Intersection syndrome: ultrasound imaging

Skeletal Radiol. 2014 Mar;43(3):283-7. doi: 10.1007/s00256-013-1786-1. Epub 2013 Dec 13.


Objective: To evaluate the use of ultrasound for the diagnosis of intersection syndrome.

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. Two hundred and fifteen video clips present in the electronic database were reviewed by two musculoskeletal radiologists with 20 years of experience.

Results: Of the 215 video clips reviewed, 21 patients were diagnosed with intersection syndrome. The mean age was 45 years (ranging from 22 to 60); 15 were male (13 with proximal intersection syndrome, 2 with distal intersection syndrome) and 6 female (5 with proximal intersection syndrome, 1 with distal intersection syndrome).

Conclusion: Intersection syndrome was identified in 1.9 % of all patients evaluated in the setting of a specialized hospital. Ultrasound is a non-invasive, simple, and economical method for the identification of intersection syndrome, tendon sheath anatomy (individual or separate sheaths) and to exclude other pathological conditions.

MeSH terms

  • Adult
  • Cumulative Trauma Disorders / diagnostic imaging*
  • Female
  • Humans
  • Joint Diseases / diagnostic imaging*
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Syndrome
  • Tenosynovitis / diagnostic imaging*
  • Ultrasonography / methods
  • Wrist Joint / diagnostic imaging*
  • Young Adult