 · Intersection syndrome is a condition that affects the first and second compartments of the dorsal wrist extensors. Jul 15, 2016 · This case series involved five female patients (mean age 49. This is typically noted as a pain just Aug 30, 2017 · Diagnosis of intersection syndrome is based on clinical findings. This condition is noted below the radial styloid and can be classically tested via the Finkelstein maneuver. The purpose of this report is to describe typical US findings in the intersection syndrome and to demonstrate the diagnostic value of this approach. 37%. De Quervain’s tenosynovitis is inflammation of the tendons within the first extensor compartment of the wrist. This syndrome or condition may result from activities that involve a clenched fist Intersection syndrome is a condition that should be differentiated from DeQuervain’s stenosing tenosynovitis, as there are many subtle differences in treatment and prognosis. They may also order an MRI to confirm the diagnosis. 38(2):157-63. 37% depending on the studies. Recently, after physical examination for musculoskeletal problems, there has been a surge in interest in ultrasonographic examination among physiatrists. Age: 50 years. 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. Carpal tunnel syndrome terjadi akibat kompresi nervus medianus yang menyebabkan nyeri maupun kesemutan pada jari tangan, termasuk ibu Intersection syndrome can be mistaken for other syndromes, and there is controversy regarding the exact location of the tendons causing the condition (compartment 2 or both 1 and 2) Differential Diagnosis Intersection syndrome, a painful condition of the wrist, is common but underdiagnosed. Jun 1, 2010 · Introduction. The tubercle acts as a pulley, changing the EPL tendon angle when it crosses superficially over the ECRL and ECRB tendons. De Quervain’s tenosynovitis is a condition that is very similar to intersection syndrome. 1. In addition to the previously described MRI findings of edema adjacent to the first or second DETC, possibly with proximal extension and subcutaneous edema, we have identified additional abnormalities: tendinosis, muscle edema, and juxtacortical ed …. 05 should only be used for claims with a date of service on or before September 30, 2015. This results in dorsal wrist pain and is commonly associated with sports requiring repetitive flexion extension activities. Intersection syndrome, like De Quervain’s, is diagnosed by clinical exam, though x-rays may be ordered if the specialist is concerned about an additional bone injury. Aug 18, 2017 · Intersection syndrome is a rare sports overuse injury occurring through friction at the intersection of the first and second compartment of the forearm. Ultrasound. But along with pain following detail symptoms arise 1: Pain due to friction between the bones. Plain film imaging and CT will not be helpful in the diagnosis of Intersection syndrome. If a diagnosis cannot be made by a physical examination alone, an injection of local anaesthetic into the affected area can confirm whether the pain is coming from the wrist extensor tendons. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from severe symptoms that require surgery. Most of the time no special tests are required. 2003 Nov. While the number of cases seems low (two or three each year), which represents between 4% and 6% of the team members. 2016. The examining physician must be convinced that the patient's wrist or forearm pain is not due to inflammation or compression of other radial-sided structures, such as the flexor carpi radialis (FCR), tendons of the first extensor compartment, thumb CMC joint, or radial sensory nerve. US is an important tool for assessing the ulnar collateral ligament of the first metacarpophalangeal joint of the thumb and differentiating between displaced and nondisplaced tears, thereby influencing management. It is often brought on by athletics or other activities that involve repetitive wrist flexion and extension. 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. Icing isn’t recommended for chronic pain, as it may make your wrist feel stiffer. Ultrasonography plays a fundamental role as a first-line imaging study in the diagnosis of musculotendinous injuries. Has also been called “Oarsman’s Wrist,” “Bugaboo Forearm,” “Peritendinitis Crepitans,” “Crossover Syndrome,” and “Squeaker’s Wrist. 5% and 0. 1) [6, 8–10]. The initial steps for diagnosis include a focused physical exam of the elbow, wrist, and hand. The 2024 edition of ICD-10-CM M67. Often found in activities that involve repetitive wrist extension. Such pain may result from the residual effects of past trauma or nontraumatic conditions. OBJECTIVE. MRI can perform an important role in establishing the diagnosis. Learn about its causes, symptoms, diagnosis, recovery period, and treatment options to prevent further damage and ensure a faster recovery. 1) [6, 8,9,10]. BMJ Case Reports. Recognizing the regional impact of specific forces to the wrist aids in accurate diagnosis of this condition and can lead to optimal treatment outcomes. 37% [11]. Intersection syndrome is a clinical diagnosis, although a musculoskeletal ultrasound can easily confirm it. 6 %) were female (5 with proximal intersection syn-drome, 1 with distal intersection syndrome), and they had a mean age of 45 years (range 22 to 60). . 1), reporting a minimal reaction of edematous type of the extensors of the periskeletal muscle sleeve. Oct 6, 2020 · Imaging Studies. X-ray of the wrist and forearm: non-specific, to rule out other abnormalities not helpful in the diagnosis. 712 Although the reported Jun 17, 2019 · The diagnosis of intersection syndrome is . Materials and methods: We reviewed US findings in 4 patients (mean age 40 years Jul 10, 2019 · Intersection syndrome is tendovaginitis of the second dorsal compartment. These women tend to develop symptoms about four to six weeks after delivery. It is distinct from intersection syndrome which occurs more proximally in the forearm at the Jul 1, 2011 · Five female patients (mean age, 49. The main challenge in diagnosing this syndrome is distinguishing it from de Quervain's tenosynovitis. Aug 1, 2022 · Intersection syndrome is a condition that affects the first and second compartments of the dorsal wrist extensors. It is important to remember that intersection syndrome diagnosis is a clinical diagnosis (figure 1), even though ultrasonography and MRI could be helpful in excluding differential diagnosis (10,13,14). M67. Feb 29, 2024 · The distal intersection syndrome relates to tenosynovitis of the extensor pollicis longus (EPL) tendon (3 rd extensor compartment), where it crosses the extensor carpi radialis longus (ECRL) and brevis (ECRB) tendons (2 nd extensor compartment) 1. [ 1, 2] Multiple conditions can cause radial-sided wrist and forearm pain. Sep 28, 2016 · Of the 30 patients presenting with intersection syndrome, all had forearm pain, 22 (73. Intersection syndrome is an overuse disorder of the dorsal distal forearm, presenting with particular symptoms and signs that may be clinically misdiagnosed. 2009 Feb. Peritendinous edema Synovitis and tenosynovitis. 833 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Intersection syndrome is an uncommon MRI diagnosis. 20% and 0. On imaging consider: De Quervain tenosynovitis (first extensor compartment involvement only, located more distal at the radial styloid) Wartenburg syndrome; distal in syndrome, diagnosis, managementPENDAHULUANSindrom De Quervain adalah suatu bentuk peradangan disertai nyeri dari selaput tendon yang berada di sarung sinovial, yang menyelubungi otot extensor pollicis brevis dan otot abductor pollicis longus. 4 years), referred to physiotherapy with a diagnosis of intersection syndrome, were managed with taping. Applying an ice pack to your impacted wrist may help if you have acute pain from intersection syndrome. Contrast Media. Materials and methods: We reviewed US findings in 4 patients (mean age 40 years For the 21 patients with intersection syndrome, 15 (15 out of 21, 71. Extended MRI findings of intersection syndrome. Lee RP, Hatem SF, Recht MP. 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. Anteroposterior (AP), lateral, and oblique radiographs of the wrist (including distal forearm) may be ordered. 2 - 4 The condition is associated with several Oct 7, 2023 · Intersection syndrome is an inflammatory condition located in the distal radial forearm where the tendons of the 1st extensor compartment cross over the tendons of the 2nd compartment. Nov 22, 2022 · It refers to the intersection (at an angle of around 60°) of the musculotendinous junctions of the first and second extensor compartment tendons. Terdapat beberapa diagnosis banding tenosynovitis de Quervain berdasarkan keluhan nyeri pergelangan tangan, antara lain Carpal tunnel syndrome dan intersection syndrome. Forearm intersection syndrome can generate a significant loss of on-water training time for an elite rower. intersection point, 3–8 cm proximal to List-er’s tubercle, 9 focal swelling and crepitus to . Intersection Syndrome Treatment. 25020 OK RVU: 16. com Intersection syndrome is a condition that affects the first and second compartments of the dorsal wrist extensors. On imaging consider: De Quervain tenosynovitis (first extensor compartment involvement only, located more distal at the radial styloid) Wartenburg syndrome; distal Sep 19, 2010 · Introduction. syndrome, though Eichoff’s test may produce false positives. see Radial sided wrist pain Oct 6, 2020 · Intersection syndrome (tenosynovitis of the radial wrist extensors) is a cause of radial-sided wrist and forearm pain. Patient histories that include wrist pain can be pivotal in the distinction between intersection syndrome (IS) and the more common de Quervain's tenosynovitis (DQT). Table 1 presents the statistics of intersection syndrome cases in the Australian Rowing Team over 3 years. Anteroposterior (AP), lateral, and oblique radiographs of the wrist (including distal forearm) may be Nov 1, 1999 · Intersection syndrome is a condition that should be differentiated from DeQuervain’s stenosing tenosynovitis, as there are many subtle differences in treatment and prognosis. Plain films have minimal utility in diagnosing intersection syndrome but can be used to rule out other pathology. Evaluation and diagnosis of wrist pain: a case-based approach. If the anaesthetic brings relief at the point where these two tendons intersect, a diagnosis of intersection syndrome will be confirmed. T2-hyperintense inflammatory edema around the intersection of the APL and EPB tendons and the wrist extensor tendons, about 4 cm proximal to Lister's tubercle. Jan 29, 2024 · Wrist pain has a lot of possible causes, including a sprain, tendonitis, arthritis, and fractures. Intersection Syndrome refers to an overuse tendinopathy between the first and second extensor compartments of the wrist and forearm. Intersection syndrome is a repetitive motion injury of the wrist that occurs from overuse and subsequent inflammation, or peritenosynovitis, at the intersection of the muscles of the first and second dorsal compartments. This is a non-infectious, inflammatory process that occurs where tendons in the first extensor compartment intersect the tendons in the second extensor compartment. The intersection syndrome is a noninfectious, inflammatory condition that affects that portion of the distal forearm where the first extensor compartment tendons (those of the abductor pollicis longus and the extensor pollicis brevis) pass over—or intersect Subacute (patients who have failed acute management): Corticosteriod injection at the intersection point. Recently, after Objective: To evaluate the use of ultrasound for the diagnosis of intersection syndrome. Ice slows blood flow to reduce swelling and pain. Radiographics of the wrist with distal forearm are useful in diagnosing intersection syndrome. The syndrome corresponds to a non-infectious inflammatory process in the second extensor compartment tendon of the forearm. Diagnosis. Dec 7, 2022 · Intersection syndrome is an overuse disorder that is often misdiagnosed as De Quervain tenosynovitis and it must be considered in the differential diagnosis of radial wrist pain. The percentage of training time affected by intersection syndrome across the whole team was between 0. Intersection syndrome is an overuse injury of the distal forearm that causes pain, crepitus, and swelling in the forearm where the abductor pollicis longus (APL) and extensor pollicis brevis (EPB) cross Intersection syndrome Indiana Med. 839 is a billable diagnosis code used to specify a medical diagnosis of other synovitis and tenosynovitis, unspecified forearm. Gender: Female. De Quervain's tenosynovitis is a condition that is very similar to intersection syndrome. The sensation of “footprints on freshly packed snow” is the hallmark for palpating (touching) the area. The right arm was symptomatic in 4 and the left arm in 1 of the patients. The covering of the tendons become inflamed. 1 Sindrom De Quervain pertama kali dikemukakan oleh dokter ahli bedah dari. mri. 2-4 The condition is associated with several sports, such as rowing, canoeing, racket sports, horseback riding, mountain biking, and skiing. Intersection syndrome, a painful condition of the wrist, is common but underdiagnosed. 833 became effective on October 1, 2023. , resulting in an inflammatory (swelling/irritation) peritendonitis. 2% and 0. Two hundred and fifteen video clips present in the electronic database were reviewed by two Jun 18, 2014 · Differential local anesthetic injections may help in supporting the diagnosis or in differentiating between intersection syndrome and de Quervain syndrome. It may also be a chronic issue that has the potential to cause long-term pain in the wrist. An MRI may show tendon injury, but is usually not needed for diagnosis. Intersection syndrome is similar however it involves two muscles/tendons that pass, cross and intersect underneath the muscles/tendons that are involved in the diagnosis of De Quervain’s Tenosynovitis. Conflict of interests. Sports Medicine Treatment Intersection syndrome is the friction at the point where the muscle bellies of the EPB and the APL cross over the radial wrist extensors tendons proximal to the wrist joint approximately 4-5 cms. Described since the 19th century, intersection syndrome is an uncommon disease characterized by pain and swelling in the area of 7 cm of the distal radius. May have localized swelling. CONCLUSION. This creates a mechanica Patient Data. The ECRB, ECRL and EPL tendons intersect distal to the Lister’s tubercle and radiocarpal joint. 181(5):1245-9. Intersection syndrome, like de Quervain’s, is diagnosed by clinical exam, though x-rays may be ordered if the specialist is concerned about an additional bone injury. 5,6 Typically, patients present with forearm pain, swelling, and sometimes redness and crepitus 4 to 6 cm Repetitive extension-flexion of the wrist and friction at the crossover junction cause pain, swelling, and inflammation of the distal dorsal-radial forearm, classically proximal to the radial styloid. Dec 8, 2016 · The differential diagnosis for radial-sided, dorsal wrist pain without a history of trauma includes DIS, de Quervain stenosing tenosynovitis, proximal intersection syndrome, ganglion cyst, radial nerve entrapment (Wartenberg’s syndrome), and osteoarthritis (Fig. 833 - other international versions of ICD-10 M67. May 1, 2008 · Intersection syndrome. [QxMD MEDLINE Link]. The diagnosis is suspected clinically. The intersection syndrome is a noninfectious, inflammatory condition that affects that portion of the distal forearm where the first extensor compartment tendons (those of the abductor pollicis longus and the extensor pollicis brevis) pass over—or intersect Aug 28, 2023 · Due to its location and anatomy, the wrist is susceptible to a range of injuries and overuse syndromes, and chronic wrist pain is a common presenting complaint in primary care and sports medicine clinics. The authors have no conflict of interests to declare. With this condition, thickening and myxoid degeneration of the tendon sheaths around the abductor pollicis longus and extensor pollicis brevis develop where the tendons pass in through the fibro-osseous tunnel located along Jan 4, 2024 · Background: Forearm intersection syndrome causes pain, swelling, and a rub at the dorsal distal forearm where the first extensor compartment muscles intersect with the second compartment tendons. Imaging is often not required for diagnosis; however, imaging may help to confirm the diagnosis and/or to rule out other conditions. In the general population, the prevalence varies between 0. Skeletal Radiol. US is the imaging of choice for intersection syndrome. Radiographs can depict thumb carpometacarpal (CMC) arthritis and Dec 23, 2019 · The intersection syndrome diagnosis has been based on the clinical assessment of the patient and ultrasounds images (Fig. The dominant hand NCCI edits are saying to bill only the 25020 1. This disorder could thus be associated with occupational wrist overuse, eventually revealed by a hand traumatism, such as in our patient. Clinical examination provides with the necessary inform … De Quarvein Syndrome is a condition that also involves the first dorsal compartment of the wrist extensors. The main challenge is distinguishing intersection syndrome from de Quervain’s tenosynovitis. It is an often confused diagnosis because the palpable lump and pain is more proximal to the expected site in De Quervain's tenosynovitis . It is most commonly diagnosed among women between the ages of 30 and 50 years of age, including a small subset of women in the postpartum period [ 1-3 ]. You can use a commercial ice pack or a makeshift solution, like a bag of frozen peas or a freezer Dec 13, 2013 · Objective To evaluate the use of ultrasound for the diagnosis of intersection syndrome. 915 Intersection syndrome has a low prevalence between 0. Nine months of conservative DQT therapy and a landmark-guided corticosteroid Symptoms. The initial treatment is nonsurgical and includes a trial of anti-inflammatory medications, rest, activity modification, and forearm-based wrist splinting at about 15° of wrist extension. In the general population, the incidence of intersection syndrome ranges from 0. Nov 2, 2022 · de Quervain tendinopathy is a common cause of wrist pain in adults. The Hand Center at Muskegon Surgical OBJECTIVE. Patient usually presents with pain, crepitus, and squeaky sensation in the dorsal distal forearm. Doppler image (data not shown) shows the inflammatory reaction. Nine months of conservative DQT therapy and a landmark-guided corticosteroid injection failed to relieve her symptoms. Radiographs may also depict thumb carpometacarpal (CMC) arthritis and osteophytes around the distal radius. 4 %) were male (13 with proximal intersection syndrome, 2 with distal intersection syndrome), 6 (6 out of 21, 28. ”. Pain and swelling on the thumb side about 4-6 cm up from the wrist joint on the dorsal (back) aspect of the wrist. Doctors usually make the diagnosis of intersection syndrome during a physical examination. Radiographs. 833. Pain occurs due to cartilage damage and friction develops during movement. Wrist pain may feel sharp, dull, achy, or like pins and needles. 9%. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). This is the American ICD-10-CM version of M67. Differential diagnosis must be carefully made, especially from De Quervain tendonsynovitis. Patient demographics are summarized in TABLE 1. Suitable history and The incidence and prevalence of intersection syndrome is poorly understood. Two hundred and fifteen video clips present in the electronic database were reviewed by two musculoskeletal radiologists with 20 years of Diagnosis of Intersection Syndrome. Nov 22, 2023 · De Quervain tenosynovitis, named after Swiss surgeon Fritz de Quervain, is a condition that involves tendon entrapment affecting the first dorsal compartment of the wrist. Mar 5, 2023 · Intersection syndrome is a painful condition that affects the wrist and forearm tendons, typically seen in athletes and those involved in repetitive wrist and thumb movements. The intersection syndrome is a noninfectious, inflammatory condition that affects that portion of the distal forearm where the first extensor compartment tendons (those of the abductor pollicis longus and the extensor pollicis brevis) pass over—or intersect AJR Am J Roentgenol. clinical with tenderness on palpation of the . This is due to multiple factors including distal forearm pain is a rare chief complaint, unrecognized or missed diagnosis, and most cases are self limited. Shehab R, Mirabelli MH. Sep 12, 2019 · Intersection syndrome diagnosis. Jun 7, 2019 · Prevalence. The rare condition of intersection syndrome is reported as the cause of the wrist pain in an amateur tennis player and management consisted of early involvement of the multidisciplinary team, patient education, workplace and sporting adaptations, and a period of rehabilitation. The typical symptom of intersection syndrome is a pain at the site. Less frequently there is oedema or a bursitis between the two tendon groups. Intersection syndrome is a friction/overuse tenosynovitis affecting the crossover point of the 1st and 2nd extensor compartments on the dorsum of the distal, radial aspect of the forearm. Nov 1, 1999 · Medicine. Ice Packs. Peritendinous edema Imaging modalities used to diagnosis this syndrome include ultrasonography (US) and magnetic resonance imaging. Occupational disease. Located at the intersection of the first and second dorsal compartments of wrist containing extensor carpi radialis brevis and longus (ECRB and ECRL). The condition is thought to occur as a result of repetitive friction at the junction in which the tendons of the first dorsal compartment cross over the second, creating a tenosynovitis. 05 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 727. Most cases can be managed conservatively with wrist splints and steroid injections, yet surgical decompression is available for resistant Symptoms. Ultrasound and MRI findings are suggestive of the condition. The periosteum of the radius is also involved. However, the pain begins in different spots. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Oct 6, 2020 · The major controversies surrounding intersection syndrome pertain to diagnosis and pathophysiology. 2% to 0. The condition is thought to occur as a result of repetitive friction at the junction in which the tendons of the first dorsal compartment cross over the second, creating tenosynovitis. An in-clinic ultrasound showed tenosynovitis at the intersection of the Dec 8, 2016 · The differential diagnosis for radial-sided, dorsal wrist pain without a history of trauma includes DIS, de Quervain stenosing tenosynovitis, proximal intersection syndrome, ganglion cyst, radial nerve entrapment (Wartenberg’s syndrome), and osteoarthritis (Fig. Differential diagnosis. The most common are de Quervain ICD-9-CM 727. Generally, we define chronic conditions are those Intersection syndrome occurs in occupations and sports activities that require repetitive wrist twisting and bending motions. Imaging modalities used to diagnosis this syndrome include ultrasonography (US) and magnetic resonance imaging. Mar 26, 2019 · Key Points. Some may heal with rest, while others may need treatment. 4 years) referred to physical therapy with the diagnosis of intersection syndrome. These data include duration and predominant side of symptoms, presence of crepitus Jun 14, 2019 · Intersection Syndrome Diagnosis. This proof-of-concept study aims to help detect the anatomical Jun 1, 2010 · Introduction. Introduction. Carpal Tunnel Syndrome. Authors R S Idler Diagnosis, Differential Forearm Humans Nov 4, 2022 · Intersection syndrome is an overuse disorder that is often misdiagnosed as De Quervain tenosynovitis and it must be considered in the differential diagnosis of radial wrist pain. AJR Am J Roentgenol. Magnetic resonance imaging (MRI) is rarely indicated. The knot of Henry is the third most common point of the FHL tendinosis, with the ankle joint and hallux sesamoids being the first and second points respectively 1. See full list on medicalnewstoday. With careful evaluation of the mechanism of injury to the wrist and identification of specific landmarks for location of pain, the health care provider may consider intersection syndrome in the differential diagnosis of wrist pain. First carpometacarpal (CMC) joint arthritis May 11, 2022 · Clinical exams are usually sufficient, but imaging, in particular the US, may assist with accurate diagnosis. ( M65) M65. We present a case of intersection syndrome, describing its characteristic clinical and anatomic features, and highlighting differences in the areas of diagnosis and treatment relative to the better known DeQuervain’s Ultrasound and/or MRI can confirm the diagnosis. Please HELP with this procedures to be charged carpal tunnel 64721 In sum, distal intersection syndrome should be considered in the differential diagnosis of De Quervain's tenosynovitis of atypical presentation, the location of the most medial and proximal pain, and the presence of crepitus are the key to diagnosis. This case reports the rare condition of intersection syndrome as the cause of the wrist pain in an amateur tennis player. The purpose of this original report is to describe the MRI findings in patients with intersection syndrome of the forearm. Intersection syndrome is a rare condition that is often misdiagnosed as de Quervain’s tenosynovitis. Sep 13, 2023 · This syndrome is the most common etiology of plantar mid-foot pain. The initial steps for diagnosis include a focused physical exam of the elbow, wrist, and hand 3. Caused by overuse of wrist and hand. 3%) had swelling, and 12 (40%) had crepitus noted in the intersected region. 833 may differ. 2003 Nov;181 (5):1245-9. Both syndromes involve inflammation in the tendons of the wrist. Patients also present with pain, swelling, and tenderness of the distal radial forearm, but the pain can generally be localized to a point more proximal than that of the typical presentation of de Quervain’s tenosynovitis. Patients present with pain and swelling, often positive for Finkelstein’s Test. Only indicated to rule out other pathology Oct 6, 2020 · MRI features of intersection syndrome of the forearm. Presented here is a 26-year-old pregnant woman with a history of rowing who developed left radial/dorsal wrist pain and a rubbing/squeaking sensation. Treatment for intersection syndrome generally consists of resting the tendons for several Wrist pain due to repetitive motion or overuse is a common presentation in primary care. The condition is thought to occur due to repetitive friction at the junction in which the tendons of the first dorsal compartment cross over the second, creating tenosynovitis. TLDR. Your doctor will examine your wrist for swelling and tenderness, as well as listen for a squeaking sound from the tendon with movement. ku hs mv ih ty ec dc sh rs qf