Wrist pain from overuse: detecting and relieving intersection syndrome.

Intersection syndrome is tendinitis or tenosynovitis in the first and second dorsal compartments of the wrist. This overuse syndrome has been reported in rowing, canoeing, racket sports, weight lifting, and, as in this case report, skiing. Physical exam demonstrates tenderness and crepitation or squeaking several centimeters proximal to Lister's tubercle. Therapy may consist of rest, ice, nonsteroidal anti-inflammatory drugs, wrist splinting, corticosteroid injection, rehabilitation, and, for recalcitrant cases, tenosynovectomy. In skiers, changing grip diameter on ski poles and using pole straps may relieve symptoms.