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Gymnast wrist — MRCPCH AKP MCQ

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HardPaediatric SportGymnast wristMRCPCH AKP

A 13-year-old gymnast has wrist pain during weight-bearing. Radiographs show distal radial physeal widening and irregularity after months of training through pain. What is the most likely diagnosis?

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Correct answer: E — Distal radial physeal stress injury

Young gymnasts are vulnerable to physeal stress injuries from repetitive loading. Distal radial physeal widening and pain with weight-bearing support the diagnosis. Management requires load modification to protect the growth plate and gradual return.

Reference: BJSM youth sport; Brukner & Khan