Gymnast wrist is an overuse injury of the distal radial physis, resulting from repetitive axial loading on the wrist (pronation and extension).

There is typically a history of gymnastics or weight-lifting training.

Physical examination will show tenderness along the distal radial physis and pain with hyperextension and axial loading.

Plain film findings:

• widening of radial growth plate
• irregularity/ill-defined borders (most common on metaphyseal side)
• positive ulnar variance
• cystic changes/sclerosis