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Physeal Injury Other Than Fracture pp 281–288Cite as

Stress

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Abstract

The term stress injury used in this chapter connotes increased repetitive force to of the physis, rather than a technical bioengineering definition. It results in pain, widening and irregular margins of the physis, and premature or delayed closure of the physis.

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References

Introduction

  1. Cahill BR (1977) Stress fracture of the proximal tibial epiphysis: a case report. Am J Sports Med 5(5):186–187

    Article  PubMed  CAS  Google Scholar 

  2. Caine DJ, Linder KJ (1985) Overuse injuries of growing bones: the young female gymnast at risk? Phys Sports Med 13:51–64

    Google Scholar 

  3. Devas MB (1963) Stress fractures in children. J Bone Joint Surg Br 45:528–541

    PubMed  CAS  Google Scholar 

  4. Gill TJ, Micheli LJ (1996) The immature athlete: common injuries and overuse syndromes of the elbow and wrist. Clin Sports Med 15(2):401–423

    PubMed  Google Scholar 

  5. Godshall RW, Hansen CA, Rising DC (1981) Stress fractures through the distal femoral epiphysis in athletes. A previously unpublished entity. Am J Sports Med 9:114–116

    Article  PubMed  CAS  Google Scholar 

  6. Maffulli N, Chan D, Aldridge MJ (1992) Overuse injuries of the olecranon in young gymnasts. J Bone Joint Surg Br 74:305–308

    PubMed  CAS  Google Scholar 

  7. Ogden JA (2000) Repetitive physeal injury. In: Ogden JA (ed) Skeletal injury in the child, 3rd edn. Springer, New York, pp 406–407, Chapter 12

    Google Scholar 

  8. Peterson HA (2007) Epiphyseal growth plate fractures. Springer, Heidelberg, p 914

    Google Scholar 

  9. Yong-Hing K, Wedge JH, Bown CVA (1988) Chronic injury to the distal ulnar and radial growth plates in an adolescent gymnast: a case report. J Bone Joint Surg Am 70:1087–1089

    PubMed  CAS  Google Scholar 

Mechanism of Injury

  1. Bright RW, Richmond V, Burstein AH, Elmore SM (1974) Epiphyseal-plate cartilage. A biomechanical and histological analysis of failure modes. J Bone Joint Surg Am 56:688–703

    PubMed  CAS  Google Scholar 

  2. Neal RJ, Kippers V, Plooy D, Forwood MR (1995) The influence of hand guards on forces and muscle activity ­during giant swings on the high bar. Med Sci Sports Exerc 27(11):1550–1556

    PubMed  CAS  Google Scholar 

  3. Ruggles DL, Peterson HA, Scott SG (1991) Radial growth plate injury in a female gymnast. Med Sci Sports Exerc 23(4):393–396

    PubMed  CAS  Google Scholar 

  4. Smith JW (1962) The relationship of epiphysial plates to stress in some bones of the lower limb. J Anat 96:58–78

    PubMed  CAS  Google Scholar 

Evaluation

  1. Alexander CJ (1976) Effect of growth rate on the strength of the growth plate-shaft junction. Skeletal Radiol 1:67–76

    Article  Google Scholar 

  2. Attkiss KJ, Buncke HJ (1998) Physeal growth arrest of the distal phalanx of the thumb in an adolescent pianist: a case report. J Hand Surg Am 23(3):532–535

    Article  PubMed  CAS  Google Scholar 

  3. Caine D, DiFiori J, Maffuli N (2006) Physeal injuries in children’s and youth sports: reasons for concern? Br J Sports Med 40:749–760

    Article  PubMed  CAS  Google Scholar 

  4. Connolly SA, Connolly LP, Jaramillo D (2001) Imaging of sports injuries in children and adolescents. Radiol Clin North Am 39(4):773–790

    Article  PubMed  CAS  Google Scholar 

  5. DiFiori JP, Caine DJ, Malina RM (2006) Wrist pain, distal radial physeal injury, and ulnar variance in the young gymnast. Am J Sports Med 34(5):840–849

    Article  PubMed  Google Scholar 

  6. Gerber SD, Griffin PP, Simmons BP (1986) Break dancer’s wrist. Case report. J Pediatr Orthop 6(1):98–99

    Article  PubMed  CAS  Google Scholar 

  7. Liebling MS, Berdon WE, Ruzal-Shapiro C, Levin TL, Roye D Jr, Wilkinson R (1995) Gymnast’s wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. AJR Am J Roentgenol 164:157–159

    PubMed  CAS  Google Scholar 

  8. Podestra L, Sherman MF, Bonamo JR (1993) Distal humerus epiphyseal separation in a young athlete: a case report. Arch Phys Med Rehabil 4:1216–1218

    Google Scholar 

  9. Rogers LF, Poznanski AK (1994) Imaging of epiphyseal injuries. Radiology 191:297–308

    PubMed  CAS  Google Scholar 

  10. Roy S, Caine D, Singer KM (1985) Stress changes of the distal radial epiphysis in young gymnasts. Am J Sports Med 13(5):301–308

    Article  PubMed  CAS  Google Scholar 

  11. Segesser B, Morscher E, Goesele A (1995) Lesions of the growth plate caused by sports stress. Review [German]. Orthopade 24(5):446–456

    PubMed  CAS  Google Scholar 

  12. Shih C, Chang C, Penn I, Tiu C, Chang T, Wu J (1995) Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiology 195(3):855–859

    PubMed  CAS  Google Scholar 

Complications

  1. Albanese SA, Palmer AK, Kerr DR, Carpenter CW, Lisi D, Levinsohn EM (1989) Wrist pain and distal growth plate closure of the radius in gymnasts. J Pediatr Orthop 9(1):23–28

    Article  PubMed  CAS  Google Scholar 

  2. Bak K, Boeckstyns M (1997) Epiphysiodesis for bilateral closure of the distal radial physis in a gymnast. Scand J Med Sci Sports 7:363–366

    Article  PubMed  CAS  Google Scholar 

  3. Brooks TJ (2001) Madelung deformity in a collegiate ­gymnast: a case report. J Athl Train 36:170–173

    PubMed  Google Scholar 

  4. Vender MI, Watson HK (1988) Acquired Madelung-like deformity in a gymnast. J Hand Surg Am 13(1):19–21

    Article  PubMed  CAS  Google Scholar 

  5. Wilkerson RD, Johns JC (1990) Nonunion of an olecranon stress fracture in an adolescent gymnast. A case report. Am J Sports Med 18:432–434

    Article  PubMed  CAS  Google Scholar 

  6. Zlotolow DA, Bennet C (2008) Athletic injuries of the hand and wrist. Review article. Current Orthop Practice 19(2):206–211

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery and Emeritus Chair Mayo Clinic Division of Pediatric Orthopedic Surgery, Emeritus Consultant, Rochester, USA

    Hamlet A. Peterson MD, MS (Emeritus Professor of Orthopedics)

  2. Mayo Medical School Mayo Clinic College of Medicine, 200 First St. SW, Rochester, Minnesota, 55905, USA

    Hamlet A. Peterson MD, MS (Emeritus Professor of Orthopedics)

Authors
  1. Hamlet A. Peterson MD, MS
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Correspondence to Hamlet A. Peterson MD, MS .

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© 2012 Mayo Foundation for Medical Education and Research 2011

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Peterson, H.A. (2012). Stress. In: Physeal Injury Other Than Fracture. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22563-5_12

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  • DOI: https://doi.org/10.1007/978-3-642-22563-5_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-22562-8

  • Online ISBN: 978-3-642-22563-5

  • eBook Packages: MedicineMedicine (R0)

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