Distal Intersection Tenosynovitis: Surgical Insights From Five Cases.

IF 3 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of Clinical Medicine Pub Date : 2025-03-19 DOI:10.3390/jcm14062110

Julie Mercier, Agata Durdzinska Timoteo, Romain Baillot, Sébastien Durand

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Abstract

Background: Distal intersection tenosynovitis (DIT) is a rare and recently described condition that affects the extensor pollicis longus (EPL), extensor carpi radialis brevis (ECRB), and longus (ECRL). Based on surgical observations, this study aimed to provide new insights into its physiopathology. Methods: This was a retrospective study of all patients who underwent surgery for DIT at our institution from 2015 to 2024. Five patients were included in the study. Results: Wrist joint issues clearly explained the occurrence of DIT in three cases. Tendon lesions were observed either on the extensor carpi radialis brevis or extensor pollicis longus. Conclusions: These additional data complement the existing literature, which primarily focuses on the anatomical mechanisms of DIT without fully explaining its causes. Our observations suggest that wrist joint or bone disorders may play a significant role in its occurrence. Lesions in different tendons suggest the involvement of distinct pathological mechanisms.

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远端交叉点腱鞘炎：5例手术观察。

背景：远端交叉肌腱滑膜炎（DIT）是一种罕见且最近被描述的疾病，影响拇长伸肌（EPL）、桡短腕伸肌（ECRB）和长肌（ECRL）。基于手术观察，本研究旨在为其生理病理提供新的见解。方法：对2015年至2024年在我院接受DIT手术的所有患者进行回顾性研究。该研究包括5名患者。结果：3例DIT的发生与腕关节有关。在桡腕短伸肌或拇长伸肌上观察到肌腱病变。结论：这些额外的数据补充了现有的文献，这些文献主要关注DIT的解剖机制，而没有充分解释其原因。我们的观察表明，手腕关节或骨骼疾病可能在其发生中起重要作用。不同肌腱的病变提示不同的病理机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

5.70

自引率

7.70%

发文量

6468

审稿时长

16.32 days

期刊介绍： Journal of Clinical Medicine (ISSN 2077-0383), is an international scientific open access journal, providing a platform for advances in health care/clinical practices, the study of direct observation of patients and general medical research. This multi-disciplinary journal is aimed at a wide audience of medical researchers and healthcare professionals. Unique features of this journal: manuscripts regarding original research and ideas will be particularly welcomed.JCM also accepts reviews, communications, and short notes. There is no limit to publication length: our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible.