Table 7

 Cross sectional studies of physeal injuries affecting gymnasts

StudyNo of subjectsAge (years)LevelDiagnosis/condition
The sex of the patients is indicated: M, male; F, female.
Auberge14657 F14–17Junior nationalChronic osteoarticular lesions involving the distal radial growth plate (85%)
41 M17–33Junior nationalChronic osteoarticular lesions involving the distal radial growth plate (80%)
Szot14741 M15–31NationalDistal radial epiphyseal irregularities (58.5%)
Roy12326 F9–14Class IIMinimal widening and irregularity of the distal radial growth plate (30.8%)
Caine14839 F12.6Class III, II, IMinimal widening and irregularities of the distal radial physis (10%)
21 M12.6Class IV,III, II, IDefinite changes of subchondral sclerosis, physeal widening, marginal new bone formation, and distortion of the distal end of the radius (4.8%)
DeSmet149156 F (not fused)15.9NationalEnlargement of the distal radial growth plate with irregular borders in 10% of the cases; at baseline, 23 of 50 gymnasts had wrist pain
Chang150176 (77 F; 99 M)11–16Chinese opera studentsUnfused group: 10 girls (14.3%) and 32 boys (32.3%) showed stress related changes of the distal radial growth plate;23 cases showed early partial closure of the distal radial growth plate
DiFiori15144 (27 F; 17 M11.6Non-elite11 gymnasts (25%; M,F) showed radiographic evidence of stress injury to the distal radial physis
DiFiori1759 (28 F; 31 M)9.3Club levelWrist pain was reported by 56% (33 of 59) of the gymnasts, with 45% 15 (of 33) describing pain of at least 6 months; 51% of the gymnasts (30 of 59) had finding of stress injury to the distal radial physis of at least grade 2