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Acquired Madelung-like deformity in a gymnast
1Connecticut Combined Hand Service, Hartford Hospital, University of Connecticut, Newington Children's Hospital, Conn.
The Journal of Hand Surgery
|January 1, 1988
Summary
High-level gymnastic training can lead to wrist deformities. Repetitive stress may cause premature closure of the distal radius growth plate, resulting in a Madelung-like deformity in young athletes.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Medicine
Background:
- High-level gymnastic training places significant stress on the wrist.
- Repetitive microtrauma is a potential risk factor for skeletal abnormalities in athletes.
Observation:
- A case study involving a gymnast with extensive training history.
- The patient presented with bilateral closure of the ulnar side of the distal radius epiphyseal plate.
Findings:
- Cumulative microtrauma to the ulnar aspect of the distal radius epiphyseal plate can induce premature closure.
- This premature closure can result in developmental abnormalities, specifically a Madelung-like deformity.
Implications:
- Highlights the importance of monitoring skeletal development in young gymnasts.
- Suggests potential preventative strategies and early intervention for wrist injuries in athletes.
- Underscores the link between repetitive wrist loading and epiphyseal plate abnormalities.