AB228. SOH25_AB_107. Ultrasound-guided hydrodissection for intersection syndrome: a novel approach

Background: Wrist pain is a prevalent issue, often resulting from repetitive wrist joint movements. Activities such as dexterous sports, prolonged use of personal handheld devices, and extensive desktop keyboard usage are common contributors to wrist pain. Intersection syndrome, a form of inflammatory tenosynovitis, occurs at the intersection of the first and second dorsal compartments of the wrist. To date, the use of hydrodissection with 5% dextrose under ultrasound guidance as a treatment for Intersection syndrome has not been documented.

Methods: A case report, with informed consent, involving a 32-year-old male athlete. The patient, a hurling player, presented with chronic right wrist pain diagnosed as intersection syndrome.

Results: In this case, it proved to be an effective pain-relieving therapy with sustained effect at 3-month clinical follow-up.

Conclusions: Ultrasound-guided hydrodissection has not previously been documented as a treatment option for intersection syndrome and here we can see it was a beneficial treatment with optimal outcomes for the patient.

Keywords: Chronic pain; hydrodissection; intersection syndrome; ultrasound; wrist pain