Inconsistencies and Imprecision in the Nomenclature Used to Describe Primary Periphyseal Stress Injuries: Towards a Better Understanding

Caine, Dennis; Maffulli, Nicola; Meyers, Rachel N.; Schöffl, Volker; Nguyen, Jie C.

doi:10.1007/s40279-022-01648-5

Cited by 18 publications

(20 citation statements)

References 145 publications

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“…12,13,16,17 In an attempt for a more standard use of terminology, these types of injuries are now referred to as primary periphyseal stress injuries (PPSIs). 18 High compressive forces on the dorsal aspect of the PIP joint have been found using the crimp grip position, 7 which has been described by various authors as a risk factor for PPSI. 2,12,13,16 Our results show that the average palmar shift is 3 times higher in a loaded crimp grip position compared to an open or a half-open position.…”

Section: Discussionmentioning

confidence: 99%

Palmar Shift of the Proximal Interphalangeal Joint in Different Grip Positions as a Potential Risk Factor for Periphyseal Injuries in Adolescent Climbers

Bärtschi

Scheibler

Schweizer

2023

Wilderness & Environmental Medicine

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Introduction-The aim of this study was to evaluate different grip positions as a contributing factor for primary periphyseal stress injuries of the finger phalanges in climbing.Methods-Ultrasound imaging of the proximal interphalangeal joint was performed on 37 asymptomatic adolescent climbers. Longitudinal images were obtained of middle and ring fingers of both hands in different grip positions (open, half-open, and crimp), unloaded and loaded. The translation between the dorsal head of the proximal phalanx and the shaft of the middle phalanx was measured in an unloaded and loaded situation for all grip positions. The resulting difference was determined as the palmar shift.Results-The mean age of the study population was 13 y. Results showed a palmar shift of 0.57 mm in a loaded crimp grip position compared to 0.13 mm in an open position and 0.20 mm in a half-open grip position. With a P value of <0.001, this shift was significantly higher in a crimp grip position compared to open or half-open grip positions.Conclusions-This leads to an increase in joint incongruity and much higher peak forces on the dorsal aspect of the epiphyseal-physeal-metaphyseal complex, which is particularly vulnerable during the adolescent growth spurt. Thus, climbing and training behavior should be adapted accordingly during this phase by avoiding the crimp grip position until epiphyseal fusion.

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Section: Discussionmentioning

confidence: 99%

Palmar Shift of the Proximal Interphalangeal Joint in Different Grip Positions as a Potential Risk Factor for Periphyseal Injuries in Adolescent Climbers

Bärtschi

Scheibler

Schweizer

2023

Wilderness & Environmental Medicine

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“…18 Overuse injuries are increasingly recognized and occur when repetitively submaximal forces are endured without time for sufficient rest, leading to structural adaptation, irreversible deformity, and/or acute on chronic fractures. 3,16,17 The best studied examples among baseball pitchers involve the shoulder (affecting the primary physeal complex of the proximal humerus, also known as Little Leaguer's shoulder) and the elbow (affecting the primary physeal complex underlying the medial epicondyle apophysis, also known as thrower's elbow). The best studied examples among gymnasts involve the distal forearm (affecting the primary physeal complexes underlying the distal radius and ulna).…”

Section: Growth Plate Complexmentioning

confidence: 99%

“…The growing use of imaging, particularly the use of magnetic resonance imaging (MRI), to complement and supplement the clinical assessment of athletes with acute on chronic and nonspecific pains have led to a growing body of literature, shedding light on subclinical adaptive remodeling and stress-related findings in these pediatric athletes. 12,13,16,17 This article reviews the anatomy and physiology of the growth plate complex (physis proper and subjacent vasculature) and common patterns of injury involving the growth plate complex, subdivided into those that involve the (1) primary physes underlying the epiphyses, (2) primary physes underlying the apophyses, and (3) secondary physes, using anatomical examples observed in the upper extremity among youth baseball players and gymnasts. For each of the subsections, pathophysiologic mechanisms, spectrum of imaging findings, and existing evidence-based guidelines for injury prevention and return to play (RTP) are presented.…”

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confidence: 99%

Return to Play in Youth Athletes: Role of the Radiologist with Focus on the Upper Extremity

Patel,

Nguyen,

Brown

et al. 2024

Semin Musculoskelet Radiol

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Increase in youth sports participation, longer duration of play, and earlier starting points have increased the prevalence of acute and repetitive overuse musculoskeletal injuries. This rise in injury rates has led to increased efforts to better understand the susceptible sites of injury that are unique to the growing immature skeleton. Upper extremity injuries are currently the best studied, particularly those that occur among pediatric baseball players and gymnasts. The weak link in skeletally immature athletes is the growth plate complex that includes those injuries located at the epiphyseal and apophyseal primary physes and the peripherally located secondary physes. This article reviews the anatomy and function of these growth plate complexes, followed by a discussion of the pathophysiologic mechanisms, spectrum of imaging findings, and existing evidence-based guidelines for injury prevention and return to play.

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“…At the same time, men are more physically active. 6 This is because male athletes show higher enthusiasm for outdoor activities. Female athlete runners are more flexible in high-risk sports.…”

Section: The Incidence Of Sports Injuries Among Outdoor Sports Partic...mentioning

confidence: 99%

Prevention of Physical Injuries in Outdoor Sports Practitioners

2023

Rev Bras Med Esporte

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Introduction: Outdoor sports are a recreational sports, and mountaineering and hiking are the basic forms of this sport. Occasionally there are injuries in the practice of this activity that can damage the health of its practitioners, in addition to bringing adverse effects to the daily work environment. Objective: Provide relevant protection measures to prevent physical injuries caused to outdoor sports practitioners. Methods: Volunteer exercisers participated in a questionnaire survey that collected the location of sports injuries and the causes of these injuries. On this information, statistics were processed considering the location of the injuries and their causes. Protective measures were based on the updated scientific literature. Results: The most injured body parts in outdoor sports are ankle joints, knee joints, and skin tissue contusions. The main reason for these injuries is the lack of awareness of protection by the athletes. Conclusion: Attention to preparation activities before outdoor sports and organization in the exercise load are the main factors for preventing physical injuries in outdoor sports practitioners. In this way, injuries can be avoided in outdoor sports. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

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Inconsistencies and Imprecision in the Nomenclature Used to Describe Primary Periphyseal Stress Injuries: Towards a Better Understanding

Cited by 18 publications

References 145 publications

Palmar Shift of the Proximal Interphalangeal Joint in Different Grip Positions as a Potential Risk Factor for Periphyseal Injuries in Adolescent Climbers

Palmar Shift of the Proximal Interphalangeal Joint in Different Grip Positions as a Potential Risk Factor for Periphyseal Injuries in Adolescent Climbers

Return to Play in Youth Athletes: Role of the Radiologist with Focus on the Upper Extremity

Prevention of Physical Injuries in Outdoor Sports Practitioners

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