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Any movement of the thumb and wrist causes the patient pain, inflammation and swelling. The presence of anomalous or variant muscles in the fourth compartment may result in chronic dorsal wrist pain, a condition known as the fourth compartment syndrome. [4] Intersection syndrome can be caused by direct trauma to the second extensor compartment.
The chief complaint of this disease is usually pain in the dorsal aspect of the upper forearm, and any weakness described is secondary to the pain. Tenderness to palpation occurs over the area of the radial neck. Also, the disease can be diagnosed by a positive "middle finger test", where resisted middle finger extension produces pain.
An illustration of wrist pain. Wrist pain or open wrist is a syndrome inhibiting use of a hand due to pain in anatomical structures of the wrist. [1] It most commonly results from an injury to a ligament. [1] The pain may be sharp from a traumatic injury or from chronic repetitive wrist activities. [1]
Anterior interosseous syndrome is a medical condition in which damage to the anterior interosseous nerve (AIN), a distal motor and sensory branch of the median nerve, classically with severe weakness of the pincer movement of the thumb and index finger, and can cause transient pain in the wrist (the terminal, sensory branch of the AIN innervates the bones of the carpal tunnel).
Extensor digitorum brevis manus is an extra or accessory muscle on the backside (dorsum) of the hand. It was first described by Albinus in 1758. [1] The muscles lies in the fourth extensor compartment of the wrist, and is relatively rare. [2] It has a prevalence of 4% in the general population according to a meta-analysis. [3]
An option for people who want to maintain some motion, and are willing to avoid using force with the hand, is total wrist arthroplasty. [20] There is some evidence that patients with a total wrist arthrodesis on one side and a total wrist arthroplasty on the other, prefer the total wrist arthroplasty. [21] The procedure exists of a couple of ...
Exposure to wrist extension or flexion at work increases the risk of CTS by 2.0 times. [55] As of 2023 [update] , a systematic review of studies looking at the relationship between CTS and computer use has found current studies to be inconclusive and contradictory, due to poor study methods and confounding variables not being accounted for.
The mechanism of injury is usually repetitive resisted extension, as with rowing, weight lifting, or pulling. [ citation needed ] Intersection syndrome is often confused with another condition called DeQuervain's syndrome , which is an irritation of the thumb-sided set of tendons at the wrist, called the first dorsal compartment.
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