Examining the Forearm Intersection through Palpation and Ultrasonography

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. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from sever...

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Autores: Naredo, Esperanza, Murillo González, Jorge Alfonso, Mérida Velasco, José Ramón, Olivas Vergara, Otto, Kalish, Robert A., Gómez Moreno, Cristina, García-Carpintero Blas, Eva, Fuensalida Novo, Gema, Canoso, Juan J.
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/102480
Acceso en línea:https://hdl.handle.net/20.500.14352/102480
Access Level:acceso abierto
Palabra clave:611
Abductor pollicis longus
Extensor carpi radialis brevis
Extensor carpi radialis longus
Extensor pollicis brevis
Forearm intersection
Forearm pain
Tendon rub
Ciencias Biomédicas
32 Ciencias Médicas
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spelling Examining the Forearm Intersection through Palpation and UltrasonographyNaredo, EsperanzaMurillo González, Jorge AlfonsoMérida Velasco, José RamónOlivas Vergara, OttoKalish, Robert A.Gómez Moreno, CristinaGarcía-Carpintero Blas, EvaFuensalida Novo, GemaCanoso, Juan J.611Abductor pollicis longusExtensor carpi radialis brevisExtensor carpi radialis longusExtensor pollicis brevisForearm intersectionForearm painTendon rubCiencias Biomédicas32 Ciencias MédicasBackground: 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. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from severe symptoms that require surgery. This proof-of-concept study aims to help detect the anatomical substrate of forearm intersection syndrome using palpation and ultrasonography when available. Methods: Five individuals were studied using independent palpation and ultrasonography to identify the first dorsal compartment muscles and the second dorsal compartment tendons. The distances between the dorsal (Lister’s) tubercle of the radius and the ulnar and radial edges of the first dorsal compartment muscles were measured to determine the location and extent of the muscle–tendon intersection. The palpatory and ultrasonographic measurements were compared using descriptive statistics and the paired t-test. Results: The mean distances from the dorsal tubercle of the radius to the ulnar and radial borders of the first dorsal compartment muscles were 4.0 cm (SE 0.42) and 7.7 cm (SE 0.56), respectively, based on palpation. By ultrasonography, the corresponding distances were 3.5 cm (SD 1.05, SE 0.47) and 7.0 cm (SD 1.41, SE 0.63). Both methods showed a similar overlap length. However, ultrasonography revealed a shorter distance between the dorsal tubercle of the radius and the ulnar border of the first compartment than palpation (p = 0.0249). Conclusions: Our findings indicate that a basic knowledge of anatomy should help health professionals diagnose forearm intersection syndrome through palpation and, if available, ultrasonography.MDPIUniversidad Complutense de Madrid20242024-01-0420242024-01-04journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/102480reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1024802026-06-02T12:44:21Z
dc.title.none.fl_str_mv Examining the Forearm Intersection through Palpation and Ultrasonography
title Examining the Forearm Intersection through Palpation and Ultrasonography
spellingShingle Examining the Forearm Intersection through Palpation and Ultrasonography
Naredo, Esperanza
611
Abductor pollicis longus
Extensor carpi radialis brevis
Extensor carpi radialis longus
Extensor pollicis brevis
Forearm intersection
Forearm pain
Tendon rub
Ciencias Biomédicas
32 Ciencias Médicas
title_short Examining the Forearm Intersection through Palpation and Ultrasonography
title_full Examining the Forearm Intersection through Palpation and Ultrasonography
title_fullStr Examining the Forearm Intersection through Palpation and Ultrasonography
title_full_unstemmed Examining the Forearm Intersection through Palpation and Ultrasonography
title_sort Examining the Forearm Intersection through Palpation and Ultrasonography
dc.creator.none.fl_str_mv Naredo, Esperanza
Murillo González, Jorge Alfonso
Mérida Velasco, José Ramón
Olivas Vergara, Otto
Kalish, Robert A.
Gómez Moreno, Cristina
García-Carpintero Blas, Eva
Fuensalida Novo, Gema
Canoso, Juan J.
author Naredo, Esperanza
author_facet Naredo, Esperanza
Murillo González, Jorge Alfonso
Mérida Velasco, José Ramón
Olivas Vergara, Otto
Kalish, Robert A.
Gómez Moreno, Cristina
García-Carpintero Blas, Eva
Fuensalida Novo, Gema
Canoso, Juan J.
author_role author
author2 Murillo González, Jorge Alfonso
Mérida Velasco, José Ramón
Olivas Vergara, Otto
Kalish, Robert A.
Gómez Moreno, Cristina
García-Carpintero Blas, Eva
Fuensalida Novo, Gema
Canoso, Juan J.
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 611
Abductor pollicis longus
Extensor carpi radialis brevis
Extensor carpi radialis longus
Extensor pollicis brevis
Forearm intersection
Forearm pain
Tendon rub
Ciencias Biomédicas
32 Ciencias Médicas
topic 611
Abductor pollicis longus
Extensor carpi radialis brevis
Extensor carpi radialis longus
Extensor pollicis brevis
Forearm intersection
Forearm pain
Tendon rub
Ciencias Biomédicas
32 Ciencias Médicas
description 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. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from severe symptoms that require surgery. This proof-of-concept study aims to help detect the anatomical substrate of forearm intersection syndrome using palpation and ultrasonography when available. Methods: Five individuals were studied using independent palpation and ultrasonography to identify the first dorsal compartment muscles and the second dorsal compartment tendons. The distances between the dorsal (Lister’s) tubercle of the radius and the ulnar and radial edges of the first dorsal compartment muscles were measured to determine the location and extent of the muscle–tendon intersection. The palpatory and ultrasonographic measurements were compared using descriptive statistics and the paired t-test. Results: The mean distances from the dorsal tubercle of the radius to the ulnar and radial borders of the first dorsal compartment muscles were 4.0 cm (SE 0.42) and 7.7 cm (SE 0.56), respectively, based on palpation. By ultrasonography, the corresponding distances were 3.5 cm (SD 1.05, SE 0.47) and 7.0 cm (SD 1.41, SE 0.63). Both methods showed a similar overlap length. However, ultrasonography revealed a shorter distance between the dorsal tubercle of the radius and the ulnar border of the first compartment than palpation (p = 0.0249). Conclusions: Our findings indicate that a basic knowledge of anatomy should help health professionals diagnose forearm intersection syndrome through palpation and, if available, ultrasonography.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-01-04
2024
2024-01-04
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/102480
url https://hdl.handle.net/20.500.14352/102480
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719