gymnast wrist radial epiphysitis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Symptomatic gymnast group: - Age range 12-18 years; - Open radial growth plate on hand radiograph; - Gymnastics participation in six months before inclusion, for duration a period of at least one year and up to six months or less before moment of inclusion in the study; - Wrist pain in past 6 months; - Written informed consent by participant; - Written parental consent.;Asymptomatic gymnast group: - Age range 12-18 years; - Open radial growth plate on hand radiograph; - Gymnastics participation for a period of at least one year and up to six months or less before moment of inclusion in the study; - No wrist pain in past 6 months; - Written informed consent by participant; - Written parental consent.;Non-gymnast control group: - Age range 12-18 years; - Open radial growth plate on hand radiograph; - No gymnastic participation at present or in the past; - No participation of other wrist-loading sport with risk of wrist overuse injury (i.e. racquet sports, volleyball, field hockey, rowing, judo) for more than twice a week; - No history of wrist trauma, such as wrist fracture; - Written informed consent by participant; - Written parental consent.
Exclusion criteria
Exclusion criteria: - History of past fracture, infection or surgery of the wrist; - Diagnosed with any growth disorder; - Diagnosed with systemic disease involving the musculoskeletal system (e.g. juvenile idiopathic arthritis); - Oncological disease involving the musculoskeletal system; - Fully closed growth plate on wrist radiographs, indicative of skeletal maturation; - No written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Early signs of growth plate injury on conventional radiographs, standard MRI sequences and on MRI sequences sensitive for cartilage imaging, such as oedema, bony bridges and growth plate widening; | — |
Secondary
| Measure | Time frame |
|---|---|
| - Skeletal age as determined from a hand radiograph; - Signs of distal radial growth plate injury on hand radiographs, such as widening and haziness of the growth plate; - Quantification of growth plate pathology on DWI MR images using ADC maps; - Growth plate volume derived from 3D mapping; - Growth plate thickness; - Clinical signs and severity of distal radial growth plate injury such as wrist pain; - Anthropomorphic characteristics (length, weight) and training characteristics (starting age, level, training intensity in hours, training frequency in days, specialty elements) of participants. | — |
Countries
Netherlands