Diaphyseal Both-Bone Forearm Fracture Due to a Grip Lock Injury in a Female Pediatric Gymnast

Colon, Roberto; Olivella, Gerardo; Pinci, Marcantonio  V.; Rivera, Claribel; Ramírez, Norman; Guzmán, Humberto

doi:10.2106/jbjs.cc.20.00809

Cited by 1 publication

(9 citation statements)

References 13 publications

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“…In the literature, as far as we know, a single case study ( n = 1) was identified for DG injury in female gymnasts. According to this case study, which is presented in the current study, Colon et al [ 21 ] reported that a 13-year-old female pediatric gymnast suffered a diaphyseal fracture of both bones in her forearm as a result of a GL injury. Additionally, they reported that the injury was treated successfully with closed reduction and cast immobilization.…”

Section: Discussionmentioning

confidence: 80%

“…The characteristics of the studies included in the systematic review can be found in Table 3 . From the total number of ninety studies, five [ 13 , 18 , 20 , 21 , 34 ] that focused on GL injury were used for this review ( Table 3 ). In contrast, other articles analyzed musculoskeletal issues, fractures of the distal radius, physical injuries in general, mechanisms of upper extremity injuries, muscle activity and its relation to chronic injury, and the impact of sport specialization.…”

Section: Resultsmentioning

confidence: 99%

“…When the included studies were analyzed, cubital grip position was the most common position in the course of GL injury. The cubital grip position occurs when the dowel of the leather strap meets the bar during forearm pronation, wrist flexion, and internal rotation of the shoulder [ 21 ]. Regarding the included studies, it was observed that only four studies were conducted on males (four studies, five cases).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, they reported that the injury was treated successfully with closed reduction and cast immobilization. Furthermore, during the two-year follow-up, the patient (she) did not report any pain, and was actively performing gymnastics with normal grip strength and range of motion [ 21 ]. No reports exist on GL injuries in female gymnasts, except for the above study.…”

Section: Discussionmentioning

confidence: 99%

“…When the gymnast’s body moves with momentum, this can lead to forearm fractures and acute extensor tendon injuries [ 10 , 15 , 16 , 17 , 18 , 19 , 20 ]. If a gymnast experiences such severe injuries, they may have to withdraw from competition without completing their routine [ 15 , 19 , 21 ]. Therefore, it is important to follow proper form and technique when using DG or any gymnastics equipment to reduce the risk of injury, and preventing GL injuries is considered a crucial factor in successful performance in AG.…”

Section: Introductionmentioning

confidence: 99%

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The Risk Factors Associated with Grip Lock Injuries in Artistic Gymnasts: A Systematic Review

Kara

Sağiroğlu

Vurgun

et al. 2023

IJERPH

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Artistic gymnastics (AG) is a sport that demands grace, strength, and flexibility, leading to a broad spectrum of injuries. The dowel grip (DG) is widely used by gymnasts to securely hold onto the high bar or uneven bars. However, incorrect usage of the DG can result in grip lock (GL) injuries. This systematic review aims to (1) identify studies that have investigated the risk factors related to GL injuries among gymnasts and (2) synthesize the key evidence. A comprehensive electronic search was conducted in the following databases: PubMed, ScienceDirect, Elsevier, SportDiscus, and Google Scholar, covering the period from their inception until November 2022. The data extraction and analysis were independently completed by two investigators. A total of 90 relevant studies were initially identified, out of which seven clinical trials met the eligibility criteria. For the quantitative synthesis, five studies were included. The details extracted from each article include: the sample characteristics (number, gender, age, and health status), the study design, the instrumentation or intervention used, and the final results. Our results revealed that the underlying causes of the risk factors of GL injuries were the irregular checking of the dowel grip and the mating surface of the bar, the tearing of the dowel of the leather strap, and the use of the dowel grip in different competition apparatuses. In addition, GL injuries may occur either as severe forearm fractures or mild injuries. Excessive flexion of the forearm and overpronation of the wrist during rotational movements, such as the swing or backward/forward giant circle, may increase the possibility of GL injury on the high bar. Future studies should focus on GL injury prevention strategy and rehabilitation protocol for GL injuries. Further high-quality research is required to establish the validity of these findings.

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Section: Discussionmentioning

confidence: 80%