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Gymnast Wrist: An Epidemiologic Survey of Ulnar Variance and Stress Changes of the Radial Physis in Elite Female Gymnasts

Orthopaedic Department, University Hospital Pellenberg, K. U. Leuven, Pellenberg

Albrecht Claessens, PhD

Faculty of Physical Education and Physiotherapy, K. U. Leuven, Leuven, Belgium

Johan Lefevre, PhD

Faculty of Physical Education and Physiotherapy, K. U. Leuven, Leuven, Belgium

Gaston Beunen, PhD

Faculty of Physical Education and Physiotherapy, K. U. Leuven, Leuven, Belgium

The ulnar variance in female gymnasts attending the World Championship Artistic Gymnastics Rotterdam 1987 was measured. There was a marked increase in the ulnar length in adult as well as immature gymnast compared with nonathletes. The changes in relative ul nar length were correlated to weight, height, and skel etal age of the athletes. In 10% of the gymnasts' wrists we noted so-called "stress-related changes" of the distal physis of the radius. Repetitive injury and compression of the wrist leads to a premature closure of the distal radial growth plate resulting in secondary ulnar overgrowth.

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