PMID: 8970137Dec 1, 1996Paper

Wrist pain in a young gymnast: unusual radiographic findings and MRI evidence of growth plate injury

Medicine and Science in Sports and Exercise
John P DiFiori, B R Mandelbaum

Abstract

A 10-yr-old gymnast, training well below the elite level, reported a 3-wk history of bilateral dorsal wrist pain. Physical examination and radiographic findings were consistent with stress injury to the distal radial growth plates. The patient's radiographs also displayed rare findings including cleft radial and ulnar epiphyses, as well as epiphyseal spur formation. Magnetic resonance imaging (MRI) demonstrated evidence of metaphyseal and epiphyseal ischemia of the growth plate. The patient responded well to conservative treatment, including ice, splinting, and activity modification. This case illustrates several potentially confusing radiographic abnormalities and the emerging role of MRI in evaluating wrist pain in young gymnasts.

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Citations

Dec 16, 1997·The American Journal of Sports Medicine·J P DiFioriF Dorey
Feb 24, 2006·The American Journal of Sports Medicine·John P DiFioriRobert M Malina
Jan 24, 2014·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Luísa AmaralPaulo Santos
Nov 28, 2017·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Cici ZhangSirun Liu
Dec 6, 2002·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·John P DiFioriFrederick Dorey
Sep 8, 2010·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·John P Difiori
Oct 12, 2010·The American Journal of Sports Medicine·Arnd SteinbrueckBernhard Heimkes
Jul 3, 2013·Journal of Pediatric Orthopedics·Justin C KennonJohn A Ogden
Dec 25, 2013·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·John P DiFioriAnthony Luke
Mar 1, 2017·Acta ortopedica brasileira·María Roxana Viamont GuerraLiane Hulle Catani
Jun 27, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Cici ZhangSirun Liu
Dec 2, 1998·Current Problems in Diagnostic Radiology·M W AndersonG G Degnan
Aug 10, 2021·Sports Medicine·Dennis CaineNicola Maffulli

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