Proximal Radial Head Fractures in Young Gymnasts: A Case Series of Newly Described Overuse Injuries

Jaron Santelli, Teri Metcalf McCambridge, Amy E. Valasek, Kathleen Standiford

Research output: Contribution to journalArticle

Abstract

We report a case series of unilateral Salter-Harris IV fractures of the proximal radial heads in young female gymnasts. To date, there are no previous reports of such injuries in gymnastics. In all 3 athletes, no significant injury preceded presentation or diagnosis. Radiographs and magnetic resonance imaging showed fractures and associated bone marrow edema of the proximal radial head, respectively. All but 1 was treated nonoperatively with success. Given the lack of acute trauma, lack of large effusion, and good range of motion at presentation, these injuries are believed to be chronic in nature and related to overuse. This case series highlights the need for routine surveillance and the limiting of upper extremity weight bearing when possible in gymnasts.

Original languageEnglish (US)
JournalClinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
Volume29
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

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Cumulative Trauma Disorders
Wounds and Injuries
Gymnastics
Weight-Bearing
Articular Range of Motion
Upper Extremity
Athletes
Edema
Bone Marrow
Magnetic Resonance Imaging

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

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