DiFiori J P, Mandelbaum B R
Division of Family Medicine, University of California, Los Angeles 90024, USA.
Med Sci Sports Exerc. 1996 Dec;28(12):1453-8. doi: 10.1097/00005768-199612000-00002.
A 10-yr-old gymnast, training well below the elite level, reported a 3-wk history of bilateral dorsal wrist pain. Physical examination and radiographic findings were consistent with stress injury to the distal radial growth plates. The patient's radiographs also displayed rare findings including cleft radial and ulnar epiphyses, as well as epiphyseal spur formation. Magnetic resonance imaging (MRI) demonstrated evidence of metaphyseal and epiphyseal ischemia of the growth plate. The patient responded well to conservative treatment, including ice, splinting, and activity modification. This case illustrates several potentially confusing radiographic abnormalities and the emerging role of MRI in evaluating wrist pain in young gymnasts.
一名10岁的体操运动员，训练水平远低于精英级别，报告有双侧腕背疼痛3周的病史。体格检查和影像学检查结果与桡骨远端生长板应力损伤一致。该患者的X线片还显示出罕见的表现，包括桡骨和尺骨骨骺裂以及骨骺骨刺形成。磁共振成像（MRI）显示生长板干骺端和骨骺缺血的证据。患者对保守治疗反应良好，包括冰敷、夹板固定和调整活动。本病例说明了几种可能令人困惑的影像学异常以及MRI在评估年轻体操运动员腕部疼痛方面新出现的作用。
