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Gymnast wrist

L De Smet1, A Claessens, G Fabry

  • 1Department of Orthopaedic Surgery, University Hospital Pellenberg, K.U. Leuven, Lubbeek-Pellenberg, Belgium.

Acta Orthopaedica Belgica
|January 1, 1993
PubMed
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Repetitive stress in young gymnasts can cause premature growth plate closure, leading to gymnast wrist. Early intervention, like arthroscopic debridement of the triangular fibrocartilage complex (TFCC), can be successful.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Pediatric Sports Injuries

Background:

  • Repetitive loading of immature joints can cause premature growth plate closure.
  • Gymnast wrist, a Madelung-like deformity, is a known consequence in young athletes.
  • Understanding the biomechanical factors is crucial for preventing and treating this condition.

Purpose of the Study:

  • To present new cases of gymnast wrist.
  • To identify characteristic radiographic findings in affected individuals.
  • To evaluate treatment outcomes for this specific wrist injury.

Main Methods:

  • Case series presentation of six gymnasts with gymnast wrist.
  • Radiographic analysis including ulnar-plus variance and distal radial epiphysis sagittal angle.

Related Experiment Videos

  • Review of treatment strategies, including surgical intervention.
  • Main Results:

    • All six cases exhibited ulnar-plus variance and increased distal radial epiphysis sagittal angle.
    • Five gymnasts ceased their sports careers due to the condition.
    • One patient successfully underwent arthroscopic debridement of the triangular fibrocartilage complex (TFCC).

    Conclusions:

    • Gymnast wrist is associated with specific radiographic abnormalities.
    • The condition often necessitates career termination for gymnasts.
    • Arthroscopic debridement of the TFCC presents a viable treatment option for select cases.