Does Repetitive Physical Loading Inhibit Radial Growth in Female Gymnasts

Caine, Dennis; Howe, Warren B.; Ross, W.T.; Bergman, G.

doi:10.1097/00042752-199710000-00007

Cited by 45 publications

(30 citation statements)

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“…In particular, repetitive stress injury has been implicated in growth arrest of the distal radius of at least four female gymnasts. 5 Additionally several authors have described pathologic physeal widening or stress fracture secondary to repetitive trauma. 4 Multiple small series have shown stress related changes in the distal radial physis of gymnasts including physeal widening or irregularity on plain films.…”

Section: Discussionmentioning

confidence: 99%

Second Metatarsal Physeal Arrest in an Adolescent Flamenco Dancer: A Case Report

2008

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Section: Discussionmentioning

confidence: 99%

Second Metatarsal Physeal Arrest in an Adolescent Flamenco Dancer: A Case Report

2008

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“…16,40 However, little high-quality evidence supports or refutes this suggestion. In a systematic review 45 of repetitive loading in gymnasts, females were at risk for stress-related injuries of the distal radius, including distal radial physeal arrest, but the lower-quality evidence of most of the included studies limited the strength of conclusions regarding whether physeal injury can inhibit radial growth. In a more recent systematic review, 16 12 studies of baseball pitchers (3 case series, 9 case studies) with acute or chronic physeal injuries related to organized sport were analyzed.…”

Section: Background and Literature Reviewmentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

McLeod

Decoster²,

Loud

et al. 2011

Journal of Athletic Training

196

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Objective: To provide certified athletic trainers, physicians, and other health care professionals with recommendations on best practices for the prevention of overuse sports injuries in pediatric athletes (aged 6-18 years).Background: Participation in sports by the pediatric population has grown tremendously over the years. Although the health benefits of participation in competitive and recreational athletic events are numerous, one adverse consequence is sport-related injury. Overuse or repetitive trauma injuries represent approximately 50% of all pediatric sport-related injuries. It is speculated that more than half of these injuries may be preventable with simple approaches.Recommendations: Recommendations are provided based on current evidence regarding pediatric injury surveillance, identification of risk factors for injury, preparticipation physical examinations, proper supervision and education (coaching and medical), sport alterations, training and conditioning programs, and delayed specialization.

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“…48 The effects of dynamic load variation due to exercise in children has not been well established. 49 …”

Section: Introductionmentioning

confidence: 99%

Short and tall stature: a new paradigm emerges

et al. 2015

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In the past, the growth hormone (GH) – insulin-like growth factor-I (IGF-I) axis was thought to be the central system regulating childhood growth and therefore responsible for short stature and tall stature. However, recent findings have revealed that the GH-IGF-I axis is just one of many regulatory systems that control chondrogenesis in the growth plate, the biological process that drives height gain. Consequently, normal growth in children depends not only on GH and IGF-I but on multiple hormones, paracrine factors, extracellular matrix molecules, and intracellular proteins that regulate growth plate chondrocytes. Mutations in genes encoding many of these local proteins cause short stature or tall stature. Similarly genome-wide association studies have revealed that the normal variation in height appears to be due largely to genes outside the GH-IGF-I axis that affect growth at the growth plate through a wide variety of mechanisms. These findings point to a new conceptual framework for understanding short and tall stature, which is centered not on two particular hormones but rather on the growth plate, the structure responsible for height gain.

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Does Repetitive Physical Loading Inhibit Radial Growth in Female Gymnasts

Cited by 45 publications

References 0 publications

Second Metatarsal Physeal Arrest in an Adolescent Flamenco Dancer: A Case Report

Second Metatarsal Physeal Arrest in an Adolescent Flamenco Dancer: A Case Report

National Athletic Trainers' Association Position Statement: Prevention of Pediatric Overuse Injuries

Short and tall stature: a new paradigm emerges

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