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Stress changes of the distal radial epiphysis in young gymnasts

A report of twenty-one cases and a review of the literature

Sports Injuries and Running Clinic, and Orthopaedic and Fracture Clinic, Eugene, Oregon

Dennis Caine, MEd

Sports Injuries and Running Clinic, and Orthopaedic and Fracture Clinic, Eugene, Oregon

Kenneth M. Singer, MD

Sports Injuries and Running Clinic, and Orthopaedic and Fracture Clinic, Eugene, Oregon

Between 1980 and 1983, 21 young, high-performance gymnasts with stress changes related to the distal radial epiphysis, were treated and followed for a mean of 24 months (range, 6 to 42 months). Eleven of the gymnasts presented with roentgenographic changes of the distal radial epiphysis, and in these recovery took at least 3 months. This group was compared to a group of ten gymnasts who had similar symptoms but no roentgenographic changes, and who recovered within an average of 4 weeks.

The roentgenographic changes, which are de scribed in detail, are considered to represent stress changes, possibly stress fractures, of the distal radial epiphysis. No residual growth-related problems have been observed. Possible etiologic factors are dis cussed, and the literature as it pertains to stress-related adaptation and injury in the growing athlete is reviewed.

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