Evidence map›Paper›PMID 41816629›Full record

ArticleJournal of hand surgery global online2026

The Influence of Early Gymnastic Exposure on the Triangular Fibrocartilage Complex in the Adolescent Wrist.

Anne-Sophie van der Post, Sjoerd Jens, Laura S Kox, Miryam C Obdeijn, Roelof-Jan Oostra, Mario Maas

Abstract read
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Article in Journal of hand surgery global online, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anne-Sophie van der PostAmsterdam UMC location University of Amsterdam, Radiology and Nuclear Medicine, Meibergdreef 9, Amsterdam, the Netherlands.
Sjoerd JensRijnstate Hospital, Radiology and Nuclear Medicine, Arnhem, the Netherlands.
Laura S KoxAmsterdam UMC location University of Amsterdam, Radiology and Nuclear Medicine, Meibergdreef 9, Amsterdam, the Netherlands.
Miryam C ObdeijnAmsterdam Movement Sciences (AMS), Sports and Musculoskeletal Health, Amsterdam, the Netherlands.
Roelof-Jan OostraAmsterdam UMC location University of Amsterdam, Medical Biology, Clinical Anatomy and Embryology, Meibergdreef 9, Amsterdam, the Netherlands.
Mario MaasAmsterdam UMC location University of Amsterdam, Radiology and Nuclear Medicine, Meibergdreef 9, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate triangular fibrocartilage complex (TFCC) appearance on magnetic resonance imaging (MRI) and the correlation between central triangular fibrocartilage (TFC) thickness and ulnar variance (UV) in adolescent asymptomatic gymnasts. Methods: This retrospective analysis of a prospective cohort selected 12-18 years old asymptomatic gymnasts and healthy controls from the Physeal MRI study, which is a single-center study on physeal injury that included gymnasts with wrist pain, asymptomatic gymnasts and healthy nongymnasts from June 2015 until November 2017. A standardized scoring form was used for assessment of TFCC morphology on MRI. Bone age and UV were determined on radiographs. TFCC morphology was assessed on 3T MRI and categorized. Statistical differences between groups were calculated using a chi-square test or Fisher exact test. Spearman's correlation coefficient was calculated between central TFC thickness and calendar/bone age, UV, height, and weight. Correlations were interpreted as poor (≤0.20), fair (0.21-0.40), moderate (0.41-0.60), substantial (0.61-0.80), and excellent (0.81-1.00). Multiple linear regression was performed to determine predictors of central TFC thickness. Results: Forty-one adolescents (23 nongymnasts, 18 gymnasts, median age 14 years, 21 female) were included. No differences were found in TFCC appearance. Correlations between central TFC thickness and UV were substantial in both groups. Multiple linear regression analysis showed that UV and bone age together were significant predictors for central TFC thickness in nongymnasts ( Conclusions: Early gymnastic exposure does not influence TFCC appearance on MRI. However, a misbalance between central TFC thickness and UV appears to exist for adolescent gymnasts and this should be taken into consideration when assessing gymnastic wrist injury. Type of study/level of evidence: Diagnostic III.

Indexed as

AdolescentGymnasticsMagnetic resonance imagingTriangular fibrocartilageWrist injuries

Identifiers

PMID41816629
PMCPMC12973695

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