Summary Gymnast's wrist is a distal radius physeal injury most commonly due to overuse of the wrist primarily affecting young gymnasts. Diagnosis is made clinically with tenderness at the distal radius with radiographs showing widened distal radial growth plate with ill-defined borders. Treatment involves rest, NSAIDs and immobilization for 3-6 weeks. Rarely, in the case of premature physeal closure, surgical treatment is indicated. Epidemiology Incidence up to 25% of non-elite gymnasts Etiology Pathophysiology wrist undergoes supraphysiological loads due to use as a weight bearing joint. repetitive stress causes inflammation at growth plate of distal radius. microtrauma can lead to premature closure of distal radial physis resulting in secondary overgrowth of ulna. Associated conditions orthopaedic login to view 2 more bullets Presentation Symptoms wrist pain login to view 2 more bullets Physical exam inspection login to view 2 more bullets motion login to view 1 more bullet Imaging Radiographs recommended views login to view 1 more bullet findings login to view 2 more bullets MRI indications login to view 1 more bullet findings login to view 3 more bullets Diagnosis Radiographic diagnosis confirmed by history, physical exam, and radiographs Treatment Nonoperative NSAIDS, rest, immobilization for 3-6 weeks login to view 2 more bullets Operative resection of physeal bridge login to view 2 more bullets ulnar epiphysiodesis and shortening with radial osteotomy as needed login to view 2 more bullets Prognosis Good outcomes associated with early treatment. May lead to premature closure of distal radial physis.