Gymnasts Wrist (Distal Radial Epiphysitis) Introduction Gymnast's wrist, more appropriately termed distal radial epiphysitis, is an uncommon cause of wrist pain in most athletes but commonly seen in gymnasts.
Gymnasts Wrist (Distal Radial Epiphysitis) Gymnast's wrist, more appropriately termed distal radial epiphysitis, is an uncommon cause of wrist pain in most athletes but commonly seen in gymnasts. It is caused by repetitive microtrauma with axial load bearing in the wrist. It can be considered a chronic salter harris 1 fracture.
Overall, it is poorly described in the literature which is mostly limited to case reports. One study estimated that it affects between 46% and 79% of gymnasts Pathophysiology Essentially, the wrist experiences excessive loads when using the wrist as a weight bearing joint.
This leads to repetitive compressive loads and shearing forces on the dorsiflexed wrist. This repetitive stress leads to inflammation of the physis. In the skeletally immature athlete, physis is weaker than the joint capsule and ligamentous structures.
Microtrauma can lead to premature fusion of physis and excessive overgrowth of Ulna. This may be due to either physeal microfractures or temporary ischemia. It is most commonly seen in gymnastics, especially parallel bars, vault, balance beam and floor exercises.
There are also case reports in weight lifting and rock climbing. Widening physis with ulnar variance Widening physis with ulnar variance Clinical Features The typical patient is a female gymnast between age 10 and 14. The onset is gradual over weeks to months without trauma.
If you are experiencing symptoms that may be related to gymnasts wrist (radial epiphysitis), it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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