Distal radius epiphysitis in a young gymnast: Review of the literature based on a case study
ESSKA Academy. Patiño J. 11/08/19; 284431; epESMA-18 Topic: Sports Related Injuries
Dr. Jose Luis Patiño
Dr. Jose Luis Patiño
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Distal radius epiphysitis in a young gymnast: Review of the literature based on a case study

ePoster - epESMA-18

Topic: Sports Injury and Return to Competition Criteria

Patiño J.L., Marin Aguado M.A., Ruiz Zafra J.E., Moreno Fenoll I., Fahandezh Saddhi H., Martínez Martín J.
Hospital Universitario Fundación Alcorcón, Cirugía Ortopédica y traumatología, Madrid, Spain

Introduction: We describe the case of a twelve-years-old woman who performs elite artistic gymnastics, and comes to our hospital because of pain in both wrists that caused the cessation of the sport activity in the previous weeks. No trauma was in relation to the symptoms.
Objective and methods: Based on this case, we present an actualized review of the literature related to the biomechanics and anatomic risk factors for this disease. Furthermore, we included the revision of the correct management of the patient during the follow up. Clinical history, physical examination and radiology tests are described in this study.
Results and conclusion: Chronic wrist pain is a common complain of competitive athletes, especially in sports such as gymnastics. In these disciplines several forces are supported repeatedly by distal radius from very early ages (especially related to weight bearing when extreme pronation and supination is performed).
The diagnose was distal radius epiphysitis (also called Gymnast wrist), and it is a prevalent injury in gymnasts that sometime remains asymptomatic. This damage of the physis is usually suffered by patients under fourteen years-old, given that physis are more vulnerable to injuries after repetitive microtraumatisms.
Since no surgical treatment is needed and other surgical diseases may appear in the differential diagnosis, a correct comprehension of the distal radius epiphysitis is needed among sport medicine specialists.The treatment consists of controlled cessation of training, being clinical and radiological monitoring the way of controlling the recovery process.
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