Wrist pain in a young gynmast: Unusual radiographic findings and MRI evidence of growth plate injury

Medicine and Science in Sports and Exercise

Volumn 28, Issue 12, 1996, Pages 1453-1458

  Difiori, John P ^a   Mandelbaum, Bert R ^b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b NONE

Author keywords

Gymnastics cleft epiphysis; Magnetic resonance imaging

Indexed keywords

ARTICLE; BODY MOVEMENT; BONE GROWTH; CASE REPORT; CHILD; EPIPHYSIS; FEMALE; GROWTH PLATE; HUMAN; NUCLEAR MAGNETIC RESONANCE IMAGING; OSTEOPHYTE; PHYSICAL ACTIVITY; PHYSICAL EDUCATION; WRIST INJURY; WRIST RADIOGRAPHY;

CHILD; FEMALE; GROWTH PLATE; GYMNASTICS; HUMANS; MAGNETIC RESONANCE IMAGING; WRIST; WRIST INJURIES;

EID: 0030448728     PISSN: 01959131     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005768-199612000-00002     Document Type: Article

References (24)

1. ALBANESE, S. A., A. K. PALMER, D. R. KERR, C. W. CARPENTER, D. LISI, and E. M. LEVINSOHN. Wrist pain and distal growth plate closure of the radius in gymnasts. J. Pediatr. Orthop. 9:23-28, 1989.
2. CAFFEY, J. Caffey's Pediatric X-ray Diagnosis. 8th Ed. F. N. Silverman (Ed.). Chicago: Year Book Medical Publishers, 1985, pp. 426-427.
3. CAINE, D., S. ROY, K. M. SINGER, and J. BROEKHOFF. Stress changes of the distal radial growth plate: a radiographic survey and review of the literature. Am. J. Sports Med. 20:290-298, 1992.
4. CARTER, S. R., M. J. ALDRIDGE, R. FITZGERALD, and M. DAVIES. Stress changes of the wrist in adolescent gymnasts. Br. J. Radiol. 61:109-112, 1988.
5. CLAIRE, J. USA Gymnastics membership data, personal communication, 1994.
6. DE SMET, L., A. CLASSENS, and G. FABRY. Gymnast wrist. Acta Orthopaed. Belg. 59:317-379, 1993.
7. DIFIORI, J.P., J. C. PUFFER, B. R. MANDELBAUM, and S. MAR. Factors associated with wrist pain in the young gymnast. Am. J. Sports Med. 24:9-14, 1996.
8. DIFIORI, J. P., J. C. PUFFER, and B. R. MANDELBAUM. Stress reaction of the distal radial growth plate and ulnar variance in non-elite gymnasts. Clin. J. Sports Med. 5:281, 1995.
9. FLEIGEL, C. P. Stress related widening of the radial growth plate in adolescents. Ann. Radiol. (Paris) 29:374-376, 1986.
10. HARCKE, H. T., M. SYNDER, P. A. CARO, and J. R. BOWEN. Growth plate of the normal knee: evaluation with MR imaging. Radiology 183:119-123, 1992.
11. HARRISON, R. B. and T. E. KEATS. Epiphyseal clefts. Skeletal Radiol. 5:23-27, 1980.
12. JARAMILLO, D., T. LAOR, and D. J. ZALESKE. Indirect trauma to the growth plate: results of MR imaging after epiphyseal and metaphyseal injury in rabbits. Radiology 187:171-178, 1993.
13. JARAMILLO, D. and F. A. HOFFER. Cartilaginous epiphysis and growth plate. Normal and abnormal MR imaging/ findings. AJR Am. J. Roentgenol. 158:1105-1110, 1992.
14. JARAMILLO, D., F. SHAPIRO, F. A. HOFFER, et al. Posttraumatic growth-plate abnormalities: MR imaging of bony-bridge formation in rabbits. Radiology 175:767-773, 1990.
15. KEATS, T. E. An Atlas of Normal Roentgen Variants That May Simulate Disease, 4th Ed. Chicago: Year Book Medical Publishers, 1988, pp. 463-465.
16. KEATS, T. E. and R. B. HARRISON. The epiphyseal spur. Skeletal Radiol. 5:175-177, 1980.
17. LYRITIS, G. Developmental disorders of the proximal epiphysis of the hallux. Skeletal Radiol. 10:250-254, 1983.
18. MANDELBAUM, B. R., A. R. BARTOLOZZI, C. A. DAVIS, L. TEURLINGS, and B. BRAGONIER. Wrist pain syndrome in the gymnast: pathogenic, diagnostic and therapeutic considerations. Am. J. Sports Med. 17:305-317, 1989.
19. OGDEN, J. A. Transphyseal linear ossific striations of the distal radius and ulna. Skeletal Radiol. 19:173-180, 1990.
20. READ, M. T. F. Stress fractures of the distal radius in adolescent gymnasts. Br. J. Sports Med. 15:272-276, 1981.
21. ROY, S., D. CAINE, and K. M. SINGER. Stress changes of the distal radial epiphysis in young gymnasts: a report of twenty-one cases and a review of the literature. Am. J. Sports Med. 13:301-308, 1985.
22. RUGGLES, D. L., H. A. PETERSON, and S. G. SCOTT. Radial growth plate injury in a female gymnast. Med. Sci. Sports Exerc. 23:393-396, 1991.
23. SHIH, C., C. Y. CHANG, I. W. PENN, C. M. TIU, T. CHANG, and J. J. WU. Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiology 195:855-859, 1995.
24. YONG-HING, K., J. H. WEDGE, and C. V. A. BOWEN. Chronic injury to the distal ulnar and radial growth plate in an adolescent gymnast. J. Bone Joint Surg. 70:1087-1089, 1988.