Albanese S A, Palmer A K, Kerr D R, Carpenter C W, Lisi D, Levinsohn E M
Department of Orthopedic Surgery, SUNY Health Science Center, Syracuse 13202.
J Pediatr Orthop. 1989 Jan-Feb;9(1):23-8. doi: 10.1097/01241398-198901000-00005.
Three cases in which wrist pain developed in skeletally immature competitive gymnasts are presented. In all three cases there is radiographic evidence of premature growth plate closure, resulting in shortening of the radius and alterations in the normal distal radioulnar articulation. Repetitive compressive loading of the distal growth plate of the radius is proposed as a potential etiology of this condition. Treatment goals, including an example of successful ulnar shortening, are reviewed. The authors suggest activity limitation with the onset of symptoms, in order to avoid the permanent structural changes observed in our patients.
本文介绍了三例骨骼未成熟的竞技体操运动员出现手腕疼痛的病例。在所有三例病例中，影像学证据显示生长板过早闭合，导致桡骨缩短以及正常的下尺桡关节改变。桡骨远端生长板的反复压缩负荷被认为是这种情况的潜在病因。文中回顾了治疗目标，包括成功进行尺骨缩短术的一个例子。作者建议在症状出现时限制活动，以避免在我们的患者中观察到的永久性结构变化。
