Wrist injuries in adolescent gymnasts of a Chinese opera school : radiographic survey
Identifieur interne : 000964 ( PascalFrancis/Checkpoint ); précédent : 000963; suivant : 000965Wrist injuries in adolescent gymnasts of a Chinese opera school : radiographic survey
Auteurs : CHENG-YEN CHANG [Taïwan] ; CHUHSI SHIH [Taïwan] ; I-WEN PENN ; CHUI-MEI TIU [Taïwan] ; TSUEN CHANG [Taïwan] ; JIUNN-JER WUSource :
- Radiology [ 0033-8419 ] ; 1995.
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- Pascal (Inist)
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Abstract
PURPOSE: To determine the prevalence of chronic wrist injuries among adolescent gymnasts and the consequences of repetitive stress. MATERIALS AND METHODS: Students of a Chinese opera school underwent radiography of both wrists and answered a questionnaire. They were separated into study (n=261) and control (n=63) groups according to participation in or abstinence from exercise training, respectively. They were further separated into fused and unfused physis subgroups. The ulnar variance was measured on posteroanterior radiographs. Abnormalities of distal radii were investigated. RESULTS: An increase in both mean ulnar variance and frequency of ulnar-plus variance was noted in the study subgroups. Fourteen (8.2%) of 170 wrists of the fused physis study subgroup had an exceedingly large ulnar-plus variance. Sixty-one (17.3%) of 352 wrists had abnormal morphology of the distal radii in the unfused physis study subgroup. Widening of the physis was the most common finding. CONCLUSION: Chronic, repetitive stress in the wrists of adolescent gymnasts results in a localized growth disturbance of the distal radius with resultant ulnar-plus variance. Stress injuries of the physis may lead to permanent sequelae, even in asymptomatic individuals
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112</wicri:noRegion></affiliation></author><author><name sortKey="I Wen Penn" sort="I Wen Penn" uniqKey="I Wen Penn" last="I-Wen Penn">I-WEN PENN</name></author><author><name sortKey="Chui Mei Tiu" sort="Chui Mei Tiu" uniqKey="Chui Mei Tiu" last="Chui-Mei Tiu">CHUI-MEI TIU</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Veterans gen. hosp.-Taipei, dep. radiology</s1><s2>Taipei 112</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taipei 112</wicri:noRegion></affiliation></author><author><name sortKey="Tsuen Chang" sort="Tsuen Chang" uniqKey="Tsuen Chang" last="Tsuen Chang">TSUEN CHANG</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Veterans gen. hosp.-Taipei, dep. radiology</s1><s2>Taipei 112</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taipei 112</wicri:noRegion></affiliation></author><author><name 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aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taipei 112</wicri:noRegion></affiliation></author><author><name sortKey="Chuhsi Shih" sort="Chuhsi Shih" uniqKey="Chuhsi Shih" last="Chuhsi Shih">CHUHSI SHIH</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Veterans gen. hosp.-Taipei, dep. radiology</s1><s2>Taipei 112</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taipei 112</wicri:noRegion></affiliation></author><author><name sortKey="I Wen Penn" sort="I Wen Penn" uniqKey="I Wen Penn" last="I-Wen Penn">I-WEN PENN</name></author><author><name sortKey="Chui Mei Tiu" sort="Chui Mei Tiu" uniqKey="Chui Mei Tiu" last="Chui-Mei Tiu">CHUI-MEI TIU</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Veterans gen. hosp.-Taipei, dep. radiology</s1><s2>Taipei 112</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taipei 112</wicri:noRegion></affiliation></author><author><name sortKey="Tsuen Chang" sort="Tsuen Chang" uniqKey="Tsuen Chang" last="Tsuen Chang">TSUEN CHANG</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Veterans gen. hosp.-Taipei, dep. radiology</s1><s2>Taipei 112</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taipei 112</wicri:noRegion></affiliation></author><author><name sortKey="Jiunn Jer Wu" sort="Jiunn Jer Wu" uniqKey="Jiunn Jer Wu" last="Jiunn-Jer Wu">JIUNN-JER WU</name></author></analytic><series><title level="j" type="main">Radiology</title><title level="j" type="abbreviated">Radiology</title><idno type="ISSN">0033-8419</idno><imprint><date when="1995">1995</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Radiology</title><title level="j" type="abbreviated">Radiology</title><idno type="ISSN">0033-8419</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Athlete</term><term>China</term><term>Evolution</term><term>Gymnastics</term><term>Hand</term><term>Radiography</term><term>Radiologic investigation</term><term>Repeated stress</term><term>Upper limb</term><term>Wrist</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Contrainte répétée</term><term>Poignet</term><term>Main</term><term>Membre supérieur</term><term>Sportif</term><term>Gymnastique</term><term>Exploration radiologique</term><term>Radiographie</term><term>Evolution</term><term>Adolescent</term><term>Chine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">PURPOSE: To determine the prevalence of chronic wrist injuries among adolescent gymnasts and the consequences of repetitive stress. MATERIALS AND METHODS: Students of a Chinese opera school underwent radiography of both wrists and answered a questionnaire. They were separated into study (n=261) and control (n=63) groups according to participation in or abstinence from exercise training, respectively. They were further separated into fused and unfused physis subgroups. The ulnar variance was measured on posteroanterior radiographs. Abnormalities of distal radii were investigated. RESULTS: An increase in both mean ulnar variance and frequency of ulnar-plus variance was noted in the study subgroups. Fourteen (8.2%) of 170 wrists of the fused physis study subgroup had an exceedingly large ulnar-plus variance. Sixty-one (17.3%) of 352 wrists had abnormal morphology of the distal radii in the unfused physis study subgroup. Widening of the physis was the most common finding. CONCLUSION: Chronic, repetitive stress in the wrists of adolescent gymnasts results in a localized growth disturbance of the distal radius with resultant ulnar-plus variance. Stress injuries of the physis may lead to permanent sequelae, even in asymptomatic individuals</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0033-8419</s0></fA01><fA02 i1="01"><s0>RADLAX</s0></fA02><fA03 i2="1"><s0>Radiology</s0></fA03><fA05><s2>195</s2></fA05><fA06><s2>3</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Wrist injuries in adolescent gymnasts of a Chinese opera school : radiographic survey</s1></fA08><fA11 i1="01" i2="1"><s1>CHENG-YEN CHANG</s1></fA11><fA11 i1="02" i2="1"><s1>CHUHSI SHIH</s1></fA11><fA11 i1="03" i2="1"><s1>I-WEN PENN</s1></fA11><fA11 i1="04" i2="1"><s1>CHUI-MEI TIU</s1></fA11><fA11 i1="05" i2="1"><s1>TSUEN CHANG</s1></fA11><fA11 i1="06" i2="1"><s1>JIUNN-JER WU</s1></fA11><fA14 i1="01"><s1>Veterans gen. hosp.-Taipei, dep. radiology</s1><s2>Taipei 112</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA20><s1>861-864</s1></fA20><fA21><s1>1995</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>6163</s2><s5>354000050667340480</s5></fA43><fA44><s0>0000</s0></fA44><fA45><s0>18 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>95-0362964</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Radiology</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>PURPOSE: To determine the prevalence of chronic wrist injuries among adolescent gymnasts and the consequences of repetitive stress. MATERIALS AND METHODS: Students of a Chinese opera school underwent radiography of both wrists and answered a questionnaire. They were separated into study (n=261) and control (n=63) groups according to participation in or abstinence from exercise training, respectively. They were further separated into fused and unfused physis subgroups. The ulnar variance was measured on posteroanterior radiographs. Abnormalities of distal radii were investigated. RESULTS: An increase in both mean ulnar variance and frequency of ulnar-plus variance was noted in the study subgroups. Fourteen (8.2%) of 170 wrists of the fused physis study subgroup had an exceedingly large ulnar-plus variance. Sixty-one (17.3%) of 352 wrists had abnormal morphology of the distal radii in the unfused physis study subgroup. Widening of the physis was the most common finding. CONCLUSION: Chronic, repetitive stress in the wrists of adolescent gymnasts results in a localized growth disturbance of the distal radius with resultant ulnar-plus variance. 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