title: Chronic slipping of bilateral distal humeral epiphyses in a gymnastist.
abstract: In children, fracture-separation of the epiphyseal plate near the elbow joint is a common occurrence. However, separation of the distal humeral epiphysis is very rare, and in most cases, it is caused by high-impact trauma. In all reported cases, there has been a clear mechanism of injury. We report a case of an 11-year-old male patient who sustained separation of the distal humeral epiphyses bilaterally after 2 years of gymnastics, without a clear mechanism of injury. This patient had been using the vault since he was 9 years old, although children of that age do not normally perform on the vault. When gymnasts place their hands on the vault with their elbows flexed and subsequently extend their elbows to push off, the biomechanical load is placed equally on the right and left arms. Consequently, this type of repeated stress induces injury to the epiphyseal cartilages bilaterally, resulting in chronic progression of separation of the distal humeral epiphyses.
authors.affiliation: Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Oda
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Fujiwara
authors.forename: Kozo
authors.initials: K
authors.lastname: Ichimaru
authors.forename: Toru
authors.initials: T
authors.lastname: Morihara
authors.forename: Takumi
authors.initials: T
authors.lastname: Ikeda
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Kubo
mesh_terms: D002648:Child; D002908:Chronic Disease; D004838:Epiphyses / Q000293:injuries*; D006173:Gymnastics / Q000293:injuries*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology*; D004204:Joint Dislocations / Q000209:etiology*; D008297:Male; D016059:Range of Motion, Articular; D000092464:Elbow Injuries