Gymnast wrist | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Gymnast wrist

AP (image 1), scaphoid view (image 2), and lateral (image 3) radiographs of the wrist in a gymnast demonstrate widening of the radial aspect of the radial physis, consistent with gymnast's wrist. Gymnast's wrist is an overuse injury affecting those who experience repetitive stress at the wrist joint. It is characterized as a Salter-Harris type I equivalent. Patients present with pain at the distal wrist, and radiographs show widening and irregularity of the physis.

More about this case

Trending now

AP radiograph of the wrist shows a longitudinally oriented fracture of the trapezium (arrow). Trapezium fractures are uncommon. When they occur, they are often associated with other fractures at the first metacarpal base or injuries of the wrist. Trapezium fractures occur as a result of direct axial loading of an abducted thumb.

X-ray of the wrist in a gymnast shows widening of the physis of the distal radius typical of gymnast’s wrist. This is a stress-related injury caused by compressive loading of the wrist. Athletes at risk have poor nutrition and are undergoing puberty and growth spurts. This injury is treated with rest.

AP (image 1) and internal rotation (image 2) radiographs of the shoulder in a baseball pitcher show widening of the proximal humeral physis (arrow), consistent with Little League shoulder. Little League shoulder is an overuse injury affecting overhead throwing athletes and is considered a Salter-Harris type I fracture equivalent. Treatment involves rest.

AP (image 1) and lateral (image 2) radiograph of the wrist show widening (arrow) of the distal radius physis and sclerosis along the metaphyseal margin consistent with gymnast wrist. Gymnast wrist is an overuse injury of the distal radius physis caused by chronic stress related to weightbearing caused by handstands and handsprings.