Intersection syndrome in a handcyclist: case report and literature review

Top Spinal Cord Inj Rehabil. Summer 2013;19(3):236-43. doi: 10.1310/sci1903-236.


Intersection syndrome describes a rare inflammatory condition located at the crossing point between the first dorsal compartment muscles and the radial wrist extensor muscles. It is a repetitive motion injury that affects patients who overuse their wrists. The present report reviews the incidence of the condition as well as the special populations it affects. The anatomy of the wrist is presented and clinical findings and physical examination techniques are reviewed to help the reader reach a quick but correct diagnosis. Finally, the most appropriate treatment approach is presented, incorporating rehabilitative methods designed to ensure a full and prompt functional recovery and resumption of physical activity.

Keywords: handcycling; intersection syndrome; peritenosynovitis; spinal cord injury.