Gymnast's Wrist (Distal Radial Physeal Stress Syndrome)

Mauck, Benjamin M.; Kelly, Derek M.; Sheffer, Benjamin W.; Rambo, Anna; Calandruccio, James H.

doi:10.1016/j.ocl.2020.06.012

Cited by 16 publications

(22 citation statements)

References 28 publications

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“…The results of the present study regarding incidence of wrist pain and/or injury in current (82%) and former (93%) gymnasts also correspond well with previous studies reporting wrist pain with or without a diagnosed injury in up to 88% of gymnasts [6]. Further, the types of injuries reported by both groups of gymnasts matched previous studies and included muscle, ligament and tendon injuries, ulnar impaction syndrome, 'gymnast wrist', physeal fractures, TFCC tears, ganglion cysts, ulnar and median nerve disorders, and arthritis [4,5]. The common wrist injuries and pain are likely attributable to repetitive, highimpact, axial compression loading and torsional stresses on the joint and periarticular tissues associated with gymnastic activities [3,14].…”

Section: Discussionsupporting

confidence: 89%

“…Wrist and hand are the sixth-most injured body parts for female collegiate gymnasts, and the second-most frequently injured in the pediatric gymnastic population [3]. The most common wrist injuries reported for gymnasts include distal radial physeal stress injuries, scaphoid impaction syndrome, dorsal impingement syndrome, triangular fibrocartilage complex (TFCC) tears, ulnar impaction syndrome, and lunotriquetral impingement [4,5]. Importantly, wrist pain with or without a diagnosed injury has been reported to affect up to 88% of gymnasts at some time during their careers [6].…”

Section: Introductionmentioning

confidence: 99%

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Wrist Support Does Not Prevent Wrist Injury or Pain but May be Therapeutic for Existing Wrist Pain in Female Gymnasts

2022

Sports Injr Med

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Objective: To determine effects of wrist support use by female gymnasts based on self-reported wrist support use, wrist pain, and wrist injury to provide foundational data for designing subsequent prospective studies aimed at optimizing use of wrist support in gymnastics. Methods: A survey was distributed to current and former female gymnasts. Data collection was carried out using a commercially available electronic platform with de-identified data collected from participants. Descriptive statistics were calculated and comparisons for statistically significant (p<0.05) differences among variables of interest were determined. Results: In total, 343 female gymnasts (149 current and 194 former athletes) completed the questionnaire. Overall, 81.9% reported wrist injury/pain (mean number of 2.6 wrist injuries per injured athlete). Also, 61% of athletes reported using wrist support and 78.7% reported less pain with wrist support use; 39.3% reported needing to adjust the pre-designed wrist brace with additional tape/inserts to provide adequate support. In addition, 93% of former athletes experienced wrist pain/injury (mean number of 1.9 wrist injuries per injured athlete). A significantly higher proportion of former athletes used wrist support compared to current athletes (p=0.0017). Further, 91% of former gymnasts noted wrist injury and/or pain despite wrist support use, and 39.4% of athletes modified their supports in attempt to improve their symptoms. Conclusion: Results of the study support previous data denoting high incidence of wrist injuries and wrist pain in female gymnasts and suggest that wrist braces and/or taping was not associated with prevention of wrist injuries or pain but did mitigate existing wrist pain.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Wrist Support Does Not Prevent Wrist Injury or Pain but May be Therapeutic for Existing Wrist Pain in Female Gymnasts

2022

Sports Injr Med

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“…The most injury or pain in the upper body is in the wrist area used to support the body's weight [21]. Excessive loading at an early age has long-term injury effects on the upper body, especially in the wrist area, as well as the elbow and shoulder area [22]. Injuries occur because most of the load rests on the upper extremity.…”

Section: Discussionmentioning

confidence: 99%

Gymnastics Training Consequences: Possibility of Upper and Lower Body Pain

Ugelta¹,

Sutresna²,

Rahayu³

et al. 2022

saj

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“…This is mainly detected in artistic and rhythmic gymnastics athletes. These activities particularly overload certain joints, less interested in most other sports, such as wrists, whose pain incidence increases as participation and level of competition increase [2,[24][25][26]. Hence, the definition of "gymnast's wrist" [27].…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Pain in Gymnasts: A Retrospective Analysis on a Cohort of Professional Athletes

Farì

Fischetti

Zonno

et al. 2021

IJERPH

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Gymnastics athletes are exposed to a high risk of injury, but also of developing musculoskeletal pain. These data are still little investigated in the available scientific literature. An online survey was distributed to 79 professional athletes who practiced artistic and rhythmic gymnastics. The survey collected demographic and anthropometric data, information about the sport practice, the training sessions, the prevalence of musculoskeletal pain gymnastics-related, and lifestyle habits. Musculoskeletal pain had a high prevalence, involving 65 of 79 athletes (82.3%). A significant correlation was found between musculoskeletal pain and the duration of sports practice, both for general pain (p = 0.041) and for specific districts: right wrist pain (p = 0.031), left wrist pain (p = 0.028), right shoulder (p = 0.039), left hip (p = 0.031), right thigh (p = 0.031), and left knee (p = 0.005). Another statistical association was found between right wrist pain and BMI (p = 0.001), and hip pain and BMI (p = 0.030). Hours spent in a sitting position were also correlated with the incidence of pain (p = 0.045). Wrist pain and right shoulder pain had a statistically significant association with the age of the athletes (right wrist pain: p = 0.038; left wrist pain: p = 0.004; right shoulder pain: p = 0.035). The more the gymnasts practice this sport, the more likely they are to develop musculoskeletal pain. Increased age and a higher BMI, as well as daily prolonged sitting position, seem to be potential risk factors for the onset of musculoskeletal pain. Future studies could plan training strategies aimed at preventing musculoskeletal pain associated with gymnastics, in order to promote its further spread.

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Gymnast's Wrist (Distal Radial Physeal Stress Syndrome)

Cited by 16 publications

References 28 publications

Wrist Support Does Not Prevent Wrist Injury or Pain but May be Therapeutic for Existing Wrist Pain in Female Gymnasts

Wrist Support Does Not Prevent Wrist Injury or Pain but May be Therapeutic for Existing Wrist Pain in Female Gymnasts

Gymnastics Training Consequences: Possibility of Upper and Lower Body Pain

Musculoskeletal Pain in Gymnasts: A Retrospective Analysis on a Cohort of Professional Athletes

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