Summary
In the past 15 to 20 years gymnastics has become very popular. The increased participation exposes a greater number of athletes to potential injury. The risk of gymnastic injuries seems to be proportional to the level of the athletes; the higher the level of gymnastics, the more hours are spent in practice, with a greater exposure time. With the increased risk in gymnastics, the incidence of acute injuries will also increase, and as the skill level increases, the load during the workout will also increase, providing more opportunity for chronic injuries.
As in many sports, the ankle is the most injured body part. Some injuries, however, seem to be specific to gymnastics. In gymnastics the upper extremities are used as weightbearing limbs, so high impact loads are distributed through the elbow and wrist joint. Back problems appear to result not only from single episodes of macrotrauma, but also from repeated microtrauma caused by specific impact loads during vaults and hyperextension. Early detection is the key to treating elbow, wrist and back pain in the gymnast. Reinjury following an acute injury may be reduced by allowing for complete rehabilitation before returning to full practice.
Some studies indicate that maturation rate could play a potential role in injury predisposition. The combination of periods of rapid growth and intense training could provide for conditions where the gymnast is more injury prone.
This is a preview of subscription content, access via your institution.
References
Andrish JT. Knee injuries in gymnastics. Clinics in Sports Medicine 4 (1): 111–121, 1985
Aronen JG. Problems of the upper extremity in gymnastics. Clinics in Sports Medicine 4 (1): 61–71, 1985
Backx FJ, Beijer HJ, Bole E, Enst GC. Blessures op sportmedische adviescentra en sportmedische afdelingen. Geneeskunde en Sport 23 (1): 8–12, 1990
Bale P, Goodway J. Performance variables associated with the competitive gymnast. Sports Medicine 10 (3): 139–145, 1990
Bernink MJ, Erich WB, Peltenburg AL, Zonderland ML, Huisveld IA. Height, body composition, biological maturation and training in relation to socioeconomic status in girl gymnasts, swimmers and controls. Growth 47: 1–12, 1983
Bos A, Sol JB. Turnblessures ontstaan bij landing na (af)sprong. Geneeskunde en Sport 15 (5): 166–169, 1982
Booth FW, Gould EW. Effects of training and disuse on connective tissue. Exercise and Sports Science Review 3: 83–112, 1975
Borms J. Importance of flexibility on overall physical fitness. International Journal of Physical Education 21 (2): 15–26, 1984
Borms J. Child and exercise: an overview. Journal of Sports Sciences 4: 3–20, 1986
Buskirk ER, Andersen KL, Brozek J. Unilateral activity and bone and muscle development in the forearm. Research Quarterly 27: 127–131, 1956
Caine DJ, Lindner KJ. Overuse injuries of growing bones: the young female gymnast at risk? Physician and Sportsmedicine 13(12): 51–64, 1985
Caine DJ, Cochrane B, Caine C, Zemper E. An epidemiologic investigation of injuries affecting young competitive female gymnasts. American Journal of Sports Medicine 17 (6): 811–820, 1989
Carter JE. The Heath-Carter Somatotype method, San Diego State University Syllabus service, San Diego, 1980
Carter SR. Stress injury of the distal radial growth plate. British Journal of Bone and Joint Surgery 70B: 834–836, 1988
Carter SR, Aldridge MJ, Fitzgerald R, Davies AM. Stress changes of the wrist in adolescent gymnasts. British Journal of Radiology 61: 109–112, 1988
Ciullo JV, Jackson DW. Pars interarticularis stress reaction spondylolysis, and spondylolysthesis in gymnastics. Clinics in Sports Medicine 4 (1): 95–110, 1985
Claessens AL, Veer FM, Stijnen V, Lefevre J, Maes H, Steens G, et al. Anthropometric characteristics of outstanding male and female gymnasts. Journal of Sports Science 9: 53–74, 1991
Clarke KS, Buckley WE. Women’s injuries in collegiate sports. American Journal of Sports Medicine 8 (3): 187–191, 1980
Del Pizzo W, Norwood LA, Jobe FW, Blazina ME, Fox JM. Rupture of the biceps tendon in gymnastics. American Journal of Sports Medicine 6 (5): 283–286, 1978
Demarais Y. Lésions articulaires micro-traumatiques du pied chez le danseur. Science and Sports 1: 331–336, 1986
Garrick JG. Characterization of the patient population in a sports medicine facility. Physician and Sportsmedicine 13 (10): 73–76, 1985
Garrick JG, Requa RK. Injuries in high school sports. Pediatrics 61: 465–569, 1978
Garrick JG, Requa RK. Epidemiology of women’s gymnastics injuries. American Journal of Sports Medicine 8 (4): 261–264, 1980
Goodway J, McNaught-Davis JP, White J. The distribution of injuries among young female gymnasts in relation to selected training and environmental factors. Abstract. Paediatric Work Physiology, Symposium, Leuven, 1989
Hall SJ. Mechanical contribution to lumbar stress injuries in female gymnasts. Medicine and Science in Sports and Exercise 18 (6): 599–602, 1986
Hunter LY, Torgan C. Dismounts in gymnastics: should scoring be reevaluated? American Journal of Sports Medicine 11 (4): 208–210, 1983
Jackson DS, Wiltse L, Cirincione R. Spondylolysis in the female gymnast. Clinical Orthopaedics and Related Research 117: 68–73, 1976
Jackson DW, Silvino N, Reiman P. Osteochondritis in the female gymnast’s elbow. Arthroscopy 5: 129–136, 1989
Jones HH, Priest JD, Hayes WC, Tichenor CC, Nagel DA. Humeral hypertrophy in response to exercise. Journal of Bone and Joint Surgery 59A: 204–208, 1977
Kannus P, Niittymaki S, Jarvinen M. Sports injuries in women: a one-year prospective follow-up study at an outpatient sports clinic. British Journal of Sports Medicine 21 (1): 37–39, 1987
King JW, Brelsford HJ, Tullos HS. Analysis of the pitching arm of the professional baseball pitcher. Clinical Orthopedics 67: 116–123, 1969
Kirby RL, Simms FC, Symington VJ, Gardner JB. Flexibility and musculoskeletal symptomatology in female gymnasts and age-matched controls. American Journal of Sports Medicine 9 (3): 160–164, 1981
Kujala U, Kvist M, Heinonen O, Pajulo O, Hintsa A, et al. Children’s sports injuries treated at hospital emergency department, Abstract. XXIH FIMS congress, Brisbane, p. 130, 1986
L’Eglise M. Considérations médicales sur l’évolution de la gymnastique de haut niveau. Monogym 26: 12–14, 1986
Leighton JR. On the significance of flexibility for physical educators. Journal of Health Physical Education and Recreation 31: 27–29, 1960
Lowry CB, Leveau BF. A retrospective study of gymnastic injuries to competitors and noncompetitors in private clubs. American Journal of Sports Medicine 10 (4): 237–239, 1982
Lysens R, Steverlynck A, van de Auweele Y, Lefevre J, Renson L, et al. The predictability of sports injuries. Sports Medicine 1: 6–10, 1984
Malina RM, Bouchard C, Shoup RF, Demirjan A, Lariviere G. Age at menarche, family size and birth order in athletes at the Montreal Olympic Games 1976. Medicine and Science in Sport 11: 354–358, 1979
Malina RM. Menarche in athletes: a synthesis and hypothesis. Annals of Human Biology 10: 1–24, 1983
Malina RM, Bouchard C, Shoup RF, Demirijan A, Lariviere G. Growth and maturity status of Montreal Olympic athletes less than 18 years of age. In Carter JE (Ed.) Physical structure of Olympic athletes: Part I: The Montreal Olympic Games Anthropological Project, Medicine and Sport, vol. 16, pp. 117–128, S. Karger, Basel, 1982
Mandelbaum BR, Bartolozzi AR, Davis CA, Teurlings L, Bragonier B. Wrist pain syndrome in the gymnast. American Journal of Sports Medicine 17 (3): 305–317, 1989
Martin RK, Yesalis CE, Foster D, Albricht JP. Sports injuries at the 1985 junior Olympics. American Journal of Sports Medicine 15 (6): 603–608, 1987
McAuley E, Hudash G, Shields K, Albricht JP, Garrick J, Requa R, et al. Injuries in women’s gymnastics. American Journal of Sports Medicine, 15 (6): 558–565, 1987
McNaught-Davis JP, Goodway JD, White J. Training and injury in female gymnastics. Presented at the International Congress Kinantropometry IV, Brussels, July, 1990
Mencke HJ, Valentijn JJ. Niet-acute sportblessures op het sport-medisch adviescentrum Heerenveen. Geneeskunde en Sport 23(1): 13–16, 1990
Micheli LJ. Back injuries in gymnastics. Clinics in Sports Medicine 4(1): 85–93, 1985
Micheli LJ. Overuse injuries in children’s sports: the growth factor. Orthopedic Clinics of North America 14 (2): 337–360, 1983
Nilsson BE, Westlin NE. Bone density in athletes. Clinical Orthopedics 77: 179–182, 1971
Nocini S, Silvij S. Clinical and radiological aspects of gymnasts elbow. Journal of Sports Medicine and Physical Fitness 22: 54–59, 1982
Pacelli L. Gymnastics may disrupt growth at the wrist. Physician and Sportsmedicine 17 (8): 16, 1989
Peltenburg AL, Erich WB, Bernink MJ, Zonderland ML, Huisveld IA. Biological maturation, body composition, and growth of female gymnasts and control groups of schoolgirls and girl swimmers, aged 8 to 14 years: a cross-sectional survey of 1064 girls. International Journal of Sports Medicine 5 (1): 36–42, 1984
Pettrone FA, Ricciardelli E. Gymnastic injuries: the Virginia experience 1982–1983. American Journal of Sports Medicine 15 (1): 59–62, 1987
Priest JD. Elbow injuries in gymnastics. Clinics in Sports Medicine 4(1): 73–83, 1985
Priest JD, Weise DJ. Elbow injuries in women’s gymnastics. American Journal of Sports Medicine 9 (5): 288–295, 1981
Read MT. Stress fractures of the distal radius in adolescent gymnasts. British Journal of Sports Medicine 15 (4): 272–276, 1981
Reid DC. Prevention of hip and knee injuries in ballet dancers. Sports Medicine 6: 295–307, 1988
Rogmans WH, van Weperen W. De invloed van sportmateriaal op het letselrisico. Geneeskunde en Sport 19 (2): 53–58, 1986
Rossi F. Spondylolysis, spondylolysthesis and sports. Journal of Sports Medicine and Physical Fitness 18: 317–340, 1978
Rossi F, Dragoni S. Lumbar spondylolysis: occurrence in competitive athletes. Journal of Sports Medicine and Physical Fitness 30 (4): 450–452, 1990
Roy S, Caine D, Singer KM. Stress changes of the distal radial epiphysis in young gymnasts. American Journal of Sports Medicine 13 (5): 301–308, 1985
Saahlin Y. Sport accidents in childhood. British Journal of Sports Medicine 24(1): 40–43, 1990
Silvij S, Nocini S. Clinical and radiological aspects of the gymnasts shoulder. Journal of Sports Medicine and Physical Fitness 22: 49–53, 1982
Singer R. Motor learning and human performance: an application to physical education skills. London, Macmillan Company, 1970
Singer KM, Roy SP. Osteochondrosis of the humeral capitellum. American Journal of Sports Medicine 12 (5): 351–360, 1984
Snook GA. Injuries in women’s gymnastics. American Journal of Sports Medicine 7 (4): 242–244, 1979
Steele V, White J. Injury amongst female gymnasts. In Brody DA et al. (Eds) Proceedings of the Sport and Science conference, September 15–17, Liverpool, 1983
Steele V, White J. Injury prediction in female gymnasts. British Journal of Sports Medicine 20: 31–33, 1986
Szot Z, Boron Z, Galaj Z. Overloading changes in the motor system occurring in elite gymnasts. International Journal of Sports Medicine 6: 36–40, 1985
Tanner JM. Growth at adolescence. Blackwell Sc. Publ., Oxford, 1973
Taunton JE, McKenzie DC, Clement DB. The role of biomechanics in the epidemiology of injuries. Sports Medicine 6: 107–120, 1988
Tipton CM, Matthes RD, Maynard JA. Influence of chronic exercise on rat bones. Medicine and Science in Sports 4: 55, 1972
Tullos HS, King JW. Lesions of the pitching arm in adolescents. Journal of the American Medical Association 220: 264–271, 1972
Van Dijk CN, Marti RK, Besselaar PP. Aandoeningen van het bewegingsapparaat bij ballet. Geneeskunde en Sport 18 (2): 52–63, 1985
Van Mechelen W, Hlobil H, Kemper H. Turnen en trampolinespringen. In Van Mechelen W et al. (Eds) Hoe kunnen sport-blessures voorkomen worden? (in Dutch), pp. 102–111, Necumdruk Drachten, Amsterdam, 1987
Vergouwen P, Epidemiologic van blessures bij toptunsters. Geneeskunde en Sport 18 (2): 27–26, 1986
Von Schwerdner HP, Merz HP, Bohmer D. Wirbelsaulenveranderungen nach langjarigem Kunstturntraining eine verlauf-skontrolle rontgenologisch erhobener Wirbelsaulenbefunde. Deutsch Zeitschrift für Sportsmedizin 11: 291–295, 1981
Walter SD, Sutton JR, Mcintosh JM, Connolly C. The aetiology of sports injuries: a review of methodologies. Sports Medicine 2: 47–58, 1985
Washington EL. Musculoskeletal injuries in theatrical dancers: site, frequency and severity. American Journal of Sports Medicine 6 (2): 75–98, 1978
Watson AW. Sports injuries during one academic year in 6799 Irish school children. American Journal of Sports Medicine 12 (1): 65–71, 1984
Weiker GG. Injuries in club gymnastics. Physician and Sports-medicine 13 (4): 63–66, 1985
Whiteside PA. Men’s and women’s injuries in comparable sports. Physician and Sportsmedicine 8 (3): 130–135, 1980
Zaricznyj B, Shattuck LJ, Mast TA, Robertson RV, Delia G. Sports-related injuries in schoolaged children. American Journal of Sports Medicine 8 (5): 318–323, 1980
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Meeusen, R., Borms, J. Gymnastic Injuries. Sports Medicine 13, 337–356 (1992). https://doi.org/10.2165/00007256-199213050-00004
Published:
Issue Date:
DOI: https://doi.org/10.2165/00007256-199213050-00004
Keywords
- Spondylolysis
- Overuse Injury
- Wrist Pain
- Elbow Injury
- Rhythmic Gymnastic