Table 6

 Case reports and case series of physeal injuries involving the distal radius of gymnasts

StudyNo of subjectsAge (years)Competitive levelResults
The sex of the patients is indicated: M, male; F, female.
MRI, Magnetic resonance imaging.
Read1223 F13.7Stress fractures involving the epiphysis and metaphysis of the distal radius
Roy12310 F12.2II, I, eliteStress changes, possibly stress fractures of the distal radial growth plate
1 M12
Fliegel1241 F14Stress induced widening of the distal radial growth plate
1 M14
Vender125117Premature bilateral closure of the ulnar side of the distal radial growth plate leading to a Madelung-like deformity
Carter1264 F14National, clubSalter type I stress fractures of the distal radial growth plate due to chronic repetitive force
17 M13.5
Yong-Hing1271 M13NationalStress related widening of the growth plates of the distal radius and ulna
Albanese1283 F13.3Chronic overuse leading to premature growth plate closure, resulting in shortening of radius and alterations in the distal radioulnar articulation
Ruggles1291 F12EliteBilateral widening of the distal radial growth plate
Li1301 F13Widening and irregularities of the distal radial growth plate and flaring of the distal radial metaphysis with spurring along its palmar aspect
Frizzell1311 M14Stress changes of the distal radial physis
Carek1321 F14Stress fracture (epiphysiolysis) of the distal radial growth plate
Nattiv1331 FRepetitive injury to the distal radial physis leading to hindered radial growth
Liebling1161 M13Club levelMRI findings showing widening of the distal radial growth plate and irregularity of the bordering metaphysis bilaterally
DiFiori911 F10.5Club levelBilateral stress injury to the distal radial growth plates
Howe1341 F14Club levelPremature closure of the right distal radial epiphysis
Bak1351 F14Radiovolar opening of the distal radial physis and premature closure of the ulnar part of the distal radial physis
Brooks1361 F21Traumatic physeal arrest resulting in Madelung deformity