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Trauma-Related Osteolysis, Pediatric Wrist
Carol L. Andrews, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        TERMINOLOGY

        • Synonyms

          • Gymnast wrist, epiphysiolysis
        • Definitions

          • Disordered cartilage maturation in distal radial physis related to overuse

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • Bone Scan

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • Growth Plate Vulnerability

                        • Growth Plate Injury Pattern

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Chawla A et al: Nonspecific wrist pain in gymnasts and cheerleaders. Clin Sports Med. 34(1):143-9, 2015
                                      2. Little JT et al: Pediatric distal forearm and wrist injury: an imaging review. Radiographics. 34(2):472-90, 2014
                                      3. Poletto ED et al: Radial epiphysitis (aka gymnast wrist). Pediatr Emerg Care. 28(5):484-5, 2012
                                      4. Davis KW: Imaging pediatric sports injuries: upper extremity. Radiol Clin North Am. 48(6):1199-211, 2010
                                      5. DiFiori JP et al: Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med. 34(5):840-9, 2006
                                      6. Ogden JA: Skeletal Injury in the Child. 3rd ed. Berlin: Springer Verlag. 153-60, 2000
                                      7. DiFiori JP et al: Wrist pain in young gymnasts: frequency and effects upon training over 1 year. Clin J Sport Med. 12(6):348-53, 2002
                                      8. Caine D et al: Does repetitive physical loading inhibit radial growth in female gymnasts? Clin J Sport Med. 7(4):302-8, 1997
                                      9. Liebling MS et al: Gymnast's wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. AJR Am J Roentgenol. 164(1):157-9, 1995
                                      10. De Smet L et al: Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts. Am J Sports Med. 22(6):846-50, 1994
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            TERMINOLOGY

                                            • Synonyms

                                              • Gymnast wrist, epiphysiolysis
                                            • Definitions

                                              • Disordered cartilage maturation in distal radial physis related to overuse

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • Bone Scan

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • Growth Plate Vulnerability

                                                            • Growth Plate Injury Pattern

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Chawla A et al: Nonspecific wrist pain in gymnasts and cheerleaders. Clin Sports Med. 34(1):143-9, 2015
                                                                          2. Little JT et al: Pediatric distal forearm and wrist injury: an imaging review. Radiographics. 34(2):472-90, 2014
                                                                          3. Poletto ED et al: Radial epiphysitis (aka gymnast wrist). Pediatr Emerg Care. 28(5):484-5, 2012
                                                                          4. Davis KW: Imaging pediatric sports injuries: upper extremity. Radiol Clin North Am. 48(6):1199-211, 2010
                                                                          5. DiFiori JP et al: Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med. 34(5):840-9, 2006
                                                                          6. Ogden JA: Skeletal Injury in the Child. 3rd ed. Berlin: Springer Verlag. 153-60, 2000
                                                                          7. DiFiori JP et al: Wrist pain in young gymnasts: frequency and effects upon training over 1 year. Clin J Sport Med. 12(6):348-53, 2002
                                                                          8. Caine D et al: Does repetitive physical loading inhibit radial growth in female gymnasts? Clin J Sport Med. 7(4):302-8, 1997
                                                                          9. Liebling MS et al: Gymnast's wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. AJR Am J Roentgenol. 164(1):157-9, 1995
                                                                          10. De Smet L et al: Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts. Am J Sports Med. 22(6):846-50, 1994